“Boss, I think two hours will be enough.”
“But he can’t even hold on for two minutes. His biceps are spasming uncontrollably, and the lactic acid level in his body is too high. It’s not good for his body to force himself to hold on.” Zheng Ren said as he glanced at professor Zhan.
“Wow, you can even tell the lactic acid level? Tell me how you made the judgment. ” As Su Yun spoke, her head did not move. Her finger movements were subtle, matching Zheng Ren’s wandering movements.
“There must be a disturbance in the sodium and potassium pump in his body. If we do a blood plasma test now, his potassium should be above 5.”
Professor Zhan was speechless.
Usually, he would joke like this too, and casually say some specious things.
However, on the operating table in front of them, boss Zheng and his assistant were performing an almost impossible operation. How could they still have the mood to do so?
“Director MA!” Zheng Ren called out, then asked in a low voice,””It’s chief MA, right?”
“Yes,”
“Oh, I was too focused on the surgery just now and didn’t listen carefully.”
Ma Liang threw Dean li aside and ran over.
“Boss Zheng, what’s your order?”
Director li looked at Ma Liang helplessly. He didn’t look like a Department Director at all. He looked more like a doctor for in-service training.
“Get a young and strong one to pull the retractor. His hands must be steady and he must persist for 30 minutes.” Zheng Ren said,”find a few more. The surgery might take a long time.”
“Oh, okay!” Ma Liang immediately went to make arrangements.
However, the first one to come up was Ma Liang himself.
Ma Liang would not miss such an opportunity.
He replaced professor Zhan, pulled open the internal organs, and exposed the operating field. He asked,”Boss Zheng, what do you think?”
“The follow-up move a little higher.” Zheng Ren said.
“Oh, okay.” Ma Liang immediately followed Zheng Ren’s instructions.
However, he did not feel any change in the surgical area even though his hand was slightly higher.
“Boss Zheng, what’s the benefit of doing this?” he asked with some doubt.
“You didn’t tick it?” Su Yun asked.
“More than twenty years ago.”
“Your current posture can make you hold the hook more stably, save more effort, and last a little longer. You can hold it for about 4 ‘ 12″.” Zheng Ren continued with the surgery as he explained to Department Director Ma Liang.
Ma Liang did not question Zheng Ren’s statement. Even though it was accurate to the second, he still did not doubt it.
The surgery continued. Zheng Ren and Su Yun were separating the tumor tissue, but the surgeon for the retractor was constantly changing.
There must not be the slightest tremble in microsurgery.
It was possible that the assistant would only need to change the shape of his hand, and the surgery would fail.
After three hours and thirty-four minutes, the hemostatic forceps in Su Yun’s hand finally clamped a piece of black abnormal tissue and took it out of the patient’s abdominal cavity.
“It went pretty well. Hey, did you guys make an appointment with the freezing spell?” Su Yun asked.
Professor Zhan quickly nodded.
The fatigue from pulling the hook earlier had yet to recover after resting for a few hours.
“I’m going, I’m going. “
“Since it’s probably a retroperitoneum lesser ganglion, we’ll send it to freeze surgery.” Zheng Ren said, then started to clean up the remains of the surgery.
When they saw that the tumor tissue had been removed, everyone was in high spirits and gathered around to watch the surgery.
In the operating area, the dark tumor tissue had disappeared, and there was no blood stain. A section of the inferior vena cava seemed to have become thinner, but there was no bleeding.
President li was puzzled and asked in a low voice,”professor Zhan, how did the tumor tissue drift?” Isn’t the adhesion with the inferior vena cava very serious?”
“Some of the epineurium of the inferior vena cava separated by boss Zheng has already reached the media. The outer layer of the media has also been separated and cut off at a few points.” Professor Zhan looked at the operating area and made wild guesses.
“Um … What if the pressure in the inferior vena cava is too high?” Dean li asked.
Professor Zhan looked at him speechlessly, sighed, and said,”President li, we just put a perineurium stent in there.”
Dean li finally realized how stupid his question was.
It’s better not to talk, or else people will laugh at you.
He took a glance at the ECG monitor, and the values on it told him that director Jin’s vital signs were stable. He was fine, and he should be able to leave the stage alive.
Zheng Ren also looked up at the blood pressure without saying a word.
The next step was to prepare for abdominal closure, Dean li judged.
However, Zheng Ren sighed and said,”let me take a look at the preoperative scan.”
“Uh …” The doctor on this side was stunned.
“Let’s hurry up. The surgery is already taking a long time. ” Zheng Ren was a little unhappy.
No matter what he said, he could not do it immediately. In his memory, the medical standard in the provincial city was quite high, but why was it different from what he had imagined?
“Boss Zheng, you’re considering moving?” Professor Zhan asked.
“Yes.” Zheng Ren looked at the value on the electrocardiogram.”The removal of the retroperitoneum neutralisation is often accompanied by lowered blood pressure and other characteristics. Further expansion is still needed.”
