If he were to ask himself, he had also worked hard during the surgery. There was nothing morally wrong with the whole situation.
Was there really a saint in this world? No! That was absolutely impossible! Su Yun frowned and fell deep into thought. Ten minutes later, when Professor Rudolf Wagner walked out, Su Yun slapped his t.h.i.g.h and almost jumped up.
"Boss, your decision is amazing! Wonderful! Wonderful!" Su Yun showed a rare look of admiration on his face.
Zheng Ren was confused. What was he talking about? What was he going to do? Why did he himself not know?
Su Yun did not explain. He just looked at Zheng Ren with an expression that practically said he knew what he was going to do.
"Boss, the procedures are done. We can go to the observation room outside the ward to see Dr. Mehar." Professor Rudolf Wagner seemed to have something on his mind and his voice sounded a little dull.
Zheng Ren and Su Yun got out of the car and followed the professor all the way into the small building of the Karolin Medical and Surgical Research Institute in Stockholm.
The style of decorations there was very similar to the underground research institute in Resident Evil.
Zheng Ren heard echoes every step he took, feeling that it was a bit creepy.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/i-should-be-the-one-to-say-something-like-that_51572981427656203 for visiting.
'This is just a cultural and regional difference,' Zheng Ren comforted himself.
The elevator was very large, spacious, and quiet.
When they reached the second floor, a young nurse led the three of them all the way to a ward inside. When they opened the door, they saw that the ward and the clinical decision unit were separated by a transparent glass door.
In the clinical decision unit, they could clearly see an elderly man lying in the ward. His body was filled with tubes, and countless machines were making faint sounds. The sight proved that modern humans were using the most advanced technology to delay the arrival of death.
A few doctors were focused on observing and recording. They looked very young but all had serious expressions on their face.
"Boss, Dr. Mehar is inside." The professor looked a little depressed, his mood extremely low. "Severe coronary artery occlusion. More than ninety-five percent of the three blood vessels are blocked at the same time. Now, we're relying on the extracorporeal membrane lung to relieve the heart's burden. At the same time, we have to seize the time to find a cure."
"Okay." Zheng Ren nodded. He had already seen all of that from the System's panel on the upper right side of his field of vision.
"Where are the radiographic films?" Zheng Ren asked.
The professor immediately communicated with a young doctor who was observing the changes in Dr. Mehar's condition.
After showing his identity card, the young doctor made a record and then pulled out Dr. Mehar's coronary angiography from the computer.
It seemed he had already performed interventional surgery during the time of the heart attack.
However, the surgery was not successful, so only a copy of the radiographic films was left. It was what Zheng Ren had guessed in his heart.
However, that was not important. Since he was his patient...and he was treating Dr. Mehar as his own, the important thing was to look at the radiographic films, the patient, and then figure out how to proceed with the surgery.
Zheng Ren's thoughts were very simple. He simply sat in front of the machine and began to read the radiographic films.
Chapter 620 - Flattery At An All-Time High
There was nothing much to say about the previous surgery. After Zheng Ren looked at a few of the slides, he was certain that Professor Rudolf Wagner's mistake was still light.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/flattery-at-an-all-time-high_51572983021495970 for visiting.
Doctor Mehar's three coronary arteries were basically blocked. His heart was severely ischemic and he relied on the capillaries to provide an insignificant blood supply.
Without the support of the extracorporeal membrane lung, Dr. Mehar would have died a long time ago through the exchange of blood and oxygen outside the body to reduce the burden on the heart.
In the coronary arteries, he could vaguely see the shadow of a stent filled with clots and calcified plates. Zheng Ren recalled Rudolf Wagner's words. When the guide wire was pulled out, there was a clot hanging at the end.
How could he make the patient recover from such a serious coagulation disorder?
Yes. Within Zheng Ren's eyes, the old man who was lying inside and using the extracorporeal membrane lungs and various machines to make sure he did not die was not an old man with ties to the Nobel Prize in Biology and Medicine at the Caroline Medical and Surgical Research Institute in Stockholm.
He was just a patient who needed surgery to be treated.
"Boss... Here, the whole wave is blocked... Is there any hope..." the professor said hesitantly.
"Using the coronary rotational grinding technique should be fine. I'm thinking about other things," Zheng Ren said lightly.
Uh... The professor was stunned.
Coronary artery endomembrane rotational grinding technique, also known as rotational grinding technique.
It was a surgical method that used a rotablator with ultra-high-speed rotation to grind the atheroscle.r.o.t.i.c plaque and calcified tissue in the coronary artery into extremely fine particles, thereby eliminating the plaque in the blocked vascular cavity.
It was a surgical method developed in the United States in the 1980s. After a few clinical phases, it was officially approved by the FDA in 1993 as a surgical method to solve the calcification and plaque in the intima of the blood vessels.
