He pushed the patient to the operating theater at lightning speed. Zheng Ren called out to him and dragged him to the hybrid operating theater.
Wang Liren helped to carry the patient to the operating theater. Chu Yanran began to anesthetize the patient while Zheng Ren and Su Yun hurriedly went to change their clothes.
Wang Liren and Doctor Han had just come out of the operating theater. Zheng Ren and Su Yun were already striding out of the changing room with sterile masks on their faces.
'This speed is really fast. They're well-trained. It doesn't seem like they come from a small hospital at all,' Wang Liren lamented.
They brushed past each other and did not make eye contact. From the moment Zheng Ren stepped into the operating theater, he had already entered a state that he would do the best he could to help save the patient.
In his eyes, other than the surgery and the patient, there was nothing else.
When he came to the operating theater, Zheng Ren took a look. The patient's blood pressure was unreadable. His heart rate was 162 beats per minute, and his blood oxygen saturation was at 85%.
"You can lower the c.h.e.s.t tube. I'll disinfect it." After Zheng Ren finished speaking, he went straight to scrub his hands.
Su Yun did not say anything. He opened a small surgical tray and placed a c.h.e.s.t tube between the sixth and seventh ribs of the patient's c.h.e.s.t wall.
The moment the tube went in, a stream of black and red blood was drawn out.
Su Yun used hemostatic forceps to choke the tube and roared, "C.h.e.s.t bottle, quick! Get two!"
The circulating nurse was fast but she was still not able to fully keep up with them. She was responsible for counting equipment with Xie Yiren and checking the medical supplies so as not to miss anything.
She also had to take care of their side...
During that moment, Wang Liren and Doctor Han walked in.
Seeing this situation, Wang Liren immediately picked up the c.h.e.s.t bottle and tore open the packaging. Doctor Han found a bottle of saline for external use, opened the cap, and poured 500 ml of saline into the closed c.h.e.s.t drainage bottle.
Connecting the closed c.h.e.s.t drainage bottle, Su Yun observed it for a few seconds and immediately shouted, "Boss, open the c.h.e.s.t too!"
Chapter 603 - Can You Do It?
"Wear a lead apron and go on stage!" Zheng Ren was brushing his hands as he answered with a roar.
Wang Liren was stunned. Did he have to wear a lead apron? What kind of surgery were they doing?
However, he did not say anything.
During the emergency treatment, only one voice could speak. If too many people barked out orders or spoke over one another, the patient would probably turn cold on the operating table while waiting for them all to be in agreement.
Su Yun said, "Chief Wang, we'll change the c.h.e.s.t bottle on this side later."
After saying that, he went to the other side of the patient and began to lower the other c.h.e.s.t bottle.
Zheng Ren, who was wearing his lead apron, walked in with his hands raised.
When he came to the equipment table, Xie Yiren had already prepared a curved plate, oval pliers, and gauze.
There was no verbal communication needed and they did not even look at each other. Everything was so natural.
Zheng Ren took the curved plate and the circulating nurse poured half a bottle of iodophor into it. Zheng Ren began to disinfect the equipment.
"Su Yun, which side are you going to do first?" Zheng Ren's words were a little awkward but in the operating theater, everyone understood him.
"They're all the same." Su Yun saw that after the closed c.h.e.s.t drainage bottle was connected, the bottle was full again. The black and red blood drawn out was overflowing. It was obvious that he was a little angry and impatient.
"Yanran, after the anesthesia is done, raise the right side." Zheng Ren ignored Su Yun's anger and turned his head to speak to Chu Yanran.
"Okay." Chu Yanran's tracheal intubation was done. She began to connect the ventilator and push propofol and other drugs intravenously.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/can-you-do-it_51572951362879590 for visiting.
"Call Lil Fugui over." Zheng Ren continued, "Tell him to hurry up."
"Chief Zheng, are you preparing to..." Wang Liren asked from the side.
"The damage to the liver is serious. We will do interventional surgery to stop the bleeding and at the same time, investigate the causes," Zheng Ren disinfected the liver and answered without even looking at Wang Liren.
"Chief Zheng, I can do liver surgery," Wang Liren said carefully.
Doctor Han was a little surprised. On the way, he heard that Chief Zheng had saved Fang Lin from the c.h.e.s.t department in Imperial Capital. By chance, he had helped Chief Wang diagnose and operate on a patient with P-J syndrome.
No matter how skilled he was, Chief Wang should not be so cautious.
For someone like Chief Wang, performing a liver suture was not that big of a task. It was not a problem at all.
"Scrub your hands and go on stage." Zheng Ren did not say anything unnecessary.
However, he did not say that his name was not Professor Rudolf Wagner.
Sterilizing and spreading the sheets, Zheng Ren was fast but not messy.
He did not do an interventional radiography directly. Instead, he stood in the position of the main surgeon. Without waiting for Wang Liren and Doctor Han to scrub their hands, he asked Chu Yanran to help him check the sterilized lamp. He stretched out his hand, and the hemostatic forceps fell into his hand with the iodoform gauze.
It was still most comfortable to perform surgery in one's own home. Zheng Ren thought of the 'encounter' in the operating theater outside the university. It could not be compared to when he was back at Sea City.
