Chapter 859

Zhao Wenhua's mouth corner just flashed a cold smile, but his orbicularis oris muscle immediately stiffened, like a stone, completely unable to move.

At the same time, his cheek muscle, chin muscle, deltoid, lower lip square muscle, zygomatic muscle, smile muscle, and upper lip square muscle all spasmed together, as if receiving electrical stimulation, producing a physiological reflex.

Unable to control the twitching, Zhao Wenhua didn't try to suppress it, because he was staring at the screen, completely dumbfounded.

A stent actually appeared between the patient's portal vein and hepatic vein, with venous blood rushing in and flowing out along the newly opened channel.

Um... this is the effect that TIPS Surgery aims to achieve.

He succeeded? How did he succeed?

On the Operating Room screen, the image had frozen; obviously, the puncture was successful, the stent went in, and Zheng Ren felt that was enough for now, so he stopped advancing the guidewire.

Zhao Wenhua stared intently at the screen, as if trying to see through it, to see how Zheng Ren had successfully completed the TIPS Surgery while the patient was vomiting blood.

But he couldn't see anything; only the final image remained there, the rushing venous blood, the distorted image, as if mocking him.

In the Operating Room, as the Shou Bing succeeded, the double-lumen tube had already been put in place, the balloon inflated, compressing the gastric esophageal vein to stop bleeding.

Three bags of fresh frozen red blood cells hung on the IV stand, and under the pressure infusion device, the blood flowed in steadily.

This transfusion does have side effects, but given the patient's condition, there was no alternative. As for what side effects, leave them to the ICU's specialist doctors to handle professionally.

After Director Luo rushed in, he saw Zheng Ren pressing his hand on the puncture site, directing the rescue.

He did not perform chest compressions; although his tone while directing the rescue was urgent, he was not panicked.

A few minutes later, the patient's blood pressure began to rise, and Director Luo stood dazedly in the Operating Room; he really hadn't done anything.

It wasn't that he didn't want to; rather, several nurses and the anesthesiologist had already finished all the work.

"Zheng... Zheng Lao Ban, are you alright?" Director Luo still couldn't believe it, asking.

"Well, the TIPS Surgery succeeded; the double-lumen tube is compressing to stop bleeding. For now, send him to the ICU. Director Luo, keep an eye on him; if his condition improves, go to the endoscopy room to perform the banding procedure. This patient's gastric esophageal vein varices are especially severe, and the double-lumen tube might not hold. Although decompression has been achieved, it's still safer to do the banding."

Zheng Ren looked at Director Luo, explaining some post-operative matters.

"..." After hearing Zheng Ren's words directly, Director Luo not only failed to understand, but became even more confused.

「Director Luo? 」 Zheng Ren saw Director Luo stunned there, and called out.

"How did you do that?" Director Luo asked in astonishment.

「Puncture, place the stent—it's very simple. 」 Zheng Ren said: 「The patient has lost too much blood; post-op there is a high chance of DIC. Director Luo, ligation must be done, and preferably within 8 hours. 」

"Okay... okay." Director Luo hesitated, then said subconsciously.

"Those not wearing Lead clothing, please leave first, Yi Ren—you're not needed here." Zheng Ren said: "I'll place the retrievable stent, and the Shou Bing will be done. Director Luo, notify the ICU to prepare the Bed Position and ventilator."

"Okay." Director Luo, although still not entirely sure, saw from the monitor that the patient's vital signs were gradually recovering with the infusion of fresh frozen red blood cells.

Although this recovery is only temporary, a large influx of allogeneic red blood cells into the body will certainly provoke a reaction. But that's a matter for later; at the very least, it bought time for the ICU doctors to resuscitate and treat.

Moreover, with all the measures available in the 912 ICU, as long as there's a breath left, dying isn't that easy.

Director Luo and Xie Yiren walked out, the airtight Lead door closed, and in the operating room the silence was such that even a dropped pin could be heard.

The screen in the operating room moved again as the retrievable stent was lowered in, and the Shou Bing was declared over.

"Xiao Zhao, you look stunned." Director Luo saw Zhao Wenhua holding a strange pose in front of the screen and gave an embarrassed laugh.

The air in the operating room felt stagnant, making people Uncomfortable. He wanted to say something to liven up the atmosphere.

Actually Director Luo knew, it wasn't just Zhao Wenhua who looked stunned—he himself was damn stunned.

The emergency TIPS Surgery actually succeeded unnoticed beneath his very eyelids while the patient was vomiting massive amounts of blood!

Zheng Lao Ban's skill level is simply unimaginable.

Zhao Wenhua's muscles at the corners of his mouth and brows kept trembling, a strand of saliva flowed out, wetting the Mask, making him look like a senile dementia patient.

When did TIPS Surgery become this simple?

An ordinary outpatient TIPS Surgery would be fine, but this is an emergency Shou Bing, and he didn't even have an abdominal CT—how did he locate it?!

Moreover, the puncture was completed while the patient was violently convulsing and agitated!

MD! No wonder they dare to livestream the Surgery live broadcast—if he can pull off this kind of Shou Bing, what can't he do?

Zhao Wenhua stared blankly at the last frame left on the screen as the retrievable stent was lowered in; the stent's diameter is slightly smaller, which can effectively prevent postoperative hepatic encephalopathy.

He had already planned how to provoke the patient's family to sue Zheng Ren, then subtly intervene himself, telling the family some medical insider information, and even at critical moments provide key evidence to ruin Zheng Ren forever…

These plans look great on paper, but what about the reality?

If the Shou Bing failed and the patient died, that would be the foundation of all this; but now that the Shou Bing succeeded, all of that has vanished.

"Xiao Zhao, you look stunned?" Director Luo expressed Understanding toward Zhao Wenhua's ignoring him.

Even I, a doctor from the Xiao Hua Nei Ke department, looked stunned; the interventional doctor probably could see even more horrifying details.

"Um... Director Luo, sorry." Zhao Wenhua's reaction was still quite quick; he carefully reviewed his own actions and words, found no flaw, those thoughts were his own but he hadn't acted on them.

He quickly came to, controlling the spasms and tremors in his facial muscles, but when did the saliva start flowing? Damn disgusting.

"The Shou Bing was truly beautiful, Zheng Lao Ban is amazing!" Zhao Wenhua gave a half-hearted compliment.

"What you said is absolutely right!" Director Luo said: "It seems I had previously underestimated the status of a Nobel Prize Nominee; besides, Young Zheng Lao Ban is so young—if he were a few years older, I doubt this would happen."

Director Luo remarked feelingly, each sentence making Zhao Wenhua feel nauseated enough to gag.

How old are you, old man, that you'd kneel like this? Just a small doctor, Nobel Prize? Merely a nominee—no new technique has won a Nobel Prize in years, and yet he qualifies?

However, Zhao Wenhua didn't dare say that; just thinking it in his mind was enough.

"Young Zheng Lao Ban's skill is so high; it looks like he'll be taking in several end-stage cirrhosis patients these days—I need to carefully watch how he performs the Shou Bing." Director Luo muttered to himself.

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