White armor
Chapter 527: A branch taken from the great saphenous vein
Chapter 527: A branch taken from the great saphenous vein
Show off your skills!
This is an undisguised show of skill!!
From the preoperative data, all the experts knew how long the thrombus in Shen Zizai's great saphenous vein was. Everyone thought that Boss Chai wanted to free the great saphenous vein, cut it off, or even make it more complicated by replacing it with an artificial vein.
But no one expected that Boss Chai would choose the most complicated and impossible surgical procedure - thrombectomy.
This surgical procedure is suitable for small blood clots. The vein is cut open, the clot is taken out, and then it is sutured.
A small incision of 1-2 cm is enough, there is no significant impact after the operation, and there is no need to replace the vein, which would increase the financial burden on the patient.
but!
Anyone who has read the information knows how long Shen Zizai's great saphenous vein thrombosis lasts.
Can this be cut open to remove the embolus?!
Everyone was staring at this scene, and the people at the back began to squeeze forward when they saw the change.
The crowd surged silently, with two or three people standing on each step, standing on tiptoe to watch Boss Chai's surgery, just like an Indian military parade.
The hemostatic forceps in Boss Chai's hands seemed alive, no, like a part of Boss Chai's body, and he could use it as he pleased without breaking the rules.
Some thrombi are easy to remove, but some are adhered to the endothelium of the great saphenous vein.
But even the blood clots that were attached did not seem to be a problem for the two of them.
Luo Hao used tweezers to clamp a certain part, and pulled and tugged. The hemostatic forceps in Boss Chai's hand seemed to be freeing intestinal adhesions, and the adhesions were peeled off cleanly.
There is no obvious damage to the blood vessel endothelium, everything is so intact.
None of the experts on the viewing platform could understand Boss Chai's techniques.
The silence in the operating room was like a stone. Shen Zizai was a little scared and asked in a trembling voice, "What are you doing?"
No one answered.
"Hey, what are you doing? Is anyone there?" Shen Zizai was a little panicked.
No one spoke, which meant that something went wrong with the operation. Shen Zizai panicked at the thought of something going wrong.
"Old Shen, sleep well and don't disturb us while we are watching the operation." One person said directly.
"Director, I'm freeing the great saphenous vein thrombosis. Don't worry, it's nothing serious." Luo Hao lowered his head and replied, "The operation has been going well so far. I'll be off the stage in 20 minutes."
Shen Zizhe suddenly realized that it must be Boss Chai showing off his skills, shocking these experts who are immersed in general surgery and vascular department.
But it was just a minor operation for great saphenous vein thrombosis. What did Boss Chai do to make everyone stunned?
"There are three of you squeezed on a footstool. Can you stand steadily? Don't fall on me." Shen Zizai was a little scared.
But no one paid any attention to him and treated his words as nonsense.
Boss Chai did not deliberately speed up the operation, but the blood clot of several dozen centimeters was removed so easily.
It's like - making specimens.
Shen Zizai was like a cadaver teacher, a very used kind. From the beginning of the operation until now, Boss Chai had not even paused during the operation, and it was completed in one go.
Incredible skills.
However, as soon as this thought came to mind, the experts on the viewing platform were stunned.
It’s just the beginning.
The freed great saphenous vein branch is like a tree branch, and the thrombus has been freed to a bifurcation point.
Boss Chai raised his head and squinted at the film viewer opposite him.
After confirming that there was a piece of blood clot in the blood vessel branch in front of him, Boss Chai stretched out his hand.
"Mr. Chai, a sharp knife?" The equipment nurse also began to feel unsure.
She had never seen such a high-level operation. Even though she guessed what Boss Chai wanted to do, she didn't believe it and could only muster up the courage to ask.
"Yeah." Boss Chai nodded and moved his fingers slightly, as if summoning a sharp knife.
The instrument nurse immediately placed the handle of the small sharp knife in Boss Chai's palm.
The branches of the great saphenous vein were dissected and the thrombus was subsequently mobilized.
A bold but unrealistic idea came to everyone's mind - Boss Chai wouldn't want to take out the entire blood clot, which was as big as a tree branch, intact.
