Back in 2002 as a doctor

But what was weird was Han Chu's attitude.

Not only did he apply for a general practice certificate for Zhou Congwen, but he didn't say a single word of nonsense, as if acquiescing to Zhou Congwen's diagnosis.

It's strange, Chen Houkun didn't speak, and silently watched the patient anesthetize, Wen Yuan laying the sterile drapes himself, and Zhou Congwen unceremoniously stood on the operator's seat and reached out for a scalpel.

Zhou Congwen went down with a knife, and the incision was not big, only 10cm.It is a small incision for abdominal surgery.

No one questioned, everyone was waiting for the scene when the truth came to light.

Incision was made layer by layer, protected by a membrane, and after opening the abdominal cavity, a large retractor was used to pull the abdominal wall.

The patient's intestinal tract about 40 cm in color was obviously different from the color of the surrounding intestinal tract. It was blue-purple, obviously dilated and thinned.

Wen Yuan's face was ashen.

Zhou Congwen's judgment was correct, it really was intestinal necrosis!

Han Chu stood silently on the two footstools, looking at the bruised, dilated, and thinned intestines in the operation area, and remained silent.

Chen Houkun was a little surprised. He never expected that Xiao Zhou was good at thoracic surgery, and he was also good at abdominal surgery and diagnosis such as liver and gallbladder and gastrointestinal surgery.

Although it is said that the radical operation of esophageal cancer in the Department of Thoracic Surgery requires at least a good stomach surgery, but Zhou Congwen is too awesome.

But Wen Yuan didn't have time to feel Zhou Congwen's awesomeness, he swayed twice, and almost fell down.

Intestinal necrosis, medical malpractice, how to explain to the patient's family... A series of problems appeared in his mind, which made him feel overwhelmed.

No one wants to have an accident, but if there are too many surgeries, accidents will definitely happen. It's just a matter of probability, and no one can avoid it, not even a once-peak-level surgeon like Mr. Huang.

Han Chu saw Professor Wen's body shaking, but he didn't pay attention to him at all, but stared at Zhou Congwen's hand.

"It's okay." Zhou Congwen stretched out his hand to touch his intestines, and said lightly.

Director Han let out a sigh of relief.

"..." Wen Yuan was dumbfounded.

"..." Chen Houkun had nothing to say.

good?

Although the intestinal tract has not been necrotic for the time being, it certainly cannot be corrected by hot compresses.

Seeing that tens of centimeters of intestine is about to be removed, the patient must have a series of troubles after surgery.

If this is okay, what is bad?

"Chu Han, call Director Jiang of the Vascular Surgery Department and ask him to perform the operation." Zhou Congwen continued.

"Oh? Professor Zhou, what are you going to do?" Director Han asked in a deep voice with a chubby figure and chubby voice.

"Thrombolysis with arterial and venous catheters requires two methods. I can't do it myself, and I need Director Jiang to help me."

Help me, what a familiar sentence, Chen Houkun was slightly at a loss.

In half a year, Zhou Congwen took his hand from the Third Hospital of Jianghai City to the academician workstation of the Second Hospital of Medical University.

But now, standing in the position of the chief surgeon, he spoke words that he and Professor Wen couldn't understand, full of confidence.

"Okay, I'll make a call right now, do I need any other equipment?" Han Chu asked without hesitation.

"The vein is percutaneously transhepatic through the portal vein, and the mesenteric vein and splenic vein merge to form the portal vein, and a catheter is inserted for thrombolysis through retrograde puncture." Zhou Congwen said, "The artery is punctured in the femoral artery, and the mesenteric artery is found, and the catheter is inserted for thrombolysis."

Han Chu turned around and got off the two footstools to call Director Jiang of the Department of Vascular Surgery.

On the operating table, Professor Wen swayed slightly, obviously struggling.

"Professor Wen, why don't you take a break?" Zhou Congwen said softly.

"No, no." Professor Wen's voice was hoarse and unpleasant.

"Don't worry, about 12 hours after the operation, it is estimated that it will dissolve in 30 minutes." Zhou Congwen comforted.

"..."

Wen Yuan felt that the whole world was full of malice.

dissolve?Isn't that a joke, how is it possible.

