Back in 2002 as a doctor

Chapter 0646 engineering team means

"It's almost there. The color has begun to change. It is estimated that the pulse of the mesenteric artery can be felt within a few minutes." Zhou Congwen's nagging words disappeared, and he began to talk about his judgment on the patient's condition.

"Ah?" Wen Yuan's mind was full of what Zhou Congwen just said, and he didn't notice the changes in the patient's mesenteric arteries and veins.

Zhou Congwen said twelve o'clock, others sounded very rambling, but Wen Yuan felt very short.

When he was listening, he even had a thought—every piece of experience Zhou Congwen told was so precious, it would be great if he could never finish it.

But Professor Wen Yuanwen also knew that this was impossible.

Like laparotomy, with decades or hundreds of years of accumulation, many big pitfalls can be avoided, but even now, even the simplest appendectomy, no one is sure that it can be [-]% successful.

Wen Yuan's thoughts flashed, and he was immersed in Zhou Congwen's experience just now. What is the seventh article talking about?

Zhou Congwen had no choice but to raise his voice, "Professor Wen, take a look at the gut!"

"..." Wen Yuan woke up, he took his hand away and glanced at the intestines in the operation area.

The original purple color has gradually faded, and it seems that the swelling of the patient's intestinal tract has become lighter in less than half an hour.

"It's done?" Wen Yuan still couldn't believe it.

"Of course." Zhou Congwen said lightly, then turned around, "Warm salt water, the temperature is a little higher, about 45 degrees."

The nurse hurriedly prepared what Zhou Congwen needed.

Warm saline gauze was applied for hot compress, and Wen Yuan could see the color change of the intestine every few minutes when he changed the warm saline gauze.

The color representing ischemia and necrosis is getting lighter and weaker, and red arteries can be vaguely seen climbing, full of vitality.

"Let's have a look at the imaging. If it passes, the tube can be withdrawn." Zhou Congwen said with narrowed eyes.

Wen Yuan was overjoyed.

If it was just an exploratory laparotomy and no organ damage was involved, it would be better for Director Han to communicate with the patient and the patient's family. Although the hospital still had to pay, the amount of compensation dropped sharply.

In this way, the pressure on himself can be reduced a lot, Wen Yuan was overjoyed.

Unlike Wen Yuan who was full of joy, Director Jiang of the Vascular Department frowned.

Then a large dose of urokinase is pumped in, and the thrombus in the mesenteric artery and vein is dissolved, but what about the sequelae?

Liver bleeding, do you still need surgery?

Entering the palace twice is a concept. If entering the palace three times... Not to mention the opinions of the patient's family members, such an old man can't bear it physically.

This is drinking poison to quench thirst!

A word appeared in Director Jiang's mind, but the glass of poisoned wine has already been drunk, and he will wait and see how Zhou Congwen will deal with it.

Perhaps the liver was sutured, and maybe it was stuffed in with the greater omentum.

It's just that the eye of the needle is so thin, how can the omentum be stuffed in?Director Jiang kept pondering, and every time he thought of a solution, he quickly rejected it.

Angiography showed that the patient's mesenteric arteries and veins were all restored to patency, and the images of vascular branches that were absent due to vascular blockage all reappeared.

This means that life is alive and well!

Wen Yuan was ecstatic, his hands trembling a little.

Zhou Congwen began to withdraw the tube, withdrawing the guide wire and catheter from the femoral artery, then raised his hands in front of his chest, avoiding other people, and came to Director Jiang's position on the head.

"Prepare the gel sponge." Zhou Congwen said.

"It can't be stuffed in." Director Jiang said.

He was a little disappointed with Zhou Congwen's approach, very disappointed.

The gel sponge has a larger diameter than the omentum, and there is no way to stuff it into the punctured needle hole.

What is Zhou Congwen going to do?

If gel sponge is used to cover the puncture needle, and then a piece of greater omentum is cut off to wrap it and sutured to fix it... It seems that the bleeding in the liver cannot be stopped.

The hematoma is getting bigger and bigger, oppressing the liver, don't cause complications of necrosis!

