"It's almost done, the color has begun to change. It is estimated that the pulsation of the mesenteric artery can be felt within a few minutes." Zhou Congwen's words disappeared and he began to talk about his judgment on the patient's condition.

"Ah?" Wen Yuan's mind was full of what Zhou Congwengang said, and he did not notice the changes in the patient's mesenteric artery and vein.

Zhou Congwen said twelve points. Others sounded nagging, but Wenyuan felt very short.

When he listened, he even had an idea that every experience that Zhou Congwen told was worthy of treasure, and it would be great if he could never finish it.

But Professor Wen Yuanwen also knew that this was impossible.

Like an open-air surgery, many big pits can be avoided after dozens or hundreds of years of accumulation, but even now, even the simplest appendectomy, no one is sure that it can be 100% successful.

Wen Yuan's thoughts flashed and immersed in Zhou Congwen's experience just now. What is the seventh article about?

Zhou Congwen was helpless and raised his voice, "Professor Wen, take a look at the intestine!"

"..." Wen Yuan woke up, he took his hand away and glanced at the intestinal duct in the surgery area.

The original color of the purple color has gradually faded, and it seems that the patient's intestinal swelling even seemed to have become lighter in less than half an hour.

"It's done?" Wen Yuan couldn't believe it.

"Of course." Zhou Congwen said lightly, then turned around, "Warm salt water, the temperature is slightly higher, about 45 degrees."

The nurse quickly prepared what Zhou Congwen needed.

Warm salt water gauze hot compress, Wenyuan can see the color of the intestinal tube changes every few minutes when changing the warm salt water gauze.

It represents ischemia, and the color of necrosis is getting lighter and lighter. You can vaguely see the red arteries climbing, full of vitality.

"Let's look at the symbolization. If it is clear, you can remove the duct." Zhou Congwen said with his eyes narrowed.

Wen Yuan was overjoyed.

If it is just a laparotomy and does not involve organ damage, Director Han will communicate with the patient and the family members. Although the hospital still has to pay compensation, the amount of compensation has dropped sharply.

In this way, the pressure you bear can be reduced a lot, and Wen Yuan was overjoyed.

Unlike Wen Yuan's heart of joy, Director Jiang from the Vascular Department frowned.

Then when a large dose of urokinase pump enters, the thrombosis of the mesenteric artery and vein dissolves, but what about the following sequelae?

Does hepatic bleeding require surgery?

Entering the palace in the second palace is a concept. If you enter the palace in the third palace...not to mention how old the patient's family members are, the elderly at such an old age cannot withstand it.

This is drinking poison to quench thirst!

A word appeared in Director Jiang's mind, but the glass of poisonous wine had been drunk, so I wait and see how Zhou Congwen would deal with it.

Maybe it is to suture the liver and stuff it with the omentum.

But the needle eye is so thin, how can the omentum be inserted? Director Jiang kept thinking about it, and whenever he thought of a solution, he quickly denied this method.

The angiography showed that the patient's mesenteric artery and vein had all returned to patency, and all the images of blood vessel branches that were missing due to blood vessel blockage appeared again.

This means that life is full of vitality!

Wen Yuan was ecstatic and his hands were trembling a little.

Zhou Congwen began to withdraw the catheter, and withdrew the guidewire and catheter of the femoral artery. Then he raised his hands in front of his chest, avoided others, and came to Director Jiang's position on the head.

"Prepare the gel sponge." Zhou Congwen said.

"Can't stuff it in," said Director Jiang.

He was a little disappointed with Zhou Congwen's approach and was very disappointed.

The gel sponge is larger in diameter than the large omentum and cannot be inserted into the eye of the puncture needle.

What is Zhou Congwen preparing to do?

If you cover the eye of the puncture needle with a gel sponge, then cut off a large omentum to wrap it, and suture it to fix it... it seems that the bleeding in the liver cannot be stopped.

The hematoma is getting bigger and bigger, compressing the liver, so don’t have necrosis complications!

Director Jiang was even more worried about it.

"If you want contrast agent again, give it to me in the basin." Zhou Congwen did not answer Director Jiang's question, but said to the tour nurse.

Director Jiang was completely confused. He had no idea what Zhou Congwen was going to do.

Contrast agent comes on stage...

All of the things are in the syringe, which are injected into the patient's blood vessels by a high-pressure syringe and then...

He couldn't understand why Zhou Congwen needed contrast agents like he wanted warm salt water.

"blade."

Several things Zhou Congwen needed were delivered to hand soon.

Director Jiang stared at Zhou Congwen's actions in a daze.

He was very curious,

Quite curious,

Very curious,

The unique gossip fire of Shen Lang appeared behind him.

What Zhou Congwen needs must make sense, but what he wants to do!

Soon, Director Jiang saw Zhou Congwen peeling a gel sponge like an apple with a blade.

A little bit of debris fell into the contrast agent in the pot.

"Xiao Zhou, you are..." Director Jiang seemed to have thought of something, but he was not sure, so he asked Zhou Congwen.

"Finally, when the tube is removed through the portal vein, the contrast agent is created inside while removing the tube. There is a gel sponge here, which can quickly block the sinus of the puncture needle." Zhou Congwen said lightly.

“…”

This is the method of the engineering team!

When decorating your own home, this seems to be what the construction master does!

A thought exploded in Director Jiang's mind.

What I thought about before did not exist, what was the suture, what was large omentum, what was compression and stopping bleeding, and it turned into fireworks all over the sky.

All the needles pierced by percutaneous liver are concrete-like substances formed by gel + contrast agent. Is it possible to bleed?

It's impossible. Don't talk about bleeding, even bleeding will not happen.

I'll go... This is a good idea! Director Jiang's hand shook and almost brought out the catheter. He was scared and sweated.

There are many strange tricks for young people.

But Director Jiang glanced at Zhou Congwen and sighed in his heart.

It’s not that they are smart, but that they are doing surgery upright. What they don’t understand is that they are not at the same level.

Zhou Congwen didn't care about Director Jiang's expression and movements. He cut the gel sponge into pieces little by little, stirred the contrast agent with the gel sponge chips, and finally pulled it out with a syringe and handed it to the circuit nurse.

When the duct was removed, just as Zhou Congwen said, the catheter came out of the mesenteric vein and passed the portal vein. When he reached the sinus tract of the liver, he began to inject contrast agent.

Withdrawing out little by little, the sticky contrast agent with gel sponge debris left in the liver puncture sinus tract, filling the sinus tract like concrete.

Awesome!

All Director Jiang's doubts disappeared.

Zhou Congwen's trick is good. Not only can he be used in the surgery in front of him, but can he also use TIPS surgery in the future?

Director Jiang thought to himself.

However, he, the director of the vascular department, always had some problems with TIPS surgery, and he would definitely be subject to the interventional department in the future...
Chapter completed!