No way!
No way! !
The surgery continues.
Everyone's speculation gradually came true.
The branches were taken out piece by piece, intact, including the blood clots in the small branches that also appeared in the surgical field.
Some blood clots are relatively hard and easy to deal with, but some blood clots are obviously newly coagulated and are as soft as tofu and can be broken with a touch.
But no matter what kind of blood clot it is, it looks the same in Boss Chai's hands. His hands seem to have a magical power, a repairing ability.
Some young experts even felt that white light was coming out of Boss Chai's hands, just like the healing spell in the game.
Of course, this is just an illusion, just imagination.
But they would rather believe in supernatural explanations than believe that someone can actually remove the blood clot without damaging it.
Everyone has done similar operations to a greater or lesser extent, and they all know the difficulty involved.
The scene before our eyes is something that experts could never even dream of.
After 9′23″.
A complete "branch" appeared in the operating field. Luo Hao asked for a light blue sterile towel to lay underneath, and then slowly moved the branch onto the sterile towel.
With the light blue background, the branches look clearer, more obvious, and even a little dazzling.
what is this?
This is the embodiment of technology.
A complete thrombus is about 50 cm long and has at least 15 branches. The longest branch is about 12 cm, and the shortest is only 2-3 cm.
Luo Hao held it on the sterile table like a work of art and placed it carefully.
"Be careful not to break it. I need to take a picture later. I haven't seen such a complete blood clot in many years." Luo Hao reminded him, "Make a PPT and show it to the students during class."
"Oh." The instrument nurse said in confusion.
Are the two people performing surgery on the operating table still considered human beings?
She didn't quite understand thrombus removal, but she knew it required extremely advanced technology to do it.
What surprised the instrument nurse was that Professor Luo was able to "transfer" the tree branch-like blood clot to the blue sterile sheet!
It's like magic.
The gazes of the experts on the viewing platform followed the branch, and they looked at it eagerly, probably wanting to take photos to commemorate the event so they could show off to others when they get back and tell others about the magical move they had witnessed today.
"Smallest circular needle, number one thread."
Luo Hao's voice interrupted the silence.
Shouldn't the next step be to remove the great saphenous vein?
Although the surgery performed by Boss Chai might seem like taking off pants to fart, he could have just removed the great saphenous vein and then taken out the blood clot as a souvenir, but no one dared to question the biggest boss in the industry.
Need needlework now?
Professor Luo... No, what is Boss Chai going to do? Are they going to sew up the opened great saphenous vein?
No way, that can’t be!
"two."
The instrument nurse kept her mouth shut and didn't say a word. Professor Luo was very considerate. He knew that the operation was beyond his knowledge, so he would tell her anything she needed.
But what are they going to do?
Continuous mattress suture, soon, everyone present saw this scene.
This suturing method is common in clinical practice and can be applied in many scenarios. Even experts on site can perform continuous mattress suturing using laparoscopic instruments.
It is a common weapon in the doctor's arsenal.
However, after a dozen seconds, the air in the operating room froze.
Boss Chai is performing continuous mattress suture on the endothelium of the great saphenous vein. He is suturing the endothelium!
Starting from the starting point of the dissection site, the vascular endothelium is sutured in a way that looks extremely awkward.
At the same time, Luo Hao was suturing the vascular adventitia!
The father and son, one inside and one outside, were working synchronously. The two men were doing two-way sutures, and their movements were coordinated seamlessly, flowing like water, with an unparalleled beauty.
This surgical procedure had never been used before, and even the surgical experts present had never thought of it.
It is too difficult, so difficult that it cannot be displayed.
Their scalps were tingling, and some experts even felt that the sterile caps on their heads were blown up, making them look like their hair was standing on end.
It's so arrogant!
When the surgery reaches this stage, it is like a miracle.
Experts are aware that if the blood clot in the great saphenous vein is removed, there will be bleeding after suturing, and the probability of even other complications is actually quite high.
Most people only suture the outside and do not use continuous mattress sutures. They sew stitch by stitch.
As for the consequences of postoperative sutures, aren't there anticoagulants?
