Chapter 1663 Boss Zheng, Awesome!

But 1 second is enough for Zheng Ren to operate.

In fact, the amount of bleeding is not large, but in a small space, it is extremely annoying.

After doing this, Director Xu can be sure that there must be a place for spontaneous bleeding.

Because of the intervening approach, including the cut bone, the bleeding has stopped.

After opening, the blood in the hematoma seen on the film came out due to the pressure. The suction is not clean, which proves that there is continuous bleeding.

Surgery is performed in blood.

Although there was bleeding, neither Zheng Ren nor Su Yun panicked, but the speed dropped, not as fast as before.

"What is Boss Zheng going to do?"

"It may be judged that the bleeding point is in a blood vessel near the spinal nerve."

"Don't pull the blood vessels, Boss Zheng said, it's endometriosis."

In the operating room, the directors of the major departments who were watching the operation whispered in a whisper.

Looking at the operation, Boss Zheng's surgical technique is definitely no worse than that of Director Xu of the spine surgery. This operation was done neatly, and if there was no bleeding, it could be judged to be almost perfect.

As the operation progressed further, everyone's hearts were raised.

In the end is anesthesia collateral injury or endometriosis, we will see soon.

Soon, Zheng Ren found the location of the bleeding.

A 0.5 × 0.6 cm hemorrhage surface was presented in the surgical field.

Because Shuye was very small, only Zheng Ren could see it, and even Su Yun, who was on the opposite side, didn't know where he was going. Many directors were vying for a position beside Vice President Yuan, wanting to see what happened.

"Don't squeeze!" Vice President Yuan said angrily, "What are you all doing for surgery!"

Zheng Ren heard Vice President Yuan scolding all the directors of the viewing platform, and stopped, and said, "The location of this bleeding is the displaced endometrium. The next step is to free and remove this endometrium."

With that said, he tapped inside the surgery area with hemostatic forceps.

There is blood coming out of the lining of the uterus, which is not very clear. Zheng Ren took over the suction device, and did not dare to make too violent movements on the endometrium, so as not to cause side damage and cause the endometrium to continue to be implanted.

Vaguely seeing the situation clearly, the directors are like mirrors in their hearts.

Although I don't know what the endometrium looks like to the naked eye, as long as there is no bleeding after the removal, it directly proves that Boss Zheng's diagnosis is correct.

And the surgery is over.

After seeing many directors, Zheng Ren carefully separated the endometriotic tissue from the dura mater, and carefully removed most of the fibrous tissue on the back dura mater.

Director Wei felt that Zheng Ren was skilled at blunt dissociation movements with a microscope, and the movements on his hands could not be distinguished at all, and he felt emotional.

This operation is really awesome!

Awesome!

Director Xu smiled wryly and said, "Boss Zheng, are you using blunt dissection in general surgery?"

"Well, it is more commonly used for intestinal obstruction. The damage is small and the effect is relatively good. With the microscope, it can be freed in the upper layer of the mucosa, which can completely avoid the residual endometrium after surgery."

With the microscope...

Director Xu was speechless.

The international spine surgery authoritative journal "Spine" published an article comparing the effects of neurosurgery and orthopedic spine surgery.

Neurosurgeons perform two-thirds of spine surgeries in the United States, and orthopaedics only account for one-third.

The authors analyzed 50,361 cases of spinal fusion or decompression performed in the United States between 2006 and 2012, of which 33,235 were performed by neurosurgeons, accounting for 66% of the total.

The results showed that compared with orthopaedic surgery, patients undergoing spinal surgery in neurosurgery had significantly shorter hospital stay, significantly less perioperative blood transfusion, lower incidence of postoperative complications, and less postoperative care costs, which brought greater benefits to patients. Benefit with less pain.

Why does this result occur?

Because neurosurgeons are used to operating with microscopes!

And orthopedic surgeons, including those in the United States, are not skilled in the use of microscopes.

But Boss Zheng, an interventionist and a guy from general surgery, how can he be so proficient in the use of microscopes?

In a daze, the hemostatic forceps in Zheng Ren's hand had been replaced with the smallest one in the instrument box. He was almost touching the hemostatic forceps. On the upper layer of the free dura, the upper dura and the endometrium should be removed together.

After 1′22″, the hemostatic forceps clamped a piece of tissue still dripping blood, wrapped it with a white gauze piece, and sent it to the pathology basin.

A crisp sound, like a morning bell and a twilight drum.

The free one was extremely clean, the previous bleeding was gone, and the surgical area was clear. A few small bleeding spots have long been stopped by electric burns, and a few slaps.

Many directors present knew that Boss Zheng's judgment was right! He didn't use ligation, titanium clips, or anything. He just peeled off the bleeding and stopped the bleeding.

During anesthesia, it is impossible to cause a piece of bleeding.

Judging logically, it must be endometriosis.

Zheng Ren did not stop and continued the operation.

He rechecked that there was no compression of the nerve roots, the spinal cord was beating well, and the bleeding was completely stopped.

Rinse with normal saline, check the gauze equipment, suture the fascia layer by layer, subcutaneously, and suture the skin incision intradermally.

There was no indwelling drain because he was sure there was no bleeding, not even oozing.

What a powerful confidence this is!

"Su Yun, you help to transport the patient, I will go to the pathology department." Zheng Ren said.

"Boss Zheng, the pathological tissue has been sent to the pathology department, and now Director Chi should be freezing." Director Xu said.

"It's so fast." Zheng Ren felt a little embarrassed. The operation was so urgent that he forgot to ask Director Chi to give him a look.

"Lao He is also my soldier. You can't just put your head aside and throw me aside," Director Xu said with a smile.

Zheng Ren nodded and turned to step down.

A few minutes later, before Director Mao had sent it down, a phone call from the pathology department came in.

Intraoperative frozen pathology confirmed that the tissue was the endometrium!

After hearing the news, Zheng Ren's body was obviously relaxed. Su Yun raised his head, his eyes fixed on Zheng Ren.

"Boss Zheng, you are awesome!" Director Xu of the Department of Anesthesiology said in a loud voice after 3 seconds of astonishment, raising his right thumb high.

Director Wei moved his mouth. He didn't want to pick up his teeth, but he couldn't find the right words to describe it.

"Boss Zheng, you are awesome!" Professor Wu of the stomach and intestines said with emotion.

Director Wei was annoyed, but he could only pat Zheng Ren on the shoulder and said, "Boss Zheng, you are awesome!"

"It's okay, it's okay." Zheng Ren didn't know how to respond, so he could only say politely.

"How about your recovery after surgery?" Vice President Yuan asked.

"Because the compression time is relatively short, it is estimated that there should be no problem in recovery after surgery. I have experience in neurology or spinal surgery for the drugs that should be used, so I will not talk much." Zheng Ren smiled: "For the sake of insurance, after 3 days Go down, there's nothing else to pay attention to."