"Boss, Dr. Mehar has Type C..." the professor whispered. He was stunned when Su Yun stepped on his foot. He looked at Su Yun and asked, "Brother Yun, what's wrong?"
"Boss is thinking about the next step, which means that there is no problem with the rotary grinding technique. Don't mention that the open end plate of Type C blood vessels is a contraindication of the rotary grinding technique. Don't even think about the complications such as interlayer or abrasion leakage." Su Yun blew a breath, the black hair on his forehead fluttering about.
Professor Rudolf Wagner was stunned.
If you did not even consider contraindications during surgery, then what did you need to think about?
Su Yun's devilish smile could topple countries and cities.
"Lil Fugui, what you should consider is how to convince the people here to let the boss perform the surgery on Dr. Mehar," Su Yun said and continued, "and not question the boss's surgical standard."
Such flattery! His skills were beyond compare!
The professor was dumbfounded when he heard that. He looked at Su Yun in a daze and fell into a state of confusion.
No wonder Brother Yun was the boss's assistant. He could only be considered as a peripheral assistant. Look at his level!
However... The professor had countless questions in his heart but could not voice them out. If he said it out loud, would it not be him questioning the boss's skills?
However, at that moment, questioning him was a normal human reaction. Brother Yun was the best and did not even question him at all.
The professor suddenly admired Su Yun. He was the only one who could do such a thing.
Should he completely trust the boss? That was the only question in the professor's mind.
Although the situation was bad, the professor still had a way to win the boss's level?
Sure, the Nobel Prize would be within reach in a few years even though he was only the second author.
However, failure...
Gah, the
boss could not fail.
Professor Rudolf Wagner was taking the hint.
Learn from Brother Yun! He had to learn that he was the man who was going to win the Nobel Prize.
After weighing the pros and cons, the professor made up his mind and made a final confirmation.
"Boss, Dr. Mehar's condition is very complicated. Do you think the surgery is likely to succeed?" Professor Rudolf Wagner bent his back and asked in a low voice. He was very respectful.
"The surgery will definitely succeed. I'm thinking about what to do if the blockage happens again in a short period of time after the surgery. The elasticity of the blood vessels in elderly folk is very poor. Next time, there may not be a chance to do the rotational grinding surgery." Zheng Ren looked at the image on the computer attentively as he answered indifferently.
The boss was amazing. It really could be done!
The professor made up his mind. Since the boss said it could be done then that was definitely the case.
He recalled the first time he saw the video of the prostate interventional embolization surgery. He recalled the first time he saw the boss perform the TIPS surgery. He recalled...
After countless memories, the professor felt very confident.
"Boss, think about it first. I'll contact Dr. Mehar about the surgery," the professor said through gritted teeth. He decided to put everything on the line. "It might not work. I'll try my best."
"Go, go." Zheng Ren waved his hand and chased Professor Rudolf Wagner away like a fly.
The guy was too noisy. He interrupted his train of thought a few times.
Zheng Ren was focused on looking at the surgical imaging data. Countless similar doc.u.ments appeared in his mind. Comparing them one by one, Zheng Ren was looking for a solution to the problem of Dr. Mehar's coronary artery and blood coagulation mechanism.
After a long time, a bold plan gradually took shape.
The professor had not returned yet. Su Yun was sitting at the side, fiddling with his phone and occasionally taking a look at the image.
Zheng Ren saw that he had time, so he immediately entered the System's space and clicked on surgery training.
A simulation mannequin rose from the ground of the System's operating theatre. An experimental subject appeared in front of him.
It even had an extracorporeal membrane lung. Zheng Ren was very impressed with the System's intelligent simulation. It had been a long time since he had come for surgery training. The System had not changed.
If only he had seen it for the first time...
Fortunately, things had been alright!
Zheng Ren immediately entered the System's operating theater and began to perform the rotational grinding technique.
The image of Dr. Mehar's coronary angiography showed that there were plaques forming at the branches at the starting points of the three coronary arteries. It was one of the surgery's contraindications.
Furthermore, the coronary arteries were full of blood clots and plaques the entire time. That was another contraindication.
Of course, the so-called contraindications were only contraindications at the current level of technology. Zheng Ren was someone who could already covet the prime of the surgery. These difficulties were not a problem in Zheng Ren's eyes.
For example, the contraindications that the blood vessels branched into corners were a problem in the past. But now, the contraindications were only increased to 90 degrees.
The level of technology was constantly improving and the so-called contraindications were constantly changing.
However, Zheng Ren's problem was that he only understood the theory. He had not even performed a single cardiac interventional surgery.
He would train for a period of time. Zheng Ren estimated that he would need about five days of surgical training to complete it.
Since he had built up a big reserve, a few months of surgical training would not put much of a dent into the time he had acc.u.mulated.
Moreover, the operation on the coronary artery was also very important so it would not be wasted.
Zheng Ren calmed his mind and began the operation.
