Chapter 613: with translation of chapter title

Xie Yiren pulled the instrument cart toward the operating table; it was fully stocked with the needed instruments, within reach of a hand.

She glanced at Zheng Ren, said nothing, then walked out of the operating room with Chu Yanran.

If not absolutely necessary, in events like Zheng Ren's first emergency TIPS surgery, the fewer people exposed to radiation, the better.

Nurses and anesthetists can avoid radiation exposure, but doctors cannot.

Originally Wang Liren and Dr. Han could have stayed back, but having come to Hai Cheng, to just watch the first major emergency rescue would weigh on their consciences.

Zheng Ren opened the puncture kit and began femoral artery puncture.

The patient had already lost consciousness, so even local anesthesia wasn't needed, saving a few dozen seconds.

Blood flashed upon needle entry, the guidewire went in, and he began fluoroscopy.

"Liver segment eight, three arterial ruptures at 3, 4, and 8 o'clock." Zheng Ren said in a low voice.

Wang Liren stared blankly at the liver segment eight area—a hazy field of diffuse oozing blood—wondering where to find the three bleeding vessels.

And what's with 3, 4, 8—is that some kind of code?

On the other side, Su Yun had already opened the chest, working alone, using an automatic retractor to spread the chest wall, fully focused; he didn't hear a word of Zheng Ren's words.

Wang Zong was left sitting there, awkward and speechless…

At the 912 Hospital, a top‑tier tertiary Grade‑A facility nationwide, I've never seen such a procedure before.

Wearing lead clothing, coming in to be exposed to radiation aside, the key is… I simply don't know what to do.

After Zheng Ren finished speaking, seeing Wang Zong's eyes full of bewilderment looking at him, he opened the pager and shouted, "Fugui'er! Why aren't you here yet!"

"Boss, boss, I'm here, I'm here!" Professor Rudolf Wagner didn't go to the control room but instead donned lead clothing, scrubbed up, and entered through another passage.

He hurried to prepare to go up, for the professor, having gotten to know him over this period, knew that Zheng Ren was usually mild‑tempered, but on the operating table he absolutely bore the bearing of a king.

"Good thing I didn't go back; I was still thinking about finding a bar tonight to have a good drink." The professor dressed at top speed, muttering nonstop.

"Come for angiography." Zheng Ren stopped stepping on the pedal, shifted sideways, and shoved Wang Liren and Wang Zong, who had just taken the surgeon's position, out of the way.

The motion was somewhat rough; Wang Zong also startled a bit, wondering if Chief Zheng was angry.

He shifted a bit toward the patient's head, but was immediately shoved aside by Su Yun.

MD, a chief resident from the imperial capital, in Hai Cheng, doesn't even have a place to stand on the operating table!

Wang Liren placed his hand on his chest, pressed his shoulder against Zheng Ren's, turned his body, and awkwardly moved to the second assistant's spot.

Even Dr. Han, standing in the first assistant's position opposite, looked dumbfounded.

Hai Cheng's style is truly brutal—not only have I never seen this kind of procedure, I've never even seen a "typhoon" on the operating table.

"Go over there." Zheng Ren reached out, picked up a small curved instrument, and began searching for the bleeding spot just seen in the liver segment eight angiography, saying, "Hey you, go help Su Yun."

Dr. Han burst into tears—not because Zheng Ren didn't remember his name and called him "hey you."

But rather, he is a doctor of General Surgery, preparing to become a chief resident at the 912 Hospital—does he now have to do thoracic surgery?

Wang Zong went around to the opposite side and took the first assistant's position.

Zheng Ren used his left hand to separate the damaged liver, while his right hand already had the hemostatic forceps clamped inside.

"Suction device, ligature."

"Oh."

Wang Liren hurriedly picked up the suction device inserted in the peritoneal cavity and began suctioning blood from the operative field's imaging area.

