Chapter 354 The Truth

Professor Tian closed his eyes to make sure he wasn't dreaming.

All of this will only appear in a dream, isn't it?

Dr. Zhou was happy while sucking blood.

Professor Tian's level is improving. Of the vertebral body removal operations he has been exposed to, which one was not performed in blood? After doing this step in the operation, 5u red blood cells should have been lost.

But today, the operation is called a clean one.

Originally, the step of sucking blood was extremely important. Before the operation, Dr. Zhou was always worried. If the blood sucking was not done well, he would be scolded by the professor.

But today, the operation went so smoothly!

The weather is so good, the mood is so good, and the level of Teacher Tian is so good!

The operation stopped suddenly again, Dr. Zhou didn't know why, and the equipment nurse next to him was also a little puzzled, and asked, "Mr. Tian, ​​what's wrong with you?"

Professor Tian was recalling the entire operation process in his mind, scene by scene, frame by frame, and turned a deaf ear to the concern of the equipment nurse.

Doctor Zhou and the equipment nurse were stunned.

The operation went well. Why does Mr. Tian keep closing his eyes again and again? Could it be that this is brewing energy and preparing to explode the small universe again?

That being the case, let's brew it, anyway, the patient has no bleeding. Surgery... Until then, Dr. Zhou found out that the surgery had just been performed for 40 minutes.

Normally, it takes at least 2 hours.

Most of the time is wasted looking for bleeding points.

A few minutes later, Professor Tian slowly opened his eyes.

"The rongeur," he whispered.

The equipment nurse then handed over the rongeur to Professor Tian.

Professor Tian calmly excluded other emotions, and used a sharp-nose rongeur to bite off the tumor tissue on the vertebral body, keeping the posterior edge of the vertebral body as a mark first, so as not to accidentally injure the spinal cord or nerve roots.

This surgery is neat enough to be included in textbooks.

But Professor Tian knew that it was not because of how well he performed the surgery, but because the surgical field was too clean.

Part of the tumor in the vertebral body was carefully removed, and other parts were well protected to avoid tumor tissue implantation and metastasis.

After the tumor in the vertebral body was completely removed, Professor Tian inserted the stripper between the posterior bone of the vertebral body and the dural sac.

After gently separating the adhesions, use a stripper to push the posterior bone of the vertebral body forward to make it collapse, so as to achieve the purpose of completely resecting the lesion and protecting the spinal cord.

There was no sign of tumor invasion in the adjacent intervertebral disc, but Professor Tian also resected the bone up to the cartilage disc, cleared the cartilage on the cartilage disc to the subchondral bone, and made the bone graft bed firm.

There should be about 1000 ml of bleeding here, but... the actual amount of bleeding is still very small, only 100-150 ml.

Professor Tian calculated in his heart, but he was already numb.

This is a bloody operation!

It's not that I have a high level, but the patient's luck is good? Or some other reason?

Interventionist?

impossible! No matter how powerful an interventional doctor is, he will not be able to do this.

Professor Tian numbly followed the operation procedure step by step.

Bone blocks and strips of corresponding lengths were taken out from the posterior iliac according to the bone defect between the vertebral bodies.

It wasn't until this time that the operation returned to Professor Tian's "normal" cognitive range.

The position where the bone was taken from the posterior iliac area had a lot of bleeding.

He breathed a sigh of relief.

Dr. Zhou, who had always been at ease, froze for a moment, and hurriedly used a suction device and dry gauze to stop the bleeding.

The surgical style changed instantly.

After hemostasis, Professor Tian continued the operation.

Generally, the bone graft should be 2 to 3 mm longer than the actual bone defect. The removed bone should be cut neatly with a chainsaw and tied together with absorbable nylon threads.

It is inserted into the bone defect area through the lateral front of the dural sac and stands vertically therebetween. After the bone strip is implanted, bone fragments can be filled in front of it to fill the bone defect with bone and facilitate bone healing.

Memory alloy rods, bone cement, step by step, step by step.

After 2 hours and 12 minutes, the operation was over.

Bleeding volume - counting the bleeding volume of the retroiliac bone harvesting, it is less than 500ml, which is unbelievable.

After waking up from general anesthesia, Dr. Zhou sent the patient back to the ward with a smile on his face.

The operation went very well, and I even prepared 20u of fresh frozen red blood cells, but a bag was useless. After stepping down, I felt very uncomfortable, so I still gave the patient 2u red blood cells.

After all, is there a 500ml bleeding?

"Teacher Tian, ​​your skills are becoming more and more exquisite!" Dr. Zhou gave a thumbs up and exclaimed.

Professor Tian, ​​who is resting, has been thinking about the operation process, trying to find out the reason why the operation went smoothly.

He knew that it must not have improved his level.

That is the relationship between interventional doctors, even if you don't want to believe it, it is a fact.

Professor Tian turned into Detective Tian.

"Xiao Zhou, where is your intervention department? Take me to see it." Professor Tian said.

"We don't have an interventional department, and now an inpatient in the emergency ward is always doing interventional surgery." Dr. Zhou said casually.

"Only one doctor is doing it?" Professor Tian doubted his guess again.

"Yeah, his assistant was transferred from the ICU. By the way, yesterday I saw a foreigner come on stage to help. He said he was from Heidelberg University."

Oh, it turns out that there are outside experts here.

Professor Tian finally found the "truth" of the facts, and was relieved.

It's not that my brain is out of order.

"The embolization of the transverse lumbar artery done by the professor?" Professor Tian asked.

"No, foreigners may not be professors, and they don't know what their status is. There is a Chinese name called Fuguier."

The painting style has changed again, Fu Guier?

"I have a Northeast accent, so I feel happy." Dr. Zhou couldn't help laughing when he thought of Professor Rudolf Wagner.

"During the operation, Mr. Zheng from our emergency department was the chief surgeon, and Fugui'er was the assistant." Dr. Zhou said.

What a mess!

Professor Tian couldn't imagine the actual situation at all, and all of this had already exceeded his cognition.

"Go and have a look." Professor Tian glanced at the phone for the last time, because the operation was done quickly, and there was still some time before flying back to the imperial capital.

After taking a look at the postoperative patient, the two went to the emergency ward of the emergency building.

Along the way, Professor Tian inquired about the emergency intervention of Haicheng No. 1 Hospital.

Is it just the level of emergency pelvic fracture embolism and gynecological embolism?

That shouldn't make my surgery go so smoothly.

eccentric.

Professor Tian came to the emergency ward with Dr. Zhou suspiciously.

"Fu Guier, there are two surgeries tomorrow, so you should arrive early to take the patient to the operating room." Zheng Ren's voice came.

"Well, boss, what kind of surgery?" Professor Rudolph asked in a northeast accent.

"The second stage of the TIPS operation takes a retrievable stent, and a TIPS operation."

"Well, I'm sure I won't be fooled, don't worry, boss."

With the northeast accent, Professor Tian was in a daze...

Walking into the office, Professor Tian saw Professor Rudolf Wagner standing beside a young doctor, full of respect, talking about something.

This person... looks so familiar.

Hold!

Professor Tian suddenly realized that he had met him twice at Heidelberg University. Isn't this Professor Rudolf Wagner? !