And he didn't even know how the blood vessel was blocked, let alone dissolved.

But Zhou Congwen's previous worries were swept away, and he was full of confidence after seeing the degree of intestinal ischemia and swelling. This kind of mood infected Wen Yuan and Chen Houkun.

Chapter 0643 A pair of eyes is not enough

Soon, Director Jiang of the Vascular Department ran to the operating room.

"Xiao Zhou, I also said that after you come, I will have dinner with you, and if I catch up with you and throw a knife, I will go to the clinic or have an operation."

"What a coincidence." Zhou Congwen tilted his head and smiled slightly.

"What do you need me to do?"

"Director Jiang, help me hold the pipe."

"!!!"

Director Jiang was taken aback.

Invite yourself to play the stage, just let yourself be an assistant? !It's just too much!

"Mesenteric arterial and venous thrombosis requires simultaneous arterial and venous thrombolysis." Zhou Congwen said lightly, "Director Jiang, let's do liver biopsy first."

All the slander from a second ago disappeared, Director Jiang asked Zhou Congwen suspiciously, "Xiao Zhou, the mesenteric vein is 'floating', and the tube is difficult to go in."

"It's okay, let's try it." Zhou Congwen said.

"Clean your hands again and come up in the lead suit." Zhou Congwen clapped his hands, turned around and stepped off the stage, tore off the surgical gown, and went next door to put on the lead suit.

Director Han approached Director Jiang suspiciously, "Director Jiang, what is floating."

"There is connective tissue around other arteries and veins, even if the fixation is average, it will not be very floating, at least it can bear a little strength. But there is very little connective tissue around the mesenteric arteries and veins, unless the kind is particularly fat and has a lot in the stomach. Fat people."

While Director Jiang explained, he glanced at the patient lying on the operating table.

The patient is very thin. There is a folk saying that people will be thin when they get old. The patient looks like a long-lived person.

According to Director Jiang's words, the patient has very little fat in his stomach, and the arteries and veins are "floating", so the operation should be difficult.

Han Chu nodded, "Director Jiang, are you sure you can do it?"

"I can't do it." Director Jiang said honestly, "Three months ago, there was a patient with intestinal bleeding. I tried it on stage, and it was difficult to over-select the guide wire."

"Understood." Han Chu said in a deep voice.

Director Jiang hurried to prepare for the operation with Zhou Congwen to put on lead clothes and brush his hands.

Director Han glanced at the operating room, and the anesthesiologist brought the chair over with a smile.

"Han Chu, sit and wait."

"I'll wait outside." Director Han took the chair and moved it to the corridor of the operating room.

With a blank face and stern eyes, he watched the roving nurse pull a lead plate and block it at the door of the operating room.

Director Han, like a watchdog, didn't enter the operation room next to the surgery room, but just sat outside, crossing his legs and holding his shoulders, watching coldly.

The technician felt chills in his heart, he was terrified by Director Han, even though Director Han didn't stare at him.

All the legends about Director Han flooded into my mind all of a sudden, the technician's hands were already trembling a bit, and he spoke into the microphone without even turning on the microphone, asking if the operation was ready.

After a few times, there was no response inside, and the technician reopened the microphone to talk to the inside.

Han Chu folded his arms, his eyes seemed to be staring at the lead plate at the door of the operating room, as if his gaze was stronger than X-rays, and he could see through the lead plate to see the scene of the operation inside.

Zhou Congwen put on the lead suit, brushed his hands, put on the surgical gown again, and stood on the right side of the patient's body with Director Jiang.

Start counting ribs from Wen after disinfection.

Percutaneous and transhepatic portal puncture are generally performed from the 9th and 10th intercostal spaces on the right side, which is a relatively traditional approach.Although it is possible to injure the right lung and cause traumatic pneumothorax or even hemopneumothorax, this is still the safest position.

"Xiao Zhou, I have a deep understanding of the Budd-Chiari syndrome that I went to the third hospital last time." Director Jiang said while assisting Zhou Congwen in locating, "I happen to have a Budd-Chiari syndrome patient in my hand. Come and help me tomorrow." Let me take a look, and tell me if there is any problem."

