Perhaps this is a self-protection mechanism of the human body when you are nervous.

In the operating room, after encountering an unexpected situation, you either drop the instrument and get angry, or you are silent and depressed.

In the live broadcast room, there was no way to drop the instrument and send the gas to the assistant, and the operation was not done by himself. As a melon eater, the doctors are still relatively relaxed.

The surgeon failed again, and it can't be said that the surgeon has a problem with the operation, so he can only tell jokes for fun.

Outside the operating room, in the operating room, Professor Rudolf Wagner stares at the image with blazing eyes.

It was hard for him to believe that Zheng Ren was having TIPS surgery for the first time.

It's so skilled, if it weren't for the patient's sudden hematemesis, the third puncture would have been!

His talent was simply enviable, Professor Rudolf Wagner thought to himself.

Su Yun was a little regretful, but not surprised.

For Zheng Ren's first TIPS surgery, he has ignored the skillful techniques he showed.

This kind of thing has happened so much that it has lost its novelty. If he was still surprised, Su Yun was afraid that his jaw would drop in surprise.

He was numb and subconsciously thought that this was all as it should be.

Perhaps, when others looked at themselves, they also had such helplessness in their hearts.

"That's it for emergency surgery, don't worry. Su Yun was lightly comforted.

"Hmm. Zheng Ren nodded, indifferently erased the faint regret in his heart, and began to move and calibrate the position of the guidewire again, preparing to puncture again.

Looking closely at the image, Zheng Ren found that the position of the guidewire was not too far off, and it could even be said that there was not much movement.

It is estimated that when the patient vomited, Su Yun's hand moved with the patient's movements, and there was no other explanation.

This assistant is really perfect. At least from Zheng Ren's point of view, there is nothing wrong with it.

"Forward 0.5cm, right hand 25 degrees...... 23 degree angle. Zheng Ren estimated, said.

Soon, the guidewire was in place again.

In the operating room of the system, the experience gained from operating on the experimental subject has been tempered in reality, and Zheng Ren has a sense of sublimation.

It was almost this time, and although he experienced a defeat, Zheng Ren had a stronger confidence.

He did not reassure the patient, telling him to hold back as much as possible.

This is not an emergency room, and the patient is not crying for his mother.

Gastric varices rupture, resulting in a large amount of venous blood accumulation in the stomach, this biological irritation is not controllable.

It's like a hiccups, it's like a fever, and it can't be controlled or changed by humans.

Rapid manipulation is only possible during the interval when the patient is vomiting blood.

After a brief observation of the patient, it was seen that the patient's breathing was very weak and fast, but there was no sign of agitation.

Zheng Ren then pulled the button of the puncture needle.

The black shadow of the needle on the image passes through the hepatic vein and appears in the liver branch of the portal vein.

"It's done!" Su Yun roared in a low voice.

"Steady. Zheng Ren was not in a hurry, firm and down-to-earth like a ballast stone. In the stormy seas, let the boat row to the other side of victory.

"Hmm. Su Yun immediately responded.

Successful puncture is only the most critical step. If there is any mistake after that, it will inevitably lead to the failure of the operation and it will have to be restarted.

So everything has to be done with care, like walking on thin ice.

[I'll go...... The fourth piercing was successful!

[Actually, the third time should be successful.] 】

[The surgeon once again exceeded my imagination, in my impression, our hospital has done dozens of TIPS surgeries, the operation time is more than 4 hours, the estimated number of punctures should be about 20 times. 】

In the apricot grove garden, there was jubilation, and even the doctors who had guessed that the surgeon's operation would fail were relieved.

Although they are not Chinese, they do not hope that the operation will fail.

There are not many barrages, although the most critical step is solved, and the rest is also very important - indwelling with membrane stents.

There are two different points of view on the choice of stent.

The stent without membrane will be very stable. It is a barrel-shaped barbed wire fence that is fixed by the liver parenchyma in the liver, and the friction is very strong, and it is difficult to come out after surgery.

But the problem is that the liver's ability to regenerate is simply too powerful.

After a period of time, maybe a year, maybe a few years, the stent may be blocked by the regenerated liver, and the passage established by the TIPS procedure is re-closed.

On the other hand, the stent with membrane is not sufficiently rubbed against the liver parenchyma, although the possibility of re-occlusion of the channel after liver regeneration is avoided. However, a higher surgical technique is required to hold the stent in place as much as possible.

The use of wonder, in one mind.

In the systematic operating room, after countless tests and research on various literatures, Zheng Ren still chose the operation with membrane stent.

He was confident that he would keep the stent stable in the passage of the needle.

In the operating room outside the operating room, Professor Rudolf Wagner was silent.

He resolutely denied the statement that Zheng Ren had undergone TIPS surgery for the first time! If Zheng Ren had undergone TIPS surgery for the first time, he could be so proficient, how could TIPS surgery still be called the crown jewel of intervention?!

