Chapter 2278 Boss Zheng and I are friends.
After listening to Department Director Yan’s introduction, Zheng Ren’s mind had already formed the practice of surgery.
After undergoing heminification, he blocked the abdominal aorta, left common ilial artery, right internal ilial artery, and right femoral artery. He cut open the right common ilial artery and the right external ilial artery and took out the IAB catheter. When it was taken out, the catheter airbag could be seen to be twisted, and thrombosis had formed inside.
The tear extended from the opening of the right common ilial artery to the opening of the internal right ilial artery. The membrane of the internal right ilial artery was torn like a gutless scabbard. 7/0 slide line repair was performed.
Zheng Ren knew in his heart that this was probably the entire process of the surgery. However, that was not the problem now. The problem was the surgery just now.
“You didn’t use much strength when you took the tube, did you?” Zheng Ren asked worriedly.
At this time, he was most afraid that Department Director Hao would take out the tube after the scan and pull it hard, causing the endariole to tear.
If that was the case, it would be troublesome.
“No, no,” “I watch live broadcasts of your surgeries every day, and I know that you can’t use brute force to solve problems,” Department Director Yan said repeatedly.
Zheng Ren nodded. It was still a little useful to open his own surgery livestream room.
“I tested it a few times and found that it was stuck very badly, so I didn’t dare to move.” As if he had made a mistake, director Yan’s voice became softer and softer.
“…” Zheng Ren looked at director Kuang’s back and already had a bad feeling.
He hoped that it was wrong.
Even if the IQB catheter was embedded in the ileotis artery and tore the vascular membrane when it was taken out, surgery would be needed to suture it. He was only helping out, so he had no reason to make irresponsible remarks.
IABP was one of the most commonly used heart support devices in the clinical world. Its common complications were limb anemia, arterial injury, local infection and bleeding, and balloon puncture.
When IAB was offline, medical-type foreign bodies in the large blood vessels caused by the failure of the balloon counter-beating catheter were relatively rare. It was just like when he first went to the Affiliated Hospital of the provincial University of Medicine and encountered a situation where a guide wire was pushed in during a neurosurgery.
This was a rare occurrence.
In interventional therapy, most of the commonly seen vascular medical-source foreign bodies, such as brackets, guide wires, spring bolts, and so on, could be removed from the body through a miniature coil removal device from the blood vessel. There were not many that needed to be removed through surgery.
Of course, the prerequisite was that director Yan didn’t move around.
He was afraid that he had no experience in the process of trying, and the more he did, the more mistakes he made, and the more help he would be.
Zheng Ren had subconsciously blamed the directors of chasu City Hospital for not having any clinical experience, and he had no psychological barrier at all.
If a medical-source foreign body was embedded in a large blood vessel and was not dealt with in time, it could cause secondary thrombosis, infection, and even organ and limb necrosis and lack of blood in the blood vessel. When the patient’s physical condition allowed it, it should be taken out as soon as possible.
“How long has it been embedded?” Zheng Ren then asked a crucial question.
“Less than two hours,”
‘It’s alright, it’s alright. What a coincidence,’Zheng Ren thought. The possibility and risk of thrombosis would be greatly reduced within three hours.
Meanwhile, Department Director Hao mentioned that he did not pull it repeatedly and tried to remove the IABP tube by force. In that case, the possibility of local vascular endocardium tearing was not high.
“I’ll try. There shouldn’t be any problems. Hopefully, there won’t be any problems. “
Along the way, Zheng Ren asked about the People’s Hospital’s interventional machines and related consumables.
The surgery should be able to be done. Zheng Ren followed them to the interventional surgery room, changed his clothes, and went in. He took advantage of the time to change his clothes to perform an operation in the system operating theater before coming out.
It could be taken out. The broken IAPP tube was stuck in a branch of the external ilial artery. It was just that the force to take it out needed to be twisted a little. It needed to be done skillfully and not with brute force.
What comforted Zheng Ren the most was that Department Director Hao really did not pull hard, and the inner membrane of the blood vessel was completely fine!
This person was not bad. Zheng Ren had a good impression of director Kuang, and the mosaic on his face became lighter.
He did not force himself to perform the surgery that he could not do, and he knew his limits.
“Boss Zheng, I’m really sorry. You came out this weekend to have fun, but I had to drag you to save the day.” Director Yan said in an apologetic tone.
“I’m fine. ” Zheng Ren smiled as he watched the surgery process at 4x the normal speed. Then, he put on his lead shirt and went to wash his hands.
Lin Yuan silently followed beside him. He also put on his lead suit and prepared to go up the stage.
“Do you think the chances of successfully extracting it are high?” Department Director Yan asked vaguely.
“I’ll try. ” Zheng Ren’s tone was still the same as when he was conversing with the patient and the patient’s family. It was vague, and he definitely did not say if it would work. When he was in a hurry, he would just say a bunch of complications.
After being a doctor for a long time, one would always have this habit, and no one could escape it.
Zheng Ren stood in front of the operating table and got used to the machine. He then made a hand gesture at Department Director Hao, who was outside the lead glass, and the airtight lead door slowly closed.
“Director, you’re so amazing. How did you convince boss Zheng to come up?” Chairman Chu asked.
“Boss Zheng and I are friends.” Director Yan said coldly.
One couldn’t say too much when bragging, as the saying “the more you talk, the more you lose.” In addition, chief physician Hao was very concerned about boss Zheng. He was afraid that boss Zheng would not be able to do the surgery, so he glanced at the screen and then at boss Zheng, who was performing the surgery through the lead glass.
“Department Director, the vascular Department is here.” Two doctors came in wearing isolation suits, and President Chu said in a low voice.
Director Zhai’s attention was on the screen. His heart was in the clouds, and he did not hear President Zhai’s long-winded words.
The Department Director of the vascular Department rushed over from his home, but he saw the doctors from the cardiology department and the interventional services Department standing outside.
Was he giving up on the surgery and waiting for her to come? He had nothing to be proud of. Naturally, it was better for him to save the situation as little as possible. It was not a good thing for him.
It was hard to say if the surgery could be done, and he had given up so early. He should try more.
“Director Kuang, can’t you do it on your side? Do you want to try again?” The Department Director of the vascular Department said as he walked in.
When he saw that director Yan was looking at the screen without saying a word, he thought that director Yan was in a daze. When it came to medical malpractice, many people would be dumbfounded. She did not expect that the usually overbearing Department Director Hao would be like this too.
It would not be inevitable.
However, he was stunned when he took a look. The airtight lead door of the operating room was closed, and there was a doctor operating inside.
They looked like a man and a woman.
Since when did their hospital have a female interventional services doctor? Could it be that the people from the circulatory Department were going to try?
Then, he looked at the screen.
The blood vessel was empty, and he was performing angiography. Wasn’t it fine? The Department Director of the vascular Department was a little puzzled.
It’s April Fool’s Day today, and they’re looking for fun? It was not to that extent. Any joke could be made in the hospital, but no one had ever joked about emergency rescue.
Then, the image on the screen stopped, and the airtight lead door slowly opened.