“If there is persistent hypertension after the tumor removal, or if the blood pressure does not drop, it means that there may be another tumor or metastasis. We should try to find and remove the metastasis to reduce the functional tumor tissue. Extensive surgical resection is necessary.”
“His blood pressure is still stable. I think there’s still tumor tissue.”
This news was simply bad news. He had thought that the surgery had ended cleanly and beautifully, and could be considered perfect.
But the spell caster said it wasn’t over yet …
After hanging up the film, Zheng Ren put his hands under his armpits and began to read the film.
Su Yun also leaned over and looked at it.
No strangers were allowed to enter within half a meter of the two of them.
When an accident happened during a surgery, the surgeon was generally more irritable. This was an unexpected situation. What if he got too close and touched the sterile line?
When a sorcerer had a bad temper, he would definitely scold them.
“Boss, the lower part of the right kidney doesn’t look right.” Su Yun said.
“Well, I can only cut it.” “Old Gao!” Zheng Ren said.
Gao Shaojie remained silent. He didn’t understand surgery, so he didn’t participate too much.
“I’m here, boss Zheng,” Gao Shaojie immediately agreed.
“Bleeding after a kidney segmentectomy? you’ve had an embolism surgery, right?” Zheng Ren asked.
“I’ve done it. ” Gao Shaojie immediately gave Zheng Ren an affirmative answer.
“Then let’s do a kidney segmentectomy. Try to minimize the damage.” Zheng Ren then glanced at professor Zhan and asked,””Before the operation, tell the patient’s family to observe the patient during the operation. Is it possible to cut the right kidney or part of the right kidney?”
“He did.”
Zheng Ren was still rather gratified. It was good that he did not miss out on the most basic things.
He returned to the operating table and began the segmentectomy.
This part of the surgery was completed quickly. There was no need to be as careful as when he removed the tumor tissue adhered to the inferior vena cava. Instead, he performed the removal in a bold and decisive manner.
Although professor Zhan had some doubts, he did not say anything. Instead, he kept observing the patient’s blood pressure.
After the incision and resection, the blood pressure suddenly dropped from 110mm to 75mm.
Zheng Ren was not worried when he saw the blood pressure drop. Instead, he heaved a sigh of relief.”Abdominal closure!”
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“Boss, I think two hours will be enough.”
“But he can’t even hold on for two minutes. His biceps are spasming uncontrollably, and the lactic acid level in his body is too high. It’s not good for his body to force himself to hold on.” Zheng Ren said as he glanced at professor Zhan.
“Wow, you can even tell the lactic acid level? Tell me how you made the judgment. ” As Su Yun spoke, her head did not move. Her finger movements were subtle, matching Zheng Ren’s wandering movements.
“There must be a disturbance in the sodium and potassium pump in his body. If we do a blood plasma test now, his potassium should be above 5.”
Professor Zhan was speechless.
Usually, he would joke like this too, and casually say some specious things.
However, on the operating table in front of them, boss Zheng and his assistant were performing an almost impossible operation. How could they still have the mood to do so?
“Director MA!” Zheng Ren called out, then asked in a low voice,””It’s chief MA, right?”
“Yes,”
“Oh, I was too focused on the surgery just now and didn’t listen carefully.”
Ma Liang threw Dean li aside and ran over.
“Boss Zheng, what’s your order?”
Director li looked at Ma Liang helplessly. He didn’t look like a Department Director at all. He looked more like a doctor for in-service training.
“Get a young and strong one to pull the retractor. His hands must be steady and he must persist for 30 minutes.” Zheng Ren said,”find a few more. The surgery might take a long time.”
“Oh, okay!” Ma Liang immediately went to make arrangements.
However, the first one to come up was Ma Liang himself.
Ma Liang would not miss such an opportunity.
He replaced professor Zhan, pulled open the internal organs, and exposed the operating field. He asked,”Boss Zheng, what do you think?”
“The follow-up move a little higher.” Zheng Ren said.
“Oh, okay.” Ma Liang immediately followed Zheng Ren’s instructions.
However, he did not feel any change in the surgical area even though his hand was slightly higher.
“Boss Zheng, what’s the benefit of doing this?” he asked with some doubt.
“You didn’t tick it?” Su Yun asked.
“More than twenty years ago.”
“Your current posture can make you hold the hook more stably, save more effort, and last a little longer. You can hold it for about 4 ‘ 12″.” Zheng Ren continued with the surgery as he explained to Department Director Ma Liang.
Ma Liang did not question Zheng Ren’s statement. Even though it was accurate to the second, he still did not doubt it.
The surgery continued. Zheng Ren and Su Yun were separating the tumor tissue, but the surgeon for the retractor was constantly changing.
There must not be the slightest tremble in microsurgery.
