Chapter 354： truth

Professor Tian closed his eyes and determined that he was not dreaming.

All this will only happen in a dream, isn't it?

Dr. Zhou was happy while sucking blood.

Professor Tian’s level has risen. He has been exposed to vertebral body removal. Which one is not in blood? Surgery to do this step, you should have lost 5u red blood cells.

But today, the surgery is called a clean one.

This step of bloodsucking is extremely important. Doctors have been paralyzed before the operation, and once the blood is not good, it is to be taught by the professor.

But today, the operation is simply too smooth!

The weather is so good, the mood is really good, the level of Teacher Tian - really good!

The operation suddenly stopped suddenly. Dr. Zhou was unclear. The nurse at the side of the device was also puzzled. He asked: "Mr. Tian, ​​how uncomfortable are you?"

In the mind of Professor Tian, ​​he recalled the whole process of the operation. In one scene, one frame and one frame, the care of the equipment nurse was turned a deaf ear.

Dr. Zhou and the equipment nurse are stunned.

The operation was very smooth. Why did Teacher Tian close his eyes repeatedly? Is this brewing energy, ready to break out of the small universe again?

If this is the case, then brew it, anyway, the patient has no bleeding. Surgery... Until this time, Dr. Zhou discovered that the operation had just been carried out for 40 minutes.

In general, it will take at least 2 hours.

Most of the time, wasted looking for bleeding points.

After a few minutes, Professor Tian slowly opened his eyes.

"Bone tongs," he whispered.

The device nurse immediately handed the rongeur to Professor Tian.

Professor Tian calmly excluded other emotions, using a sharp-nose rongeur to bite off the tumor tissue on the vertebral body, and first retain the posterior edge of the vertebral body as a marker to avoid accidental injury to the spinal cord or nerve roots.

This operation is neat enough to enter the textbook.

Professor Tian knows that it is not how good his surgery is, but that the surgery is too clean.

Carefully remove part of the tumor from the vertebral body, and protect other parts well, avoiding tumor tissue transplanting.

After the vertebral body tumor was removed, Professor Tian inserted the stripper between the posterior margin of the vertebral body and the dural sac.

After gently separating the adhesion, the posterior margin of the vertebral body is pushed forward with a stripper to collapse, so as to completely remove the lesion and protect the spinal cord.

Adjacent intervertebral discs showed no signs of tumor invasion, but Professor Tian also removed the bones until the cartilage disc, removing the cartilage from the cartilage disc to the subchondral bone, making the bone graft bed firm.

Here should be about 1000 ml of bleeding, but ... the actual amount of bleeding is still very small, only 100-150 ml.

Professor Tian estimated in his heart, but he was already numb.

This is a special operation that saw a ghost!

Isn't it high level of self, is the patient's luck? Or what other reasons?

Interventional doctor?

impossible! No matter how powerful the interventional doctor, it will not be done to this extent.

Professor Tian’s numbness follows the surgical procedure and proceeds step by step.

According to the bone defect of the vertebral body, the bone piece and the bone strip of the corresponding length are taken out from the iliac crest.

It was not until this time that the surgery returned to Professor Tian’s “normal” cognitive range.

The position of the bone after the sputum is very large.

He was relieved.

Dr. Zhou, who has been very comfortable, suddenly stunned, using a suction device and using dry gauze to stop bleeding.

The surgical wind changes instantly.

After stopping bleeding, Professor Tian continued the operation.

Generally, the bone graft should be 2 to 3 mm longer than the actual bone defect. The bones are removed and cut with a chainsaw and tied together with absorbable nylon threads.

It is inserted through the lateral anterior side of the dural sac into the bone defect area and is erected therebetween. After the bone strip is implanted, a broken bone can be filled in front of the bone to fill the bone defect with bone to facilitate bone healing.

Memory alloy rods, bone cement, step by step, step by step.

2 hours and 12 minutes, the surgery is over.

The amount of bleeding - the amount of bleeding after taking the bones is less than 500ml, which is unbelievable.

After the general anesthesia awakened, the patient was sent back to the ward, and Dr. Zhou smiled.

The operation was very smooth, and even I prepared 20u of fresh frozen red blood cells, and one bag was useless. After stepping down, I felt very unaccustomed, or lost 2u red blood cells to the patient.

After all, is there 500 ml of bleeding?

"Teacher Tian, ​​your skills are getting more and more exquisite!" Dr. Zhou gave a thumbs up and praised.

Professor Tian, ​​who is resting, has been thinking about the surgery and wants to find out why the operation is going smoothly.

He knows that it is certainly not his own level of progress.

That is the relationship of the interventionalist, even if it is not willing to believe it, this is also true.

Professor Tian turned into a field detective.

"Xiao Zhou, where are you involved in the department? Take me to see." Professor Tian said.

"We don't have an interventional department. Now it is a hospitalization in the emergency ward that is always undergoing interventional surgery." Dr. Zhou said casually.

“Only one doctor is doing it?” Professor Tian doubted his own guess.

"Yeah, his assistant was transferred from the ICU. Yes, I saw a foreigner coming to help yesterday, saying that it was from Heidelberg University."

Oh, it turns out that there are experts outside.

Professor Tian finally found the "truth" of the fact and breathed a sigh of relief.

It’s not like your own brain is gone.

“Professor’s lumbar transverse artery embolization?” Professor Tian asked.

"No, foreigners may not be professors, nor do they know what their identity is. There is a Chinese name called Fuguier."

The painting style is once again mutated, rich and precious?

"A mouthful of the northeast, you can have a feeling of joy." Dr. Zhou thought of Professor Rudolf Wagner, could not help but want to laugh.

"At the time of the operation, it was also the chief surgeon of our emergency department, and the rich child was an assistant." Dr. Zhou said.

This is all messy!

Professor Tian did not imagine the actual situation. All of this has already exceeded his knowledge.

"Go and see." Professor Tian finally glanced at the phone, because the operation was so fast, it was still a while to fly back to the emperor.

After taking a look at the postoperative patients, the two went to the emergency room of the emergency building.

Along the way, Professor Tian also inquired about the emergency intervention of the first hospital in Haicheng.

Is it just the level of emergency pelvic fracture embolization and gynecological embolization?

That should not lead to such a smooth operation.

eccentric.

Professor Tian is suspicious and Dr. Zhou came to the emergency roomFuguier, there are two operations tomorrow. You will go to the operating room as soon as possible. "Zheng Ren’s voice came.

"Well, boss, what surgery?" Professor Rudolf asked in the northeast.

“The second phase of the TIPS procedure is a retrievable stent and a TIPS procedure.”

"Well, I am sure I won't be stunned, don't worry about the boss."

The northeastern accent came, Professor Tian stunned...

Walking into the office, Professor Tian saw Professor Rudolf Wagner standing next to a young doctor, full of respect and talking about what he was saying.

This person... looks familiar.

Fuck!

Professor Tian suddenly realized that he had met twice at Heidelberg University. Is this not Professor Rudolf Wagner? !