Chapter 308

302 Victory or Defeat, a Hair's Breadth Apart (2/4)

As they talked, they went off-topic; perhaps this is a self-protection mechanism of the human body under tension.

In the Operating Room, after encountering an unexpected situation, either they smash equipment and flare up, or they stay silent and repressed.

In the live broadcast room, there's no way to smash equipment; they vent their anger on the assistant, and besides, Shou Bing is not performed by themselves. As spectators, the doctors' mentality is relatively relaxed.

The operator failed again, but we can't say the operator's Shou Bing has a problem; then we can only tell jokes to go off-topic for fun.

Outside the Operating Room, in the operating area, Professor Rudolf Wagner gazed at the images with bright, sharp eyes.

He found it hard to believe that Zheng Ren was performing TIPS Surgery for the first time.

He was so skilled that, if not for the patient's sudden vomiting of blood, the third puncture would have succeeded!

His talent is simply enviable, Professor Rudolf Wagner thought to himself.

Su Yun felt a bit regretful, but was not surprised.

Regarding Zheng Ren's first time performing TIPS Surgery, his skilled technique, he has already overlooked it.

Such things happen too often, already losing novelty. If still surprised, Su Yun's jaw might drop from surprise.

He has become numb, subconsciously thinking this is all expected.

Perhaps, when others once looked at him, they also felt such helplessness in their hearts.

"Emergency Shou Bing is like this, don't rush." Su Yun comforted calmly.

"Hmm." Zheng Ren nodded, coldly wiping away that faint regret in his heart, then resumed moving, checking the guidewire's position, preparing to puncture again.

Carefully observing the image, Zheng Ren found the guidewire's position deviation was not far, even saying it had hardly moved.

It was probably when the patient vomited; Su Yun's hand moved with the patient's motion, and there was no other explanation.

This assistant is truly perfect. At least from Zheng Ren's perspective, there's nothing to fault.

"Move forward 0.5 cm, right hand 25 degrees… 23 degrees." Zheng Ren estimated, saying.

Soon, the guidewire was in place again.

In the System Operating Room, the experience gained from performing Shou Bing on experimental subjects, tempered by reality, gave Zheng Ren a feeling of sublimation.

This is pretty much it; although he experienced a failure, Zheng Ren instead gained stronger confidence.

He did not comfort the patient, letting the patient endure as much as possible without moving.

This is not the emergency treatment room, and the patient is not crying for his parents out of affectation.

Rupture of gastric varicose veins caused a large amount of venous blood to pool in the stomach; this physiological stimulus cannot be controlled by humans.

It's like hiccups, like a fever, not something humans can control or change.

Only during the intermittent periods of the patient's vomiting blood can rapid operation be performed.

After a simple observation of the patient, seeing his breathing very weak, soon, yet there were no signs of agitation.

Zheng Ren immediately pressed the trigger of the puncture needle.

The puncture needle's black shadow shown on the image passed through the hepatic vein and appeared in the hepatic branch of the portal vein.

"Success!" Su Yun shouted in a suppressed low voice.

"Hold steady." Zheng Ren did not rush, firm and steady like a ballast stone. In the raging waves, letting the small boat sail to the victorious shore.

"Hmm." Su Yun responded immediately.

Puncture success is only the most crucial step. If any mishap occurs afterward, it will inevitably lead to Shou Bing failure, requiring a redo.

Therefore everything must be done with extreme caution, like walking on thin ice.

【I go… the fourth puncture succeeded! Awesome!】

【Actually the third should have succeeded.】

【The operator once again exceeded my imagination; in my impression, our Hospital has performed dozens of TIPS Surgeries, with Shou Bing times over 4 hours, estimating the puncture count should be around 20.】

In Xinglin Yuan, there was a scene of jubilation; even the doctors who had previously guessed the operator's Shou Bing would fail all felt relieved.

Although they are not compatriots, they also did not hope for the Shou Bing to fail for this reason.

The barrage was not many; although the most crucial step was resolved, the remainder is also very important—indwelling membrane-covered stent.

Regarding stent selection, there are two different viewpoints.

A stent without membrane has excellent stability. It is like a barrel-shaped wire mesh, fixed in the liver by hepatic parenchyma, with great friction, making postoperative dislodgement difficult.

But the problem is, the liver's regenerative capacity is truly too strong.

After a period of time, perhaps a year or several years, the stent may be blocked by regenerated liver, and the channel established by TIPS Surgery may reclose.

However, a membrane-covered stent, due to insufficient friction between the stent and hepatic parenchyma, although it avoids the possibility of the channel reclosing after liver regeneration, requires higher Shou Bing technique to try to fix the stent in place.

The subtlety of application lies in the heart.

Zheng Ren, in the System Operating Room, after countless trials and research on various literature, still chose this membrane-covered stent technique.

He had confidence, keeping the stent Stability in the Puncture Needle's channel.

Outside the Shou Bing room, inside the operation room, Professor Rudolf Wagner fell silent.