He has done too much of this technique. It is precisely because of understanding that it feels incredible.

How many times did I get scolded when I first learned TIPS, how many times did I fail, and how happy was I when I succeeded for the first time?

This scene was recalled in the professor's mind.

No way, Zheng Ren definitely can't be the first time to have TIPS surgery.

Even now, in the face of emergency vomiting blood, it is difficult to touch the corner of the skirt of the goddess of victory at the third injection.

And after the unexpected failure of the third injection, Zheng Ren's mood did not seem to be affected, and the position of the guidewire was also not affected.

The next fourth shot is a direct success!

Professor Rudolf Wagner knows best how difficult it is.

Zheng really has a pair of God's hands, and his existence is simply for interventional surgery.

The determination to take Zheng Ren to the research laboratory of the University of Heidelberg was once again tamped by the facts, and became more and more determined, like a rock in the Alps.

Zheng Ren held the guidewire and paid close attention to the patient's condition. At this moment, if the patient has a violent vomiting action, the guidewire will be withdrawn......

That's a really fucked up thing.

The 10mm membrane stent was threaded by Su Yun along the guidewire.

The two changed hands, and there were almost no gaps in their cooperation, and the skillful and tacit understanding was a mess.

The stand was accessed smoothly.

Because it is the first TIPS surgery in reality, and the patient vomits blood and agitation from time to time, and the position deviates at any time.

Therefore, Zheng Ren has been stepping on the line, in order to be able to observe the situation of the guidewire and stent in real time.

The patient immediately vomited violently again, and a thick smell of blood permeated the operating room.

The action of feeding the stent was forced to stop, and Zheng Ren and Su Yun carefully held the guide wire, for fear that the guide wire would slip out a few centimeters, causing the operation to fail again.

Doing it all over again, it's nothing.

However, if the patient's condition cannot be quickly resolved, the problem of increased pressure in the portal vein and gastric fundus may lead to death due to heavy bleeding.

It's a race against death, and every detail has to be done perfectly.

Even so, the doctor did not have any confidence that he could defeat death. It's not just about perfection, it's about being fast!

The faster,

The better.

Finally, the patient's vomiting of blood, which had lasted for half a minute, subsided a lot, and he finally calmed down, as if he had no more strength to struggle.

Zheng Ren glanced at the vital signs on the monitor, and suddenly shouted, "Open the call!"

The operating table in the operation room was on the right hand side of Ichisuke, and Su Yun was glad that the patient's hematemesis had stopped, and the position of the guidewire did not seem to change.

At this moment, I suddenly heard Zheng Ren's roar, and subconsciously pressed the dialogue button on the console with the sterile membrane.

"Yanran, Yiren, wearing lead clothes, come in, the patient's vomit is aspirated!" Zheng Ren roared!

Because interventional surgery is subject to radiation, Zheng Ren will not let a few girls in whenever possible.

But...... But when the bracket was about to go in, there were waves.

The patient has just vomited violently, causing the vomited blood to be aspirated into the respiratory tract.

Then, the crazy alarm of the monitor sounded, and it was extremely arrogant.

The people outside moved.

Director Xia directly put on a lead coat and entered the operating room with Xie Yiren and Chu Yanran.

Zheng Ren did not break the wire, and he had to keep an eye on the position of the guidewire at all times.

As for the moment when the door is opened, radiation leaks into the operation room...... A small amount of radiation does not have a major effect on the human body.

After all, X-rays are straight rays......

"Sputum aspirator!" Chu Yanran shouted while wearing sterile gloves.

Emergencies, emergencies, everyone not only moved three points faster, but even the decibels of sound were three points larger.

Almost all of the words were spoken, and everyone was afraid that their intentions would be drowned out in the other's anxious emotions and ignored.

Chu Yanran stuffed her hand into the patient's mouth, and first took out the remaining blood clots left in the mouth one by one.

On that side, Shay quickly opened the prepared sputum aspirator, and a sputum suction tube was inserted along the corner of the patient's mouth.

"Not enough. Director Xia said loudly, "Give it to me." ”

She snatched the sputum suction tube from Shay's hand, then glanced at Zheng Ren and said, "I'm going to insert the sputum suction tube from the patient's nasal cavity, maybe there will be restlessness." ”

"Wait a minute, give me ten seconds!" Zheng Ren said in a deep voice.

The sputum suction tube enters through the nasal cavity and can induce severe irritation, causing symptoms such as coughing and retching.

For the guidewire that has just been pierced, it is like a small boat, which can be drowned by the monstrous waves at any time.

And the patient's condition will basically not leave Zheng Ren with time for the next puncture, and his blood pressure is already in danger.

The success of this aspiration rescue may mean that the patient has failed to rescue the patient with hematemesis.

Director Xia looked at Zheng Ren in surprise and puzzlement.

The patient has already been suffocated, and he will be resuscitated in ten seconds?

Is he so sure that the operation will be successful in ten seconds?

victory

negative

between the lines.