In the interventional operating room, the patient is prone to the position of the incision of the appendix incision, but there is no big problem.

But the patient didn't understand what was going on and kept asking.

On the dsa machine, Zheng Ren made a simple ct first. The technical level here is average, but the dsa machine is newly purchased and has a ct function.

The CT of the vertebral body shows that a slightly higher density shadow of the tube strip on the right side of the spinal canal on the 7-12th floor of the chest, and the abnormal density shadow can be seen extending out of the body on the plane of the chest, and the soft tissue of the posterior edge of the spinous process of the chest 12 swells.

"Boss, do you think the catheter you fell into is only about 6cm? That's at least 10cm!" Su Yun said contemptuously as he looked at the image.

"No, it looks at least about 13cm." Zheng Ren said, pointing to the ct image.

Su Yun no longer said anything, but drove the operator away directly, and he sat in front of the operating table.

"I can't go to work after drinking," said Zheng Ren.

"I didn't want to move, just do it alone inside, just pretend that there is no one outside. I'm just curious about how you are going to take out the broken catheter." Su Yun smiled and said as if no one was around.

"Just treat it as a thicker blood vessel." Zheng Ren smiled and took Gao Shaojie to brush his hands and go to the stage.

"Boss Zheng, how to do the surgery?" Gao Shaojie asked while brushing his hands.

"First do epidural imaging, then pierce at the original puncture point, take the trap, and grab the broken catheter." Zheng Ren said.

Gao Shaojie didn't understand it very well. Although this was probably the case with the whole process, he had never heard of similar operations.

Be cheered up! Gao Shaojie encouraged himself in his heart and must take a closer look.

He speeded up his movements and finished brushing his hands to lay the sterile sheet.

Because of the need for angiography, Gao Shaojie left two different surgical areas, one in the sacral and coccyx and the other in the position of continuous epidural puncture.

Xiang Heping looked at him silently, he couldn't understand everything here. How could he feel that the trauma surface is bigger than that of surgery in the two surgical areas?

"Lao Gao, have you ever had epidural imaging?" Zheng Ren asked.

"No, Boss Zheng." Gao Shaojie replied honestly.

"Then I'll do it." Zheng Ren was wearing sterile clothes and gloves, and stood on the operating table.

He glanced at various instruments, then stared at Xiang Heping. After 1.25 seconds, Zheng Ren's eyes became tighter.

Boss Zheng's eyes showed Xiang Heping, and no one told him about money until now. Coupled with Director Zhang's persuasion, he also saw extremely professional judgments and operations, and the technician was driven away.

Xiang Heping himself doesn't believe it now.

What did Boss Zheng do when he looks at him like this? Are he going to curse? He becomes an individual when he goes to the operating table. He has never been a professor like this.

In an instant, Xiang Heping had countless psychological scenes, and even outlined many scenes of himself being bullied in the operating room.

"Director Xiang, are you going to see the operation during the operation?" Zheng Ren asked.

Xiang Heping nodded confusedly.

My own old man, can't I take the surgery myself? It shouldn't be.

"Go and wear a lead jacket." Zheng Ren sighed. The technical level of township hospitals is almost understandable. How could he not even know about wearing lead jackets when entering the interventional operating room?

At this level... it's hard to describe.

Director Zhang, the orthopedics department who was also preparing to watch the entire operation in the operating room almost stuffed his head into his crotch.

It’s so shameful. In Boss Zheng’s heart, Langshan County Hospital is so unemployed.

This old guy is so embarrassing.

After Zheng Ren finished speaking, he saw Xiang Heping hurriedly put on his lead clothes, but he ignored him and began to puncture.

After local anesthesia, the 16-number epidural needle was used to penetrate the sacral and coccyx ligament at 45° with the trunk. Then Zheng Ren's hand changed the angle and slowly penetrated into the sacral canal by 25°.

"Lao Gao, please pay attention here." Zheng Ren said, "Since the subarachnoid cavity ends at the second sacral plane, the puncture needle should not exceed the second sacral plane to ensure that it does not penetrate the subarachnoid cavity."

Gao Shaojie nodded and wrote down this key point.

Zheng Ren then pulled out the needle core to observe whether there was any cerebrospinal fluid overflow, inserted the epidural anesthesia catheter into the interlumbosacral epidural cavity, and then exited the puncture needle.

"Anesthesia." Zheng Ren said.

After injecting anesthetics, Zheng Ren observed for 5-10 minutes to confirm that the patient did not have spinal anesthesia, and ruled out the dural penetration injury. Then the next step was carried out.

The airtight lead door slowly closed, and Zheng Ren began to perform angiography.

Because the epidural anesthesia catheter is almost not developed under X-ray, even with contrast agent imaging, it is still quite difficult to find a catheter with a thickness of a few centimeters.

"Old Gao, combined with the CT image just now, you can find abnormal images at the location of chest 7-12." Zheng Ren softly explained to Gao Shaojie, "Seeing that the position of the catheter is not close to the wall, there should be no need to inject gas into it."

"Well, Boss Zheng, I can probably find a location." Gao Shaojie said.

"I won't let you do this time." Zheng Ren walked to the chest and waist surgery area and began to perform puncture.

Gao Shaojie knew that this should be the first time Boss Zheng encountered a similar patient. He had enough knowledge of Boss Zheng. No matter what, this young boss is here, his clinical practice is still a shortcoming.

Although with sufficiently profound theoretical knowledge combined with virtual operations, there are always ideas like flying immortals in the sky, such as the operation in front of you.

But he must have to catch the knife himself for the first operation, and try to avoid all unexpected situations.

With Boss Zheng's advice, Gao Shaojie has already figured out the process of the operation. Whether he can do it depends on the method.

Gao Shaojie still has some confidence in this. At least, it depends on how Boss Zheng has accumulated more experience after doing it once.

The guide wire entered, and the capture device also entered the epidural cavity. Gao Shaojie concentrated, holding the end of the guide wire in his hand, and staring at the screen opposite.

You should adjust the direction and then turn on the capture device. Gao Shaojie judged in his heart. This step is the most difficult. If you change yourself, you may have to do more than ten times before you can successfully capture the broken catheter.

It is easy to say if a catheter with a diameter of 3mm is easy to hold, but difficult to do.

The capture device just went down and the intercom rang.

"Director Xiang, someone is looking for it." The voice of the nurse in the operating room came from the intercom.

Gao Shaojie was a little angry. He just now had a full energy and his condition was almost overwhelming. He firmly believed that Boss Zheng successfully captured it at one time, and he would definitely be able to see more details clearly.

What is annoying when undergoing surgery is disturbed, and even the elegant Gao Shaojie is full of disgust.
Chapter completed!