Chapter 198 It's time to go to gain knowledge(2/4)
"It's all clear!" Huang Shinan shouted in a good mood.
With mixed emotions, I recalled how anxious I, Zhang Hongsheng, Zeng Yi and others were before Zhou Cheng and Cai Dongfan rushed to the operating room.
Cai Dongfan was also standing on tiptoes in the crowd at this moment, looking into the surgical field on the operating table.
Then I saw blood dripping from the wound where the needle had just been inserted!
This word is the most appropriate to describe the scene at this moment.
Zhou Cheng also took a deep breath, and the blood clots were cleared, so it was not in vain that he concentrated on it for so long!
This is already the best result. The thrombus in the vein is not suitable for surgery for the time being. The vein has a venous valve, and it is almost unrealistic to use a balloon catheter for extremely long distances!
But the great saphenous vein of the lower limbs is on the surface of the body. Once the artery is open, an angiogram can be done after surgery to see if the vein is open!
If it is not unobstructed, the great saphenous vein can also be unobstructed from beginning to end. As for the specific choice, this issue should be left to the professional Huang Shinan or to Professor Shu from the Second Affiliated Hospital of Shonan University to find a solution.
You're just half-assed, don't act blindly.
So Zhou Cheng said: "Director Huang, you handle the vein next, and I'll try the other side to see how much I can get."
Huang Shinan said: "Okay, leave this leg to me first!"
In this way, it seemed that Zeng Yi and others were already in the clear. They originally planned to amputate their legs, but now that they had no legs to amputate, they simply attacked Zhou Cheng. With help from others,
, Zhou Cheng can operate two catheters at the same time!
When Huang Shinan opened the femoral vein in the other leg, he found that there was still venous blood flowing back. Then he made an incision at the knee joint, and after opening the small saphenous vein, he also found that there was a small amount of blood returning.
!
And that's enough.
Although there is a blood clot in the vein, the venous circulation in the foot has multiple pathways. As long as one leads back, nothing big will happen in a short time!
Arterial emboli cause organ necrosis, while venous emboli may kill people!
Therefore, the risk of venous thrombosis is also great!
Then Huang Shinan saw that Zhou Cheng called Chen Bing to pull back the gap where one catheter came out, while he inserted the other unbulged catheter into the unknown depth of the artery...
Repeatedly, the speed increased by more than 20%.
This kind of ultra-long-distance catheter thrombectomy is definitely a difficult operation. Even if it can be completed in a single case, you can go out to meetings and brag about it for a long time!
This is not on the same level as the vascular incision and thrombectomy performed by Zhou Cheng before.
It's like if a water pipe is blocked and you go to the user's home to solve the problem on the spot, is it the same as if you go to the water supply unit and solve the problem immediately over a long distance? The time you save and the difficulty of the treatment are the same?
Huang Shinan didn't dare to take pictures of blind exercises like Zhou Cheng's, which directly connected from the femoral artery to the dorsalis pedis artery, for fear that he would be a boaster and blow up, causing both parties to suffer losses.
Academic conferences are one thing, you can brag, but if you brag about yourself, you must be able to come back to it. If you can't come back, then you are seeking death!
Another hour later, Zhou Cheng removed eleven arterial emboli from the other leg!
There are relatively fewer, which is why Zhou Cheng chose to take the opposite side first!
In this way, the problem that Huang Shinan and others were helpless before was solved in one fell swoop.
After confirming the blood supply many times, Huang Shinan giggled happily like a child. He did not tell anyone at all that today's operation was definitely a miracle in vascular surgery. The most distal part of the lower limb artery was blindly operated.
There was a thrombus, and more than 20 emboli were taken out in a row!
Huang Shinan is also a participant and witness, although this has little to do with his contribution.
However, this allowed Huang Shinan to see the upper limit of vascular surgery. It turns out that vascular surgery's thrombosis can still have such a high ceiling!
The number of surgeries determines the lower limit of an operation, and experience and vision are the basis for increasing the upper limit of an operation.
However, Huang Shinan was not prepared to tell anyone else. Firstly, others would not believe it, and secondly, if he had not seen it with his own eyes, he might not believe it himself.
…
"Director Huang, there shouldn't be much problem with these legs now, right? If there is no problem, then we can leave first?" Zeng Yi and Li Changhong stood with them for an hour or two, doing the work of lower-level doctors.
I really feel like I don’t need to be stuck like this all the time.
Huang Shinan immediately said: "Hey, Director Zeng, Director Li, please wait a moment. Let's go out together and talk to the patient's family about this limb-salvage surgery. Your orthopedics department is the leader!"
Well, Huang Shinan doesn't dare to take the credit for this.
Zeng Yize immediately looked at Cai Dongfan and said with a smile: "Director Huang, you are joking. This is clearly a matter of vascular surgery. We in the orthopedics department don't even know how to do this surgery!"
Zeng Yi didn’t dare to take it!
