Chapter 303： Bracket bracket (3/4)

In the live broadcast room, the pictures were fixed, and the doctors waited for a few seconds. After checking their network, they found that there was no problem and they were confused.

[How can I not move? 】

[The surgery is not finished, it will not end the puncture, even if the surgery is completed. 】

[I also want to see if the surgeon officially opened the hepatic vein and portal vein. Is there any special surgical procedure? 】

Several bullets flew out, and everyone confirmed that the network had no problems and was more confused.

Is there any surgery that I don't understand, like the last emergency surgery, a screen of double field?

[No, the patient's blood oxygen saturation is falling! 】

Soon, someone found out that the situation was wrong.

Because the time is short, the changes in blood oxygen saturation caused by aspiration in the lungs of the patient have just begun, but the doctors who watched the live broadcast are all insensitive to the changes in vital signs, and they noticed directly.

Surprise has not yet spread, and the field of live surgery has started to move.

However, the surgical field is not the same as before, and the bumps are powerful. It's like some documentary with a very high degree of authenticity. The photographer holds the camera in his hand to track the camera.

Looking at dizziness, the halo is particularly powerful.

Some doctors with underdeveloped vestibular nerves have a feeling of nausea and vomiting in an instant.

What's wrong?

In the field, the 10mm stent with a firm and rapid forward movement, entering the portal along the guidewire, looking for the trajectory left by the needle.

[I went... I couldn’t read it. What happened? 】

[Is the patient suddenly vomiting blood? 】

[Possibility is great! There is even the possibility of aspiration. In this case, will the surgeon continue the operation? 】

The doctors watching the live broadcast quickly guessed the truth of the matter.

But the truth is so cruel that many people are unwilling to believe.

Seeing that the operation is complete, the patient has a big vomiting blood... surgery... can it still be done?

Although the surgeon is insisting, most doctors give up in the heart.

It's difficult to wear a film stent without being able to wear it quietly, let alone the patient's current state.

In the operating room, the patient's blood oxygen saturation is falling wildly.

Director Xia held the suction tube in his hand and stopped. Ten seconds? Can't you do it? If the patient's suffocation and hypoxia time can be controlled within three to five minutes, there is no problem.

But in this case, it must be treated as soon as possible.

Zheng Ren asked for ten seconds...

Director Xia looked, Zheng Ren and Su Yun's eyes were all on the screen, Zheng Ren's hand speed was fully open, with a stent to quickly follow the guide wire to reach the portal vein and hepatic vein puncture point.

Su Yun strives to maintain the position of the guide wire, adjusts according to the patient's twitch, and gives Zheng Ren time to fight.

When it is impossible to judge the twitching range of the patient, Su Yun sends the guide wire inward. Even if it causes a small-scale intravascular injury, it is better to draw it out than the guide wire and perform another operation.

The 10mm stent is delivered, expanded, and the stent is placed against the vessel wall of the hepatic vein and portal vein.

The surgery is done!

"Director Xia, pumping foreign bodies." Zheng Ren did not loose this breath, the patient's respiratory aspiration, is also a fatal emergency.

When Director Xia heard the words of Zheng Ren, he immediately picked up the suction tube and began to send it along the nasal cavity of the patient.

While sending, while constantly pressing and releasing the air outlet, the suction device rhythmically **** out the blood accumulated in the patient's nasal cavity, mouth and respiratory tract.

The aspiration time is still short, and the patient's condition is not good, and the inhaled foreign body is not too deep.

In less than 3 minutes, black and red blood clots were sucked out.

It is followed by the patient's blood oxygen saturation beginning to rise.

"Zheng Ren, has you succeeded?" Director Xia was still not sure, asked.

"The first step was successful." Zheng Ren replied that there was no idea of ​​ending the surgery.

The guide wire was still in the hands of Su Yun, and there was no plan to draw it out.

first step? Director Xia is somewhat puzzled.

What exactly is going on?

After another 2 minutes of observation, the patient's condition was significantly relieved, no longer moving, and the oxygen saturation was restored to 98%.

"You go out." Zheng Ren said later.

Chu Yuran and Xie Yi did not hesitate to leave the operating room wearing lead clothes.

Zheng Ren’s tone was like the command of the great director. Director Xia stunned and went out with the two.

"8mm with a membrane stent." Zheng Rendao.

Su Yun then picked up a thinner bracket, and Zheng Ren immediately began feeding the bracket along the guide wire.

[I am going to... the operator is operating! 】

[Can this all go in? Simply admire, really 6.]

[No speech, emergency TIPS surgery, even this is done. It's a pity that you can't download the surgery. It can be said that this is a perfect operation. 】

In the Xinglin Garden, the doctors watching the live broadcast began to shout 666.

but……

The surgery is not over yet!

Another film holder was fed along the guide wire.

[What is this operation? Anyone explain? 】

[Yes, is the stent not already successful? What does this bracket mean? 】

[Is the operator busy, forget that the bracket has been finished? 】

All kinds of speculations are not reasonable, and it is not the doctors of general surgery and interventional departments.

Because the doctors in both subjects turned off the barrage, they saved the barrage image and saw the operation themselves.

The double stent, also known as the stent sacral stent, is a method for improving postoperative hepatic encephalopathy which has been studied by general practitioners in recent years.

If the next thin stent is the first, although hepatic encephalopathy can be controlled, because the venous blood outflow channel is narrow, there is no way to completely improve the symptoms of portal hypertension.

The two brackets are lowered and the outflow channel is narrowed. After the operation is completed, the patient's bleeding is reduced, and then according to the severity of hepatic encephalopathy, it is decided when to take a thin second stent to completely improve the patient's portal hypertension symptoms.

This is the most appropriate measure.

Of course, the problem is also there, and it is very big.

The bracket 摞 bracket requires that the two brackets overlap particularly well, and there should be no unevenness.

If the gap is too large, the gap will be too large, which will cause the bracket inside to be unstable and may fall off as the blood flows.

If that is the case... the consequences will be serious.

Zheng Ren did not hesitate to choose this way.

Because in the system panel in the upper right corner of his field of vision, the patient is prompted to have symptoms of hepatic encephalopathy, albeit slightly. But this means that postoperative patients with hepatic encephalopathy can be very heavy and can even endanger the patient's life.

Silent professional doctors are not willing to lick their eyes, staring at the screen of the phone.

The stent is a stent, and the heart of the surgeon is really big!

Doesn't he know what it means to be accepted? In the emergency department, TIPS surgery has been successfully completed, and his goal has been put into the complications of postoperative hepatic encephalopathy.

Is this the confidence of the world's top surgeons?