Chapter 429 Is It Possible to Sprinkle Dog Food Even After Surgery?

When they heard that it was a doctor, the roving nurse ignored the director and the like, handed the negative pressure suction machine to Wang Qiang, and said, "Hurry up, I'll make a call."

After Su Yun finished inserting the chest bottle, Zheng Ren patted a needle holder with a No. 7 wire.

After suturing, Su Yun swiped his hands again and stood in the position of the surgeon.

At this moment, Gao Shaojie had already started to indwell the arterial sheath.

Although Zheng Ren and Su Yun didn't speak, they watched him from the corner of their eyes while they were busy.

Once the needle cannot go in, Gao Shaojie will definitely be kicked off the operating table.

Although he is proficient in procedures such as brushing his hands, this kind of emergency rescue is not something that he can participate in by bragging that he is a certain director.

Gao Shaojie didn't know that he was at a critical juncture in his life.

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

He was calm and frizz free, the piercing kit was brought over, sanitized, wiped down, and the piercing started.

Femoral artery puncture hits the nail on the head.

The arterial sheath was left in place, and the guide wire was moved inward.

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

The aspirator was covered and inserted into the abdominal cavity, and streams of dark red blood were sucked out along the tube wall of the aspirator, seemingly endless.

After removing the hemorrhage in the abdomen and temporarily controlling the bleeding, Zheng Ren carefully inspected the liver.

He explored the diaphragmatic and visceral surfaces of the left outer lobe of the liver with his right hand, and explored the diaphragmatic, lateral, visceral, hepatic hilum and inferior vena cava of the right liver lobe with his left hand.

There are several purposes of exploration, such as estimating the amount of bleeding, the location and degree of liver injury, and whether other intra-abdominal tissue injuries are involved.

Zheng Ren completed the investigation as quickly as possible, and estimated that the patient's bleeding volume should be more than 3000ml. blood transfusion...

"What about the blood transfusion department?" Zheng Ren shouted immediately.

"I'm going to get the blood right now!" The roving nurse yelled back.

The broken right lobe of the patient's liver could not be repaired at all, and there were also two large openings in the left lobe. The spleen is fine, but there is a small hematoma under the capsule, which may heal on its own.

The patient was walking on the road, and the fixed rope on a car pulling the steel pipe came loose, and the steel pipe flew out and hit the right thoracoabdominal junction directly.

The huge impact force directly crushed the patient's liver.

If it weren't for being not far from the city's first hospital, it would be cold if you arrived a few minutes later.

But the situation is not optimistic now.

Chu Yanran pushed a lot of blood pressure drugs, dopamine, metaraminol...but the patient's blood pressure was still undetectable.

"Prepare to remove the right lobe of the liver. Who, do an angiogram to see if there is bleeding in other places." Zheng Ren was not polite, and he used a Ph.D. graduated from Columbia University and the deputy director of the interventional department of the Provincial Medical University Affiliated Hospital as his junior doctor.

Gao Shaojie nodded, sent the micro-guide wire to the position as quickly as possible, and then began to enter along the micro-catheter.

Zheng Ren pushed the upper edge of the left inner lobe upwards to expose the transverse, angular and sagittal portions of the left portal vein.

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

The left internal lobar artery is located superficially between the hepatic duct and the portal vein and is easily divided.

The left hepatic duct is located superiorly, covering the transverse part of the left portal vein, separating the duct system of the left inner lobe from the sagittal part of the left portal vein, medial to the corner, and distal to the transverse part.

The technique was so fast that the eyes were dazzled, and Su Yun was so absorbed that he couldn't keep up with Zheng Ren's rhythm.

This product...is there any limit!

Although Su Yun had already gotten used to Zheng Ren's monstrous state, as time went by, he had the illusion that the harder he worked, the farther he would be from Zheng Ren.

Could it be that he went in the wrong direction...Sometimes Su Yun would think so.

During the separation process, due to variations in the branching of blood vessels, Zheng Ren did not rush to ligate and cut them off. Instead, he carefully identified them and made sure that the blood vessels were indeed leading to the left inner lobe before they could be ligated and cut off.

Zheng Ren then pushed the liver to expose the second porta hepatis, and bluntly dissected the loose connective tissue to expose the right hepatic vein and the middle hepatic vein.

The hepatic capsule was incised 2-3 cm long along the middle hepatic vein, and the trunk of the middle hepatic vein was exposed after blunt separation of the liver parenchyma, which was then ligated in the liver.

The liver capsule was incised 1-1.5 cm to the right of the falciform ligament, and the liver tissue was bluntly dissected. When it met the pipeline, it was ligated and cut off with vascular clamps until it reached the inferior vena cava.

The middle and right hepatic veins were ligated and cut off.

The method of hemostasis on the liver surface is the same as before. The falciform ligament and the round ligament of the liver were sutured again.

The operation was as fast as a flash of lightning. In the messy liver tissue that was hit, Zheng Ren still quickly found the various arteries and veins that needed to be ligated and sutured, and operated them one by one in an orderly manner.

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

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

Paralyzed, there is no equipment nurse, but you are still so fierce... Boss, your hand speed is usually not fast, is it all to accommodate the equipment nurse?

Sprinkle dog food for surgery, boss, you have a way.

Su Yun cursed in his heart.

"Who is that, radiography!" Zheng Ren cut off the right lobe of the liver, threw a pile of shredded tissue into the pathology basin, and shouted.

Gao Shaojie cried.

Very sad.

It is said that interventional surgery is just a radiography, which is far simpler than liver resection.

But before the microcatheter was delivered to the location, Mr. Zheng had already cut off the right lobe of the liver.

It is not the right lobe of the liver with normal anatomical position, it is dilapidated, and it is impossible to find the right lobe of the liver with normal anatomical structure at a glance.

Mr. Zheng, do you want to be so fast...

Wang Qiang was busy talking, and when he heard Zheng Ren speak so bluntly, his face immediately fell down.

Just as he was about to say something, he heard Gao Shaojie say in an apologetic tone: "Boss Zheng, right now, right now. You performed the operation too fast, and I can't keep up."

Wang Qiang stood behind Zheng Ren blankly, completely confused about the situation.

Gao Shaojie, can't Teacher Gao keep up with a surgeon's hand speed? What type of situation is this?

Impossible, isn't it just a radiography, and it doesn't take much trouble.

And Mr. Gao is so polite, what is going on?

Wang Qiang knew that Gao Shaojie looked gentle and refined, and rarely got angry, but he was not arrogant, but he was proud.

What happened this time? Teacher Gao even used your title.

In the Affiliated Hospital of Medical University, not to mention the director of the interventional department, even the vice president in charge of clinical work, Mr. Gao, will not call you by name.

He took a closer look, and Gao Shaojie was trying his best to go in along the microcatheter, and on the other side, he was already suturing the damaged point of the left lobe of the liver.

this speed...

Wang Qiang clicked his tongue.

Liver cutting is often done in the Second Hospital. After all, it is a specialized hospital, and liver cancer resection is no less than that of the city's No. 1 Hospital.

But such a fast speed, I have never seen it before.

He glanced around in a daze, as if he had only prepared for a negative pressure suction on the wall, and the operation was half done.

No wonder Mr. Gao knelt down directly. Whoever does this matter will not kneel.