Chapter 604: Did Not Even Have A Seat On The Platform
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Xie Yiren pulled the equipment cart toward the operating theater. It was filled with the necessary equipment so she could reach out and get it.
She glanced at Zheng Ren and did not say anything. After that, she walked out of the operating theater with Chu Yanran.
If there were no sudden turn of circumstances, it would be similar to the first emergency TIPS surgery that Zheng Ren performed. The fewer people who were involved, the better.
Nurses and anesthetists could avoid the thread, but doctors could not.
Originally, Wang Liren and Doctor Han could not have come up but since they were already in Sea City, they could not just sit on the sidelines during the first major emergency treatment.
Zheng Ren opened the puncture kit and began to perform the femoral artery cannulation.
The patient had already lost consciousness. He did not even need local anesthesia, which saved him quite some time.
The needle hit the nail on the head. The guide wire entered and Zheng Ren began to step on the line.
“Eight section liver. Three arteries ruptured. Three, four, eight,” Zheng Ren said in a deep voice.
Wang Liren looked at the eight section liver in a daze. It was a mess and full of blood. How was he going to find the three bleeding vessels?
What did three, four, eight even mean? Was it a code?
On the other side, Su Yun had already opened his chest. He used the automatic retractor to open the chest wall by himself. He was fully focused and did not hear a single word from Zheng Ren.
Chief Wang was in trouble this time…
When he was at the Imperial Capital, he had never seen such a surgical method in the country’s Class Three Grade A Hospital.
Not only was he wearing a lead apron and feeding the thread himself, but the problem was also that he…did not know what to do at all.
After Zheng Ren finished speaking, he saw Chief Wang looking at him in a daze. He turned on the pager and roared, “Where is Lil Fugui? Why isn’t he here yet?!”
“Boss, boss, I’m here, I’m here!” Professor Rudolf Wagner did not go to the operating room. Instead, he put on his lead apron and washed his hands before walking into the operating room from another passageway.
He made good use of the time to prepare to go on stage. Through the professor’s understanding during his stay there, he knew that Zheng Ren usually had a mild temper. However, when he was on the operating table, he definitely had a king’s demeanor.
“It’s fortunate that I didn’t go back yet. I was thinking of finding a bar to have a good drink tonight.” The professor put on his clothes as fast as he could and kept nagging.
“Let’s do the contrast.” Zheng Ren stopped stepping on the line and shifted horizontally, pushing Chief Wang away from where he stood in the main surgeon’s position.
His actions were a little rough. Chief Wang was also stunned. Could it be that Chief Zheng was angry?
He moved to the side of the patient’s head, but he was immediately pushed away by Su Yun.
F*ck, he was a chief resident of the Imperial Capital. In Sea City, there was not even a place for him to stand on the operating table!
Wang Liren placed his hand on his chest and pressed his shoulder against Zheng Ren’s. He turned around and awkwardly went around to the second assistant’s position.
Dr. Han, who was in the position of the first assistant across from him, was dumbfounded.
The style at Sea City General Hospital was really brutal. Not only had he not seen the surgical technique, but he was also unable to see what was going on in the mess on the operating table.
“You, go to the other side.” Zheng Ren stretched out his hand and picked up a small bend as he began to look for the position where the eight section liver angiography bleeding had just occurred. “You-know-who, you go and help Su Yun.”
Dr. Han cried. It was not because Zheng Ren did not remember his name and called him-know-who, but because he was a doctor in the general surgery department. Was the person who was going to be the chief resident at Imperial Capital Hospital going to perform thoracic surgery?
Chief Wang walked to the opposite side and stood in the first assistant’s position.
Zheng Ren used his left hand to separate the damaged liver, the hemostatic forceps in his right hand already clamped inside.
“Aspirator, ligature.”
“Oh.”
Chief Wang quickly picked up the aspirator inserted into his abdomen, sucking the blood from the surgical field so that the operating field was clear.
“Take off the aspirator cover.” Zheng Ren’s tone was rarely impatient.
