In the interventional operating theater, the patient was in a prone position. The appendectomy would definitely be affected to a certain extent, but it would not be a big problem.
However, the patient did not understand what was going on and kept asking.
Zheng Ren first did a simple CT scan on the scan machine. The level of skill here was average, but the scan machine was new and came with a CT scan function.
CT scan of the vertebral body showed that a slightly high-density tube-shaped shadow could be seen on the right side of the spinal column at Level 7 – 12 of the chest. The abnormal dense shadow seemed to extend out of the body on level 12 of the chest. The soft tissue at the posterior edge of the spur of chest 12 was swollen.
“Boss, do you think the catheter that fell in is only about six centimeters? It’s at least 10 cm!” Su Yun looked at the video and said in disdain.
“It shouldn’t be. It looks like it’s at least 13 cm.” Zheng Ren said as he pointed at the CT image.
Su Yun didn’t say anything else. Instead, he sent the operator away and sat in front of the control panel.
“You can’t go on duty after drinking.” Zheng Ren said.
“I don’t want to move. You can do it alone inside and pretend that no one is outside. I’m just curious about how you’re going to take out the broken catheter. ” Su Yun laughed and said as if there was no one else around.
“Just treat it as a slightly thicker blood vessel.” Zheng Ren smiled and brought Gao Shaojie to wash his hands and go on stage.
“Boss Zheng, how do we perform the surgery?” Gao Shaojie asked as he brushed his hands.
“Let’s do the painstakingly painstakingly angiography first. Then, we’ll make a puncture at the original puncture point, put in a catcher, and grab the broken catheter. ” Zheng Ren said.
Gao Shaojie didn’t quite understand. Although the whole process was roughly like that, he had never heard of such a similar operation.
Get your spirits up! Gao Shaojie encouraged himself to take a closer look.
He sped up and placed the sterile sheet after he was done.
Because Ling ran needed to perform angiography, Gao Shaojie had left two different operating areas. One was at the sacrum, and the other was at the position where the duodulas were continuously punctured.
Xiang ping looked on in silence. He could not understand anything here. There were two operating areas, but why did it feel like the trauma was even greater than the surgery?
“Old Gao, have you done any harder Mr before?” Zheng Ren asked.
“No, boss Zheng.” Gao Shaojie answered honestly.
“Then I’ll do it.” Zheng Ren was wearing a sterile coat and gloves as he stood on the operating table.
He glanced at the various machines and then stared at Xiang Heping. 1.25 seconds later, Zheng Ren’s gaze became stern.
Boss Zheng’s gaze made Xiang ping feel uncomfortable. Until now, no one had talked to him about money. In addition, after chief physician Zhang’s persuasion, he also saw extremely professional judgment and operation, and all the technicians were sent away.
Even now, Xiang ping didn’t believe that they were liars.
Why was boss Zheng looking at him like that? Could it be that he was going to start cursing? It wasn’t like there hadn’t been professors who changed into a different person on the operating table.
In an instant, there were countless psychological scenes in Xiang Heping’s mind, and he even outlined many scenes of himself being bullied in the operating theater.
“Director Xiang, are you going to watch the surgery in the operating room?” Zheng Ren asked.
Xiang ping blankly nodded.
Couldn’t he watch his own grandfather’s surgery? That shouldn’t be the case.
“Go and put on some lead clothes.” Zheng Ren sighed. It was understandable that the village hospital’s skill level was not high enough, but how could they not know about wearing lead when entering an interventional surgery room?
Just this level … It’s really hard to explain in a few words.
Director Zhang from the orthopedist Department, who was also in the operating theater and ready to watch the entire process, almost stuffed his head into his pants.
How embarrassing. In boss Zheng’s heart, he thought that Langshan County Hospital was not doing their proper work.
This Old Xiang was really embarrassing to the extreme.
After Zheng Ren finished speaking, he saw Xiang ping hurriedly put on the lead coat. He ignored him and began to perform the puncture.
After regional anesthesia, a No. 16 epidural needle was used to Pierce the sacrotailus ligament at a 45-degree angle with the torso. Zheng Ren then changed the angle of his hand to a 25-degree angle and slowly penetrated the sacrotailus tube.
“Old Gao, you have to pay attention to this part.” Zheng Ren said,”since the arachnoid space ends at the second sacracle, the puncture needle should not exceed the second sacracle to ensure that it does not penetrate the arachnoid space.”
Gao Shaojie nodded and remembered this point.
Zheng Ren then pulled out the needle and observed if there was any cerebral fluid oozing out. He inserted the painstakingly anesthetized catheter into the lumbar vertebra’s painstakingly placed Durava and then withdrew the needle.
“Anesthetic.” Zheng Ren said.
After the anesthetic was injected, Zheng Ren observed the patient for five to ten minutes to make sure that spinal anesthesia did not appear on the patient and that scapular perforation injury was ruled out. He then proceeded to the next step.
