The multiplier was 20. There was nothing special about it.
The magnification of a neurosurgery microscope was usually 4 to 20. The exact magnification was related to the habits of the operator and had nothing to do with the surgical skills.
Originally, he could just borrow one from the Department of Neurosurgery. However, Zheng Ren had to use it frequently when he was operating in the operating theater of the System. It was not expensive when he saw it in the shop, so he bought one directly.
He was afraid that the one he borrowed would not work well and that he would have to get used to the microscope.
Moreover, this kind of common microscope was casual, and he was not afraid of losing it. It was completely different from the energy conversion lead clothing.
The System actually sold such equipment without any additional attributes. Zheng Ren expressed his disdain.
"Chairman Dong, do me a favor!" Zheng Ren put on the lead clothing and shouted as he washed his hands.
"Ah?" Dong Jia was stunned for a moment before he immediately ran over.
"This is a microscope. After the imaging is done, help me put it on," Zheng Ren said as he gestured with his mouth.
"..." Dong Jia was dumbfounded.
Since when did the General Surgery Department use a microscope! Although it was said that there was a use for a microscope when it came to autologous liver transplantation, very few people did it.
Was what Chief Zheng said necessary?!
"Absorbable thread, the thinnest kind. Help me get some. Be quick, I'll have to trouble you." Zheng Ren finished scrubbing his hands and held them flat in front of his c.h.e.s.t.
"Oh, okay." Dong Jia was stunned for a moment. He immediately held the box of the microscope, turned around, and ran out.
There was going to be an x-ray. Although Dong Jia really wanted to see the whole process, he did not have the chance. If he did not run the errands at this time, who else would go?
"Su Yun, have the catheters been delivered?" Zheng Ren returned to the operating theater and shouted loudly.
"They're here. I'll send them to the stage for you later." Su Yun sat outside and fiddled with the machines in the operating room of the hybrid operating table.
"Are you used to using the machines?"
"It's the same. There's nothing to be used to," Su Yun said casually.
Zheng Ren nodded and put on his clothes.
He stood directly in the position of the surgeon and reached out his hand. Hemostatic forceps were slapped in his hand.
After the duodenal bulb was free, Zheng Ren did a puncture and inserted the tube into it.
If it was an ordinary patient, he would need to perform a percutaneous liver puncture and then do an x-ray. However, now that the patient had already opened his abdomen, there was no need for that. It was enough to directly insert the x-ray tube into the duodenum. The whole process could be done.
This was the first time Zheng Ren had done this in the real world.
However, for him, whose skill tree was nearing its prime, this was just a small operation that was not worth mentioning.
After preparing everything and connecting the high-pressure injector, Zheng Ren let Xie Yiren go to the operating room.
The audience behind him also quickly left the operating room and stood in the corridor waiting. The operating theater was where the assistant avoided the line. Other than Su Yun cutting the film, no one went to the operating theater without exposing their eyes.
The airtight lead door slowly closed. Zheng Ren began to step on the line and press the button for the high-pressure injector at the same time.
He looked up and saw the structure of the patient's liver tube on the opposite screen.
Zheng Ren narrowed his eyes and stared at the screen. He did not want to miss the details of each frame.
In the operating theater, he made the radiographic films himself and then sutured the bile duct.
Other than Zheng Ren, there was not even a scrub nurse there. After he came out, with Xie Yiren and Su Yun around, Zheng Ren did not have to go through so much trouble.
In less than a minute, Zheng Ren stopped stepping on the line and opened the air-tight lead door.
Xie Yiren put her hands in her pockets and was the first to walk in.
The circulating nurse placed a sterile surgical bag from the Trauma Department. The medical supplies inside were a few sizes smaller than those in the General Surgery Department. It looked like a children's toy.
Dong Jia came in and put on a microscope for Zheng Ren.
Zheng Ren closed his eyes and got used to it. He glanced at Xie Yiren.
Xie Yiren nodded, indicating that she could do it. Then, she began to prepare the needle and thread.
She reached out her hand and patted the small pliers on her palm. Zheng Ren handed them over to his left hand. In his right hand, a needle holder and a particularly thin needle were put in.
The needle and thread were one. There was no need to put the thread through the eye of the needle.
Otherwise, with such a thin eye of the needle, even if Xie Yiren was clever, she would not be able to complete it in one go.
Professor Yang followed Xie Yiren in. He did not try to stand in the position of the surgeon. Instead, he stood directly in front of Zheng Ren. Seeing Zheng Ren put on the microscope, Professor Yang sighed.
This kind of surgery did not need an assistant.
The surgical field was so small that even the surgeon had to wear a microscope. There was no room for an assistant in the operation.
Why did he come up here? At this moment, Professor Yang felt that he was very unnecessary.
Chapter 778 - Allowed You to Act Pretentious, but Don’t Go Too Far
Fifteen minutes passed...
Thirty minutes passed...
One hour passed...
The quiet operating theater was filled with a terrifying aura.
The surgical field of view was under a microscope, so the doctors and professors in the viewing gallery could not see it. However, they could see that the person who performed the surgery was standing like a steel rod. For an hour, his body did not move at all.
