Chapter 2886: with translation of the chapter title

2686 Alas, put on the lead clothing (Alliance Leader Evil Flood War God Dragon 1 extra chapter 2)

Interventional surgery operating room, patient in prone position. The opened appendectomy incision will definitely be affected to some extent, but it's not a big problem.

The patient simply doesn't understand what happened, and keeps asking.

On the DSA machine, Zheng Renxian performed a simple CT. The technical level here is average, but the DSA machine is newly purchased and also has CT functionality.

Vertebral body CT showed: at the thoracic 7–12 levels, a tubular slightly high-density shadow is seen on the right side of the spinal canal; at the thoracic 12 plane, the abnormal density shadow appears to extend outside the body, and there is swelling of the soft tissue posterior to the thoracic 12 spinous process.

"Boss, do you think the catheter that fell in is only about 6 cm? This damn thing is at least 10 cm!" Su Yun said contemptuously looking at the image.

"No, it looks like at least about 13 cm." Zheng Ren said, pointing at the CT image.

Su Yun stopped speaking, instead directly driving the operator away, and he sat in the position in front of the operating console.

Director Xiang

"I didn't intend to move; you handle it alone in there, as if no one is outside. I'm just curious how you plan to retrieve the broken catheter." Su Yun smiled and said, oblivious to others.

"Just treat it as a slightly thicker blood vessel." Zheng Ren smiled, taking Gao Shaojie to scrub up and go onto the operating table.

"Zheng Lao Ban, how is the surgery performed?" Gao Shaojie asked while scrubbing his hands.

"First perform an epidural angiogram, then puncture at the original puncture point, lower the grasper, and pull out the broken catheter." Zheng Ren said.

Gao Shaojie didn't quite understand; although the whole process was roughly like that, he had never heard of such an operation before.

Cheer up! Gao Shaojie encouraged himself, determined to watch carefully.

He sped up his movements, finished scrubbing his hands and went to lay out the sterile drapes.

Because they needed to do imaging, Gao Shaojie left two different operative areas: one at the sacrococcygeal region, and one at the site of continuous epidural puncture.

Xiang Heping looked on silently, not understanding anything here. Two operative areas, it feels like the wound surface is even larger than in a regular surgery!

"Old Gao, have you ever done an epidural angiogram?" Zheng Ren asked.

"No, Zheng Lao Ban." Gao Shaojie answered honestly.

"Then I'll do it." Zheng Ren put on sterile gown, put on gloves, and stood on the operating table.

He glanced at the various instruments, then fixed his gaze on Xiang Heping. After 1.25 seconds, Zheng Ren's gaze turned stern.

Zheng Lao Ban's gaze made Xiang Heping feel uneasy; up to now, no one had talked to him about money. Moreover, Director Zhang's persuasion made him see extremely professional judgment and operation, and the technicians were all driven away.

Calling them fraudsters, now even Xiang Heping himself doesn't believe it.

What is Zheng Lao Ban staring at me for? Is he going to launch a tirade? Once on the operating table, one becomes a different person; this kind of professor is not unheard of.

In an instant, Xiang Heping's mental drama multiplied, even conjuring many images of himself being bullied in the operating room.

"Director Xiang, are you going to watch the surgery in the Shujian?" Zheng Ren asked.

Understanding

"My own father, I can't watch the surgery myself? That shouldn't be."

"Go put on the lead clothing." Zheng Ren sighed. The technical level of the township hospital is somewhat understandable, but how could they not even know to wear lead clothing when entering the interventional surgery operating room?

With this level…… truly hard to put into words.

Evil Flood War God Dragon (fan-fiction name)

Damn, it's really embarrassing; now in Zheng Lao Ban's mind, just how neglectful of its duties is Langshan Xian Yiyuan?

Epidural Angiography

Zheng Ren finished speaking, seeing Xiang Heping hurriedly go put on lead clothing, he didn't pay him any more attention, but instead began the puncture.

After local anesthesia, using a 16-gauge epidural puncture needle at a 45° angle to the trunk to break through the sacrococcygeal ligament, then Zheng Ren changed the angle of his hand to 25° and slowly advanced into the sacral canal.

"Old Gao, pay attention here." Zheng Ren said, "Since the subarachnoid space ends at the plane of the second sacral vertebra, the puncture needle must not go beyond that plane to ensure it does not enter the subarachnoid space."

Sacrococcygeal Ligament

Zheng Ren then withdrew the stylet, observed for any cerebrospinal fluid leakage, inserted the epidural anesthesia catheter into the lumbar-sacral epidural space, and then withdrew the puncture needle.

Subarachnoid Space

After injecting the anesthetic, Zheng Ren observed for 5-10 minutes, confirmed that the patient had no spinal anesthesia, ruled out dural puncture, and then proceeded to the next step.

Lumbar-Sacral Epidural Space

Because the epidural anesthesia catheter is hardly visible under X-ray, even when contrast is used, locating a catheter only a few millimeters thick remains a rather difficult task.

"Old Gao, combining the CT images just taken, you can see there is an abnormal shadow at the thoracic 7-12 location." Zheng Ren explained softly to Gao Shaojie, "Look, the catheter's position is not tightly against the wall, so there's no need to inject gas inside."

"Hmm, Zheng Lao Ban, I can roughly find the spot." Gao Shaojie said.

"This time I won't let you do it." Zheng Ren walked to the thoracolumbar surgical area and began the puncture.

Gao Shaojie knew this was probably Zheng Lao Ban's first encounter with such a patient; he had come to understand Zheng Lao Ban well enough, and no matter what, this young boss's clinical practice remained a weakness.

Although he combined sufficient deep Theory Knowledge with virtual operation, he often had ideas as fantastical as something from beyond the heavens, like this Shou Bing before his eyes.

But the first Shou Bing definitely requires him to handle the knife himself, trying to avoid any accidents.

With Zheng Lao Ban's guidance, Gao Shaojie already roughly understood the Shou Bing process; whether he can actually do it depends on his technique.

Regarding this, Gao Shaojie still has some confidence; at the very least, after watching Zheng Lao Ban do it once, he should accumulate more experience.

The guidewire entered, then the capture device also entered the epidural space; Gao Shaojie focused, holding the tip of the guidewire in his hand, his eyes fixed on the opposite screen.

He should adjust the direction a bit, then open the capture device; Gao Shaojie judged this in his mind. This step is the hardest; if it were him, he might need to try more than ten times to successfully capture the broken Catheter.

To firmly grasp a 3mm Catheter is easy to say but hard to do.

As the capture device just went in, the intercom sounded.

"Director Xiang, someone is looking for you." The voice of the Operating Room nurse came from the intercom.

Gao Shaojie felt a bit frustrated; just now his energy and spirit were at max, his state nearly bursting, he firmly believed Zheng Lao Ban would succeed in the capture in one go, and he himself would definitely be able to see more details clearly.

The annoying part of doing Shou Bing is being interrupted; even the refined Gao Shaojie feels full of disgust inside.

He dissatisfiedly glanced at Xiang Heping, the "patient's family"; everything was left unsaid.