The airtight lead door closed slowly, and Zheng Ren began to perform angiography.
This was because the painstakingly built catheter for abduoduo anesthesia was almost invisible under X-rays. Even if there was a contrast agent angiography, it was still quite difficult to find a catheter with a thickness of a few millimeters.
“Old Gao, combined with the CT scan just now, you can find that there are abnormal images at the 7th and 12th parts of the chest.” Zheng Ren explained to Gao Shaojie in a low voice,”the position of the catheter is not close to the wall, so there should be no need to inject gas into it.”
“Yes, boss Zheng, I can roughly find the location.” Gao Shaojie said.
“I won’t let you do it this time.” Zheng Ren walked to the chest and waist surgical area and began to perform puncture.
Gao Shaojie knew that this was the first time boss Zheng had encountered such a patient. He had enough understanding of boss Zheng. No matter what, this young boss was still young, and clinical practice was still his shortcoming.
With the combination of deep enough theoretical knowledge and virtual operation, he often had ideas like flying Immortals, such as the surgery in front of him.
However, for the first surgery, he would definitely have to use the knife himself to avoid any accidents.
With boss Zheng’s guidance, Gao Shaojie had a general idea of the operation process. As for whether he could do it or not, it would depend on the technique.
Gao Shaojie was confident that he could at least gain more experience after seeing boss Zheng do it once.
The guide wire was inserted, and the catcher was also inserted into the epidural space. Gao Shaojie was focused. He held the end of the guide wire and stared at the screen.
“I should adjust my direction and then open the trap,” Gao Shaojie judged in his heart. This was the most difficult step. If he were in her place, he might have to perform it more than ten times before he could successfully capture the ruptured catheter.
It was easier said than done to firmly grasp a three-mm diameter catheter.
As soon as the capture device was put in, the walkie-talkie rang.
“Director Xiang, someone is looking for you.” The operating theater nurse’s voice came from the intercom.
Gao Shaojie was a little bitter. Just now, his spirit, energy, and spirit were full, and his condition was almost bursting. He firmly believed that if boss Zheng successfully captured it in one try, he would definitely be able to see more details.
The most annoying thing about performing surgery was being disturbed, and even the elegant Gao Shaojie was full of disgust.
He looked at the ‘patient’s family’, Xiang Heping, with dissatisfaction, and he was speechless.
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In the interventional operating theater, the patient was in a prone position. The appendectomy would definitely be affected to a certain extent, but it would not be a big problem.
However, the patient did not understand what was going on and kept asking.
Zheng Ren first did a simple CT scan on the scan machine. The level of skill here was average, but the scan machine was new and came with a CT scan function.
CT scan of the vertebral body showed that a slightly high-density tube-shaped shadow could be seen on the right side of the spinal column at Level 7 – 12 of the chest. The abnormal dense shadow seemed to extend out of the body on level 12 of the chest. The soft tissue at the posterior edge of the spur of chest 12 was swollen.
“Boss, do you think the catheter that fell in is only about six centimeters? It’s at least 10 cm!” Su Yun looked at the video and said in disdain.
“It shouldn’t be. It looks like it’s at least 13 cm.” Zheng Ren said as he pointed at the CT image.
Su Yun didn’t say anything else. Instead, he sent the operator away and sat in front of the control panel.
“You can’t go on duty after drinking.” Zheng Ren said.
“I don’t want to move. You can do it alone inside and pretend that no one is outside. I’m just curious about how you’re going to take out the broken catheter. ” Su Yun laughed and said as if there was no one else around.
“Just treat it as a slightly thicker blood vessel.” Zheng Ren smiled and brought Gao Shaojie to wash his hands and go on stage.
“Boss Zheng, how do we perform the surgery?” Gao Shaojie asked as he brushed his hands.
“Let’s do the painstakingly painstakingly angiography first. Then, we’ll make a puncture at the original puncture point, put in a catcher, and grab the broken catheter. ” Zheng Ren said.
Gao Shaojie didn’t quite understand. Although the whole process was roughly like that, he had never heard of such a similar operation.
Get your spirits up! Gao Shaojie encouraged himself to take a closer look.
He sped up and placed the sterile sheet after he was done.
Because Ling ran needed to perform angiography, Gao Shaojie had left two different operating areas. One was at the sacrum, and the other was at the position where the duodulas were continuously punctured.
Xiang ping looked on in silence. He could not understand anything here. There were two operating areas, but why did it feel like the trauma was even greater than the surgery?
“Old Gao, have you done any harder Mr before?” Zheng Ren asked.
“No, boss Zheng.” Gao Shaojie answered honestly.
“Then I’ll do it.” Zheng Ren was wearing a sterile coat and gloves as he stood on the operating table.