They could barely see the movements of his hands.
All the operations were performed in a fraction of a centimeter. The anastomosis of the liver and blood vessels was carried out step by step. It was beyond the concept of ordinary general surgery.
Although they could not see anything, no one felt bored. The brand-new general surgery method piqued everyone's curiosity.
In addition, the person who performed the surgery had the halo of Nobel Prize candidacy on him. Everyone wanted to see the final result.
Autologous liver transplantation using a microscope to anastomose the hepatic capillaries... Was this a surgery that could be performed by a human?
"Su Yun, radiographic films." Zheng Ren's slightly hoarse voice broke the silence.
"What's the location?" Su Yun asked in the operating room.
"Eighth segment, third quadrant, 15° 23′." Zheng Ren gave an extremely accurate answer.
Immediately after, the screen on the opposite side lit up, and an image that Zheng Ren needed appeared in front of him.
Zheng Ren looked at it for more than ten seconds before he lowered his head again and continued with the surgery.
The image was just placed there, and the people on the viewing platform were a little confused.
"Do you understand radiographic films?"
"I don't; do you?"
"I can understand a little, but I can't understand this one. We're not in the field of radiographic films..."
The person who said this blushed and fell silent.
The person who could understand the radiographic films was standing on the stage and using a method that even the professor of general surgery could not understand to anastomose the capillaries of the bile duct.
How long would this surgery take?
Generally speaking, it wa
s normal for the Neurosurgery Department to perform microsurgery for three to five hours. It was already early in the morning. Even if they did it until dawn, there was nothing strange about it for everyone present.
However, could the patient's condition withstand it?
Probably not.
Before the liver transplant, judging from the confident look of the surgeon, he estimated that it would be over in two hours.
Could it really be done?
A few minutes later, Zheng Ren had Su Yun upload two radiographic films.
The people present still could not understand it.
The operating theater was full of question marks. Everyone was so curious that they were about to explode.
There was a live broadcast equipment in this operating theater, but there was no equipment for the live broadcast of microsurgery. What was the point of just looking at the surgeon? They had to see the means of matching under the microscope.
Time ticked by.
"Chairman Dong, help me take off the microscope." Finally, Zheng Ren's words completely broke the silence.
"Chief Zheng, is it done?" Dong Jia asked softly as he took off the microscope for Zheng Ren.
"There shouldn't be a problem," Zheng Ren said.
Professor Yang stood on the stage for more than an hour. Finally, he did not have to be so embarrassed. He began to assist Zheng Ren in anastomosing the large blood vessels and liver tubes.
This was the final step of the surgery. Zheng Ren did it very quickly.
The alarm of the monitor rang in his ears. The patient's vital signs were being maintained under the medication. It was becoming increasingly difficult for him to maintain stability.
The portal vein bypass was removed and the autogenous liver transplantation ended. The vascular patch repaired the broken end of the inferior vena cava. Then, Zheng Ren released the vascular clamp.
Allogeneic liver transplantation was like changing the engine in a car that had stopped moving, while autogenous liver transplantation was like changing the engine in a car that was moving. It was also necessary to ensure that the car was moving normally. The technical difficulty was obvious.
His eyes focused on the patient's liver.
The retained liver was ruddy in color, and the edema was slightly reduced. The transplanted liver also began to have a blood flow perfusion. During the visible period of time, there was only a little bleeding in the two pieces of liver tissue, and no bile secretion was seen.
Surgery...
...success!
The atmosphere in the operating theater suddenly became much more relaxed. He let out a long breath. If there were no serious complications after the surgery, the patient would most likely be able to live.
The postoperative complications of an autologous liver transplantation was the overflow of bile, which could cause a serious infection and toxic shock.
The people who were watching the surgery on the spot did not believe that such complications would occur. Even if there were, it was very light and could be corrected with drainage and drugs.
This was a microscopic anastomosis of the bile duct. The surgery had been done to the best of its ability. What else could he be picky about?
"Chief Zheng, you're amazing!" Professor Yang stood in the position of the first assistant and praised.
"Prepare hemostatic powder, hemostatic gauze, and rinse," Zheng Ren said.
Before he could finish his words, warm saline was sent to his hand.
He washed the abdominal cavity and left a drainage strip. Zheng Ren then sprinkled hemostatic powder on the wound of the liver and covered it with absorbable hemostatic gauze.
He sutured the diaphragm and checked again. When he saw that there was no active bleeding, he closed the abdomen.
The rest of the steps could be done by a house officer. However, Zheng Ren and Professor Yang still completed the abdominal closure meticulously. It was not until they carried the patient onto a stretcher trolley and sent him to the ICU with an air bag that Zheng Ren heaved a sigh of relief.
This surgery...
He looked at the time. It had been more than seven hours.
The surgery started at nine o'clock. It was already four o'clock in the morning.
The sky turned white. A night had passed just like that.
He had said that he would sleep well for a few days, but he did not expect it to be like this.
Ding dong~
The sound of the System mission rang out. At this moment, it sounded so melodious and clear.
[System mission: First Stage, completed.
