302 wins and losses, between the lines (2/4)(1/2)
As you talk, you will be wrong. Perhaps this is a self-protection mechanism for the human body when you are nervous.
In the operating room, after encountering an unexpected situation, you either fall into anger or fall silently and suppress.
In the live broadcast room, there is no way to throw the equipment and send the breath to the assistant. Moreover, the surgery is not done by yourself. As melon-eating crowd, the doctors are relatively relaxed.
The surgeon failed again, and it cannot be said that the surgeon had problems with the surgery, so he could only tell jokes and make fun of the mess.
Outside the operating room, in the operating room, Professor Rudolph Wagner looked at the image with bright eyes.
It was hard for him to believe that it was Zheng Ren's first TIPS surgery.
I am so skillful. If it weren't for the sudden vomiting of blood from the patient, the third needle would have been punctured!
His talent is simply enviable, Professor Rudolf Wagner thought to himself.
Su Yun felt a little regretful, but not surprised.
He has ignored Zheng Ren's proficient techniques that he showed during his first TIPS surgery.
There have been too many such things happening and the sense of novelty has been lost. If you are still surprised, Su Yun will probably be surprised if his chin falls off.
He was already numb and subconsciously thought that this was all right.
Perhaps, when others saw themselves, they would have felt such helplessness.
"This is the emergency surgery, don't be anxious." Su Yun comforted lightly.
"Yes." Zheng Ren nodded, and indifferently wiped away the faint regret in his heart, started moving again, proofread the guidewire position, and prepared to pierce again.
After careful observation of the image, Zheng Ren found that the position of the guide wire was not far away, and it could even be said that it did not move much.
It is estimated that when the patient vomited, Su Yun's hand moved with the patient's movement. There was no other explanation.
This assistant is really perfect. At least from Zheng Ren's perspective, there is no problem.
"From 0.5cm forward, right hand 25 degrees...23 degrees angle." Zheng Ren estimated, saying.
Soon, the guidewire was in place again.
In the system operating room, the experience obtained from the operation on the experimental subject has been tempered in reality, and Zheng Ren has a sublimation feeling.
It was almost this time. Although he experienced a failure, Zheng Ren had stronger confidence.
He did not comfort the patient and asked the patient to try to hold back and not move.
This is not an emergency room, and the patient is not crying for his parents because of pretentiousness.
Varicocele rupture of the gastric fundus causes a large amount of venous blood to accumulate in the stomach. This biological stimulation cannot be controlled by humans.
It's like a hiccup, it's like a fever, it's not something that can be controlled or changed by human beings.
Only by taking advantage of the interval when the patient vomits blood can it be done quickly.
I briefly observed the patient and saw that the patient's breathing was very weak and fast, but there was no sign of restlessness.
Zheng Ren then pulled the button of the puncture needle.
The black shadow displayed by the puncture needle on the image passes through the hepatic vein and appears in the liver branch of the portal vein.
"It's done!" Su Yun roared in a low voice in depression.
"Stay." Zheng Ren was not anxious, firm, and as steady as a rock. In the stormy waves, let the boat row to the other side of victory.
"Yeah." Su Yun responded immediately.
Success in the puncture is only the most critical step. If there are any mistakes afterwards, it will inevitably lead to the failure of the operation and must be carried out again.
So be careful in everything, like walking on thin ice.
[I'll go... I'll succeed in the fourth time! Awesome!]
【In fact, it should be successful for the third time.】
[The surgeon once again exceeded my imagination. In my impression, our hospital has undergone dozens of TIPS surgeries, and the operation time is more than 4 hours. It is estimated that the number of punctures should be about 20 times.]
There was a lot of joy in Xinglin Garden, and even the doctors who had previously guessed that the surgeon's surgery would fail were relieved.
Although they are not from Chinese people, they did not expect the operation to fail.
There are not many barrages. Although the most critical step is solved, the rest is also very important - the indwelling membrane stent.
There are two different views on the choice of brackets.
The stent without membrane will have good stability. It is a barrel-shaped barbed wire mesh that is fixed by the liver parenchyma in the liver, with great friction and it is difficult to escape after surgery.
But the problem is that the liver's regeneration ability is too powerful.
