Chapter 1809: 1747 Complete Thrombectomy (Alliance Leader Avera Bonus Chapter 2)

Only the most badass experts, experts with the worst tempers, will throw instruments and curse people on the operating table.

But...

Director Sun Chao felt a rush of blood to his head; he didn't think this was a humiliation toward himself, and the first assistant probably didn't know who was standing behind him.

But even the first assistant, damn, has such a temper—just a bump on the back, and they directly throw instruments and curse people?

The typhoon of 912 is really damn bad.

Sun Chao was complaining in his heart.

But after all, he had bumped someone's back, which could affect stability, so Sun Chao had nothing to say.

"Look at the operative field." Zheng Ren didn't even lift his head; he seemed not to care at all who Su Yun was cursing. It didn't matter who, even if it were Vice President Yuan.

Even if the sky were falling, nothing is more important than the patient before us: "Complete thrombectomy, pay attention to the clot's elasticity."

"I know, I can see it." Su Yun softened again.

"Complete thrombectomy?" Director Sun Chao's rush of blood to the head had just risen; hearing this, another surge of blood rushed up, his high blood pressure almost spraying from the top of his head.

"Isn't it just crushed and taken out with the suction device and stone-grabbing forceps? Complete thrombectomy? What kind of operation is this!"

Although curious, he dared not get any closer.

As the department director of the esteemed Medical University Affiliated Hospital, he had some standing in the national academic circle of vascular surgery, and could be considered a hall-of-fame figure.

But damn, even on the 912 observation platform, people were throwing instruments and shouting abuse……

Director Sun Chao saw the surgeon extend a hand, a small pair of hemostatic forceps slapped into the palm, then began to open the jaws and entered the operative field he couldn't see.

This is an attempt at complete thrombectomy; young people always want to do something unexpected to show their importance. Director Sun Chao thought it would soon fail, then he would slowly push a dose of epinephrine, then use the suction device and……

The small hemostatic forceps disappeared from view for only a short time, so that Director Sun Chao's thoughts only went this far before he saw the forceps clamping a purplish-black clot, like a worm, reappear before his eyes.

A clean, sterile large gauze pad appeared on the surgeon's right side; the surgeon's movements were slow, everyone held their breath, watching him extract the clot bit by bit.

It really damn is clot removal, a complete thrombectomy!

Everyone on the observation platform simultaneously thought of this.

"Thrombectomy" surgery, said to be "extraction," is actually Director Sun Chao's idea: crush it, then use the suction device plus gallstone forceps to get it out.

Complete thrombectomy……

And it's a 12‑cm‑long clot……

Everyone was dumbfounded.

Not only them, but even Zhao Yunlong, standing beside Zheng Ren as the second assistant, was dumbfounded.

The patient's heartbeat rhythm was irregular, sometimes fast, sometimes slow. To overcome the influence of the heartbeat, achieving a perfect thrombectomy would be no ordinary difficulty.

Zhao Yunlong did almost nothing at this step, just watching. Zheng Lao Ban and Su Yun worked in seamless coordination, the clot was "pulled" out of the main trunk of the right pulmonary artery, the clot body remained very intact.

As the clot slowly emerged, Sun Chao noticed Zheng Lao Ban's hand movements.

He wasn't completely still; rather, countless tiny movements mixed together to counteract the heart's irregular beating.

With so many maneuvers, isn't he tired? Is this something a person can do?

After 8″21, a clot with a purplish‑black front end and bright‑red rear end was removed and placed on the clean white gauze pad.

The 12‑cm‑long clot under the shadowless lamp's light was so glaring.

"Removed about 20 g of dark‑red old clot and light‑red fresh clot." Zheng Ren said in a deep voice.

Lao He immediately began recording.

After the clot was completely removed, red blood welled up from the distal pulmonary artery.

Zheng Ren immediately tightened and tied the purse‑string suture, then carefully observed: no bleeding was seen at the pulmonary artery incision, and perfusion of the pulmonary artery was instantly restored after clot removal.

The patient's hemodynamic parameters gradually stabilized.

"The surgery is done." Only then did Zheng Ren relax; even though he was as steady as a rock, he now felt somewhat fatigued.

Unlike microsurgery, this operation was simply too rushed!

In the system operating room, countless experimental subjects have died, all because of this damned time limit.

The condition surged like floodwaters, giving no chance to catch a breath. That's why Zheng Ren, when in neurosurgery, would act so overbearing, directly deciding to go onstage.

Because he had no time to give too many explanations.

For this surgery, Zheng Ren believed the key to success did not lie with himself.

But…… because of Lin Ge's presence.

Without Lin Ge wholeheartedly and steadfastly standing by his side, the surgery could not possibly be performed.

Going onstage in such a rush, without even having time for angiography, if the Medical Department and hospital leadership didn't give him almost unlimited trust, it simply couldn't happen.

Thanks to Lin Ge, Zheng Ren felt at ease, thinking to himself. He needed to pay more attention to teaching.

After suturing the incision of the main trunk of the right pulmonary artery, with no active bleeding found, Zheng Ren ceased the operation.

"Wait a moment, let's see how the heart is recovering." Zheng Ren said.

Having said that, he picked up the large gauze pad and began to admire the 12‑cm‑long clot on it.

"Boss, how can it be this long?" Su Yun asked: "This should be the longest clot I've ever seen; previously the longest I saw was only about 5 cm."

"We'll have time to ask about the medical history later; the patient is so young, they must have taken some medication that affected the body." Zheng Ren said.

"Zheng Lao Ban, once it's taken out, everything's fine, right?" Lao He asked with a chuckle, "I even thought the heart would stop and had prepared the ice slurry."

Ice slurry is a mixture of ice water just frozen, mainly ice.

When the heart stops, using ice cubes to cool down doesn't achieve maximum effect; ice slurry works best, but making ice slurry requires great effort and experience.

Lao He was just showing off, but Zheng Ren liked it.

Being able to make ice slurry is a skill; next time, if we perform a stopped‑heart extracorporeal circulation surgery, having ice slurry would be more convenient.

"There's not enough time." Zheng Ren said: "If the heart stops, surgery is easier, but it's troublesome—you must first set up extracorporeal circulation. However, the clot blocks the right pulmonary artery so severely that perfusion is low, and the heart could stop at any moment."

"Um…… Zheng Lao Ban, can we stop the isopropyl epinephrine?" Lao He only then remembered that isopropyl epinephrine was still being pumped into the patient's blood vessels at almost the maximum dose.

"Wait a bit longer, don't rush." Zheng Ren said with a smile, "Gradually reduce the dosage, decrease by 2 ml every 10 seconds."

This operation is quite troublesome; if it were someone else, they would surely be unwilling.

But Lao He went happily to adjust the micro-infusion pump, not allowing the circulating nurse to touch it at all.

Vice President Yuan initially said nothing, instead calmly watching the ECG Monitor.

The heart rate Stability at around 108 beats per minute. This is Stability, and only then did he smile.