On the side of the general surgery, Cui Lao had already finished the call. The patient is admitted to the hospital, consulted, and explained before surgery.

Director Kong's place, Cui Lao was also ventilated. Director Kong has no opinion on letting Zheng Ren go for an emergency operation.

The stent surgery of the superior mesenteric artery is not too difficult or small, and anyone in the interventional department and the vascular department can do it. It depends on the strength and weakness between the technology and the department.

For a border surgery like this, no one can do it. Since Cui Lao called, let's do it, Director Kong thought so.

Zheng Ren left the emergency department, thinking about Cui Lao's words all the way.

looks ordinary, but Zheng Ren's level can hear the key points in it - any detail may affect the patient's condition, and nothing can be missed.

That's a lot of money.

Although it is not a special diagnosis and treatment method for a certain disease, Cui Lao told Zheng Ren in another way what a doctor should have, but which is the most easily forgotten.

Originally, Zheng Ren has been reminding himself recently, don't be flustered just because you are really lucky, don't be flustered because you have succeeded in a few surgeries.

Yes, as a doctor, you can't do that.

It's nothing to plant a big heel by yourself, but what you can do is a fresh human life.

Be cautious and walk on thin ice, and you can do it all the time.

……

Back to the interventional department, Zheng Ren had to take a look at Director Kong first.

Although Director Kong has almost no requirements for himself and is obedient, the more he is like this, the more he must show respect for the old director.

"You can take Fugui'er up in a while, I'll wait for Mu Tao below. Su Yun said.

"Well, when I take the 3D model, I have to study how it can be said in layman's terms. ”

"You're certainly not the material to be a teacher. Su Yun said, "Leave it to me." ”

Zheng Ren was a little surprised.

I was worried about this, but Su Yun actually said that he could, he heard it right. But it sounds really unreliable.

"Can you really do it?"

"Yes, do you think the flawless assistant is called casually?" Su Yun disdainfully said, "You belong to the sullen type, and it's okay to talk to smart people." But for people with average qualifications, you have to use another way. ”

Zheng Ren was sweating profusely.

He could even imagine what kind of way Su Yun would speak.

Condescending and domineering......

So, is it really possible?

"Forget it, I'll talk about it when I get back. Jung Ren refused.

"You don't understand, let you do this, you have to die of trouble. I'll try it first, if you're not satisfied, you can come, it's okay. Su Yun took a step back, but his tone was full of contempt, which could be heard by everyone.

Zheng Ren was speechless and walked quickly to Director Kong's office.

knocked on the door and went in, Director Kong was watching a film on the computer.

Zheng Ren glanced at it and knew that it was the 64-row vascular CTA of the patient just now.

"Boss Zheng, the location of this mezzanine is very deep. Director Kong didn't look at it, and said directly.

"Director Kong, I think the surgery can still be done. ”

"Overselection is very troublesome, and there are still four big bends to get to the position of the mezzanine......" Director Kong did not continue.

What to say next, Zheng Ren must understand.

The initial segment of the superior mesenteric artery is relatively thick, which can only be said to be comparative, and if there is arterial dissection in this position, the surgery is very easy to do.

After the initial segment, the superior mesenteric artery spirals around like the roots of an old tree. While circling, countless branches are emitted that supply blood to the small intestine and most of the large intestine arteries.

The further down the arterial dissection is, the more difficult it is to do.

But then again, the further down you go, the less likely it is to have a mezzanine. After all, the pressure gradually decreases layer by layer, and the possibility of rupture of the intima of blood vessels is getting lower and lower.

"You can try. Zheng Ren said: "Or we join forces with general surgery, and we really can't get in, so we will do surgical excision." ”

This is the most modest approach.

Director Kong nodded, "Let's go on." ”

"You press the stage, and Fugui'er and I can go up. Zheng Ren smiled and said.

The pressure platform is the saying on the side of Haicheng. Generally, the director lets the little doctor under his command to perform the operation, but he is not at ease, and he takes care of it himself to avoid any medical accidents.

It is similar to the meaning of pressing the formation during the war in ancient times.

Director Kong nodded, watched the film carefully for a few minutes, and slowly closed his eyes.

He is simulating the process of surgery, but those curved blood vessels that circulate and circulate are almost right angles, and even the angles are negative.

This difficulty is really big, just in terms of the difficulty of overselection, it is definitely many times greater than the overselection of severe pelvic fracture embolism.

"Then I'll let the general wai know, let's try it first, it's the best. If not, we will open the stage together for surgical excision. Director Kong said.

Zheng Ren nodded, with a gentle smile on his face, and wordlessly told Director Kong that it was the safest thing to do.

Director Kong contacted the general foreign side, and finally discussed that the patient would be sent to the hybrid operating room of the general foreign department for surgery, and general anesthesia was also needed.

After all, it is difficult to over-select, and the patient's severe pain and constant shaking of the body will make the operation a nightmare.

General anesthesia is more effective.

If the interventional surgery is unsuccessful, the abdomen can be opened directly, and the two departments work together. Or a Meilan marker, or an embolic ischemia excision, whatever.

This disease is an incurable disease in primary hospitals and hospitals in third- and fourth-tier cities. But in 912, it's just a rare disease, and I can't even say the word rare.

There are many ways to solve the problem, and it depends on the situation.

Soon, the Department of General Surgery completed the preoperative preparations, sent the patient to the stage, and called Director Kong to go up to the stage.

"Let's go, Boss Zheng. Director Kong put on a white suit, did not button it, and walked out of the office with a grin.

Zheng Ren followed behind Director Kong, thinking ...... in his mind It has nothing to do with surgery, he is thinking about how to make TIPS surgery more understandable and acceptable to more people.

As for this operation, Zheng Ren felt that it was not very difficult. The patient has seen all kinds of examinations, and when he was in the CT room, he already thought about the surgical process.

Difficulty, for Zheng Ren, is medium...... Lower.

On stage, changing clothes, in the emergency operating room, Lao He hummed a little song, bringing a breath of relaxation to the operating room.

It's not a big job, and everyone is not so nervous, talking and laughing.

Seeing Zheng Ren come in, the smile on Lao He's face became even stronger, and he asked, "Boss Zheng, what are you listening to today?"

Director Kong was stunned for a moment.

"Whatever, whatever. Zheng Ren replied kindly.

Lao He was very emotional, look at Boss Zheng, the level is high, and he has a little shelf...... If you don't bring your own nurse to the stage, the shelf is really not big.