"Mr. Zheng, I am Lao Zhou from Orthopedics." A slightly mom voice came from the other side of the phone.

He is Dr. Zhou from orthopedics. He is very good-looking, but he speaks a little masturbatingly.

The recognition of this sound is too high, and Zheng Ren can hear it all at once.

"Brother Zhou, what's wrong?"

"Are you busy? Lumbar spine removal, patient's interventional surgery..." On the other side of the phone, the voice was a little hesitant, "Can the surgery be done in a short while?"

Hum? Why are you so anxious?

"I'm fine now. Does the patient have enough time to fast water?" Zheng Ren said without any concern.

"Enough! Enough!" Dr. Zhou said quickly, "This time, I asked a professor from the imperial capital to do the operation. If the professor has something to do, he or she will either fly here early tomorrow morning or he or she will need to talk about it three or five days later."

Dr. Zhou quickly explained that after all, it was almost time to get off work, so it was necessary to find Zheng Ren for surgery to look for personal feelings.

"The patient is in great pain and needs to use a lot of medicine to relieve pain every day. I'm thinking about it. The earlier I do, the less the patient will suffer."

"It's okay, Brother Zhou, I don't have emergency surgery. If it's convenient, let the family sign and just send the patient." Zheng Ren said with a smile.

"Okay, okay." Dr. Zhou agreed hurriedly, "I'll ask my family to come to you now."

After saying that, the phone was hung up.

Zheng Ren immediately began to write pre-operative explanations. Because it was the first time I did a new surgery, Zheng Ren recorded it while thinking about possible complications.

Seeing that Zheng Ren started working, the professor came over and asked, "Mr. Zheng, do you need surgery immediately?"

"Yes." Zheng Ren replied.

"Your work is really day and night." As he was about to get off work and have surgery again, as a stereotyped German, the professor must have an idea.

The time for get off work is private, and the professor is really not used to this rhythm of life that is not distinguished between public and private.

This is not life, it is simply a slave sold to a hospital.

But the professor was reluctant to leave, and even though he wanted to leave, Zheng Ren would not stop him.

The 3D reconstruction of 64 rows of CT at noon opened a door for the professor and vaguely saw a brand new world.

As for the scenery of this world, you may be able to see the clues from this operation.

The professor hesitated for only a second and then made up his mind to stay.

Zheng Ren didn't know the professor's rich inner drama at all. He proofreaded the pre-operative explanation one by one. When the young woman came, Zheng Ren was still thinking about the various possible complications.

Write down everything you can think of and explain it to the patient's family.

The young woman doesn't care. In her words, this is when the family members are doing their best and bother the doctor.

Moreover, she has done a good job of psychological construction. If she really can't get out of Taiwan, she will be considered as less suffering.

Without hesitation, she signed the preoperative statement printed by Zheng Ren, and then went back to send the patient to the emergency room to prepare for the operation.

Zheng Ren called the operating room to prepare for the operation, but then he did not call Su Yun and took the professor to the operating room.

Finally, Zheng Ren had time. Professor Rudolph kept asking all the questions related to the 64-row CT three-dimensional reconstruction that he had just thought of.

Zheng Ren had no intention of answering the professor's questions, lowered his head to change his clothes, and would occasionally communicate with the professor.

All he was thinking about was related to lumbar transverse artery embolization.

You still have to go to the system operating room for training. Ten or twenty surgical experience is enough.

Zheng Ren is rich and powerful now. The new technique he had first come into contact with was just a ten or twenty attempt.

As for how many hours each time, Zheng Ren didn't think much about it.

If it weren't before, I would never dare.

From simple to luxurious, this is the reason.

After changing his clothes, Zheng Ren asked Professor Rudolph to prepare for the preoperative period, and then he went to the small smoking room, lit a purple cloud, and entered the system space.

After purchasing the surgical training time, the system operating room rose from the ground and the experimental subject appeared in front of Zheng Ren.

The lumbar artery, also known as the transverse lumbar artery, is divided into two end branches on the anterior and lateral side of the intervertebral foramen.

The anterior branch is at the lower edge of the corresponding transverse process, and the intertransverse process ligament travels ventrally, passing through the aponeurosis of the transverse abdomen between the transverse abdomen and the internal oblique muscle to supply the tissue of the postabdominal wall.

At the beginning of its emanation, a thin anterior branch of the intervertebral foramen is sent out from the front edge of the intervertebral foramen to the spinal canal to support the areas in front of the dural and behind the vertebral body.

At the same position, the main trunk of the posterior branch emits nutrient branches into the lumbar plexus nerve trunk toward the outward direction.

In case of embolization, not only the vegetative branches that send out the posterior branch and the main trunk into the lumbar plexus nerve stem downward, but also the feeding blood vessels that proliferate abnormally and the blood vessels that proliferate abnormally in the main trunk and the blood vessels that proliferate abnormally in the tumor tissue.

This was confirmed when the 3D reconstruction of CT row 64 rows at noon.

Because the patient is in the late stage of the tumor, the surgery performed is also a palliative surgery to improve the quality of life, so while avoiding complications, try to embolize the blood vessels of the vertebrae as much as possible.

Simple destructive surgery is not very difficult. In the past, this type of surgery did not perform interventional embolization of the transverse lumbar artery, and the intraoperative bleeding should be between 3,000-5,000 ml.

This is a daunting number.

However, if the lumbar transverse artery is embolized, the bleeding volume can be controlled at 1500-2000 ml to an acceptable level.

During the surgical training, Zheng Ren performed the first surgery for nearly 3 hours.

Because Zheng Ren didn't want to just tying the back branch trunk, even if the operation is relatively simple, it can reach the level required by the orthopedic professor of Imperial Capital.

However, the patient's intraoperative bleeding of about 1,500 ml will still have a huge impact on the dying patients.

It is necessary to improve the survival quality of patients during their survival and try to produce as little blood as possible.

Not only should the transverse lumbar artery or left and right intercostal artery be embolized, but the small blood vessels nearby should also be embolized as much as possible to ensure that surgical bleeding is minimized.

In fact, there is no need for Zheng Ren to do this at all.

However, as a doctor, when you have the conditions, you always think about getting rid of the patient as soon as possible. If you cannot recover, try to improve the quality of life during your survival.

The spinal cord has extremely rich blood vessels. Except for the Adamchiviz artery, it should be avoided as much as possible. Zheng Ren also carefully diagnosed the angiography and found that it did not affect other organs or spinal cord. It was just that it only provided blood to the tumor, so it was thrombed off.

The operation was very slow, and Zheng Ren gradually mastered some corresponding embolization techniques.

The level of intervention at the grandmaster level is not a joke.

Even so, after ten surgical training, the embolization of the lumbar transverse artery was only completed every two hours.

To a certain extent, this kind of surgery is more difficult than prostate embolism to meet Zheng Ren's requirements.

After all, even if the hyperplasia capillaries of the prostate are ectopicly embolized, they will not cause the patient to die.

Just like the patient who was done by Professor Rudolph Wagner, the superior bladder artery was embolized, and the patient only had symptoms such as urine weakness, and the urinary catheter was left in it.

This time, the arteries near the spinal cord feeding blood vessels are enclosed.
Chapter completed!