Chapter 969: 948 Heart Dripping Blood

Zheng Ren didn't say anything, just silently changing clothes.

"Let's go, check the situation." Director Kong also hurriedly changed clothes, put on a sterile cap, and quickly walked in.

First coming to the operating table, Director Kong began reviewing the footage of the surgery.

During the process of taking the stent, the angle slightly deviated, hitting the liver parenchyma, causing a small artery to rupture and bleed.

This is also why previous TIPS surgeries only placed one stent and never did retrieval.

Placing a second retrievable stent, waiting for the patient to adapt to the blood ammonia situation, then removing it to expand the outflow tract is indeed a perfect idea. But the process of removing the second retrievable stent has many difficult points.

Zheng Ren only dared to do this because his interventional surgery skill tree had already reached master level. But many detailed things, before they could be taught to Zhu Liangchen, he already tried to do it himself.

This matter...

Actually, it's not that Zhu Liangchen is completely wrong.

Just, this kind of mistake is completely unnecessary.

He stood behind Director Kong, watching Zhu Liangchen's surgery footage, but his person came to the system space and clicked on surgical training.

The system operating room rose up from the ground, and Zheng Ren entered without hesitation.

His heart was dripping blood.

Although there is still surplus surgical training time now, this is completely unnecessary "consumption." Zhu Liangchen, you bastard!

Zheng Ren resentfully thought to himself.

His heart was already dripping blood, and he didn't waste surgical training time, directly starting the surgery.

Actually, with Zheng Ren's interventional surgery level, he could go directly on stage. But this is after all an emergency situation; taking over Zhu Liangchen's surgery and doing it himself are two different concepts.

Zheng Ren still chose the safe option of purchasing surgical training time; if there were any problems, they would still be in the system operating room, letting the experimental subject bear them.

For this kind of complication, Zheng Ren had already researched it. Embolization is undoubtedly the best choice.

He first let the stent flatten a bit, performed angiography, and immediately saw blood flow appearing.

Zhu Liangchen had already completed the puncture work, and Zheng Ren began super-selective arterial navigation.

In patients with end-stage liver cirrhosis, the liver is atrophied, and the arteries show anatomical abnormalities due to various reasons. Plus splenomegaly and poor coagulation mechanism, so a one- to two-hour covered stent compression for hemostasis has no effect.

The angiography result showed that the bleeding small artery is one at the junction of fourth and fifth order. It's very thin, and the difficulty of super-selective navigation is not ordinary.

However, for Zheng Ren, this super-selective difficulty is not greater than that of prostate interventional embolization.

Cross-hand operation, Zheng Ren's super-selective navigation is very skilled and meticulous.

Because end-stage liver cirrhosis patients have very poor liver function, plus liver atrophy, so we should embolize as little as possible, to avoid causing the patient to develop liver failure.

The guidewire entered, layer by layer super-selective navigation, finally reaching the bleeding artery.

Almost aiming at the bleeding point to perform embolization, Zheng Ren confirmed that even if his interventional surgery level reached the peak, he could only do this much.

The surgery had nothing special; it was just a test of super-selective technique.

Embolization, then repeat angiography.

Zheng Ren was confident, but the system only gave an 85% surgery completion rate.

Strange, why is it like this?

After observing for several minutes, Zheng Ren found that besides one small artery, the channel where the stent was placed after puncture was continuously oozing blood.

This is the result of repeated friction causing extensive contusion of the liver parenchyma.

Zheng Ren was also helpless.

Zhu Liangchen's technique was incorrect, causing greater surgical collateral damage.

What should we do? Zheng Ren also felt helpless for a moment. Embolizing the small artery could solve a big problem. The patient just stepping down like that would be fine. The oozing blood issue might quickly improve, but it might also keep oozing, leading to deterioration and eventually hemorrhagic shock.

We can't wait for the patient to heal on their own; we must solve this problem! Zheng Ren immediately made his choice.

Gambling on luck, better not do it. Although Zheng Ren has a luck bonus, deep down he strongly dislikes doing this.

Again super-select, find the few feeding arteries at the bleeding lesion site, super-select, embolize.

Zheng Ren faced a dilemma: the more meticulous the super-selective navigation, the smaller the hemostatic range. In that case, more super-selective navigation and embolization would be needed.

How to obtain a point of maximum benefit and minimum damage is very difficult.

Fortunately, there is plenty of surgical training time, so Zheng Ren simply tried a little bit at a time, doing a little bit at a time.

Fortunately, this is the system operating room, where mistakes can be made.

With the passage of time, Zheng Ren also gradually figured out a balance point. Embolizing which position's third- or fourth-order small arteries can avoid causing greater damage to the patient while still achieving smooth hemostasis.

Only the waste of surgical training time made Zheng Ren feel a bit heartache.

After fifteen hours, Zheng Ren finally saw the surgery completion rate reach 97%.

Just like this; any more would probably be hard to achieve.

After all, the patient's platelet count is less than half of normal, and in this situation, achieving a 97% surgery completion rate is already nearly the limit.

He glanced at the experimental subject, feeling some regret.

He turned and left the system operating room, returning to reality.

Director Kong finished reviewing the surgery process, and in a deep voice said: "Old Five, I and Zheng Lao Ban will go up, you rest."

Zheng Ren hurriedly went to wash his hands.

Going on stage together with Director Kong, he couldn't be like with Professor Rudolf Wagner, waiting for the professor to finish preparations before going up himself.

Toward the old director, respect must still be shown.

Seeing Zheng Ren run to wash his hands and make preparations, Director Kong deeply glanced at Zhu Liangchen and slightly shook his head.

Zhu Liangchen felt dry-mouthed, a bit embarrassed, yet also somewhat dissatisfied with Zheng Ren's arrival.

All kinds of complex emotions intertwined; he lowered his head, not looking at Director Kong.

Director Kong also had nothing else, washed his hands, and went on stage.

"Zheng Lao Ban, you come do it." After Director Kong went up, he directly stood to Zheng Ren's lower hand, squeezing him into the operator's position.

Zheng Renye didn't continue being polite, directly shoved the microguidewire in, began performing super-selective arterial angiography + arterial embolization.

In the operating room, Zhu Liangchen stared blankly through the lead glass at the old and young on the operating table.

Did I make a mistake? He didn't think so.

It's definitely a problem with the surgery design; originally, two covered stents shouldn't have been placed!

The second-stage surgery is very difficult, completely violating the principles of TIPS Surgery followed for so many years.

Zhu Liangchen tried for a long time, without overly violent maneuvers. They are all senior doctors, people who have performed over a hundred TIPS Surgeries; they all know deep down that violence definitely won't solve the problem.

Perhaps one could violently remove the covered stent, but it would definitely be accompanied by massive bleeding. Only at the end did Zhu Liangchen, feeling utterly helpless, call Director Kong for help.

Will he be able to stop the bleeding successfully? Zhu Liangchen began to hope.

As for the future, better not touch TIPS Surgery at all. Even if it's improved, the risk is too great.