After a period of time, perhaps one year, or perhaps several years, the stent may be blocked by the regenerated liver, and the passage established by TIPS surgery is reclosed.
As for membrane stents, because the friction between the stent and the liver parenchyma is insufficient, although the possibility of reocalizing the channel after liver regeneration is avoided. However, higher surgical techniques are required, and the stent is fixed as much as possible.
The beauty of use lies in one mind.
Zheng Ren chose the surgical procedure with membrane stent in the system operating room after countless trials and research on various literatures.
He was confident that he would leave the stent stably in the passage of the puncture needle.
In the operating room outside the operating room, Professor Rudolph Wagner was silent.
He firmly denied the statement that Zheng Ren had the first TIPS surgery! If Zheng Ren had the first TIPS surgery, he would be so proficient. How could TIPS surgery be called the jewel of interventional crown?!
He did too much of this technique. It is precisely because of understanding that he feels incredible.
How many scolds did I get when I first learned TIPS surgery? How many times did I fail? How happy was I when I succeeded for the first time?
These scenes are recalled in the professor's heart.
It’s impossible, it’s definitely impossible for Zheng Ren to have the first TIPS surgery.
Even now, when facing the emergency blood vomiting, it is difficult for me to touch the corner of the Goddess of Victory during the third injection.
Moreover, after the unexpected failure of the third needle, Zheng Ren's mood did not seem to be affected, and the position of the guide wire was also not affected.
The next fourth needle was successful!
Professor Rudolph Wagner is the one who knows the most about how difficult it is.
Zheng really has a pair of God's hands, and his existence exists simply for interventional surgery.
The intention of taking Zheng Ren to the Heidelberg University Research Office was once again consolidated by the facts and became more and more determined, like the rocks on the top of the Alps.
Zheng Ren held the guide wire and paid close attention to the patient's condition. If the patient had violent vomiting at this moment, the guide wire was pulled out...
That's a very fucking thing.
The 10mm filmed bracket was put on by Su Yun along the guidewire.
The two changed hands, and there was almost no gap when they cooperated. They were skillful and had a mess of tacit understanding.
The bracket entered smoothly.
Because it was the first TIPS surgery in reality, and the patient vomited blood and became restless from time to time, and his position deviated at any time.
So Zheng Ren has been stepping on the wire to be able to observe the situation of the guide wire and bracket in real time.
The patient immediately vomited violently again, and a strong smell of blood spread in the operation room.
The action of sending the stent was forced to stop. Zheng Ren and Su Yun carefully held the guide wire, for fear that the guide wire would slip out a few centimeters, resulting in the operation failure again.
It's nothing to do with a new surgery.
However, if the patient's condition cannot quickly solve the problem of increased pressure in the gastric fundus vein, it may cause death due to large amounts of bleeding.
This is a competition with the God of Death, and every detail must be done perfectly.
Even so, the doctor does not have any confidence to defeat the god of death. Not only does it need to be perfect, but it also needs to be fast!
The faster,
The better.
Finally, the patient's vomiting blood that lasted for half a minute eased a lot, and he finally calmed down, as if he had no extra strength to struggle.
Zheng Ren glanced at the vital signs on the monitor and suddenly shouted: "Open the call!"
The operating table in the operation room was on the right hand of Ichisuke. Su Yun was glad that the patient had stopped vomiting blood, and the position of the guide wire did not seem to have changed.
At this moment, I suddenly heard Zheng Ren's roar and subconsciously pressed the dialog button of the operating table with the sterile membrane attached to it.
"Yanran, Yiren, wearing lead clothes, came in, the patient vomited and aspirated!" Zheng Ren shouted!
Because interventional surgery requires radiation, Zheng Ren will not let a few girls come in whenever possible.
But... when the bracket was about to go in, the waves were everywhere.
The patient had just vomited violently, causing the vomited blood to be accidentally sucked into the respiratory tract.
Then, the monitor's crazy alarm sounded, extremely arrogant.
Everyone outside moved.
Director Xia put on his lead clothes and entered the operating room with Xie Yiren and Chu Yanran.
Zheng Ren did not break the wire, so he had to observe the position of the guide wire at all times.
To be continued...