Big Doctor Live Room

Chapter 1398 Compound Shunt Surgery

Chen Qun picked up the scalpel and made a big incision in the patient's abdominal cavity, almost reaching the lower abdomen.As soon as the abdominal cavity was opened, a bloody arrow shot out. Fortunately, Chen Qun was prepared and blocked it with plastic paper, and the assistants beside him quickly picked up the hemostatic cotton and put it around the opening. Block the blood stains that diffused out.

At this time, Qi Hong who was next to him could see the situation clearly. The bleeding in the patient's stomach was not too much, but there was also a small stream of blood gushing blood, spreading to the surroundings.

The female academic bully immediately understood what Chen Qun said was because of the massive bleeding in the patient's neck, which led to a large decrease in the patient's platelets.And the reduction of platelets has caused the patient's liver function that has already developed cirrhosis to be almost completely lost, and the blood no longer has the coagulation function, so a chain reaction occurred, which directly caused damage to several blood vessels connected to the cirrhosis.

"Suction immediately. The one on the opposite side tightens the retractor a little. I'm going to move the retroperitoneal cavity. I will tie up the blood vessels immediately and drain the fluid in the stomach and pancreas. The patient is losing a lot of blood. Everyone should move their hands and feet neatly. If they can't finish Tell me immediately, and I will do it!"

As soon as Chen Qun said this, Qi Hong who was beside him couldn't help but shook his head, knowing that if this sentence could be translated, it would mean, "You all get out of the way, you just need to be responsible, I will do all the difficult work, don't waste my time .”

Sure enough, the three assistants around him immediately turned into interns who just went to the operating table. They only did the most basic work, and left all the complicated suturing, knotting, and separation to Chen Qun. They were only responsible for cooperating with his various This kind of extremely fluent movement, everyone helps to support or press, without mixing other specific operations at all.

It's not that everyone doesn't want to do it, but that it can't match Chen Qun's speed, so we can only give up the idea of ​​doing it ourselves and let Chen Qun do it all at once.

"Give me the sampler and the hemostat, and I'm going to isolate the splenic and portal veins."

Chen Qun issued another instruction, dipped his hands in blood plasma, and started the surgical separation without any vision to see the splenic vein and portal vein.To put it bluntly, this is a complete blind operation. The operation can be completed directly by the feeling of the fingers. Although there are three straws at the side sucking at high speed, they still can't keep up with Chen Qun's speed.

"No. 8 wire, needle-holding forceps. I am going to join the splenic vein and left renal vein. Give me two long forceps, and use two hands to hold the forceps. After I find the two veins, you will be responsible for clamping them."

As Chen Qun said, he nimbly held the long pliers in one hand, combed through the plasma with the other hand, and then clamped the pliers down.The two deputy chief physicians and a resident around him knew very well how difficult it was to find blood vessels in the bloody abdominal cavity, but Chen Qun didn't even need to look, as if he was in the back garden of his own home. One standard.It can be said that he knows the patient's body structure like the back of his hand to achieve such a level.

How many general teachers must be dissected to reach this level?Fifty?Or a hundred?Or how much simulated surgery to do in virtual VR glasses?
Everyone knew very well that Chen Qun had never personally dissected a general teacher from the beginning to the end, let alone performed a few operations in the virtual glasses.Most of these technologies are based on his own simulation and imagination. Except for his savant syndrome, which has a bonus effect in learning three-dimensional space images, the others are still the same as ordinary people.

Sure enough, people cannot be compared with each other. The lower limit of Chen Qun's surgical talent is the unattainable upper limit that many top experts in the world cannot reach.

"Blood pressure is starting to drop, there may be heart fibrillation, the defibrillation team is ready!"

Qi Hong looked at the basic data in front of him, and saw that within two to three minutes, the patient's blood pressure dropped by more than ten points, and immediately triggered the warning line of the computer system, and immediately helped issue an order to let everyone do well. Prepare.

"Give me the scalpel! Prepare 7-0 double-arm sutures, and I'll start suturing right away. Suction get out of the way, and give me one's hands, gently pass under my palms, and place the lower ones The messy tissue is raised a little higher to expose the view. Continue to suck, be careful, don't just rush and let the straw pierce all kinds of tube walls!"

Chen Qun was busy at high speed, but still had time to remind the assistant who seemed a little nervous, and gently moved its straw to a position.Because it was a temporary emergency operation, the technical strength of the team on duty was a little weaker, and there was a little gap with the three teams he had equipped.

As the suction speeded up, the portal vein and splenic vein finally appeared in everyone's field of vision, and a tear three centimeters long and one centimeter wide appeared in front of everyone's eyes.

"Fuck, such a big incision, hey, it seems wrong, the incision is too big, but the blood did not flood the abdominal cavity! How much blood has been transfused!"

"Eighteen hundred liters!"

"The portal vein was squeezed by the upper liver, the opening was very large, but the bleeding point was small, so there is not much to learn. However, such a large tear can no longer be done with a conventional shunt operation, and we can only do a compound shunt with a slight change. Surgery, otherwise the delicate connection will break again with a little trouble. Xiaoxin, immediately print a T-sleeve for the portal vein, with a width of [-] mm. After I finish the suture, I will put the T-sleeve on it. When pulled by external force, this high polyester sleeve will play a protective role. In case of a blood vessel rupture, this part of the resin sleeve will still function.”

After pondering for less than two seconds, Chen Qun came up with a plan, and immediately ordered the eldest lady to do it immediately.Qi Hong who was beside him remained silent, knowing that he would have to undergo two shunt operations.But this kind of operation of adding a fixed patch to the shunt vessel that is not very strong is at least better than using the patch directly.

After all, the current level of medicine has not produced completely bionic blood vessels. If other patches are used to replace the blood vessels, they will not be as good as the original ones.This is actually an impossible solution.There is no need to send the patient to the operating room for the second time for secondary revision surgery.

The difficult portal vein shunt was completely completed in Chen Qun's hands in just 6 minutes. Since the torn mouth was too large and irregular, the torn part was used as a shunt catheter, so the blood vessel sutured by Chen Qun could not be seen. It feels like walking a tightrope on a cliff. Any high blood pressure may burst the blood vessels.

At this time, the resin T-shaped sleeve printed by the 3D printer next to it was also sent over. Chen Qun tore open the sleeve, gently put it on the blood vessel, and started to sew again.

"The patient's heart rate drops, blood pressure begins to rise, and the heart flutter alarm is released!"

Seeing that the patient's various physiological data began to improve, Qi Hong breathed a sigh of relief, and then found out that Chen Qun was still looking for something in the patient's abdominal cavity, and asked a question in surprise.

"Could it be that the surgical forceps fell into the patient's stomach?"

"No, a small piece of tissue from a torn blood vessel fell off, and it should still be in the patient's stomach. Before I flip it over, I'll find it first. Wait, all right, I've found it!"

While speaking, Chen Qun took out a piece of mung bean-sized vascular tissue from the patient's stomach and threw it in the tray before ordering his assistant to clean the abdominal cavity.

(End of this chapter)