Mission content: Complete the surgical treatment of liver hydatid.
Mission reward: 10,000 skill points, Luck +2, passive skill [reconstruction] activated.
Mission Time: 24 hours. Cost: 7 hours and 32 minutes; Remaining time: 16 hours and 28 minutes]
[System mission: Break through the final barrier! Completed.
Mission content: complete an autologous liver transplant operation.
Mission reward: 10,000 experience points, Luck +4.
Mission Time: 24 hours. Time consumed: 7 hours and 32 minutes, remaining time: 16 hours and 28 minutes.]
"Chief Zheng, I'm going to see the patient first. Do you have any special medical advice?" Professor Yang came to Zheng Ren's side and asked.
"No, just follow the usual rules." Zheng Ren was a little listless.
Seeing that Zheng Ren was tired, Professor Yang did not want to disturb him too much. Anyway, he was working on 912, so he would not see Zheng Ren for a long time.
After greeting him, Professor Yang brought Chairman Dong to change his clothes and went to the ICU.
"Boss, do you have to work so hard?" Su Yun yawned and said.
"It's not too bad. The key is that it's my first time performing an autologous liver transplant, so my hands are still a little rusty," Zheng Ren said.
"I'll allow you to act cool, but don't go overboard," Su Yun w.h.i.n.ed. "You've brought all the microsurgical equipment from the Department of Neurosurgery here. You've used less than two hours to complete the surgery, and you still say that you're unfamiliar with it? If you're skilled, do you still plan to complete the autologous liver transplant in an hour?"
"It's not that exaggerated." Zheng Ren shook his head. He really did not have the energy to argue with Su Yun. He yawned and turned around to change his clothes.
After putting the lead jacket and microscope into the System space, Zheng Ren looked at the sky. There were still three Stage II TIPS surgeries to be performed today. God, why did he always have to stay up late?
After changing his clothes, he left a message for Xie Yiren. Zheng Ren sat on the bench in the changing room and stared blankly.
He excitedly wanted to go to the System space to see what the passive attribute [reconstruction] was!
Chapter 779 - Passive Ability: Reconstruction
"Chief, what's the matter today?" Su Yun's voice rang in his ears. Zheng Ren had just entered the System space when he was pulled out.
This fellow was simply too f*cking noisy. If he did not speak for a moment, would he suffocate to death?
Zheng Ren glanced at Su Yun, full of disp.l.e.a.s.u.r.e.
Su Yun was also very curious. What was wrong with the chief? He only asked him one question, so why was he looking at him with a sullen face? Was he amazed that the surgery was done well? No, Zheng Ren was not that kind of person.
"Just find a place to take a nap. After the second phase of the TIPS surgery, go back to sleep in the afternoon," Zheng Ren said.
"Are you tired?" Su Yun asked. "I told you to rest for two days. Don't rush to work. I still haven't recovered. I'm really tired."
"I'm alright." Zheng Ren regained his calm and smiled. "I'll ask her what I'm going to do in the afternoon."
"Are you telling me not to disturb the two of you?" Su Yun curled his lips and said disdainfully.
"Yes." Zheng Ren nodded. He did not have any thoughts of denying it.
After performing such a large surgery, his general surgery skills had risen to the level of a master. He was probably at the same level as Professor Moriyu. Zheng Ren was very happy.
After all, the General Surgery Department was the specialty, and it was also Zheng Ren's original dream.
The two of them chatted for a few minutes before Xie Yiren sent him a WeChat message. Only then did Zheng Ren and Su Yun walk out of the changing room and meet up with Xie Yiren.
They returned to the Interventional Department and found a place to take a simple rest. There were only three more hours until dawn. After completing the second stage of the surgery, they really did not want to go to work in the afternoon.
Zheng Ren held Little Yiren's hand and swayed back to the Department of Interventional Medicine.
Xie Yiren went to the nurse's duty room and carefully opened the door to enter, afraid that she would disturb Nurse Xiao Ye's rest.
Zheng Ren and Su Yun went straight to the doctor's duty room and found a place to lie down in their own clothes.
This feeling was worse than that of the Sea City general hospital.
In Sea City, there was definitely no one in the duty room. There was no need to act like a thief. Zheng Ren could only console himself. Today was an emergency, so it would not happen very often.
In the afternoon, he would definitely not go to work. He would go out for a walk with Little Yiren.
In the operating theater of the System, a month of surgical training, coupled with the tiredness acc.u.mulated at the front line, had exhausted Zheng Ren.
He had come to Imperial Capital a few times. In the past, he had been transferred to Chengdu to go to school. Recently, he had come to do scientific research. He had come and gone in a hurry.
Zheng Ren did not know where he was going.
Zheng Ren lay on the hard bed in the duty room. He closed his eyes and entered the System space.
After completing the first phase of the mission, his Luck had increased by 18 points. Zheng Ren glanced at the skill tree. When he saw that the skill tree of the General Surgery Department was only a little shorter than the skill tree of the Intervention Department, he was delighted.
Zheng Ren was more anxious to understand the passive skill [reconstruction].
The Surgeon's Studio c1-799 Page 369
