Chapter 1314: with translation of chapter title
1275 The difficulty definitely exists, but it's not big (Sect Leader_stopped beating_added)
"Papaverine." Zheng Ren said while operating, while looking at the image.
As soon as the words fell, the drug had already been injected. Su Yun watched the surgery with full concentration, cooperating extremely tacitly.
"Boss, is the success rate high here?" Su Yun asked very seriously.
"If the doctor doesn't cause trouble after anesthesia, the success rate is still high." Zheng Ren said: "It's just a stent removal procedure; the difficulty definitely exists, but it's not big."
What an outrageous answer, Su Yun sighed in his heart.
The ultimate state of showing off is when others can't do it, but you can, and then you say it lightly, as if the difficulty is no big deal.
I often use this method, for example, when saving Zhao Yunlong's stage, I finally just dropped that line.
But when Zheng Ren said that to me, the feeling was completely different.
Su Yun's experience was quite bad.
Director Zhang stood to the side-rear of Zheng Ren's body, carefully watching the procedure, and she had completely lost her thoughts.
The removal of coronary artery stents, this procedure has long been 'eliminated'.
It's not because of a problem with the surgical technique, but because no one can complete it smoothly.
During the process of adhesion, detachment, and decomposition between the stent and the vascular intima, there is a high probability of causing myocardial ischemia. There is even a possibility of coronary artery rupture, leading to cardiac tamponade, and the patient dies directly.
In Director Zhang's view, this is an unavoidable complication.
But the unavoidable thing did not happen under Zheng Lao Ban's operation. She didn't even understand Zheng Lao Ban's operation, and the stent was taken out.
The retrieval device with a filter was taken out, and Zheng Ren directly placed it on the instrument table.
Director Zhang looked at it several times, but had no idea how this thing was taken out, and also didn't know why Mehari's LAD was as solid as steel-reinforced concrete, without any spasm.
Could I have been mistaken? She curiously put on a pair of sterile gloves and gestured for the nurse to hand the stent to her.
The inner layer of the stent was filled with thrombus, and the lumen diameter had narrowed to half of the original. Director Zhang remembered the description in the medical record: in less than half a year, Mehari's coronary stent had become blocked like this.
This happened despite Mehari being on oral anticoagulant medication.
Director Zhang tried to find another way to treat Mehari's disease, but the stent in her hand silently told her that this was the only way.
Whether drug-eluting stent or bioresorbable stent, they would definitely become useless in Mehari's hypercoagulable blood state.
It seems that performing the forbidden coronary artery stent removal procedure is the only way. Perhaps this is also why Mehari is willing to try it; as a leading figure in cardiology, he surely knows he has no retreat.
Director Zhang, in a daze, moved her gaze from the inner side of the stent to carefully observe the outer side.
Vascular intimal hyperplasia had formed some climbing traces on the outer surface of the stent. It's just unknown what method Zheng Lao Ban used, which both prevented coronary artery spasm and loosened the vascular intimal hyperplasia, thereby allowing the stent to be removed.
It's practically divine skill, Director Zhang thought.
This textbook contraindication, Zheng Lao Ban dares to perform, and Mehari also dares to seek Zheng Lao Ban to do it; these two people's guts are truly huge.
While thinking, Zheng Ren had already placed a brand-new membrane-covered stent onto the operating table, but without angiography, and directly began working on another coronary artery.
The LAD stent removal and stent implantation were this successful?! No need for angiographic confirmation?
Director Zhang was speechless; Zheng Lao Ban is perhaps too confident.
Although I know he wants to finish the surgery before the basic anesthesia wears off, there are still two arterial stents awaiting removal and replacement with new stents.
Will there be enough time?
Thinking, Director Zhang glanced at the clock hanging on the doorframe.
Only three minutes have passed since the injection of the basic anesthetic.
Not only can it be done, the surgery is done extremely fast. But watching the procedure, why do I not feel anything?
Director Zhang sighed; this is the gap in surgical skill. Other junior doctors probably think the same when they watch me operate.
By this point in the surgery, there is no difficulty left.
The remaining two coronary arteries are operated on in exactly the same way.
If one stent can be removed, the remaining two can also be removed, difficulty zero…… As long as no accident occurs, Director Zhang thought to herself.
Zheng Lao Ban's level of cardiac interventional surgery is actually this high!
Director Zhang stared blankly at Zheng Ren continuing to operate, her mind completely blank.
Compared to Zheng Lao Ban, my level is off by more than an order of magnitude. This kind of forbidden-zone-level operation, in his hands, has essentially no difficulty.
Before the surgery, Director Zhang repeatedly pondered what kind of rescue she could perform during the operation. She had considered even some very rare complications.
But now, watching Mehari fall asleep soundly, and seeing the steady ECG monitor as if nothing had changed, she knew her preparation was in vain.
A forbidden surgery actually had no complications at all, seeming even simpler than my doing a coronary angiography.
……
In the operating room, Mehari's accompanying medical team stood in the operating room, staring at each other wide-eyed, they were not allowed to enter.
Director Yan and Vice President Yuan sat in front of the operating table, while the technician who should have sat there could only resentfully hide in the back. However, Zheng Lao Ban seemingly didn't need a technician at all; all operations were completed inside using the control panel. He could just idle away, playing soy sauce, until the surgery ended.
If all doctors did this, would I become unemployed? The technician anxiously thought.
Just as the surgery began, the loudspeaker continuously broadcast the dialogue between Zheng Ren and Mehari, with translation being simultaneously interpreted behind the directors.
Both directors didn't know how to describe this matter.
Mehari was like a child, full of curiosity about Zheng Ren's surgical technique.
Even if it's a heart surgery at the peak of danger, one still has to operate a bit.
"Director Kong, what do you think?" Director Yan suddenly said.
"Director, the surgery is very difficult, but I believe Zheng Lao Ban can complete it smoothly." Director Kong said without hesitation.
"Will there be no vascular spasm?" Director Yan asked.
Just as they were speaking, through the lead glass they saw Lao He begin to inject anesthetic into Mehari, administering the basic anesthesia.
As it turned out, Zheng Lao Ban really had it figured out; Director Yan changed his posture, sitting comfortably in the chair, letting his legs relax as much as possible.
Originally he was at a meeting out of town, but he forcibly pushed aside many reception duties and struggled to come back. After all the travel, he was a bit tired.
But Zheng Lao Ban's Shou Bing is done well, it's quite reassuring, Director Yan thought.
At the same time, in the Operating Room, a signal receiver transmitted the information out.
End of Chapter