Director Jiang became more worried in a flash.

"I want another contrast agent, give it to me in a basin." Zhou Congwen did not answer Director Jiang's question, but said to the itinerant nurse.

Director Jiang was completely confused, he had no idea what Zhou Congwen was going to do.

Contrast agents come to power...

Those things are all in the syringe, which is injected into the patient's blood vessel by a high-pressure syringe and then...

He couldn't figure out why Zhou Congwen asked for contrast agent like warm salt water.

"blade."

The few things Zhou Congwen needed were delivered quickly.

Director Jiang watched Zhou Congwen's movements intently.

He was curious.

Quite curious.

Very curious.

Shen Lang's unique fire of gossip loomed behind him.

What Zhou Congwen needs must be reasonable, but what is he going to do!

Soon, Director Jiang saw Zhou Congwen peeling the gel sponge like an apple with a razor blade.

A little bit of debris falls into the contrast medium in the basin.

"Xiao Zhou, what are you..." Director Jiang seemed to have thought of something, but he was not sure, so he asked Zhou Congwen.

"When the tube was withdrawn through the portal vein at the end, the tube was pulled out while creating a contrast agent inside. There is a gel sponge here, which can quickly block the sinus passage of the puncture needle." Zhou Congwen said lightly.

"..."

This is the means of the engineering team!

When I decorate my own home, the master builder seems to do this!

A thought exploded in Director Jiang's mind.

All the sutures, omentum, and pressure to stop bleeding that I thought about before did not exist, and it turned into fireworks scattered all over the sky.

The needle tract of percutaneous liver puncture is all made of gel + contrast agent, is there any possibility of bleeding?

It's impossible, let alone bleeding, even if it oozes, it won't happen.

I'll go... This method is good!Director Jiang's hand trembled, and he almost brought out the catheter, and was frightened into a cold sweat.

There are many strange tricks of young people.

But Director Jiang glanced at Zhou Congwen and sighed inwardly.

He is not trying to be clever, but performing the operation in an upright manner. What I don't understand is just that my level is not enough.

Zhou Congwen didn't pay attention to Director Jiang's expression and movements. He chipped the gel sponge into pieces little by little, stirred the contrast agent with the gel sponge debris, and finally took it out with a syringe and handed it to the itinerant nurse.

When the catheter was withdrawn, as Zhou Congwen said, the catheter came out of the mesenteric vein, passed through the portal vein, and started to inject contrast medium when it reached the intrahepatic sinus tract.

Withdraw little by little, and the sticky contrast agent with the gel sponge debris remains in the liver puncture sinus, filling the sinus like concrete.

Awesome!

Director Jiang's doubts disappeared.

Zhou Congwen's move is good, not only can it be used in the immediate surgery, but can he also use it in his own TIPS surgery in the future?

Director Jiang thought about it.

However, as the director of the Department of Vascular Surgery, it is always a little bad for him to perform TIPS surgery, and he will definitely be performed by the Department of Interventional Surgery in the future...

"It's almost done, let's shut up." Zhou Congwen turned around and stepped off the stage, without the slightest thought of assisting Wen Yuan in shutting down, so he took off the sterile gloves and "notified" Wen Yuan.

Chapter 0647 I was so scared

"What is Han Chu doing?"

"I don't know. I was sitting in front of the hybrid operation room an hour ago. I saw that the lead plate was being pulled. Is there any operation inside?"

"Professor Wen made a fuss, cut a gallbladder and caused intestinal necrosis. It is estimated that Han Chu's 50-meter-long knife has been sharpened. After Professor Wen comes out, he will use the knife. Tsk tsk, it's terrible. I would rather offend the dean. Do not offend Director Han."

Director Han of the Medical Affairs Department had been sitting coldly in the corridor of the operating room for about an hour. The doctors and nurses who came in and out were silent when they saw it, and even moved a little faster.

No one wants to deal with the medical office. Those Jinyiwei-like people belong to dogs, and their dog faces can change at will, and they will turn over at will.

And as their leader, Director Han, in the eyes of ordinary medical staff, is even more like a demon king.

