Chapter 1723: with translation of chapter title

1664 Zheng Lao Ban, awesome!

But with only one second of time, it was already enough for Zheng Ren to operate.

The bleeding volume was actually not large, but in the narrow space it was extremely obstructive.

Having done this, Director Xu can be certain that there must be a spot of spontaneous bleeding inside.

Because the approach, including the cut bone, the bleeding has already stopped.

After opening, due to the pressure effect, the blood inside the hematoma visible on the film oozed out. Could not be suctioned clean, indicating there was still ongoing bleeding.

The Shou Bing was performed amid fresh blood.

Although there was bleeding, Zheng Ren and Su Yun did not panic; instead their speed slowed, unlike before when it was so fast.

「Zheng Lao Ban preparing to do what? 」

«Possibly judging that the bleeding point is in the blood vessel near the spinal cord nerve. »

«Don't tug on the blood vessel, Zheng Lao Ban said, it's endometriosis. »

In the Shujian, the department heads watching the Shou Bing whispered and discussed.

Watching the operation, Zheng Lao Ban's Shou Bing technique is absolutely not inferior to Director Xu of Orthopedics. This Shou Bing was done cleanly and swiftly; if not for the bleeding, it could be judged almost perfect.

As the Shou Bing proceeded further, everyone's hearts rose.

Whether it is anesthesia-induced injury or endometriosis, the answer will soon be known.

Soon, Zheng Ren found the bleeding spot.

A bleeding surface of size 0.5×0.6 cm appeared in the Operating Field.

Because the Operating Field was very small, only Zheng Ren could see it; even Su Yun opposite did not know what step had been reached. Many department heads scrambled for a spot beside Vice President Yuan, wanting to see what was happening.

«Don't crowd! » Vice President Yuan shouted angrily: «Doing the Shou Bing, what are you all doing! »

Zheng Ren, hearing Vice President Yuan rebuke all the Observation Platform department heads, stopped his hand and said: «This bleeding spot is the displaced endometrium. Next, we will dissect and excise this segment of endometrium. »

Saying this, he tapped the Hemostatic Forceps inside the operative area.

Fresh blood oozed from the endometrium, not very clear to see. Zheng Ren took the Suction Device, and dared not make too vigorous a movement on the endometrium, lest it cause secondary injury leading to continued implantation of endometrium.

Faintly seeing the situation clearly, all the department heads had a clear mirror in their hearts.

Although we don't know what the endometrium looks like to the naked eye, as long as its removal stops the bleeding, it directly proves Zheng Lao Ban's diagnosis is correct.

And the Shou Bing thus ended.

After the many department heads had looked, Zheng Ren carefully separated the ectopic endometrium tissue from the dura mater, and cautiously removed most of the fibrous tissue on the posterior dura.

Director Wei saw Zheng Ren using the Microscope to perform the Blunt Dissection maneuver skillfully; the hand movements, if not observed closely, could hardly be distinguished, arousing his emotion.

This Shou Bing done, truly fucking awesome!

Awesome to the extreme!

Director Xu gave a wry smile and said: «Zheng Lao Ban, is this the General Surgery Department's Blunt Dissection technique? »

«Um, it's more commonly used for intestinal obstruction. Small injury, effect still relatively good. Combined with the Microscope, dissecting the mucosal layer can completely prevent postoperative endometrium residue. »

Combined with the Microscope…

Director Xu was speechless.

The international authoritative journal 《Spine》 in spine surgery has published an article comparing the spinal surgery outcomes of neurosurgeons and orthopedic doctors.

In the United States, 2/3 of spine surgeries are performed by neurosurgeons, orthopedics only account for 1/3.

The author, by analyzing 50,361 cases of spinal fusion or decompression in the United States from 2006 to 2012, found that 33,235 surgeries were performed by neurosurgeons, accounting for 66% of the total.

The results showed that, compared to orthopedic Shou Bing, patients undergoing spinal Shou Bing by neurosurgeons had markedly shortened hospital stays, significantly reduced perioperative blood loss, low postoperative complication rates, and lower postoperative care costs, bringing greater benefit and less suffering to patients.

Why did this result occur?

Because neurosurgeons are accustomed to performing Shou Bing with the Microscope!

And orthopedic doctors, including those in the United States, are not proficient in the application of the Microscope.

But Zheng Lao Ban, an Intervention Department doctor with a General Surgery background, how is he so proficient in using the Microscope?

In a daze, Zheng Ren's Hemostatic Forceps in his hand had already been exchanged for the smallest one in the instrument box, almost feeling the forceps, dissecting the upper dura layer, intending to excise the upper dura together with the endometrium.

After 1′22″, the Hemostatic Forceps clamped a piece of tissue still dripping blood, wrapped in a white gauze block, and sent to the pathology basin.

A crisp sound, like morning bell and evening drum.

The dissection was extremely clean; the previous bleeding disappeared, the operative area became clear. Several small bleeding points had already been stopped by electrocautery, just a few pat-pat-pats.

All the department heads present knew that Zheng Lao Ban's judgment was correct! He used no ligation, no Titanium Clip, used nothing else, merely dissecting that bleeding segment, and achieved hemostasis.

During anesthesia, it is fundamentally impossible to cause massive bleeding.

Logically speaking, it is definitely endometriosis without doubt.

Zheng Ren also did not linger, continuing the Shou Bing.

He again checked that the nerve root had no compression, the spinal cord had good pulsation, and achieved complete hemostasis.

Saline irrigation, counted gauze and instruments without error, sutured fascia layer by layer, subcutaneous, and intradermally sutured the skin incision.

No drainage tube was left, because he confirmed there was no bleeding, not even oozing.

What a strong confidence!

«Su Yun, you help send the patient, I'm going to the Pathology Department. » Zheng Ren said.

«Zheng Lao Ban, the pathology specimen has already been sent to the Pathology Department; now Director Chi should be performing the frozen section. » Director Xu said.

«So fast. » Zheng Ren felt a bit embarrassed, this Shou Bing was too rushed, to the extent that he forgot to ask Director Chi to give him a hand.

«Old He is also my subordinate; you can't just be conscientious and toss this big department head of mine aside. » Director Xu laughed.

Zheng Ren nodded, turned and stepped down from the platform.

A few minutes later, Section Chief Mao had not yet sent it down, when the Pathology Department's phone call came in.

Intraoperative frozen pathology confirmed, that piece of tissue is endometrium!

After hearing this news, Zheng Ren's body visibly relaxed a little. Su Yun lifted their head, eyes staring fixedly at Zheng Ren.

"Zheng Lao Ban, awesome!" Director Xu of the Anesthesiology Department was stunned for three seconds, then raised their right thumb high and exclaimed loudly.

Director Wei moved his mouth, not wanting to repeat others' words, but really couldn't find a suitable word to describe it.

"Zheng Lao Ban, awesome!" Professor Wu of Gastroenterology Department remarked feelingly.

Director Wei was annoyed, but could only pat Zheng Ren's shoulder and say, "Zheng Lao Ban, awesome!"

"All right, all right." Zheng Ren didn't know how to respond, so could only say politely.

"How do you estimate the postoperative recovery?" Vice President Yuan asked.

Because the compression time was relatively short, the postoperative recovery should be fine. The drugs that should be used are familiar to the Neurology Department or the Spine Orthopedics Department, so I won't add more." Zheng Ren smiled and said: "To be safe, get out of bed three days later; there's nothing else to watch out for."