The coronary artery rotational grinding technique used an olive-shaped rotating grinding head with diamond particles. According to the principle of selective cutting, selective grinding was used to remove fibrotic or calcified atheroscle.r.o.t.i.c plaques.
The procedure was performed with great care so that the elastic tissue and the normal coronary artery were not cut.
Catheterization was performed, a guide wire was inserted, and the training began.
Chapter 621 - Was Really Aggrieved
The top of the coronary artery plaque rotary grinding catheter was a metallic stainless steel drill head embedded with fine diamond particles. The catheter entered the blockage position of the coronary artery and Zheng Ren opened the drill head.
The drill head was welded to a long and soft spiral rotating catheter, driven by a gas turbine connected to it to rotate at a high speed of 180,000 to 200,000 rpm.
When the drill head rotated at high speed, it could grind the plaque into small debris and wash it to the far end. The debris could then pass through the capillary bed.
There was a cavity in the catheter to pass through a 300cm long guide wire as thin as 0.25cm.
The driving shaft was installed in the 4.3 F polyethylene sheath pipe. During operation, the sheath pipe was pressurized by 40 KPA and continuously washed with normal saline to cool and lubricate it.
The patches were being worn away bit by bit, but Zheng Ren's expression did not relax. His two thick eyebrows were knitted together.
It was different from what he had imagined. Even with a Grandmaster level of interventional surgery, it was still very difficult to do it… However, he needed to be assured that he could complete the surgery.
It seemed that he would need to use more of his surgical training time...
Although he had plenty of time, Zheng Ren still used every minute and every second of his surgical training time very carefully.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/was-really-aggrieved_51572984632108724 for visiting.
Only God knew when these training sessions would be of great use.
No wonder the circulatory intervention doctors at the Karolin Medical and Surgical Research Institute in Stockholm did not dare to do it. It was really f*cking difficult to find head from tail.
Bang… Zheng Ren seemed to be able to hear a crisp sound.
The coronary artery had been worn out and fresh blood instantly filled the pericardial cavity.
If this was outside, the emergency department would have done a major rescue. They would open up the c.h.e.s.t cavity to solve the problem of cardiac tamponade.
With Dr. Mehar's physical condition, he would be declared clinically dead.
Zheng Ren's forehead was sweating.
The operation failed.
Again!
Another operation. Failure five minutes later.
Again!
Zheng Ren was focused on the operation in the operating theater of the system. He did not notice the passage of time in reality.
In the blink of an eye, the 22 consecutive days of surgical training ended.
528 hours, 31,680 minutes. The boring and repetitive training was done in one go.
Zheng Ren was not tired. Instead, he was filled with a strange excitement.
Zheng Ren treated things that required great perseverance as entertainment. It was like playing games all night. More than 30,000 minutes had passed in the blink of an eye.
He did not eat, drink, rest, nor sleep. However, the surgery was finally a success!
It was not a random success. Zheng Ren performed thirty consecutive coronary artery occlusion surgeries similar to Dr. Mehar's. The completion rate of the surgical progress bar was 100%.
However,
it was not the end. It was just the beginning.
Because of Dr. Mehar's abnormal blood clotting condition, just opening the coronary artery was far from enough.
Zheng Ren absolutely did not want the surgery to succeed. A few months later, Dr. Mehar would have to face the same problem again.
Just because he could open it this time did not mean that he could do it again.
The trauma of the surgery, no matter how high the level, would be left behind. Moreover, Dr. Mehar was still aging and his body was gradually changing.
Next time, even Zheng Ren could not guarantee that he would be able to successfully perform the rotary grinding technique again.
Even if he succeeded, he would only be able to extend the patient's survival time by a few months. After that, he would have to face the same situation endlessly.
Zheng Ren did not step down when the surgical progress bar was 100% complete. Instead, he took out a recyclable stent and studied it.
This recyclable stent with a membrane was the kind that was commonly used in the clinic.
Zheng Ren thought for a long time, which was rare, before he finally put the recyclable stent in.
The simulation mannequin opened up the experimental subject's coronary artery, and the red color on the experimental subject's system panel quickly faded.
The surgery should be over by then.
However, Zheng Ren did not move. He was a little worried, worried that the System would not understand his intentions.
However, his worry was unnecessary.
With a thought, the experimental subject lay motionlessly in the operating theater of the system. The simulation mannequin did not move.
A few months seemed to have passed, and the stent was filled with blood clots.
It was what Zheng Ren was thinking about. Whether or not the patient's surgery could be considered a true success depended on this.
He carefully opened the capsule of the recyclable stent and placed another absorber. He turned the frequency to a certain range and absorbed the blood clots that fell off.
He removed the membrane stent bit by bit. He was very careful. It was still very difficult to achieve a Legend-level surgery.
The Surgeon's Studio c1-799 Page 296