It was possible that the assistant would only need to change the shape of his hand, and the surgery would fail.
After three hours and thirty-four minutes, the hemostatic forceps in Su Yun’s hand finally clamped a piece of black abnormal tissue and took it out of the patient’s abdominal cavity.
“It went pretty well. Hey, did you guys make an appointment with the freezing spell?” Su Yun asked.
Professor Zhan quickly nodded.
The fatigue from pulling the hook earlier had yet to recover after resting for a few hours.
“I’m going, I’m going. “
“Since it’s probably a retroperitoneum lesser ganglion, we’ll send it to freeze surgery.” Zheng Ren said, then started to clean up the remains of the surgery.
When they saw that the tumor tissue had been removed, everyone was in high spirits and gathered around to watch the surgery.
In the operating area, the dark tumor tissue had disappeared, and there was no blood stain. A section of the inferior vena cava seemed to have become thinner, but there was no bleeding.
President li was puzzled and asked in a low voice,”professor Zhan, how did the tumor tissue drift?” Isn’t the adhesion with the inferior vena cava very serious?”
“Some of the epineurium of the inferior vena cava separated by boss Zheng has already reached the media. The outer layer of the media has also been separated and cut off at a few points.” Professor Zhan looked at the operating area and made wild guesses.
“Um … What if the pressure in the inferior vena cava is too high?” Dean li asked.
Professor Zhan looked at him speechlessly, sighed, and said,”President li, we just put a perineurium stent in there.”
Dean li finally realized how stupid his question was.
It’s better not to talk, or else people will laugh at you.
He took a glance at the ECG monitor, and the values on it told him that director Jin’s vital signs were stable. He was fine, and he should be able to leave the stage alive.
Zheng Ren also looked up at the blood pressure without saying a word.
The next step was to prepare for abdominal closure, Dean li judged.
However, Zheng Ren sighed and said,”let me take a look at the preoperative scan.”
“Uh …” The doctor on this side was stunned.
“Let’s hurry up. The surgery is already taking a long time. ” Zheng Ren was a little unhappy.
No matter what he said, he could not do it immediately. In his memory, the medical standard in the provincial city was quite high, but why was it different from what he had imagined?
“Boss Zheng, you’re considering moving?” Professor Zhan asked.
“Yes.” Zheng Ren looked at the value on the electrocardiogram.”The removal of the retroperitoneum neutralisation is often accompanied by lowered blood pressure and other characteristics. Further expansion is still needed.”
“If there is persistent hypertension after the tumor removal, or if the blood pressure does not drop, it means that there may be another tumor or metastasis. We should try to find and remove the metastasis to reduce the functional tumor tissue. Extensive surgical resection is necessary.”
“His blood pressure is still stable. I think there’s still tumor tissue.”
This news was simply bad news. He had thought that the surgery had ended cleanly and beautifully, and could be considered perfect.
But the spell caster said it wasn’t over yet …
After hanging up the film, Zheng Ren put his hands under his armpits and began to read the film.
Su Yun also leaned over and looked at it.
No strangers were allowed to enter within half a meter of the two of them.
When an accident happened during a surgery, the surgeon was generally more irritable. This was an unexpected situation. What if he got too close and touched the sterile line?
When a sorcerer had a bad temper, he would definitely scold them.
“Boss, the lower part of the right kidney doesn’t look right.” Su Yun said.
“Well, I can only cut it.” “Old Gao!” Zheng Ren said.
Gao Shaojie remained silent. He didn’t understand surgery, so he didn’t participate too much.
“I’m here, boss Zheng,” Gao Shaojie immediately agreed.
“Bleeding after a kidney segmentectomy? you’ve had an embolism surgery, right?” Zheng Ren asked.
“I’ve done it. ” Gao Shaojie immediately gave Zheng Ren an affirmative answer.
“Then let’s do a kidney segmentectomy. Try to minimize the damage.” Zheng Ren then glanced at professor Zhan and asked,””Before the operation, tell the patient’s family to observe the patient during the operation. Is it possible to cut the right kidney or part of the right kidney?”
“He did.”
Zheng Ren was still rather gratified. It was good that he did not miss out on the most basic things.
He returned to the operating table and began the segmentectomy.
This part of the surgery was completed quickly. There was no need to be as careful as when he removed the tumor tissue adhered to the inferior vena cava. Instead, he performed the removal in a bold and decisive manner.
Although professor Zhan had some doubts, he did not say anything. Instead, he kept observing the patient’s blood pressure.
After the incision and resection, the blood pressure suddenly dropped from 110mm to 75mm.
Zheng Ren was not worried when he saw the blood pressure drop. Instead, he heaved a sigh of relief.”Abdominal closure!”
If you find any errors ( broken links, non-standard content, etc.. ), Please let us know so we can fix it as soon as possible.
Tip: You can use left, right, A and D keyboard keys to browse between chapters.