Vascular incision and thrombectomy can be done by orthopedics on the margins, but if this kind of endovascular catheter thrombectomy is performed in orthopedics, it would really be a bit too stupid.
Anyway, it was left to Huang Shinan, because the treatment process of this patient cannot be replicated. Zhou Cheng is engaged in orthopedics, and it is impossible for him to work part-time in vascular surgery in the future!
This credit is not easy to get, it is a bit hot.
"Xiao Zhou, let's go to the door together and tell the patient's family the good news." Huang Shinan then directly brought Zhou Cheng with him. If you don't dare to carry the honor, then Zhou Cheng can do it.
Right? Just expose his identity directly.
Cai Dongfan and Zeng Yi were helpless. It seemed that this was also the case. What others couldn't replicate, Zhou Cheng could do it here.
So let’s do it.
Zhou Cheng didn't want to go, so he declined: "Director Huang, Director Chen, it's a bit inappropriate for me to go, right? I am an orthopedic surgeon after all."
"Then there's nothing to be afraid of. You saved other people's lives and saved their legs. That's your second life! Who will go if you don't go? Director Zeng won't go, and Director Cai won't go either, so you have to go." Huang Shi
Nan is determined to tell the truth.
This was a decision he made after careful consideration. To be honest, Zhou Cheng was the biggest contributor and he did not perform this operation. Such an operation cannot be replicated.
Although the reputation is tempting, you must also think about whether you have the ability to get it. If your virtue is not matched, you will eventually suffer the consequences!
Before you have this ability, don’t pick peaches casually.
It's not a one-and-done peach.
Cai Dongfan also saw Huang Shinan's difficulties, so he also said: "Xiao Zhou, just go there! Director Huang can give an explanation."
So the group of people came to the door of the operating room together. At this time, they took off their sterile clothes and also took off their masks.
Huang Shinan shouted: "Are Anwen's family members here? Anwen's family members, please come to the door of the operating room."
As soon as Huang Shinan finished speaking, a group of people stood up one after another.
There were six or seven sturdy men alone, plus a few middle-aged couples!
There were about twenty of them in total, and they crowded forward.
"Director Huang, how is Anwen's current situation?"
"The current situation is that we have tried our best to remove all the blood clots. There is a high possibility that the legs can be saved. However, unexpected situations that cannot be ruled out are recurrence of embolism or reperfusion injury, which are special and
The inevitable!"
"If these accidents occur, surgical intervention may be required, but if these situations do not occur, the situation is still relatively optimistic. Based on the current comprehensive situation, the hope and risk of saving the leg are within the acceptable range.
Inside."
Huang Shinan has long been a good person, so he naturally has a way of speaking when dealing with the leader's relatives.
That is to get to the point, but at the same time make the risks clear:
"However, if there is an unexpected situation beyond human control, the leg may not be saved."
Annan quickly said: "Thank you, Director Huang, and thank you all the doctors. You must have worked hard and delayed your meal time. I have prepared a few simple side dishes opposite the hospital! If Director Huang doesn't mind, I'll come with you."
Come over and have something to eat."
The last time I came out, I was told that the risk of my life was unlikely, and now I was told that my legs were very likely to be saved, so I definitely wanted to treat him to a meal.
Although Annan was also thinking in his mind, Professor Shu hadn't even entered the operating room yet, so could he rest assured of these thoughts?
However, since the Eighth Hospital had already done good things, he didn't want to ask in detail.
Huang Shinan quickly said: "I won't eat anymore. I have to go to the operating room to do some finishing work. It will probably be almost night after I finish it. You can go and eat by yourselves."
"Also, if you really want to say thank you, you would be thanking the wrong person. The patient's ability to save his leg this time is actually all due to Dr. Xiao Zhou. If he hadn't removed the blood clot, he would probably have been saved by now.
Amputated!"
As Huang Shinan spoke, he pointed his hand to the side, and it pointed right at Zhou Cheng, who was wearing a mask at the moment.
Zhou Cheng was young and was naturally ignored when he first came out.
At this moment, Huang Shinan deliberately brought it up, causing their eyes to turn slightly for a moment, wondering whether this young man was Huang Shinan's son, who was specially brought out by him to look familiar.
He has complicated thoughts, but is very passionate on the surface.
Among them, Fang Linxiang, the eldest and the second, together grabbed Zhou Cheng's hand with sincere eyes: "Thank you, thank you doctor, I just suffered from blindness, you are my great benefactor! You will be useful in the future.
If you find a place for me, just tell me, and as long as I can do it, I will not shirk it."
However, after saying this, Fang Linxiang looked carefully at the corners of the young man's eyes and eyes, and suddenly realized that this young man seemed a little familiar.
In his memory, Zhou Cheng's eyes overlapped with those of Zhou Cheng in his own memory.
"Doctor Zhou Cheng?" Fang Linxiang suddenly shouted.
To be continued...