The best way is continuous mattress suture. Can continuous mattress suture be used to suture the vascular endothelium? You must be kidding.
How big a project would that be?
Not to mention the amount of work involved, after sewing the inner membrane, the outer membrane still needs to be stitched repeatedly, just like patching, and it's extremely ugly.
But the old man and the young boy in front of me seemed like one person. One was suturing the endometrium with great skill, while the other was cooperating closely. They watched all the details of the other's operation, taking care of even the smallest detail, and suturing the outer membrane simultaneously.
This……
stare,
Tongue-tied,
transfixed.
In less than 20 seconds, a section of branch vein was sutured. The father and son shook their hands and held the pliers in their palms as if they were one.
Without even counting down to three, two, one, the father and son pulled the continuous mattress suture thread together with just the right amount of force, and the vein that had just been opened to remove the clot miraculously recovered!
If you don't look carefully, you can't see any trace of the No. 0 line on the vein.
It was as if he had never been injured at all.
The feelings have disappeared, and the operating room is like a small black hole in time and space, absorbing the five senses of the experts on the viewing platform.
In their world, there is only surgery between an old man and a young boy.
The two needle holders barely moved, and any relatively large movements were so slight that they were invisible unless one looked closely.
During this meticulous suturing, one side branch blood vessel after another was sutured, and then the two people lifted it simultaneously, and the blood vessels returned to their original state.
The difficulty here is beyond the comprehension of the experts present.
If the force is too small, it may cause bleeding and blood clots after surgery.
The force is too great and the thin inner and outer membranes of the blood vessels will be torn on the spot, causing bleeding for everyone to see.
Everything is just right.
The side branches and the main trunk were sutured in less than 20 minutes.
But Boss Chai did not step down. Instead, he and Luo Hao checked the bleeding points, used electric cautery to stop the bleeding, and then sewed the skin.
Two people, each on one side, had almost the same movements, with their little fingers hooked around the scissors and held in their palms.
The needle holder holds the corner needle and makes the instrument knot. After that, the thread scissors will "appear" and cut the suture thread.
Up and down, like a mirror movement, there is an indescribable beautiful rhythm.
Very beautiful. Like the sound of nature.
There is no sound, but it sounds like nature's music.
The experts did not expect that watching Boss Chai perform an operation could give them such a strange feeling.
Not to mention thinking about it, they didn't even consider it, they were so immersed in the operation that they couldn't extricate themselves.
This kind of beautiful surgery may only be seen once in a lifetime.
But once was enough. At least everyone present knew that they could not climb that peak, but they had seen it with their own eyes. This was enough.
The needle holders of the old and the young gradually moved closer. After the last stitch, Luo Hao stopped. After Boss Chai finished sewing, Luo Hao cut the suture thread.
"Done." Boss Chai nodded and turned to leave the stage.
The people behind retreated like a tide, and someone almost fell on the footstool, but he used all his limbs and finally failed to block the figure of Boss Chai.
"Be careful. It's not good to sprain your ankle during surgery." Boss Chai said calmly.
"Yes Yes Yes."
"Yes Yes Yes."
"Yes Yes Yes."
The experts on site didn’t know how to describe their feelings, and they couldn’t even ask questions.
All the techniques used by Boss Chai have appeared in textbooks, but his techniques are so perfect that they cannot be described in words.
Just like a top chef, he can cook top-notch dishes using only the most ordinary ingredients.
This is what Boss Chai did, he used the simplest techniques, techniques that even interns were exposed to, and shocked the entire audience.
"Director Shen, it's done." Luo Hao said with a smile, "You only need to take anticoagulants for three days after the operation. Your blood lipids are a bit high, so ask the endocrinologist to help adjust them. Don't be careless, you still have to control your blood lipids."
"Is it done? Was the operation successful?" Shen Zizai asked in a trembling voice.
He was the only person in the operating room who did not see the entire operation, and was also the most worried person.
"Don't worry, the operation was very successful." Luo Hao comforted.
