303 Brackets Stacked Brackets (3/4)
Chapter 303 Brackets Stacked Brackets (34)
In the live broadcast room of the operation, the screen was frozen. The doctors waited for a few seconds, checked their own network, and found that there was no problem, and they all became puzzled.
[Why is it not moving? 】
[The operation is not finished, the puncture will not be completed, the operation is considered complete. 】
【I also want to see if the surgeon formally opened the hepatic vein and portal vein, and whether there are any special surgical steps. 】
Several bullet screens flew out, and everyone was sure that there was no problem with the network, and they became more confused.
Is there any surgical procedure that I don't understand, like the last emergency surgery, one screen and two fields?
【No, the patient's blood oxygen saturation is dropping! 】
Soon, someone discovered that something was wrong.
Because the time was relatively short, the change in blood oxygen saturation caused by aspiration in the patient's lungs had just begun, but all the doctors watching the live broadcast were infinitely sensitive to changes in vital signs and noticed it directly.
Surprise has not yet spread, and the field of vision of the live broadcast of the operation started to move again.
But the surgical field was different from before, it was very bumpy. It's like some documentaries with particularly high authenticity, where the photographer holds a camera in his hand and follows the camera.
Looking dizzy, very dizzy.
Some doctors with underdeveloped vestibular nerves feel nausea and vomiting instantly.
What's going on here?
In the operative field, the 10mm covered stent moves forward firmly and quickly, and enters the portal vein along the guide wire, looking for the track left by the puncture needle.
[I'm going... I can't read it, what's the matter? 】
[Did the patient suddenly vomit blood again? 】
[The possibility is great! There is even the possibility of aspiration. In this case, should the surgeon continue with the operation? 】
The doctors who watched the live broadcast quickly guessed the truth of the matter.
But the truth is so cruel that many people don't want to believe it.
Seeing that the operation was completed, the patient actually vomited blood...the operation...is still possible?
Although the surgeons insisted, most of the doctors gave up in their hearts.
It's hard to get through it quietly, and it's very difficult to introduce a stent graft, let alone the patient's current state.
In the operating room, the patient's blood oxygen saturation was dropping crazily.
Director Xia was stunned with the suction tube in his hand. ten seconds? Will it work? If the patient's suffocation and hypoxia time can be controlled within three to five minutes, there is no problem.
But in this case, the sooner it is dealt with, the better.
Zheng Ren asked for ten seconds...
Director Xia looked, Zheng Ren and Su Yun's eyes were fixed on the screen, Zheng Ren's hand was fully opened, and the stent with membrane quickly followed the guide wire to the portal vein and hepatic vein puncture point.
Su Yun tried his best to maintain the position of the guide wire, making adjustments along with the patient's twitching, buying time for Zheng Ren.
When Su Yun couldn't judge the extent of the patient's twitching, Su Yun pushed the guide wire in. Even if it caused a small area of intravascular damage, it was better than pulling out the guide wire and doing a new operation.
A 10mm stent-graft was inserted and expanded, and the stent successfully supported the vessel walls of the hepatic vein and portal vein.
Surgery complete!
"Director Xia, suck out the foreign body." Zheng Ren did not heave a sigh of relief. Aspiration of the patient's respiratory tract is also a fatal emergency.
When Director Xia heard Zheng Ren's words, he immediately picked up the suction tube and began to send it into the patient's nasal cavity.
While feeding, keep pressing and releasing the air outlet, so that the sputum suction device can rhythmically suck out the stagnant blood in the patient's nasal cavity, mouth, and respiratory tract.
The aspiration time is still short, and the patient's condition is not good, and the inhaled foreign body is not too deep.
In less than 3 minutes, the black and red blood clot was sucked out.
Following this, the patient's blood oxygen saturation began to rise.
"Zheng Ren, did you succeed?" Director Xia asked, still not sure.
"The first step was successful." Zheng Ren replied, with no intention of stepping down to end the operation.
The guide wire was still in Su Yun's hand, and he had no plans to pull it out.
first step? Director Xia was a little puzzled.
What exactly is going on?
After another 2 minutes of observation, the patient's condition was significantly relieved, he was no longer restless, and his blood oxygen saturation returned to 98%.
"You guys go out." Zheng Ren said afterward.
Chu Yanran and Xie Yiren left the operating room wearing lead clothes without any hesitation.
Zheng Ren's tone sounded like the chief director's order. Director Xia was in a daze, and followed the two out.
"8mm covered stent." Zheng Ren said.
Su Yun then picked up a thinner stent, and Zheng Ren then began to feed the stent along the guide wire again.
[I'm going... the magician is doing it! 】
[Can this go in? I really admire it, really 6.]
[Speechless, the emergency TIPS surgery was done just like that. It's a pity that the operation process cannot be downloaded. It can be said that this is a perfect operation. 】
In the Xinglin Garden, the doctors watching the live broadcast began to shout 666.
But……
The surgery is not over yet!
Another stent-graft was sent in along the guide wire.
[What is this operation? Can someone explain? 】
[Yeah, hasn't the bracket been installed successfully? What does this bracket mean? 】
【Could the surgeon be so busy that he forgot that the brackets have been installed? 】
All kinds of speculations are unreasonable, and the ones who are speaking are not doctors from the general surgery and interventional departments.
Because the doctors in these two departments all turned off the barrage, so as not to watch the surgery by themselves with the barrage video.
Double stent, also known as stent-on-stent clinically, is a method developed by general surgery and interventional doctors in recent years to improve postoperative hepatic encephalopathy.
If a thinner stent is placed at the beginning, although the hepatic encephalopathy can be controlled, there is no way to completely improve the patient's symptoms of portal hypertension because of the narrow venous blood outflow channel.
The two stents go down and the outflow tract is narrowed. After the operation, the patient's bleeding decreased, and then according to the severity of the hepatic encephalopathy, it was decided when to remove the second thinner stent to completely improve the patient's symptoms of portal hypertension.
This is the most appropriate measure.
Of course, there are also problems, and they are huge.
Brackets stacked brackets require that the two brackets overlap very well, and there should be no unevenness.
If it is uneven and the gap is too large, the bracket inside will be unstable and may fall off with the blood flow.
If that's the case... the consequences will be serious.
Zheng Ren chose this method without hesitation.
Because the system panel in the upper right corner of his field of vision indicated that the patient had already experienced symptoms of hepatic encephalopathy, although it was relatively mild. But this means that postoperative patients with hepatic encephalopathy will be very serious, and even life-threatening.
The silent professional doctors wouldn't even blink their eyes, staring at the mobile phone screen.
Stents stacked with stents, the surgeon's heart is really big!
Doesn't he know what it means to accept as soon as you see it? In an emergency situation, the TIPS operation has been successfully completed, and his goal has been set on the complications of postoperative hepatic encephalopathy.
Is this the confidence of the world's top surgeons?