Chapter 1664

But one second is enough for Zheng Ren to operate.

In fact, the amount of bleeding is small, but it is very eye-catching in a narrow space.

Director Xu can be sure that there must be a place for spontaneous bleeding.

Because of the approach between the two, including the cut bone, the bleeding has stopped.

After opening, because of the pressure, the blood in the hematoma seen on the film came out. It doesn't suck clean, which proves that there is persistent bleeding.

The operation was performed in blood.

Although there was bleeding, Zheng Ren and Su Yun didn't panic, but their speed decreased, not as fast as before.

"What is boss Zheng going to do?"

"It may be judged that the bleeding point is a blood vessel near the spinal nerve."

"Don't pull blood vessels. Boss Zheng said it was endometriosis."

In the operation room, the directors of the major departments who watched the operation whispered.

Look at the operation, boss Zheng's surgical technique is absolutely no worse than director Xu of spinal surgery. The operation was done cleanly. If there was no bleeding, it could be judged to be almost perfect.

With the further progress of the operation, everyone's heart was raised.

Whether it is anesthesia side injury or endometriosis is about to be determined.

Soon, Zheng Ren found the location of the bleeding.

One piece 0.5 × A 0.6 cm bleeding surface was present in the surgical field.

Because the art field is very small, only Zheng Ren can see it. Even Su Yun opposite doesn't know where to go. Many directors scrambled for a position around vice president yuan to see what happened.

"Don't squeeze!" Vice President yuan angrily said, "what are you doing for surgery!"

Hearing vice president yuan scold all the directors of the observatory, Zheng Ren stopped and said, "the location of this bleeding is the displaced endometrium. The next step is to free and remove this endometrium."

Then he used hemostatic forceps to point inside the operation area.

There is blood on the endometrium. I can't see it very clearly. Zheng Ren took over the attractor and did not dare to do too violent actions on the endometrium, so as not to cause side damage and continue to implant the endometrium.

Vaguely see the situation, you directors have the same mirror in your heart.

Although I don't know what the endometrium looks like with the naked eye, as long as there is no bleeding after resection, it directly proves that boss Zheng's diagnosis is correct.

And the operation is over.

After many directors saw it, Zheng Ren carefully separated the endometriosis tissue from the dura mater, and carefully removed most of the fibrous tissue on the posterior dura mater.

Director Wei saw that Zheng Ren was skilled in making blunt free movements with a microscope. If he didn't look carefully, he couldn't distinguish the movements on his hands. He was filled with emotion.

This operation is really awesome!

Awesome!

Director Xu smiled bitterly and said, "boss Zheng, is this the technique of blunt separation in general surgery?"

"Well, it's commonly used in intestinal obstruction. The damage is small and the effect is relatively good. With the microscope, it can completely avoid the residual endometrium after operation."

With a microscope

Director Xu was speechless.

The international authoritative journal of spine surgery, spine, published an article comparing the effects of spinal surgery between neurosurgeons and orthopedics doctors.

In the United States, 2 / 3 of spinal surgery is completed by neurosurgeons, and only 1 / 3 of orthopedics.

The authors analyzed 50361 cases of spinal fusion or decompression in the United States from 2006 to 2012, of which 33235 were completed by neurosurgeons, accounting for 66% of the total.

The results showed that compared with orthopedic surgery, the hospitalization time of patients undergoing spinal surgery in neurosurgery was significantly shortened, the amount of perioperative blood transfusion was significantly reduced, the incidence of postoperative complications was low, and the postoperative nursing cost was less, which brought greater benefits and less pain to patients.

Why did this happen?

Because neurosurgeons are used to operating under a microscope!

Orthopedic doctors, including those in the United States, are not proficient in the application of microscope.

But boss Zheng, an interventional doctor and a guy from general surgery, how can he be so skilled in the use of microscope?

Stunned, Zheng Ren's hemostatic forceps have been replaced with the smallest one in the instrument box. Almost touching the hemostatic forceps, in the upper layer of the free dura, the upper dura and endometrium should be removed together.

After 1 ′ 22 ″, a piece of blood dripping tissue was clamped with hemostatic pliers, wrapped with white gauze and sent to the pathological basin.

A crisp sound, morning bell and evening drum.

The free is very clean, the previous bleeding is gone, and the operation area is clear. Several small bleeding spots have long been stopped by electric fire. It's a matter of slapping.

Many directors present knew that boss Zheng's judgment was right! He didn't use ligation or titanium clip. He didn't use anything. He just peeled off the bleeding and stopped the bleeding.

During anesthesia, it is impossible to cause massive bleeding.

Logically, it must be endometriosis.

Zheng Ren did not stay and continued the operation.

He checked again that there was no nerve root compression, the spinal cord beat well and stopped bleeding completely.

Rinse with normal saline, count the gauze instruments, suture the fascia, subcutaneous and intradermal skin incision layer by layer.

No drainage strip was left because he was sure there was no bleeding or even bleeding.

What a powerful confidence it is!

"Su Yun, you help send the patient. I'll go to the pathology department." Zheng Rendao.

"Boss Zheng, the pathological tissue has been sent to the pathology department. Now director Chi should be freezing." Director Xu said.

"So fast." Zheng Ren was a little embarrassed. The operation was so urgent that he forgot to ask director chi to give him a hand.

"Lao he is also one of my soldiers. You can't just care and throw me aside." Director Xu smiled.

Zheng Ren nodded and turned to step down.

A few minutes later, before Director Mao sent it down, the pathology department called in.

Intraoperative frozen pathology confirmed that the tissue was endometrium!

After hearing the news, Zheng Ren's body was obviously relaxed. Su Yun looked up and stared at Zheng Ren.

"Boss Zheng, cow force!" Director Xu of the anesthesiology department was stunned. After three seconds, his right thumb raised high and said loudly.

Director Wei moved his mouth. He didn't want to pick up people's wisdom, but he couldn't find a suitable word to describe it.

"Boss Zheng, cow force!" Professor Wu of Gastroenterology said with emotion.

Director Wei was angry, but he could only pat Zheng Ren on the shoulder and said, "boss Zheng, cow force!"

"Okay, okay." Zheng Ren didn't know how to respond. He could only say it politely.

"How do you estimate the recovery after operation?" Vice President yuan asked.

"Because the compression time is relatively short, it is estimated that there should be no problem in postoperative recovery. I have experience in neurology or spinal surgery, so I won't talk much." Zheng Ren said with a smile, "to be on the safe side, I'll go to the ground in three days. There's nothing else to pay attention to."