"Well, good." Zhou Congwen started to puncture, and he didn't care about Director Jiang's "polite" at all.

Wen Yuan, who returned to the operating table in a lead suit, heard what Director Jiang said, and felt that his three views were broken and he couldn't stick together.

If Zhang You or Chen Houkun from the Department of Cardiothoracic Surgery said this, Wen Yuan would accept it and would not think otherwise.

Who is Zhou Congwen?That was Huang Lao's closed disciple of Cardiothoracic Surgery, and an academician workstation was specially set up for him.

We all know the purpose of establishing the Academician Workstation - to promote thoracoscopic surgery.

It's a mythical start.

But Director Jiang, the director of the Department of Vascular Surgery and Vascular Intervention, actually spoke to Zhou Congwen in such a tone, he must be dreaming.

Can Zhou Congwen cure Budd-Chiari syndrome? !

Wen Yuan's three views shattered.

But what this fragmentation brought him was not despair, but a wave of hope.

Director Jiang spoke very humbly, which meant that Zhou Congwen could do what he couldn't.

Now Professor Wen Yuanwen doesn't care who performs the surgery, as long as he doesn't cut the patient's intestines.Whether it is a liability accident or a technical accident, stop loss is the most important thing.As long as the patient's condition is controllable and no serious secondary damage is caused, Wen Yuan feels that he has the opportunity to turn the major issue into a minor one.

It was an operation, but it was easy to explain, and the internal organs were not moved.If even the intestines were cut off, he knew that not only would the patient suffer, but he would also suffer greatly.

Wen Yuan can't understand interventional surgery, but Director Jiang can understand it and can do it, but his success rate for superselection of mesenteric arteries and veins is very low.

Director Jiang watched Zhou Congwen's movements intently.

Puncture, catheterization, and radiography are done in one go.

All the movements were quite satisfactory, Director Jiang didn't see any special skills.

He was taken aback for a moment, and asked during the intermission of the radiography, "Xiao Zhou, you..."

"Huh? Is there something wrong? Or do you usually not do this?" Zhou Congwen asked.

"..." Director Jiang was taken aback. Zhou Congwen's words sounded weird, but he couldn't tell what was wrong.

"It's here. It's very clear. The embolus is not too big. It's not completely blocked. It may dissolve." Zhou Congwen looked at the screen and said.

Director Jiang also saw the location of the embolism in the mesenteric vein, and there was indeed a small gap.

The reason why patients say stomach pain is because of intestinal ischemic pain.

However, because the embolus is not large, the mesenteric vein has not been completely blocked, and there is still a trace of intestinal blood supply, so the intestinal tract has not been completely necrotic for the time being.

This also explains why the patient's stomach pain is not severe.

"It's okay." Zhou Congwen said.

As he spoke, he twisted the guide wire and started superselection.

Director Jiang supported the guide wire, and his eyes turned on the insufficient mode again.

He wanted to watch the screen, to see how the guide wire in Zhou Congwen's hand entered the next-level vein; but he also wanted to watch the movements of Zhou Congwen's hand, he didn't know how Zhou Congwen would do it, he just wanted to know whether the guide wire went in or not.

But a pair of eyes is not enough!

Director Jiang burst into tears after only two glances.

I also want to organize a society, and then ask Zhou Congwen to do a demonstration operation!

Only the recording and broadcasting at that time could not miss any details, and I could learn the operation little by little.

Chapter 0644 can dissolve

The guide wire is passed in the portal vein, across the splenic vein, and into the mesenteric vein.

The next step is the super selection. Director Jiang knows very well that the operation is now at the most critical moment.

The last time he had an operation, he was repeatedly overselected, but he was still unable to get in, which led to the failure of the operation.

Just now Director Jiang also told Han Chu about the difficulty of the operation - the mesenteric arteries and veins are very floating.

At this time, Director Jiang was no longer obsessed with looking at the screen or looking at Zhou Congwen's hands. His eyes were fixed on the screen, watching the guide wire keep walking inside.

The blood vessels should be very floating. The intestine itself can move, and the feeding blood vessels will naturally not be particularly tense. If the strength is fully pulled, it will lead to ischemia and necrosis.

but……