He firmly denied the statement that Zheng Ren was doing TIPS Surgery for the first time! If Zheng Ren were doing TIPS Surgery for the first time, he could be this skilled, how could TIPS Surgery still be called the interventional crown's Ming pearl?!

This procedure, he has done it too many times. Only because he understands does he find it unbelievable.

When I first learned TIPS Surgery, how many scoldings did I endure? How many failures did I have? When I first succeeded, how happy was I?

These scenes replayed in the professor's mind.

Impossible, Zheng Ren absolutely could not be doing TIPS Surgery for the first time.

Even now, facing the situation of emergency vomiting blood, it's also difficult to, at the time of the third needle, just touch the hem of the goddess of victory's skirt.

Moreover, after the third needle unexpectedly failed, Zheng Ren's mood seemed not to be Impact, and the guidewire's position was likewise not Impact.

The fourth needle thereafter, directly succeeded!

How great the difficulty is, Professor Rudolf Wagner is the one who knows best.

Zheng, he truly has a pair of God's hands; his existence is simply for the purpose of doing interventional surgery.

The determination to bring Zheng Ren to Heidelberg University's research lab was once again solidified by facts, growing even firmer, like a rock on the summit of the Alps.

Zheng Ren held the guidewire, closely monitoring the patient's condition. If the patient were to have another violent bout of vomiting, causing the guidewire to be pulled out…

That is a particularly fucked-up thing.

The 10mm membrane-covered stent was threaded onto the guidewire by Su Yun.

The two switched hands, cooperating almost seamlessly, their skill and tacit understanding utterly flawless.

The stent entered smoothly.

Because this was the first TIPS surgery in reality, and the patient intermittently vomited blood and was agitated, the position could shift at any moment.

Therefore Zheng Ren kept stepping on the line, so he could observe the guidewire and stent in real time.

The patient immediately vomited violently again, a strong smell of blood permeating Shujian.

The action of inserting the stent was forced to stop; Zheng Ren and Su Yun carefully held the guidewire, fearing it would slip out a few centimeters, causing the surgery to fail again.

Doing the surgery again would be no problem.

But if the patient's condition cannot be quickly resolved—the elevated portal and gastric venous pressure—he would likely die from massive bleeding.

This is a race against the god of death; every detail must be done to perfection.

Even so, the doctors have no confidence they can defeat death. Not only must they be perfect, they also need speed!

The faster,

the better.

Finally, the patient's half-minute bout of vomiting blood subsided considerably; he finally grew quiet, as if he had no strength left to struggle.

Zheng Ren glanced at the vital signs on the monitor, then suddenly shouted, "Open the comms!"

In Shujian, the operating console was at the assistant's right; Su Yun was relieved that the patient's vomiting blood had stopped, and the guidewire's position seemed unchanged.

At that moment, hearing Zheng Ren's shout, he instinctively pressed the conversation button on the operating console covered with a sterile film.

"Chu Yanran, Xie Yiren, put on lead clothing and come in—the patient aspirated vomit!" Zheng Ren shouted.

Because interventional surgery involves radiation, Zheng Ren would never let the girls enter if there was any possibility.

But… just as the stent was about to be deployed, complications arose.

The patient had just vomited violently, causing bloody vomit to be aspirated into the airway.

Immediately, the monitor screamed with crazy alarms, utterly arrogant.

Everyone outside sprang into action.

Director Xia directly donned lead clothing and entered the operating room together with Xie Yiren and Chu Yanran.

Zheng Ren did not break the line; he must constantly monitor the guidewire's position.

As for the moment the door opened, radiation leaked into the operating area… a small amount of radiation has little effect on the human body.

After all, X-rays are straight beams…

"Suction device!" Chu Yanran shouted while donning sterile gloves.

In the sudden emergency, everyone not only moved three times faster, but also raised their voices by three decibels.

Speech was almost all shouting, as each person feared their intent would be drowned in the other's anxious emotion and ignored.

Chu Yanran shoved her hand into the patient's mouth, first pulling out the clots of blood remaining there, piece by piece.

On that side, Xie Yiren quickly opened the prepared suction device, inserting a suction tube along the corner of the patient's mouth.

"Not enough." Director Xia loudly said, "Give it to me."

She snatched the suction tube from Xie Yiren's hand, then glanced at Zheng Ren and said, "I will insert the suction tube into the patient's nasal passage; there may be agitation."

"Wait, give me ten seconds!" Zheng Ren said in a low voice.

Inserting the suction tube into the nasal passage would provoke strong irritation, causing the patient to cough, retch, etc.

For the guidewire that had just been successfully punctured, it was like a small boat that could be engulfed by towering waves at any moment.

As for the patient's condition, there would basically be no time left for Zheng Ren to attempt another puncture; his blood pressure was already perilous.

The success of this aspiration rescue might actually mean the failure of rescuing the patient from vomiting blood.

Director Xia looked at Zheng Ren, surprised and bewildered.

The patient had already shown signs of suffocation, and he still wanted to wait ten seconds before rescuing?

Does he really have such confidence that the surgery will succeed within ten seconds?

Victory

Defeat

A hair's breadth between.