As the thought flashed through his mind, Zheng Ren began to disinfect the patient.
He wiped away the iodophor with the dry gauze and stretched out his hand before the surgical knife was slapped into his palm.
He took out the midline incision of the abdomen and with a single cut, the skin was cut open. It was pale and did not even bleed.
"Accelerate the blood! Be quick!" Zheng Ren smacked the scalpel to the side of the patient's leg. He reached out and used the hemostatic forceps he had at hand.
Blunt dissection. Step by step, it was fast but not done in a panic. With the tacit cooperation of Xie Yiren, Zheng Ren was fast but Xie Yiren still followed him with ease.
After Wang Liren and Doctor Han finished brushing their hands, they walked in wearing their lead aprons.
It was their first time wearing lead aprons, so both of them were not used to it.
After they came in, they saw that Zheng Ren had already used one hand to pull open the abdominal cavity with a retractor, while the other hand was blindly checking the patient's abdominal cavity.
The aspirator was inserted into the patient's abdominal cavity, and the black and red blood was s.u.c.k.e.d out.
F*ck... He was so fast, he could do all that in the time it took them to brush their hands? Wang Liren was stunned for a moment.
He had seen Zheng Ren's surgery before, but he had only helped him cut open the intestinal polyps. After Zheng Ren finished removing the intestinal polyps, he did not do anything else and quietly left the stage.
In Wang Liren's impression, Zheng Ren's surgery was good but it did not tell him enough. After all, cutting the intestinal polyps was only a small surgery. He could not tell the true depth of his skills.
Initially, he thought that with him and the three doctors around, there was no need to call Zheng Ren for emergency treatment.
Wang Liren did not have any qualms about Old Chief Physician Pan's actions. It was impossible.
However, this was only a small matter. He did not care much about it.
At th
is moment, when he saw that Zheng Ren had opened the abdomen by himself and he was already investigating while they had been brushing their hands, Wang Liren was shocked.
He quickly put on the sterile surgical gown.
They were only in Sea City. If the chief physician or the group of professors in his own hospital were able to do this, he would probably get a scolding before he went up on stage.
The circulating nurse was making a call to get blood. Wang Liren put on the sterile surgical gown and took the sterile gloves that Xie Yiren placed at the edge of the equipment table. He removed the wrapping paper and wore the gloves before he went to the operating table.
Although this appearance was not formal, emergency surgery could only make do with what they had. Every second of time was worth a sliver of gold. They had to make each moment count.
Wang Liren felt that he was already very fast. However, the moment he stood in the first assistant's position, Zheng Ren held the broken spleen in his hand and placed it in the curved basin.
Speechless, Wang Liren looked as if he was watching a thriller. Just a moment ago, he was full of confidence and said that he did not need to call anyone. Now that he thought about it, he was unsure if that was still the case.
If he were to stand on the stage and be scolded by someone, he would not be able to say anything. He would be as sullen as he could be.
No wonder the people back home were so attentive to Chief Zheng that they had sent four people over in one go.
Wang Liren was in a daze when he suddenly heard a few crisp sounds.
"Retractor, don't be distracted." Zheng Ren looked at the operating area and tapped on the big retractor with the hemostatic forceps in his hand.
"Oh." Wang Liren immediately collected his thoughts. He could not make a mistake.
As soon as he looked at the operating area, he was immediately dumbfounded.
The patient's liver...was almost completely shattered.
There were hematoma, ruptures, and fresh blood everywhere. How... How was he going to suture this?!
Cut? He could not cut off the entire liver, right?
If that was really the case, could he perform a liver transplant in the emergency department?
Even if there was no problem with the doctor, there was no liver source.
Wang Liren was stunned again.
"You, prepare to suture," Zheng Ren said coldly beside the operating table. He did not bother with pretenses at all. After that, he turned around and stood around the patient's right leg.
"Yiren, Yanran, the two of you go out first," Zheng Ren said.
Su Yun poked his head over and took a look at the liver. "Boss, why don't I do the liver first? Chief Wang..."
It was rare that he did not rebuke Chief Wang. It was an emergency treatment. Everything revolved around the patient who was lying on the stage.
However, his words were filled with distrust. It could not be any clearer.
Wang Liren's face was flushed red. He said in a deep voice, "I can do it."
Su Yun did not say anything and glanced at Zheng Ren. Seeing that he did not have any objections, he went to sterilize the right c.h.e.s.t wall.
"Tell Chief Cao of the thoracic department to send someone over if there's nothing else," Su Yun shouted.
The circulating nurses were busy with countless things, but calling someone over was always their highest priority.
Chapter 604 - Did Not Even Have A Seat On The Platform
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 circ.u.mstances, 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 c.h.e.s.t. He used the automatic retractor to open the c.h.e.s.t 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!Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/did-not-even-have-a-seat-on-the-platform_51572952705056883 for visiting.
Wang Liren placed his hand on his c.h.e.s.t 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, s.u.c.k.i.n.g 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 s.u.c.k.e.d 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.
The Surgeon's Studio c1-799 Page 288