Han Chu looks harmless to humans and animals, but as long as he deals with him, he must be complained by a patient, and his momentum will be a little bit lower.

In addition, there are countless horror legends about Director Han, those heinous things... so other people only dare to talk about it behind their backs.

Professor Wen is probably going to be doomed this time, and Director Han is so angry that he sits at the door of the operating room like a lump of ice, with cold air all over his body.

This scene was so shocking that many doctors and nurses felt sad.

Although he didn't dare to meet Han Chu's gaze, there were people quietly staring at Han Chu in many surgery rooms.

"What's going on over there? I didn't see Han Chu sitting at the door of the operating room when something serious happened a while ago."

"Who knows, I just watched Professor Wen go in. By the way, Dr. Zhou from the Academician Workstation also went in with him."

"Zhou Congwen? I'll go!" A little nurse had stars in her eyes, and she was inexplicably happy just mentioning Zhou Congwen's name.

"What are you so happy about?"

"At the National Thoracic Surgery Annual Meeting, I provided the stage for Mayo's operating room that day. Zhou Congwen is so handsome!" The little nurse stood beside the instrument table. Although she was wearing a hat, mask, and surgical gown, her expression was still full of joy. to leak out.

"I didn't know what the Mayo Clinic was at first. I thought it was an ordinary clinic, but it was irregular. Later, Lao Wang told me that it was the number one hospital in the world."

"At that time, I was terrified. What kind of surgery would be done in the world's number one hospital? It was a sleeve resection under thoracoscopic surgery. If I didn't cooperate well, I wouldn't be ashamed of our country."

Looking at the beaming little nurse, the anesthesiologist interjected, "Shame on our country? You deserve it too."

"Why don't you deserve it!"

"Okay, okay, you're embarrassing our country," said the anesthesiologist.

"..." The little nurse always felt that something was wrong, but she couldn't refute it for a while.

She gave the anesthesiologist a hard look, and continued to say happily, "But Mayo's doctor is just like that. I heard that the person who performed the operation was the son of our Academician Chu, known as the Mayo boy. It is said that Mayo The most powerful young doctor in cardiothoracic surgery."

"But that's it. The operation is not difficult. He didn't make it and changed to his teacher. As a result, his teacher didn't make it. He was going to switch to open chest surgery immediately."

"At this moment, Dr. Zhou came in. Sister Sun prepared all the chest kits, and asked Director Jiang from the Department of Vascular Department for various things. I was afraid that the operation would not go well. The Mayo professor of surgery If you can't do it, you will feel bad, and you will put the responsibility on us."

"We were so scared at the time that we didn't even dare to say a word. At this time, Dr. Zhou Congwen Zhou descended from the sky. After he came in, he communicated with that professor in English, and then took over the operation."

"You didn't even see it, Doctor Zhou was handsome at that time!"

"After he came up, he did the surgery that Mayo's people couldn't do, and he didn't see any difficulty."

"What are you talking about?" the anesthesiologist said contemptuously.

When the device nurse talked about Zhou Congwen, it seemed that even the pressure brought by Director Han disappeared without a trace.

The anesthesiologist couldn't stand it anymore. What is the technical level of Mayo? It's the world's number one hospital, isn't it? What's more, the right upper lobe double-sleeve resection under thoracoscopic surgery is so difficult!

How did it become like that.

"what happened?"

"Director Zhang You Zhang cuts the sleeves every time he has his chest cut, and he has to give a blow after he's done, do you remember?"

"It's not bad. It can be seen that he is happy. He can do what others can't do. How awesome."

"One time, Zhang You performed double-sleeve surgery from 9 am to 8 pm. Director Jiang from the Department of Vascular Surgery came up to help and performed the operation together.

That's it, how high Zhang Youle jumped after coming down, and told us that the double-sleeve cutting is the ceiling of the thoracic surgery ceiling, and there are only a handful of people in the country who can do it. "

"Nonsense, Zhou Congwen did it with a thoracoscope, and I think Director Deng Mingdeng of 912 can do it too."

"Hahaha."

"Why does Zhang You have so many fingers? If you can't do it yourself, you can't do it."