Chapter 739: and translation of chapter title

728 Are you Su Yun?

Su Yunxing rushed out, Zheng Ren smiled inside, the doctors of Cardiothoracic Surgery followed me doing general surgery and Interventional surgery for a few months, really not easy.

At Haicheng Shi Yiyuan, I have also done a few Cardiothoracic Surgery Shou Bing, but only a handful.

Really, it's hard on him.

After changing clothes, Zheng Ren walked into the Big External Operating Room.

Director Chen stood at the door of the Hybrid Operating Room waving to Zheng Ren, who walked over directly. Outside the Operating Room, various dark green sterile gowns were laid out, and several exhausted doctors lay directly on them, curled up and asleep.

Here, the former cleanliness and solemnity are gone, replaced by fatigue and busyness.

But there's no way, I have energy medicine, now it's almost collapsing. And these doctors, they simply can't hold up. How is Su Yun? Is his body okay enough? Otherwise he also can't hold up.

Zheng Ren carefully walked past the doctors resting in the Operating Room hallway, making his footsteps as quiet as possible, even quieter, so as not to disturb them.

When passing the third Operating Room, Zheng Ren glanced inside. He saw Su Yun had finished scrubbing and was putting on clothes. On the Operating table, a doctor was performing Shou Bing.

Obviously, that doctor didn't expect someone to come running energetically to set up the table for him; he had already prepared himself to do the surgery alone.

"Doctor Zheng, the rack is Medtronic's, are you used to it?" Director Chen asked.

"It's fine, having a rack is good. It's a simple abdominal aortic dissection; as long as it's a straight rack, it's fine." Zheng Ren said.

Director Chen didn't ask to step up this time; he had seen Zheng Ren perform embolization surgery for severe pelvic fracture, knowing his level of cross-hand operation. Stepping up himself would basically be of no help.

The patient's surgical position was already set; Zheng Ren scrubbed and disinfected, and Director Chen exited the Operating Room.

"Director Chen, send over the patient needing amputation." Zheng Ren said.

Director Chen nodded and started making a call. He didn't go himself; he still had some doubts about Zheng Ren's diagnosis.

Although I convinced myself in the ward that this is a special period and angiography also counts as a kind of diagnosis, Director Chen still worried and wanted to stay and see.

The airtight lead door closed; Director Chen saw Zheng Ren begin the puncture, and after a few seconds the guidewire and catheter were already in place.

This speed... this confidence... Director Chen felt some emotion inside.

The screen on the operating table lit up, just as Director Chen had imagined; the guidewire and catheter were already inside the abdominal aorta.

Angiography, Director Chen saw a tear in the intima of the abdominal aorta, about 10 cm long!

That is, a slightly delayed diagnosis, even if I doubted this diagnosis and ordered a blood vessel 64-slice CT, would lead to the patient's death.

If the diagnosis is correct and timely, and the handling is proper, the patient's life is likely to be saved.

Director Chen was very relieved and also a bit proud. In that situation, how many people would dare to fully trust Doctor Zheng?

The contrast agent hadn't fully dispersed yet; having just observed the length of the tear in the abdominal aorta's intima, Director Chen saw Zheng Ren start to deploy the rack along the guidewire.

This kind of abdominal aortic dissection is countless times simpler than thoracic aortic dissection patients.

Type 1 thoracic aortic dissection aneurysm has several branches, including the critically important neck blood vessel branch that supplies the head.

These branches must absolutely not be blocked; otherwise the patient would suffer cerebral ischemia and die before even getting off the table.

For type 1 thoracic aortic dissection aneurysm, depending on location, one can choose a stent or surgical repair. And for a tear length of up to 10 cm, only surgical repair works, namely aortic arch elephant trunk replacement.

As for the abdominal aorta, just opening a few major branches is enough.

From the patient's angiography, this segment happens to have no major blood vessel branches.

A stent with membrane opened, pressed against the vessel wall, compressing the tear site of the abdominal aorta. Zheng Ren then advanced the catheter and cautiously performed an angiography.

The abdominal aortic dissection disappeared, blood flow became smooth.

The surgery went very smoothly, ending in just a few minutes. Director Chen knew that for this disease, after interventional surgery entered clinical practice, treatment is not the focus; the focus is on diagnosis.

Aortic dissection, regardless of type, is dangerous. Only timely diagnosis and proper treatment can save the patient's life.

It seems my staying here isn't very meaningful; Director Chen started calling to urge doctors to push the patients needing amputation forward.

After hemostasis by compression ended, the next patient was also pushed forward.

Zheng Ren glanced over and saw Su Yun still hadn't come out.

He knew that thoracic surgery takes longer; at the end of the last century and the beginning of this one, before thoracoscopy and electrocautery, opening the chest would result in 500ml of blood loss and take one hour.

Back then, one esophageal cancer surgery basically took a half day.

Su Yun's technique is fast, and he has the corresponding high-value consumables, so doing an esophageal cancer wouldn't take that long, but it still can't compare to my placing a rack on this side.

Zheng Ren was busy; in the third Operating Room, the Inpatient Chief of Thoracic Medicine, Shao Hua, had changed from being the passive surgeon to an assistant.

The doctor who came to help said nothing, his hand speed at full blast.

The patient's diagnosis for this surgery was complex blast injury, severe traumatic wet lung, lung rupture, hemothorax.

After opening the chest cavity, sweat appeared on Shao Hua's forehead.

The lung was diffusely riddled with large breaches; if he hadn't estimated both lungs were the same, he would have considered doing a lobectomy.

While he was slowly finding the ruptures and suturing them one by one, the assistant stepped up.

Shao Hua had no time to ask which department the doctor who came to help him belonged to; as long as someone helped him hold the retractor, that was already good.

But this person, upon coming up, had no awareness of holding the retractor; as he reached out, the instrument nurse handing over the retractor was slapped by him onto the patient's leg.

He asked for a needle holder and fine thread, and together with Shao Hua began suturing.

Shao Hua was somewhat unhappy; as a person temporarily coming to help, couldn't he have a little bit of a sense of proportion in his mind?

However, in less than three minutes, Shao Hua realized he was wrong.

The one lacking a sense of proportion in his mind was not the stranger across from him, but himself.

In the time it took him to suture one tear, the other side had sutured three or five. The needle and thread flew, extremely fast yet stable, even the arc perfect and flawless, pleasing to the eye.

This... Shao Hua felt a bit uncomfortable inside, but more so curious, who is he?

After more than ten minutes, dozens of small breaches in the left upper and lower lobes were completely sutured. After warm saline was poured into the chest cavity, the anesthesiologist began to inflate the lungs.

The door of the Operating Room opened, and a person rushed in hurriedly.

"Asleep, asleep, little Shao, what step of the surgery are you at? Sorry." That person said anxiously while walking.

Before Shao Hua could react, that person walked behind him, glanced at the surgery, and exclaimed in surprise: "Finished suturing?"

He said, raising his head and glancing at Su Yun.

"You are... Su..."