"Take off the suction device's cover." Zheng Ren's tone, rarely showing impatience, carried a hint of irritation.

Wang Liren broke out in a sweat… after getting up, he realized he was unfamiliar with Zheng Ren's procedure, his whole mind went into a dazed state, and he actually forgot about this.

With the suction device sheathed, it sucked blood from the peritoneal cavity to avoid clogging with clots.

But with the sheath on, it couldn't precisely suction the blood oozing from the operative area.

This basic fact… sweat… what the hell am I doing?!

He felt ashamed for 0.1 second, then immediately focused, began suctioning blood near liver segment eight, and then used a toothed forceps to clamp a 4# line and probe it in.

As for how Zheng Ren located the vessel and was so confident about ligating it, Wang Liren currently had neither the mood nor the time to ponder.

Even giving his all, he couldn't keep up with Zheng Ren's pace, let alone let his mind wander.

Ligate, cut.

Again searching, Zheng Ren's hemostatic forceps quickly located the bleeding points of three small arteries, ligating them one by one; he then called for a large round needle and 7# line, and in a somewhat wild, bold manner directly sutured the ruptured point of liver segment eight.

While suturing liver segment eight, Professor Rudolf Wagner's side began stepping on the pedal for angiography.

Only a small amount of contrast agent was injected; as long as it was visible, that was enough.

"Boss, down in segment six there's a crevice with two bleeding points. On the liver surface, below the 3 o'clock direction, tilted down 15°." the professor said.

Zheng Ren said nothing; his hemostatic forceps spread the liver segment six area and clamped to stop the bleeding.

Wang Liren looked dumbfounded.

No wonder, when I said I could do the surgery earlier, Chief Zheng remained silent.

What does "3 o'clock direction, tilted down 15°" mean—what position is that?

He looked at the operative field; that spot lay in the blind spot of the visual field, visible only to the operator. But Wang Liren deduced the bleeding point from the position of the hemostatic forceps.

Comparing the professor's words, Wang Liren roughly figured out the meaning of their communication.

This was communication on another level; after Wang Liren tried to understand, he only felt it was somewhat unbelievable.

"Pop—" the hemostatic forceps tapped the suction device.

The clear sound woke Wang Liren.

"Ligate." Zheng Ren said calmly.

"Ugh… just thinking about why, my hand slowed a bit, and damn it, I got scolded again."

Wang Zong never imagined that, while he handled things with ease in the imperial capital, coming to Hai Cheng would turn out like this.

He immediately used the toothed forceps to pick up a 4# line and handed it to Zheng Ren.

Can't think anymore; I must follow Chief Zheng's line of thought and not delay the Shou Bing.

Wang Liren repeatedly warned himself in his heart.

Professor continuously performed angiography, giving the exact bleeding location. Zheng Renze was like performing a TIPS Surgery, and what appeared in his mind was the patient's three-dimensional liver structure.

This point, the cooperation between Zheng Renhe and Professor Rudolf Wagner was already very tacit. Such proficiency is the communication established through countless studies of the patient's liver Nuclear Magnetic Resonance diffusion slices, mutual Discussion; even if Wang Liren's General Surgery Department surgery skills are high, he cannot grasp it instantly.

Watching the shattered liver being stitched up bit by bit, Wang Liren was nothing but astonished.

But he dared not think too much; he just watched carefully, wanting to take it all in, remember it, and study it thoroughly later.

After each of the eight liver segments underwent Super-selective angiography, the ligation that needed to be done was done, the suturing that needed to be done was done; the damaged liver that was impossible to look at was barely patched up.

"All right, you may go, Fugui'er." After finishing the last stitch, Zheng Ren said.

"Hmm." The Professor's clear reply came as he pulled out the guidewire and catheter; no need for local compression hemostasis, because the patient's blood pressure... basically didn't exist.

Wang Liren glanced at the time; suturing a liver that in his view required total removal, he actually used less than twenty Minutes.

This is damn too fast.