"This operation should be performed at the annual meeting, Old Shen. You're sick at the wrong time. Besides, can't you just stand up for yourself? You're really tactless." Someone was a little dissatisfied and made an opinion.
"..." Shen Zizai almost cried.
You are a patient, a patient. Can you please stop joking around so casually? Can you please show yourself some respect?
Hold on? That's a pulmonary embolism. How can I hold on until the annual meeting?
"Oh, I'm just kidding." Luo Hao put a sterile patch on Shen Zizai, then took off his gloves and surgical gown and threw them into the red trash can.
Taking out his mobile phone from his pocket, Luo Hao started taking pictures.
Kakakka~~
"Director, look." Luo Hao walked to Shen Zizai with his cell phone and showed him the blood clot that had been removed.
"Huh?" Shen Zi was stunned. "Take out a tree branch from my great saphenous vein?!"
"Look at your ignorant look. This is a blood clot. Master Ren Chai's technique is exquisite. He just took it out intact." Someone explained to Shen Zizai with disdain.
"But...how do I take it out?" Shen Zizai asked in surprise.
Even if Shen Zizai thought wildly, he couldn't figure it out. Why?!
How to take it out?
Could it be that Boss Chai can take things from a distance?
Some people tried to explain to Shen Zizai, but usually they stopped talking halfway.
The operation process was like the legendary Cthulhu, indescribable.
Not only is it difficult to describe, but when I think back on it after the operation, the entire process becomes a blur.
A stretcher was pushed in, Luo Hao pulled up the sterile sheet, and together with Chen Yong and others, lifted Shen Zizai onto the stretcher.
"Director, Chen Yong will take you back first. The boss and I will come to see you later."
"Oh." Shen Zizai was already confused. The operation being completed so quickly was still in his imagination, but what was that complete branch?
"Come on, Dr. Luo, go change your clothes and take a look at Director Shen. You can accompany me to pet the cat."
"Boss, it may not be convenient today during the day. The Ice and Snow Festival has opened, and the reserved tickets on the bamboo side have sold thousands of tickets in one day."
"It's okay. I'll drink some tea in the backstage and watch Zhuzi being cute in the backstage." Boss Chai was not picky.
"Okay."
"Buy me a ticket." Boss Chai suddenly said with a little distress.
"Ah?" Luo Hao was also stunned.
"It's too cold here, and my family is worried. I've lived here for more than half a month and had an operation. I'm already satisfied. As a human being, you have to leave some room for yourself."
"Okay, I'll buy it right away." Luo Hao took out his mobile phone, checked the time with Boss Chai, and then placed the order.
He knew very well that Boss Chai's willfulness had a price to pay, so he knew when to stop and test the edge of going berserk, but never overdo it.
The boss's control of the heat is perfect, as delicate as his surgical skills.
"The little conch."
After leaving the operating room, Boss Chai did not call Dr. Luo, but directly called him Xiao Luohao.
"What's wrong, boss?"
"When did your surgical skills improve so quickly? I see that your ambidextrousness is about the same. How did you train?"
"Do twenty push-ups every day."
"roll!"
Chai Laoban didn't intend to ask a specific question, he just felt that Luo Hao's progress was so fast that it was outrageous.
Others saw his superb skills, but only Boss Chai knew that without Luo Hao as his assistant, the operation would still have ended perfectly, but it would not be as miraculous as it is now.
But the more he thought about it, the angrier Boss Chai became about Luo Hao's choice of intervention, and in the end he simply gave up on it.
"Boss, have a meal later." Luo Hao said, "Hadong is very busy now. The canteen has to provide meals for tourists. I'm afraid the lunch won't be very delicious."
"Okay." Boss Chai said calmly, trying not to think about the regrettable past.
Luo Hao took out his cell phone and started making calls. After all, it was already the peak season, and if he didn't make an appointment in advance, he would probably have to wait in line for dozens of people.
"Xiao Luohao, what are your plans for next year?" asked Boss Chai.
"Next year?" Luo Hao thought about it and decided that he should have reported this matter to his boss. Why was his boss still asking?
"I want to apply for the Outstanding Young Scholars Program, but there are some issues with my qualifications. I can only apply based on..."
