Chapter 604 There Is No Place for the Platform

The Xie Yi people pulled the instrument trolley towards the operating table, and it was full of necessary instruments, which could be reached by reaching out.

She glanced at Zheng Ren, said nothing, and then walked out of the operating room with Chu Yanran.

If there is no necessary situation, similar to Zheng Ren's first emergency TIPS operation, the less people who eat the thread, the better.

Nurses and anesthesiologists can avoid the line, but doctors can't.

Originally, Wang Liren and Dr. Han didn't have to come up, but after all, they had already come to Haicheng, and they had to sit on the sidelines for the first emergency rescue, and they couldn't bear it in their hearts.

Zheng Ren opened the puncture kit and began to puncture the femoral artery.

The patient has lost consciousness and does not even need local anesthesia, which saves tens of seconds.

Hit the nail on the head, the guide wire went in and started to step on the thread.

"Eighth segment of the liver, three arteries ruptured at 3 o'clock, 4 o'clock, and 8 o'clock." Zheng Ren said in a deep voice.

Wang Liren stared blankly at the position of the eighth segment of the liver, which was blurry and full of blood oozing, where could he find three blood vessels that were bleeding?

What about 3, 4, 8, is this a code word?

Su Yun's chest had already been opened, and he used the automatic hook to open the chest wall by himself. He was so absorbed that he didn't hear a word Zheng Ren said.

Mr. Wang is sitting on wax now...

In 912, in the country's top tertiary first-class hospital, I have never seen such a surgery.

Wearing a lead suit, coming in to eat thread, not to mention, the key is myself... I don't know what to do at all.

After Zheng Ren finished speaking, seeing Mr. Wang looking at him with bewilderment in his eyes, he turned on the beeper, and shouted, "Where is Fugui! Why haven't you arrived yet!"

"Boss, boss, here I come, here I come!" Professor Rudolf Wagner didn't go to the operating room, but directly put on a lead coat and brushed his hands, and walked in from another passage.

He took the time to get ready to go on stage, because the professor knew that Zheng Ren usually had a gentle temper, but on the operating table, he definitely had the demeanor of a king.

"Fortunately, I didn't go back, and I was thinking about finding a bar to have a good drink at night." The professor dressed as quickly as possible, nagging non-stop.

"Come to make an image." Zheng Ren stopped stepping on the line, panned, and squeezed Mr. Wang Liren who had just stood on the operator's seat away.

The action was a bit rough, and Mr. Wang was also taken aback for a moment. Could it be that Mr. Zheng is angry?

He moved to the side of the patient's head, but was immediately squeezed away by Su Yun.

MD, a hospital chief in the dignified capital, in Haicheng, doesn't even have a place to stand on the operating table!

Wang Liren put his hands on his chest, pressed Zheng Ren's shoulders close to each other, turned around, and awkwardly walked around to the second assistant's position.

Dr. Han, who was in the first assistant position opposite, was dumbfounded.

The style of this place in Haicheng is really rough. Not only have I never seen the surgical technique, but I have never seen the typhoon on the operating table.

"You go to the opposite side." Zheng Ren stretched out his hand, picked up a small bend, and began to search for the location of the hemorrhage on the eight-segment liver imaging just now, "Who is that, go and help Su Yun."

Dr. Han cried, not because Zheng Ren didn't remember his name, who he called him.

But I am a doctor of general surgery, and I am going to be the chief inpatient at the 912 Hospital. Do I want to do chest surgery?

Mr. Wang went around to the opposite side and stood in the first assistant position.

Zheng Ren separated the damaged liver with his left hand, and the hemostatic forceps with his right hand had already clamped it inside.

"Attractor, ligation."

"oh."

Mr. Wang quickly picked up the suction device inserted in the abdominal cavity, and went to suck the blood from the imaging field in the surgery area.

"Take off the suction device." Zheng Ren's tone was a little impatient.

Wang Liren was sweating profusely... After coming to the stage, he realized that he was not familiar with Zheng Ren's technique, and fell into a state of bewilderment, forgetting about it.

The aspirator wears a sheath to suck the blood in the abdominal cavity to avoid being blocked by blood clots.

But with a condom, there is no way to accurately suck the blood oozing from the surgery area.

This bit of common sense... Khan... What are you doing? !

He was ashamed for 0.1 second, and immediately concentrated, and began to suck the blood near the eighth segment of the liver, and then clamped a 4# wire with patterned pliers, and poked it in.

As for how Zheng Ren found the blood vessel and was confident enough to have it ligated, Wang Liren was not in the mood and had no time to think about it.

Go all out and still can't keep up with Zheng Ren's rhythm, let alone distracted.

Ligature, cut.

Looking again, the hemostatic forceps in Zheng Ren's hand quickly found the bleeding points of the three small arteries, ligated them one by one, and then asked for a large round needle and 7# thread, and directly sewed up the ruptured point of the eighth segment of the liver in a slightly wild and rough way.

When the eighth segment of the liver was being sutured, Professor Rudolf Wagner began to step on the thread and perform radiography.

Only a small amount of contrast agent is injected, and you can see it.

"Boss, there are two bleeding spots in the sixth section. It is 3 o'clock below the surface of the liver, and it is 15° below the surface." The professor said.

Zheng Ren didn't speak, and the hemostatic forceps in his hand separated the sixth segment of the liver to stop the bleeding.

Wang Liren was dumbfounded.

No wonder Mr. Zheng didn't say anything when he said he could have the operation.

What 3 o'clock direction, 15° down, what position is this?

He looked at the operation area, which was in the blind spot of vision, only the operator could see it. But Wang Liren judged the bleeding point by the position of the hemostatic forceps.

Comparing with the professor's words, Wang Liren roughly judged the meaning of the communication between the two of them.

This is another level of communication. After Wang Liren figured it out, he felt a little inconceivable.

"Crack~" The hemostatic forceps hit the suction device.

The crisp voice woke Wang Liren up.

"Sterilization." Zheng Ren said lightly.

Uh... Just thinking about why, I was a little slow in my hand, and said so.

Mr. Wang never expected that he could do well in the imperial capital, but when he came to Haicheng, he would be like this.

He immediately picked up a 4# wire with patterned pliers and handed it to Zheng Ren.

I can't think about it anymore, I must follow Mr. Zheng's thinking, and I can't delay the operation.

Wang Liren warned himself repeatedly in his heart.

The professor continued to perform imaging to give the exact location of the bleeding. Zheng Ren seemed to be performing a TIPS operation, and what appeared in his mind was the three-dimensional structure of the patient's liver.

In this regard, the cooperation between Zheng Ren and Professor Rudolf Wagner is already very tacit. This kind of proficiency is the communication established by studying the patients' liver MRI diffusion films countless times and discussing with each other. No matter how skilled in general surgery Wang Liren is, he can't comprehend it all at once.

Watching the broken liver being stitched up bit by bit, Wang Liren was amazed besides being surprised.

But he didn't dare to think too much, he just watched carefully, he wanted to see all this in his eyes, keep it in his heart, and study it carefully when he went back.

The eight segments of the liver were super-selected one by one, and the radiography was completed. The ligature was ligated, and the sewed was sutured. A damaged liver that could not be seen was barely repaired.

"Okay, go down, Fugui." Zheng Ren said after finishing the last stitch.

"Well." The professor answered crisply, pulled out the guide wire catheter, and even local pressure to stop the bleeding was not necessary, because the patient's blood pressure... was none at all.

Wang Liren glanced at the time, and it took less than twenty minutes to suture a liver that he thought could only be completely removed.

This is too fast.