Chapter 429： Can you sprinkle dog food when you have surgery?

One listened to the doctor, the roving nurse did not pay attention to what kind of director, and the machine that attracted the vacuum pressure to Wang Qiang, said: "Come on, I will call."

Su Yun inserted the chest bottle, and Zheng Ren took a needle holder and took the 7th line.

After the suture was completed, Su Yun brushed his hand again and stood in the position of the surgeon.

At this moment, Gao Shaojie has begun to indwell the arterial sheath.

Although Zheng Ren and Su Yun did not speak, they were observing him with the corner of his eye while busy.

Once the needle can't get in, Gao Shaojie must be kicked off the operating table.

Don't look at the process of brushing his hands, but the emergency rescue is not to brag about being a director.

Gao Shaojie does not know that he is at a critical point in his life.

Perhaps this is the most important femoral artery puncture in his life.

He was very calm and there was no hair, the puncture kit was taken over, disinfected, wiped, and the puncture started.

Femoral artery puncture, a shot of blood.

Indwelling the arterial sheath and guiding the wire inward.

When Zheng Ren saw that the puncture was successful, he ignored it and began to deal with the liver with Su Yun.

The aspirator is worn in the abdomen, and a dark red blood is sucked out along the wall of the aspirator, seemingly inexhaustible.

After clearing the blood in the abdomen and temporarily controlling the bleeding, Zheng Ren explored the liver.

He used his right hand to explore the temporal and visceral surfaces of the left outer lobe of the liver, and his left hand to explore the temporal, lateral, visceral, hepatic and inferior vena cava of the right lobe of the liver.

The purpose of the exploration is to estimate the amount of bleeding, the location and extent of liver damage, and whether there are tissue damage in other organs in the abdomen.

Zheng Ren used the fastest speed to probe, and estimated that the patient's bleeding volume should be above 3,000. Blood transfusion...

"What do you say to the blood transfusion department?" Zheng Ren immediately snarled.

"I will take the blood right away!" The visiting nurse came back.

There is no way to repair the right lobe of the patient's liver. There are also two large holes in the left lobe. The spleen is fine, but there is a small hematoma under the capsule, which is estimated to be self-healing.

This patient is walking on the road. A fixed rope on the car with a steel pipe is loose. The steel pipe flies out and directly hits the right chest and abdomen joint.

The huge impact force causes the patient's liver to be broken directly.

If it is not far from the city's first hospital, then a few minutes later, people will be cold.

However, the situation is not optimistic now.

Chu Yanran pushed a lot of pressure-up drugs, dopamine, m-hydroxylamine... but the patient's blood pressure is still not measured.

"Prepare the right lobe of the liver. Who, angiography, see if there is any other location bleeding." Zheng Ren is unceremonious, the doctor who graduated from Columbia University, the deputy director of the Department of Interventional Department of the Provincial Medical University Affiliated Hospital as a small doctor.

Gao Shaojie nodded and sent the micro-wire to the position at the fastest speed, and then began to enter the micro-catheter.

Zheng Ren pushed the upper edge of the left inner lobe upward to reveal the lateral, horn, and sagittal portions of the left portal vein.

Let Su Yun pull, he continues to reveal the left inner lobe artery.

The left internal lobe artery is located on the shallow side between the hepatic duct and the portal vein and is easily separated.

The left hepatic duct is located above, covering the lateral portion of the left branch of the portal vein, and the tubing of the left inferior lobe is separated from the sagittal portion of the left branch of the portal vein, the medial side of the corner, and the distal end of the transverse section.

The technique is dazzling, Su Yun is full of attention, and some can't keep up with Zheng Ren's rhythm.

This goods... In the end, there is a limit!

Although Su Yun has long been accustomed to Zheng Ren’s enchanting state, as time goes by, he has the illusion that the harder he is, the farther he is from Zheng Ren.

It’s not going to be in the wrong direction... Sometimes Su Yun thinks so.

In the process of separation, due to the variation of the blood vessel branch, Zheng Ren did not rush to ligature and cut, but carefully identified and determined that the tube can be ligated and cut when it actually leads to the left inner leaf.

Zheng Ren then promoted the liver, revealed the second hepatic hilum, and bluntly separated the loose connective tissue, revealing the right hepatic vein and the hepatic vein.

The liver capsule is cut along the middle hepatic vein for 2~3c, and the hepatic parenchyma is bluntly separated to reveal the trunk of the hepatic vein and ligated in the liver.

The liver capsule was cut 1~1.5c on the right side of the falciform ligament, and the liver tissue was bluntly separated. When the tube was encountered, it was ligated with a vascular clamp and cut directly to the inferior vena cava.

Ligation and rupture of the liver and right hepatic vein.

Liver hemostasis is the same as before. Reconstruct the falciform ligament and the round ligament.

The operation is like a lightning bolt. In the messy liver tissue that was hit, Zheng Ren still quickly found the various arteries and veins that were ligated and sutured, one by one, and in an orderly manner.

It took only a few minutes to remove the right lobe of the liver.

Even Su Yun almost didn't keep up with Zheng Ren's speed.

Paralyzed, there is no equipment nurse, it is still so fierce... Boss, do you usually have a low speed, are you trying to accommodate the equipment nurse?

Do surgery to spread dog food, boss you have a set.

Su Yun’s heart was groaning.

"Who, angiography!" Zheng Ren cut off the right lobe of the liver, threw a bunch of broken tissue into the pathology basin, and then snarled.

Gao Shaojie cried.

Very sad.

According to the interventional surgery, it is only an angiogram that is easier to remove than the liver.

However, his own microcatheter has not been sent to the position, and Zheng Zheng has already cut the right lobe of the liver.

It is not the anatomical right lobe of the liver. It is ruined and it is impossible to find the right lobes of the normal anatomy at a glance.

Zheng, are you so fast...

Wang Qiang was busy humming, listening to Zheng Ren’s speech so unkind, his face pulled down directly.

Just want to say something, I heard Gao Shaojie’s mouth full of sorry, saying: “Zheng Zong, right away, right away. You are doing surgery too fast, I can’t keep up with this.”

Wang Qiang was standing behind Zheng Ren and could not understand the situation.

Can Gao Shaojie Gao not keep up with the speed of a surgeon? What type of situation is this?

Impossible, isn't it an angiogram, it doesn't matter.

The teacher Gao is so polite, what is the problem?

Wang Qiang knows Gao Shaojie looks polite and rarely angry, but he is not proud, but has pride.

What happened this time? Teacher Gao has used this name for you.

In the Affiliated Hospital of the Medical University, let alone the director of the interventional department, even the deputy director in charge of the clinical, Gao teacher will not call you.

He took a closer look, Gao Shaojie was working hard to enter the micro-catheter, and that side, has been suturing the broken point of the left lobe of the liver.

This speed...

Wang Qiang swears.

Cut the liver, the second hospital often does. After all, it is a specialist hospital, and liver cancer resection is no less than a hospital.

But this speed is really not seen.

He glanced around and saw that he had only prepared a wall of vacuum to attract the effort, and that surgery was half done.

It is no wonder that Gao’s teacher is directly stunned. Whoever puts this thing, who is not jealous.