In the operating room, Zheng Ren is doing his surgery with all his heart and soul.
He finally wanted to understand and practice the latest positioning methods. However, the patients in front of us have not done the corresponding checks, and the theories that they want to understand cannot be practiced.
Although it does not make sense for the immediate surgery, Zheng Ren's surgical experience has improved a lot.
In the operating room of the system, he has controlled the number of penetrations and punctures between the hepatic vein and the portal vein within 10 times.
In the later period, a TIPS operation can be completed in less than 2 hours, and even Zheng Ren also improved the prevention of postoperative hepatic encephalopathy.
This research and study has greatly helped Zheng Ren.
Although all the training time and experience accumulated in the previous period were consumed, Zheng Ren believes that it is worthwhile.
Not only is the slow surgery, even the emergency surgery, Zheng Ren has a lot of confidence to take it down.
The puncture needle is sent to the position where the image overlaps. Zheng Ren Shen said: "Prepare for puncture."
Su Yun knows, the guide wire is firmly held in his hand, and he does not move.
At this time, you don't need to be fast, you just need to be steady.
Zheng Ren took a look at the direction and made the final adjustment, and pulled the puncture needle button.
No surprise, the puncture failed.
He was not disappointed because Zheng Ren knew that the purpose of this puncture was to locate, not to succeed.
This puncture is just to leave a mark on the image as a target for the mark.
Zheng Ren concentrated on the image, and he already had a three-dimensional graphic construction of the patient's hepatic vein and portal vein.
"Upward 1.5cm, the angle is 15 degrees to the right." Zheng Ren said while moving the guide wire.
Su Yun stunned. According to the operation, Zheng Ren’s own operation is enough. The previous surgery was like this. Why should he tell himself? And there is a right deviation of 15 degrees, what does that mean?
Slightly pondering, Su Yun quickly understood the meaning of Zheng Ren.
Because the hepatic vein is very thick, the guide wire is too sputum in the hepatic vein, causing constant drift.
Zheng Ren must operate the guide wire, walk along the wall of the blood vessel, and use the wall of the blood vessel to help fix the guide wire. Although it is not very effective, it is much better than the surrounding.
The problem of surgical techniques involved here is the feeling of accumulation with experience, Su Yun knows.
As for the right deviation of 15 degrees, it is to tell the angle that the hand should be kept when fixing the guide wire.
Su Yun’s thoughts of ignorance, fortunately, his own IQ is high, and it’s really impossible to change people. This cargo is so good and I met myself.
Zheng Ren also knows this, but these are all learned in the system operating room before surgery, and there is no time to communicate and communicate.
[H, the first time! 】
In the Xinglin Garden, there is a barrage count.
After many live broadcasts, all the doctors who went online to see the surgery at the first time produced an illusion that the surgeon never failed.
They rarely have gloating, but are happy to count and see how many times the surgeon can successfully complete the operation.
[This needle is a bit far away. 】
[It is a bit far away, I don't know the intention of the surgeon. To say that it is luck, his luck seems to be really not good. 】
[I don't believe that the surgeon will blindly puncture, the last embolization will lead to intestinal necrosis, and then use the necrotic intestine to mark the bleeding point. You still remember. At that time, I was impatient, I did not expect the surgeon to do it. 】
Soon, under the barrage, the surgeon began a second puncture.
The black image of the puncture needle was smashed by a black lightning bolt.
The portal vein overlaps with the image of the hepatic vein, and the image of the puncture needle stops immediately after it appears, which is mixed in the image of the portal vein and the hepatic vein overlapping, which is difficult to distinguish.
[Successful? 】
[I don't know, this needle position is particularly good, I have a feeling that I have successfully puncture. 】
[See the surgeon's next step to know. 】
The doctors in Xinglinyuan seemed to have entered the operating room. They were doing their own surgery, and their hearts were hung in the eyes of the blind.
Some people started to say that the position of the first needle was a little far away, which was intentional by the surgeon, and some people did not agree. However, from the position of the second needle, it is said that the surgeon has no purpose, and the doctors who watched the live broadcast did not believe it.
Even if it is not successful, everyone will inexplicably believe that the next shot will inevitably succeed!
This is the confidence that dozens of live broadcasts bring to everyone.
In the operating room, Zheng Ren shook his head and concentrated on the image, saying: "0.3cm backwards, 10 degrees right."
He seems to be the captain of a bumpy boat in the sea, facing the wind and waves, without fear, and constantly issuing instructions.
And his crew, a firm implementation, believes that under the command of the captain, the ship will be able to overcome the storm and arrive at the other side.
The guide wire is slightly retracted. If it is not sensitive, it will not feel the guide wire.
This distance of 0.3cm... is really difficult to quantify.
Su Yun can feel the change of the guide wire. After Zheng Ren retreats the guide wire by 0.3cm, he will hold the guide wire and bend it to the right by 10 degrees to fix the guide wire as much as possible.
Zheng Ren took aim at it again, and he was full of confidence.
It is totally different from the system operating room! Zheng Ren returned to reality and experienced it after two punctures.
The system task rewards, the accumulated lucky value has reached the level of +6.
Although I have never known what the lucky value is for, when doing TIPS surgery, Zheng Ren is keenly aware of the difference between reality and system operating room training.
The second needle, which was originally a tentative puncture, was more focused on positioning on the other side and then determining that the portal was between the two.
This is the method that Zheng Ren has mastered.
However, the second needle almost smoothly entered the portal branch, only a little bit. At that moment, Zheng Ren had a kind of enlightenment. If his luck value is even higher than 1 point, this needle will be there!
At this point, Zheng Ren is full of confidence!
This needle does not, the needle will become!
With Su Yun fixed the guide wire, Zheng Ren began to puncture.
His fingers firmly push the button.
But at this time, the patient suddenly vomited violently.
As soon as the body moved, the position of the puncture needle also swayed sharply. In this case, the lucky **** did not care about Zheng Ren, and the third shot failed.
In the live broadcast room a silence.
Many people feel that they have succeeded when the needle is ready for the puncture point.
【Pity……】
After a long time, a barrage flew slowly.
[Nothing, accidents, the next shot, will definitely succeed! 】
[The next shot, it is estimated that it will be positioned, and if you want to succeed, you still have to look at luck. 】
[... I suddenly felt a sense of despair, like cutting a Mac's point, I couldn't see the iris. 】
[Khan... That’s a horror film, don’t mention the fact that you can’t see the tail of the Mai’s point. A few days ago I did a appendectomy and did it for 3 hours. The iris was finally found near the spleen. 】
[sympathy upstairs. 】
[sympathy upstairs +1]
[...]