Chapter 1894 Too Many Words and Too Many Mistakes
"Boss Zheng, I'm fine now, can you tell me how you put the stent in just now?" The director of the vascular department came over and asked.
He was wearing a sterile mask, which almost covered most of his expression.
But judging from the exposed eyes, Zheng Ren could feel the inner joy and expectation of the chief of the vascular department.
Is this a fan? Zheng Ren was a little confused.
It is said that only those traffic stars will have fans, why came to the Affiliated Hospital of Medical University today, first met the anesthetist asking for his autograph, and the director of the vascular department rushed to chat with him.
It seems quite annoying, do I have to wear a mask when I go out by myself in the future?
Zheng Ren thought about it, thinking a little far away, a little erratic.
"Crack~" The hemostatic forceps in Zheng Ren's hand trembled.
"Boss, what are you thinking?" Su Yun asked.
"Uh... I think about how the bracket was lowered just now, how should I put it, this one..."
"My surname is Ma, Ma Liang, the Ma Liang of the magic pen Ma Liang." The director of the vascular department said with a smile.
"Director Ma, it's like this." Zheng Ren said, "If you do too many surgeries, you will have a perception of the anatomical structure. You can understand this."
Director Ma Liangma thought for a while and nodded.
At this moment, he stopped joking or talking excitedly, but carefully pondered what Zheng Ren said.
Are you familiar with the anatomical structure of the human body? Boss Zheng should be talking about this, Ma Liang pretended to understand.
"After I came in and saw the situation on the operating table, I already had a certain understanding of the patient's anatomical structure in my mind. For example, the position of the femoral vein puncture, the distance from the inferior vena cava, etc." Zheng Ren said solemnly. Nonsense.
"..."
Not to mention Ma Liang and Professor Zhan, even Su Yun was dumbfounded.
Can you understand the anatomy at a glance? It can also estimate the distance. Just like the mechanical eye of the biochemical warrior, it can see through directly, and all kinds of data are clearly written?
"You don't need to operate under X-ray?" Ma Liang asked a very mysterious question in astonishment.
"What I'm saying is that if you do too much, you will be counted, but it doesn't mean you can get rid of X-rays." Zheng Rendao, "This time it was a coincidence. The inferior vena cava is very straight, with a simple structure, and there is almost no variation. So look at the patient's figure. , you can roughly estimate the length of the guide wire.”
"Uh... what about the bleeding point?"
"It's on the laparoscopic equipment. Although it's bloody, the surrounding tissue structure can still be recognized to some extent. The density is different, the density is different..." Zheng Ren began to regret it in his heart.
I should act cold and say nothing.
This kind of thing can't be said about the system space, the more you explain, the more wrong you will be.
It is absolutely impossible to make up for another lie with one lie. In the end, I have more and more things to explain.
What's more, there is Su Yun on the side, his eyes are sharp.
Zheng Ren still remembered that when he came in, the screen of the endoscope was all red, and he couldn't see anything.
Forget it, let's talk nonsense, unexpectedly, they are not good enough.
Su Yun stared blankly at Zheng Ren, is this guy already this high? No! then……
"boss……"
"Boss Zheng, I brought Miss Xie in." Gao Shaojie appeared in time and rescued Zheng Ren. "The equipment box will be sent to be sterilized again. It will take 20 minutes."
"Oh, okay." Zheng Ren said, "Where's Yi Ren?"
"I'm going to change clothes, and I'll be there soon." Gao Shaojie said, feeling emotional in his heart, seeing Boss Zheng's extravagance, he went out for surgery, and he even brought his assistant and equipment nurse with him.
This was something he didn't see. When he went abroad for surgery, Zheng Ren even brought the anesthesiologist with him.
Zheng Ren opened the warm salt water gauze, he really didn't want to chat, the more he said, the more mistakes he made, he couldn't explain the operation just now.
Then do surgery.
The tumor tissue was located at the right renal hilus, and most of the tumor was located behind the inferior vena cava, with severe local adhesions. The tumor invaded the inferior vena cava and right ureter, and the boundary with the surrounding organs was unclear.
In human terms, it is a sticky mess.
Zheng Ren started to move away from the surrounding area. At this time, the speed of his hand did not increase, and Su Yun was a little leisurely.
"Professor Zhan, what do you think? You can't tell from the film? It's so sticky, you still have laparoscopic surgery." Su Yun said.
Professor Zhan felt distressed, lowered his head, and his blood pressure was 182.
"That's it, I guess the boss can't do it with a laparoscope." Su Yun continued to babble, "Where did your inexplicable self-confidence come from?"
Professor Zhan pulled the hook and exposed the surgical field to Zheng Ren. His blood pressure was 184.
"Boss, I think it's better to make an incision from the 12th rib." Su Yun watched Zheng Ren doing a simple dissociation, and put forward his opinion.
"Normally, it's like this, but isn't there bleeding? The Tiandikou next to the rectus abdominis, you opened it so boldly, isn't it just to prepare for suturing the inferior vena cava." Zheng Ren said.
"I'm carrying out your doctor's order, take a look, be firm." Su Yun ordered an electric burn, and started to stop the bleeding.
It was too hasty when I came in, blood was oozing in many places.
Especially at that time, the blood pressure was a little low, and some capillaries were deflated. But after talking for 20 minutes, the blood had already been transfused. Now the patient's blood pressure is 100 mm Hg, and some blood vessels have reopened.
"I'm here." The Shay came in and said.
"Go to the stage first, Director Lin, and tell you equipment nurses not to leave, counting is too troublesome." Zheng Ren said: "Looking at the equipment, the surgical equipment box is sterilized and sent up. The operation time is estimated to be very long, three to four hours , need your cooperation.”
"Uh, good." Director Lin stood aside, dazzled by all kinds of things that happened.
Director Ma Liangma directly "turned his back and rebelled", and Director Lin was also very helpless.
What is this Boss Zheng doing? Why is the dignified director of vascular surgery standing aside and serving him carefully like a little doctor flattering the director?
Alas, Director Lin sighed.
"It's so sticky, can you swim away, boss." Su Yun didn't have much confidence.
"Are there two sets of microscopes or one set?" Zheng Ren asked.
"It must be two sets!"
"That's fine." Zheng Ren said, "There are some places that I can't do alone."
Su Yun's hand paused slightly, is it so sticky? There is even a surgery that the boss can't do.
Zheng Ren watched the right kidney tumor wrapping the inferior vena cava in a mess, and he remembered what happened when the big pig's trotter first appeared.
Peak-level general surgery does not require Dr. Charles' instruments or Zeiss microscopes at all. Everything depends on the feel of the hand, and the impossible operation is performed smoothly.
But I can't do it yet.
The hand feeling, as Dr. Charles said, is the feeling of peak surgery.
Zheng Ren suddenly stretched out his hand and gently touched the inferior vena cava. Although he was wearing sterile gloves, he seemed to be able to feel the elasticity of the adventitia of the inferior vena cava.