Wang Liren sweated profusely… After he went on stage, he found that he was not familiar with the surgical method that Zheng Ren used. He fell into a daze and actually forgot about the matter.
He put on the aspirator cover and sucked the blood from his abdomen to avoid it being blocked by a blood clot.
However, with the cover, he could not accurately suck the blood that seeped out from the operative view.
This type of common sense… F*ck… What was he doing?!
He was ashamed for 0.1 seconds. He immediately focused his attention and began to suck the blood near the eighth segment of the liver. After that, he used the patterned pliers to clamp a #4 line and probed in.
Regarding how Zheng Ren found the blood vessel and was so confident that he wanted to ligate it, Wang Liren was not in the mood for the time being and did not have the time to think about it.
Even if he tried his best, he could not keep up with Zheng Ren’s pace, let alone get distracted.
Ligate, cut.
He searched again. The hemostatic forceps in Zheng Ren’s hand quickly found the bleeding points of the three small arteries as he ligated them one by one. Then, he asked for a large round needle and #7 thread, which was slightly rough and large, and directly sewed up the ruptured points of the eighth segment of the liver.
When he was suturing the eighth segment, Professor Rudolf Wagner started to step on the thread for imaging.
Only a small amount of contrast agent was injected for it to be enough to be seen.
“Boss, there are two bleeding points in the sixth segment. Three points below the surface of the liver and 15 degrees below,” the professor said.
Zheng Ren did not say anything. The hemostatic forceps in his hand separated the position of the sixth segment of the liver and clamped on the hemostatic forceps to stop the bleeding.
Wang Liren was dumbfounded.
No wonder Chief Zheng did not say anything when he said that he could operate.
What did 3 o’clock direction, 15 degrees down mean? What position was that?
He looked at the operating area. His position was in the operator’s blind spot. However, Wang Liren was able to determine the bleeding point through the position of the hemostatic forceps.
Compared with the professor’s words, Wang Liren could roughly determine the communication between the two of them.
It was another level of communication. After Wang Liren figured it out, he felt that it was somewhat inconceivable.
Smack! The hemostatic forceps hit the aspirator.
The crisp sound woke Wang Liren up.
“Ligature,” Zheng Ren said lightly.
Uh… While he was thinking about it, his hands were slow, so he had to be asked to do his job again.
Chief Wang absolutely did not expect that he could do it so easily in the Imperial Capital. He did not expect it to also be the case when he came to Sea City.
He immediately used the patterned forceps to pick up a #4 thread and handed it to Zheng Ren.
He could not daydream. He had to follow Chief Zheng’s train of thought and not delay the surgery.
Wang Liren repeatedly warned himself in his heart.
The professor kept on performing the angiography and gave the exact location of the bleeding. On the other hand, Zheng Ren seemed to be performing the TIPS surgery. The three-dimensional structure of the patient’s liver appeared in his mind.
The cooperation between Zheng Ren and professor Rudolf Wagner was already ingrained. This kind of proficiency was the result of countless studies on patients’ liver radiographic films and plenty of discussions. No matter how skilled Wang Liren was in general surgery, he would not be able to understand it in a short period of time.
Wang Liren watched as the shattered livers were sewn up bit by bit. Other than surprise, he was also very bewildered.
However, he did not dare to think too much about it. He only looked at it carefully as he wanted to absorb everything that was going on and remember it in his heart. He would then study it properly when he returned.
The eight-segment liver was selected one by one. The angiography was completed. The ligation that needed to be ligated and the suturing that needed to be done were also all completed. A damaged liver that was a mess had barely been mended.
“Alright, you can go down now, Lil Fugui,” Zheng Ren said after finishing the last stitch.
“Okay,” the professor answered crisply. He pulled out the catheter and did not even use any pressure to stop the bleeding. This was because the patient’s blood pressure…was not there at all.
Wang Liren looked at the time. It took him less than twenty minutes to suture a liver that he thought could only be fixed by completely removing it.
He was too damn fast.