Chapter 1529 Bleeding, 30ml
Only by consoling himself and thinking that boss Zheng was just bragging would professor yang feel a little better.
However, no matter how he thought about it, he had to admit that the surgery was really done cleanly.
“Professor yang, I’ve retrieved the blood.” The circulating nurse said as she opened the airtight access door and walked in while carrying a bag of blood.
“Oh.” “Oh,” professor yang replied without thinking.
“Heat up a few packets first?” The circulating nurse did not watch the surgery but asked professor yang directly.
“Uh …” Professor yang was stunned for a moment before he reacted. He said somewhat embarrassedly,””Leave it there first, no need to warm it up.”
The circulating nurse immediately became unhappy.
If the temperature is not increased, it means that there is no need for blood transfusion. Then you want me to get the blood?
Are you trying to fool around?
The nurses in the operating theater were all feisty. If they were really provoked, even a Department Director would dare to scold them.
She raised her head and stared at Yang Rui.
Professor yang could also feel the sharp gaze from the other side. He lowered his head in embarrassment and pretended to be serious as he “helped” Zheng Ren expose the surgical field.
“Brother yang, use less strength and lift it a little to the upper right.” “Yes, that’s it,” Zheng Ren said. The live broadcast is very troublesome, I have to watch it. “
Zheng Ren was very regretful.
If it was not for the live broadcast of the surgery, they would have been faster.
However, if he wanted the doctors who were watching the live broadcast to see the process of the surgery, the surgical field was necessary.
Although he could do it without looking at it, that would not do. It did not meet the requirements for a live broadcast of the surgery.
The cracking sounds were still mixed with the background music of ‘good luck’. The 6x7cm tumor was gradually ‘completely’ separated.
Professor yang was dumbfounded. This kind of surgery process did not exist in his mind.
Was it because he did not perform enough surgeries?
How was that possible?
Although 912 wasn’t a Specialized Hospital for Hepatobiliary and Pancreatic Surgery like Beijing or Shanghai, it wasn’t a hospital for Hepatobiliary and Pancreatic Surgery. However, the Department of Hepatobiliary and Pancreatic Surgery performed around two thousand cases of liver cancer resection every year.
Professor yang had performed at least 400 to 500 cases. Since he started working, he had performed at least seven thousand liver cancer surgeries.
There were many cases, but none of them were as simple and clean as the surgery in front of him.
The surgery in front of him was actually more like a surgery to remove superficial adipose tissue rather than a hepatectomy for liver cancer.
He made a small incision and squeezed hard with his finger, and the adipose tissue was revealed. All that was left was to cut off a small amount of adhered tissue, and the surgery was completed.
Treating liver cancer like a tumor on the surface of the body was something professor yang did not dare to think about.
Even though he had seen it with his own eyes, he still could not believe it.
“Boss Zheng, the surgery is going quite smoothly.” Old he said with a smile,”I’ve operated on at least a thousand patients with liver cancer. This is the cleanest one.”
“Yes, liver cancer patients who have undergone interventional embolism surgery are easier to remove.” Zheng Ren said with certainty.
“Old Yang, you guys have to keep up with the times.” Old he joked.
Boss Zheng had pointed out that he was going to be the anesthetist, so he definitely had to play the supporting role at the right time.
However, old he had not been in contact with many live surgery broadcasts, so he was a little unsure of the time and scale of the conversation during the process of the surgery.
He would slowly figure it out.
Professor yang was a little confused. If that was the case, it seemed like he could consider having a doctor in charge of organ intervention in the Department.
However, organ interventional surgeries overlapped with boss Zheng’s and the interventional services department’s business scope.
Besides, he could perform radio frequency resection himself.
After 15 ‘ 23 “, an irregular round tumor was successfully removed.
The inside of the liver had been dug out, but there was not much bleeding. The operating area was still clean.
Looking at the spare ultrasonic knife, professor yang felt a little guilty and confused.
He didn’t even use it.
Not only did he not use the ultrasonic knife, but he also did not use his spare blood.
The tumor tissue was thrown into the pathological basin, and there was no clear sound of the hemostatic forceps hitting the basin.
Zheng Ren changed his gloves to prevent the tumor tissue from staining the sterile gloves and contaminating the normal liver tissue, causing artificial implantation metastasis.
He used a piece of gauze to stop the bleeding and the greater omentum to cover the cut surface of the liver and fixed it with silk threads.
The difficult part of the surgery was over.
Professor yang was stunned for a moment and subconsciously asked,””Boss Zheng, don’t you want to leave a drainage strip?”
Normally, after a hepatectomy for liver cancer, drainage tubes should be placed above and below the right liver respectively.
However, professor yang did not see Zheng Ren do that.
“No need,” Zheng Ren said indifferently. He then asked for warm saline to rinse the abdominal cavity.
“Old Yang, there’s no bleeding. Why do you need a drainage strip? Is it a reverse infection?” Out of habit, Su Yun lightly rebuked professor yang.
Su Yun had gotten used to it. If it was someone she didn’t like standing in front of her, they would have been pushed to the corner by now.
Professor yang was sweating.
Yes, the drainage strip was prepared to draw out postoperative bleeding, but the surgery was done cleanly, and there was no bleeding within the field of vision, so what was the point of the drainage strip?
Clang, clang. The sound of the hemostatic forceps tapping on the suction device was heard.
“Brother yang, I want to set it up. Prepare to absorb the saltwater.” Zheng Ren’s clear voice was heard.
Professor yang was stunned for a moment before he realized that he had thought too much and had slightly delayed the process of the surgery.
He immediately put on the suction device’s cover and began to suck out the warm salt water.
The warm salt water was relatively clean. It was not light red in color, and one could only see the fine red blood vessels.
“Boss Zheng, 100ml of blood loss?” Although professor yang had witnessed the surgery, he still did not dare to reduce the blood loss to less than 100ml.
100ml of blood loss in a liver stroke surgery had already exceeded professor Yang’s imagination.
“The bleeding is 20 … 30 ml. Just write it down in the surgery record.” Zheng Ren checked and found no active bleeding.
Xie Yiren had already started counting the number of surgical instruments with the circulating nurse to prevent any mistakes in the operation and missing the gauze in the patient’s abdominal cavity.
After counting the gauze, Xie Yiren made a hand gesture.
Zheng Ren smiled at Xie Yiren, and his eyes curved into crescents.
After closing the peritoneum, Zheng Ren turned around and got off the stage.
This was the right of an awesome surgeon. He had already done his best to make it to the point of abdominal closure.
Otherwise, if there was no active bleeding, the surgeon could get off the stage.
He didn’t pollute the sterile area, nor did he ask Hu Yanhui to take off her live broadcast glasses. Instead, he went directly to the pathology basin, picked up the lancets, and began to dissect the liver tissue.
The lancets cut straight down and cut the irregular sphere.
The middle part was grayish – White, accompanied by a large amount of necrotic tissue, and there was very little blood in it.
The necrosis after interventional embolism was very clear, and there was no need to say anything more.
Anyone who was in the field of surgery would know what it meant at a glance.
Zheng Ren then cut off the two halves of the tumor tissue to make the internal tissue of the tumor more obvious.
Not only was there less blood loss during the surgery, but it could also be seen that a large area of necrosis had already appeared in the tumor tissue before the surgery.
The effect of the interventional surgery was clearly shown to tens of thousands of doctors through the live surgery stream.