He glanced at the various machines and then stared at Xiang Heping. 1.25 seconds later, Zheng Ren’s gaze became stern.
Boss Zheng’s gaze made Xiang ping feel uncomfortable. Until now, no one had talked to him about money. In addition, after chief physician Zhang’s persuasion, he also saw extremely professional judgment and operation, and all the technicians were sent away.
Even now, Xiang ping didn’t believe that they were liars.
Why was boss Zheng looking at him like that? Could it be that he was going to start cursing? It wasn’t like there hadn’t been professors who changed into a different person on the operating table.
In an instant, there were countless psychological scenes in Xiang Heping’s mind, and he even outlined many scenes of himself being bullied in the operating theater.
“Director Xiang, are you going to watch the surgery in the operating room?” Zheng Ren asked.
Xiang ping blankly nodded.
Couldn’t he watch his own grandfather’s surgery? That shouldn’t be the case.
“Go and put on some lead clothes.” Zheng Ren sighed. It was understandable that the village hospital’s skill level was not high enough, but how could they not know about wearing lead when entering an interventional surgery room?
Just this level … It’s really hard to explain in a few words.
Director Zhang from the orthopedist Department, who was also in the operating theater and ready to watch the entire process, almost stuffed his head into his pants.
How embarrassing. In boss Zheng’s heart, he thought that Langshan County Hospital was not doing their proper work.
This Old Xiang was really embarrassing to the extreme.
After Zheng Ren finished speaking, he saw Xiang ping hurriedly put on the lead coat. He ignored him and began to perform the puncture.
After regional anesthesia, a No. 16 epidural needle was used to Pierce the sacrotailus ligament at a 45-degree angle with the torso. Zheng Ren then changed the angle of his hand to a 25-degree angle and slowly penetrated the sacrotailus tube.
“Old Gao, you have to pay attention to this part.” Zheng Ren said,”since the arachnoid space ends at the second sacracle, the puncture needle should not exceed the second sacracle to ensure that it does not penetrate the arachnoid space.”
Gao Shaojie nodded and remembered this point.
Zheng Ren then pulled out the needle and observed if there was any cerebral fluid oozing out. He inserted the painstakingly anesthetized catheter into the lumbar vertebra’s painstakingly placed Durava and then withdrew the needle.
“Anesthetic.” Zheng Ren said.
After the anesthetic was injected, Zheng Ren observed the patient for five to ten minutes to make sure that spinal anesthesia did not appear on the patient and that scapular perforation injury was ruled out. He then proceeded to the next step.
The airtight lead door closed slowly, and Zheng Ren began to perform angiography.
This was because the painstakingly built catheter for abduoduo anesthesia was almost invisible under X-rays. Even if there was a contrast agent angiography, it was still quite difficult to find a catheter with a thickness of a few millimeters.
“Old Gao, combined with the CT scan just now, you can find that there are abnormal images at the 7th and 12th parts of the chest.” Zheng Ren explained to Gao Shaojie in a low voice,”the position of the catheter is not close to the wall, so there should be no need to inject gas into it.”
“Yes, boss Zheng, I can roughly find the location.” Gao Shaojie said.
“I won’t let you do it this time.” Zheng Ren walked to the chest and waist surgical area and began to perform puncture.
Gao Shaojie knew that this was the first time boss Zheng had encountered such a patient. He had enough understanding of boss Zheng. No matter what, this young boss was still young, and clinical practice was still his shortcoming.
With the combination of deep enough theoretical knowledge and virtual operation, he often had ideas like flying Immortals, such as the surgery in front of him.
However, for the first surgery, he would definitely have to use the knife himself to avoid any accidents.
With boss Zheng’s guidance, Gao Shaojie had a general idea of the operation process. As for whether he could do it or not, it would depend on the technique.
Gao Shaojie was confident that he could at least gain more experience after seeing boss Zheng do it once.
The guide wire was inserted, and the catcher was also inserted into the epidural space. Gao Shaojie was focused. He held the end of the guide wire and stared at the screen.
“I should adjust my direction and then open the trap,” Gao Shaojie judged in his heart. This was the most difficult step. If he were in her place, he might have to perform it more than ten times before he could successfully capture the ruptured catheter.
It was easier said than done to firmly grasp a three-mm diameter catheter.
As soon as the capture device was put in, the walkie-talkie rang.
“Director Xiang, someone is looking for you.” The operating theater nurse’s voice came from the intercom.
Gao Shaojie was a little bitter. Just now, his spirit, energy, and spirit were full, and his condition was almost bursting. He firmly believed that if boss Zheng successfully captured it in one try, he would definitely be able to see more details.
The most annoying thing about performing surgery was being disturbed, and even the elegant Gao Shaojie was full of disgust.
He looked at the ‘patient’s family’, Xiang Heping, with dissatisfaction, and he was speechless.
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.