"It's about the issue of qualifications. Don't worry. I've come up with a solution these days."
"Can you talk first?" Luo Hao bent down and put his ear close to Boss Chai.
"Let's eat and go see the bamboo. The bamboo is much more sensible than you and never causes me any trouble." Boss Chai scolded.
Bamboo, bamboo again, that bastard really knows how to flatter, Luo Hao thought to himself.
But Zhuzi must be very bored these days. He acts cute in the movie and goes to work every day, looking like a regular employee.
But it should be okay. As long as the bamboo can survive this period, it will return to Qinling Mountains and live freely and carefree in the wild.
He also made a piece of armor for Bamboo that connected its chest and abdomen, which compensated for Bamboo's weakness to a certain extent.
It would be great if liquid metal could be mass-produced. Luo Hao felt a little regretful.
But there must be a lot of rare metals in it. As for the formula, Luo Hao felt that even Professor Qi Yuanliang didn't know it, otherwise he wouldn't have security personnel following him around.
I don’t know which is the best, just apply if you need it, Luo Hao can also think positively.
Accompanying Boss Chai to the locker room, followed by a row of experts from the provincial capital.
There can't be so many people at noon. Luo Hao thought about it and bowed slightly, "Everyone, I'll take the boss to Hadong later. The Ice and Snow Festival has opened. Everyone knows it."
Luo Hao laughed it off and made up a reason that was not a reason at all.
Many experts also know and understand.
An expert of Boss Chai's level would definitely not socialize with me. He just wants some quiet time after the surgery and doesn't want to see anyone.
Some people expressed their understanding and expressed their concern for Mr. Chai.
After a few pleasantries, Luo Hao entered the locker room. Boss Chai had already changed his clothes and was humming a little tune.
Luo Hao listened carefully, but he didn't understand what the boss was humming, but it was obvious that the boss was in a good mood.
"Xiao Luohao, I haven't had such a comfortable operation in many years. Are you sure you don't want to go back to Union Hospital?"
"..." Luo Hao was silent.
"Xiao Qian will retire in a few years. By then, you will be exactly 36 years old, in your prime. You have enough experience and can be promoted to director. In a few years, you will definitely be promoted to vice dean, but whether you can be promoted to dean is still to be determined."
"..."
Luo Hao sighed.
The president of Union Hospital is in a fierce fight, and I don't want to get involved.
Principal Wang is so awesome that he lost in the competition for the president of Union Hospital and went to Chaoyang Hospital. This is not about medical skills, but about whether the person behind you is powerful.
What if the two parties are extremely powerful?
If you squeeze yourself in the middle, you will probably be smashed to pieces.
Although Luo Hao has his own opinions, he definitely doesn't want to do that.
"You bastard." Boss Chai saw that Luo Hao didn't say anything, and knew that he disagreed, so he cursed him angrily, but then he remembered that he had to go to Hotong for tea in the afternoon, and watch Zhuzi's cute performance in the backstage, and his mood improved.
"Boss, I will return to the capital in a few years, and you can go to Beidong every day." Luo Hao said with a smile.
That's true.
Boss Chai felt that his boring life had found purpose again.
"When the time comes, you and Danizi will have two children, and I will take care of them for you."
"!!!"
Luo Hao was silent again.
What is going on? The operation went well, so why did the boss go beyond urging marriage and turn to urging childbirth?
I glanced at Shen Zizai and found that everything was fine after the operation.
Luo Hao called all the medical team members, including Qin Chen and Cui Mingyu, and they all went to an iron pot stew restaurant.
"Boss, come and see what we want to eat." Luo Hao pulled Boss Chai to the front desk.
"What's so good about it?" Boss Chai muttered.
Generally, when choosing dishes at the front desk, diners are asked to see if the food is alive and choose the one they like.
But this store is different. There are all kinds of stuffed toys in the front, including fish, turtles, chickens, ducks, geese, cows, sheep, pigs, and so on.
Boss Chai was stunned for a moment, then laughed, "Is this for southern girls? A gentleman should stay away from the kitchen, that's right."
(End of this chapter)
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