1398: C1398 Complicated Shunt Hands

C1398 Complicated Shunt Hands

Chen Qun picked up the scalpel and opened a large incision on the patient's abdominal cavity. The incision almost reached the lower abdomen. As soon as the abdominal cavity was opened, an arrow of blood shot out. Luckily, Chen Qun was prepared. He used plastic paper to block it. The assistants beside him picked up the Blood Cotton and surrounded the blood stains around the opening.

At this time, Chi Hong saw the situation clearly by the side. The bleeding in the patient's stomach was not considered much, but there was also a small stream of blood that was gurgling out and spreading in all directions.

Female Bookworm immediately understood the reason Chen Qun said it was because of the hemorrhage in the patient's neck, which caused the patient's platelet to be greatly reduced. The reduction of platelets made the liver function of the patient's cirrhosis almost disappear. The blood did not have the blood clotting function, so there was a chain reaction that caused damage to the blood vessels connected to the cirrhosis of the liver.

"Suck it immediately. The person on the other side, pull the retractor tighter. I'm going to move the abdominal cavity. Once I help, I'll immediately tie the blood vessels, excluding the gastric and pancreatic fluid. " The patient is losing a lot of blood. Everyone's hands and feet are a little more agile. If you can't finish, tell me immediately. I'll do it! "

Chi Hong shook her head when Chen Qun said that. She knew that if she translated it, it would mean," All of you get out of the way. As long as you are responsible for helping, I will do all the difficult tasks. Don't waste my time. "

As expected, the three assistants beside him immediately turned into Intern who had just gotten on the operating table. He only did the most basic work, leaving all the complicated sutures, knots, and separation to Chen Qun. He was only in charge of coordinating with all kinds of smooth movements. Everyone helped to support him or massage him. They didn't interfere with any other specific operations.

It was not that they did not want to do it, but because they could not match Chen Qun's speed. Therefore, they could only give up on the idea of doing it themselves and let Chen Qun complete it in one go.

"Give me the sampling device and the Hemostatic Forceps. I'm going to isolate the spleen vein and the portal vein."

Chen Qun issued another order. His hands were immersed in the blood. Without any vision, he could see the spleen vein and portal vein. Then, he started the surgery to separate the spleen vein and portal vein. To put it bluntly, this was a complete blind operation. He could complete the surgery by relying on the feeling of his fingers. Although there were three suckers at the side that were sucking at a high speed, they still could not catch up to Chen Qun's speed.

"Number eight thread, needle holder. I'm going to connect the spleen vein and left kidney vein. Give me two long forceps and two hands to stabilize the forceps. After I find two veins, you guys will be responsible for clamping them."

Chen Qun said as he held the forceps in one hand. He combed the blood with one hand and then removed the forceps. The two deputy Chief Physician and the chief resident were very clear on how difficult it was to find blood vessels in the bleeding abdominal cavity. Chen Qun didn't even need to look at it. It was as if he was in his own backyard. He pulled them accurately. It could be said that only by knowing the patient's body structure like the back of his hand could he achieve this.

Exactly how many primary teachers did he need to dissect to reach such a level? Fifty? Or a hundred? Or how many simulation surgeries would he need to perform in the virtual VR glasses?

Everyone knew very well that Chen Qun had gone from showing off his talent to announcing his success. From beginning to end, he had never personally dissected a cadaver, nor had he performed any surgeries in his virtual glasses. Most of these techniques had been simulated and imagined by him. Other than the additional effect of his academic syndrome in stereoscopic imaging, the rest were still the same as ordinary people.

As expected, people could not be compared with people. The lower limit of Chen Qun's surgical talent was an unreachable upper limit that many top experts in the world could not reach.

"The blood pressure is starting to drop, and it might cause the heart to tremble. Defibrillation team, get ready!"

Chi Hong looked at the basic data in front of her and saw that within two to three minutes, the patient's blood pressure had dropped by more than 10 points. It immediately triggered the cordon of the computer system and immediately issued a command for everyone to get ready.

"Give me the scalpel! Prepare the 7-0 pair of arms suture line. I will start suturing immediately. The suction made a space. "Give me a person's hands and gently pass under my palms. He raised the mess of tissue below him a little higher and revealed his field of vision. The sucking continued. Be careful, don't just be busy. Let the straw pierce through the walls! "

Chen Qun still had the time to remind the nervous assistant while he was busy. He moved the straw to another position. Because it was a temporary emergency surgery, the team on duty was a little weaker. There was a slight difference between them and the three teams he assigned.

As the rate of the suction increased, the portal vein and the spleen vein finally appeared in everyone's field of vision. A three-centimeter long and one-centimeter wide tear appeared in front of everyone's eyes.

"F * ck, such a big tear! Eh, that doesn't seem right. The cut is too big, but the blood didn't submerge the abdominal cavity! Just how much blood did he lose?!"

1,800 liters! "

"The portal vein was squeezed by the liver above. The wound was very big. But the bleeding is small, and not much at all. " However, such a big tear is no longer able to perform a regular shunt. He could only slightly alter the surgery for a complex shunt operation. Otherwise, such a delicate connection would break again if there was even the slightest movement. Xin, Immediately print a T-shaped door vein cover. The width was three millimeters. After I finished suturing, Put the T-shaped condom on top of it, and if it's pulled by an external force, The high-polyester condom would protect me. If the blood vessels rupture, the resin condom will still be effective. "

Chen Qun thought for less than two seconds and came up with a plan. He immediately ordered the young mistress to act immediately. Chi Hong, who was at the side, was silent. She knew that this way, he would have to perform two branch surgeries. However, this kind of surgery to increase the fixation and mending of the blood vessels that were not very stable was at least better than directly using the mending film.

After all, the current medical level had yet to produce completely bionic blood vessels. If other mending films were used to replace the blood vessels, it would not be as good as the original. This was actually a method that could not be helped. There was no need to send the patient into the operating theater for a second round of corrective surgery.

The high-difficulty hepatic portal vein branching surgery was completed in Chen Qun's hands in just six minutes. Since the torn mouth was too big and irregular, and the torn part was used as a drainage catheter, the blood vessel that was sutured by Chen Qun looked like a steel wire walking on a cliff. Any higher blood pressure could cause the blood vessel to rupture.

At this time, the T-shaped resin cover printed by the 3D printer next to him was also sent over. Chen Qun broke the cover and slowly put it on the blood vessel and began to suture again.

"The patient's heart rate has dropped, and the blood pressure has started to rise. The heart palpitating alarm has been lifted!"

Chi Hong saw that the patient's various physiological data had started to improve and heaved a sigh of relief. Only then did she realize that Chen Qun was still looking for something in the patient's abdominal cavity. She asked in surprise.

"Could it be that the surgical forceps fell into the patient's stomach?"

"No, a small piece of tissue with torn blood vessels fell off. It should still be in the patient's stomach. Let's find it before I flip it over. "Alright, we've found it!"

Chen Qun took out a piece of blood vessel tissue the size of a green bean from the patient's stomach and threw it on the tray. He then ordered his assistant to clean the abdominal cavity.2

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