Cui Lao had already made a call to the General Surgery Department. The patient was admitted to the hospital, the consultation was conducted, and the patient was informed of the consent documents before the surgery.
As for Chief Kong, Cui Lao was also informed. Chief Kong did not have any objections to letting Zheng Ren perform an emergency surgery.
The stent surgery for the superior mesenteric artery was neither too difficult nor too easy. It could be performed by anyone in the Department of Interventional Medicine or the Department of Vascular Medicine. The specifics depended on the strength and weakness of the department.
No one would be considered to have crossed the line in performing such a borderline surgery. Since Cui Lao had called, then he would do it. That was what Chief Kong thought.
Zheng Ren left the Emergency Department and recalled Cui Lao’s words along the way.
It looked ordinary, but with Zheng Ren’s level, he could hear the key points to it. Any detail could affect the patient’s condition. He could not miss out on any of them.
This could be considered as teaching him everything.
Although it was not a special diagnosis and treatment method for a certain disease, Cui Lao used another way to tell Zheng Ren the things that a doctor should have, but it was also the most easily forgotten.
Zheng Ren had been reminding himself recently that he should not be complacent just because he was truly lucky and had successfully performed a few surgeries.
When he became a doctor, he definitely could not be like this.
It was not a big deal for him to fall, but the people who caused him to fall were also human.
He had to be careful and cautious. It was as if he was treading on thin ice. He could not be wrong no matter what.
…
When he returned to the Department of Interventional Medicine, Zheng Ren first had to see Chief Kong.
Although Chief Kong did not have any requirements for him and was obedient, the more he acted like this, the more he had to show respect to the old chief.
“Bring Lil Fugui up later. I’ll wait for Mu Tao downstairs,” Su Yun said.
“Okay, bring the 3D model over. I still have to figure out how to make it easy to understand.”
“You’re definitely not cut out to be a teacher,” Su Yun said. “Leave it to me.”
Zheng Ren was a little surprised.
He was originally worried about this matter, but Su Yun actually said that he could do it. Did he hear wrongly? However, this matter sounded quite unreliable.
“Can you really do it?”
“Of course. Do you think that the perfect assistant is just a casual call?” Su Yun said disdainfully. “You’re reserved and can talk to smart people. But for people with average talent, you have to use another method.”
Zheng Ren’s forehead was full of sweat.
He could even imagine what kind of method Su Yun would use to speak.
Condescending and overbearing…
Was this really okay?
“Forget it. Let’s talk about it when I come back,” Zheng Ren refused.
“You don’t understand. It’s troublesome to ask you to do this. I’ll try it first. If you’re not satisfied, you can do it. It’s fine, right?” Su Yun took a step back, but his tone was full of disdain. Anyone could hear it.
Zheng Ren was speechless. He quickly walked to Chief Kong’s office.
He knocked on the door and went in. Chief Kong was watching radiographic films on the computer.
Zheng Ren glanced at it and knew that it was the scan of the blood vessels of the patient just now.
“Boss Zheng, the position of the interlayer is very deep,” Chief Kong said directly without even looking at it.
“Chief Kong, I think the surgery can still be done.”
“The super selection is very troublesome. There are still four big bends before we can reach the dissection…” Chief Kong did not continue.
Zheng Ren definitely understood what he was going to say next.
The initial segment of the superior mesenteric artery was relatively thick. It could only be said that it was relatively thick. If there was an artery dissection at this location, the surgery would be very easy to do.
After the initial segment, the superior mesenteric artery would continuously spiral around like the roots of an old tree. As it spiraled, it would send out countless branches to supply blood to the small intestine and most of the large intestine arteries.
The lower the position of the artery dissection, the more difficult it was to do.
But then again, the lower the position, the lower the probability of the dissection. After all, as the layers descended, the pressure gradually decreased, and the probability of the intima of the blood vessels rupturing became lower and lower.
“We can give it a try,” Zheng Ren said. “Or we can join hands with the General Surgery Department. If we really can’t get in, we can perform a surgical resection.”
This was the most standard method.
Chief Kong nodded. “Let’s go together.”
“You can take the stage. Lil Fugui and I can do it,” Zheng Ren said with a smile.
Taking the stage was what the people in Sea City said. Usually, the chief physician would let the young doctor under him perform the surgery, but he would not be at ease. The method of keeping an eye on the patient to prevent any medical accidents from happening was called taking the stage.
It was similar to the meaning of pressure during ancient wars.
Chief Kong nodded and carefully looked at the radiographic films for a few minutes before he slowly closed his eyes.
He was simulating the process of the surgery, but some of the twisted blood vessels that were spiraling around were at right angles, or even at a negative angle.
This difficulty was really very high. In terms of the difficulty of the super selection, it was definitely much higher than that of the super selection for severe pelvic fractures.
“Then I’ll inform the General Surgery Department. Let’s give it a try first. If it works, it’s the best. If it doesn’t work, we can open the surgery together and perform a surgical resection,” Chief Kong said.
Zheng Ren nodded. The smile on his face was gentle. He was silently telling Chief Kong that this was the safest thing to do.
Chief Kong contacted the General Surgery Department and finally discussed the need for general anesthesia in the hybrid operating room where the patients were sent to the General Surgery Department.
After all, the selection was very difficult. The patient was in severe pain, and his body was constantly shaking. This would turn the surgery into a nightmare.
General anesthesia would have a better effect.
If the interventional surgery did not succeed, they could still directly open the abdomen. The two departments would work together. It could be a methylene blue mark, or a post-ischemic resection of the embolism. Anything was fine.
This kind of disease was considered incurable in primary hospitals and hospitals in third and fourth-tier cities. However, in the 912, it was a rare disease. It could not even be described as uncommon.
There were many ways to solve it. When the time came, they would just have to decide which method to choose based on the situation.
Very soon, the General Surgery Department completed their preoperative preparations. They sent the patient to the stage and informed Chief Kong over the phone to go up as well.
“Let’s go, Boss Zheng.” Chief Kong put on his white clothes and did not fasten his buttons. He walked out of the office with a smile on his face.
Zheng Ren followed behind Chief Kong. The thoughts in his mind had nothing to do with the surgery. He was thinking about how to make the TIPS surgery easier to understand so that more people would accept it.
As for this surgery, Zheng Ren felt that it was not that difficult. He had seen all kinds of examinations of the patient. When he was in the CT room, he had already thought about the surgery process.
The difficulty was medium to Zheng Ren… Below average.
He went on stage and changed his clothes. In the operating theater of the Emergency Department, Lao He hummed a tune, bringing a sense of relaxation to the operating theater.
It was not a big job, so everyone was not that nervous. They chatted and laughed.
When he saw Zheng Ren come in, the smile on Lao He’s face became even wider. He asked, “Boss Zheng, what are you listening to today?”
Chief Kong was stunned for a moment.
“Anything is fine,” Zheng Ren replied kindly.
Lao He was very emotional. Look at Boss Zheng. He had high standards. If he did not bring his own nurse on stage, he would really look arrogant.
