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429 Is it possible to spread dog food even during surgery?

When he heard that it was a doctor, the nurse of the circuit ignored the director and the like, handed over the machine attracted by negative pressure to Wang Qiang, and said, "Come on, I'll call."

After Su Yun inserted his chest bottle, Zheng Ren took a needle holder with a No. 7 thread.

After the stitching was completed, Su Yun brushed his hands again and stood in the position of the craftsman.

At this moment, Gao Shaojie had already begun to indulge arterial sheaths.

Although Zheng Ren and Su Yun didn't say anything, they observed him from the corner of their eyes while busy.

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

Although he is very skilled in the process of brushing hands, this kind of emergency rescue cannot be participated by bragging that he is a certain director.

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

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

He was very calm and did not frizz, so he took the puncture kit, disinfected, wiped it, and then started puncture.

Femoral artery puncture, and it hits the nail on the head.

Insulate the arterial sheath and guide the wire inward.

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

The suction device was wearing a condom and inserted into the abdominal cavity. A stream of dark red blood was sucked out along the wall of the suction device, as if it was endless.

After clearing the hemorrhage in the abdomen and temporarily controlling the bleeding, Zheng Ren carefully investigated the liver.

He used his right hand to explore the diaphragm and viscera of the left outer lobe of the liver, and used his left hand to explore the diaphragm, lateral, viscera, hilar hira and inferior vena cava of the right lobe of the liver.

There are several purposes for the exploration, estimating the amount of bleeding, the location, degree of liver damage, and whether damage to other organs and tissues in the abdomen is combined.

Zheng Ren completed the investigation at the fastest speed, and it is estimated that the patient's bleeding should be more than 3,000ml. Blood transfusion...

"What do you say about the blood transfusion department?" Zheng Ren yelled immediately.

"I'll go and get blood right away!" The nurse yelled back.

The patient's right lobe of the liver was broken and there was no way to repair it. There were two large holes in the left lobe. The spleen was fine, but there was a small hematoma under the membrane, which was probably able to heal itself.

The patient was walking on the road. The fixing rope on a car pulling a steel pipe was loose. The steel pipe flew out and directly hit the right chest and abdomen joint.

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

If it weren't for not far from the first courtyard of the city, and a few minutes later, people would be cold.

But the situation is not optimistic now.

Chu Yanran pushed a lot of blood pressure boosters, dopamine, and hydroxylamine... but the patient's blood pressure still cannot be measured.

"Preparing for right lobe of liver resection. Who is the angiography to see if there is bleeding in other places." Zheng Ren was not polite and used his doctor who graduated from Columbia University and deputy director of the interventional department of the Affiliated Hospital of the Provincial Medical University as his subordinate doctor.

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

Zheng Ren pushed the upper edge of the left inner lobe upward, revealing the transverse part, corner part and sagittal part of the left portal vein.

Let Su Yun pull the hook, and he continued 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 transverse part of the left branch of the portal vein, and the duct system of the left inner lobe is separated from the sagittal part of the left branch of the portal vein, the medial side of the corner and the distal end of the transverse part.

The technique was so fast that it was dazzling, Su Yun was concentrating on it, and he couldn't keep up with Zheng Ren's rhythm.

This guy...is he limitless!

Although Su Yun had long been accustomed to Zheng Ren's evil state, as time went by, he had the illusion that the harder he worked, the further he was from Zheng Ren.

It’s not that he went in the wrong direction, right?… Sometimes Su Yun would think so.

During the separation process, due to the variability of blood vessel branches, Zheng Ren did not rush to ligate and cut off, but carefully identified it and only then could ligate and cut it off when he confirmed that the duct actually leads to the left inner lobe.

Zheng Ren then pushed the liver to reveal the second hepatic duct. After bluntly separating and loosening connective tissue, the right hepatic vein and the middle hepatic vein were exposed.

Walk along the middle liver vein and incite the liver envelope 2 to 3 cm long. After bluntly separating the liver parenchyma, the main trunk of the middle liver vein can be revealed and ligated in the liver.

The liver envelope was cut 1 to 1.5 cm on the right side of the sickle ligament, and the liver tissue was bluntly separated. When encountering the duct, it was ligated and cut with vascular forceps to reach the inferior vena cava.

Ligation is used to cut off the liver and the right liver vein.

The hemostatic method of liver surface is the same as before. Re-suit the sickle ligament and round hepatic ligament.

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

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

Even Su Yun almost kept up with Zheng Ren's speed.

Paralyzed, without equipment nurses, they are so fierce... Boss, do you usually have low hand speeds to accommodate equipment nurses?

Doing surgery to show off your food, boss, you have one.

Su Yun felt whispering in his heart.

"Who is that? Is the angiography!" Zheng Ren cut off the right lobe of the liver, threw a pile of broken tissue into the pathological pelvis, and then shouted.

Gao Shaojie cried.

Very sad.

In theory, interventional surgery is just an imaging, which is easier than liver resection.

However, before his microcatheter was delivered to the position, Mr. Zheng had already cut off the right lobe of the liver.

The right lobe of the liver with normal anatomical position is not yet a normal liver, it is in ruins and cannot find the right lobe of the liver with normal anatomical structure at a glance.

Mr. Zheng, should it be so fast...

Wang Qiang was busy muttering, and when he heard Zheng Ren's words so rude, his face pulled down directly.

Just as I was about to say something, I heard Gao Shaojie say in a sorry tone: "Mr. Zheng, right away, right away. You have had the surgery too quickly, and I can't keep up with it."

Wang Qiang stood behind Zheng Ren in a daze, completely unaware of the situation.

Teacher Gao Shaojie and Teacher Gao can't keep up with the hand speed of a surgeon? What's going on?

It's impossible, isn't it just an imaging, and it doesn't cost much.

And Teacher Gao was so polite. What was going on?

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

What happened this time? Teacher Gao even used the title of you.

In the Affiliated Hospital of Medical University, let alone the director of the interventional department, even the vice dean in charge of clinical practice, Teacher Gao will not call you.

He leaned closer and saw Gao Shaojie trying hard to go into the microcatheter, and that side was already suturing the damaged point of the left lobe of the liver.

This speed...

Wang Qiang smacked his tongue.

The Second Hospital often does liver resection. After all, it is a specialized hospital, and liver cancer resection is no less than that of the First Hospital of the City.

But I have never seen such a fast speed before.

He looked around in a daze. It seemed that he had only prepared the skills of negative pressure attraction on the wall, and half of the surgery was done.
Chapter completed!
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