Chapter 2687 Alas, Wear a Lead Suit

In the operating room, the patient is placed in prone position. The open appendix incision will definitely suffer somewhat, but it's not a big deal.

It's just that the patient didn't understand what happened and kept asking.

On the DSA machine, Zheng Ren first performed a simple CT. The technical level here is mediocre, but the DSA machine is newly bought, and it also has CT function.

Vertebral body CT showed: the right side of the spinal canal at the thorax 7-12 level saw a strip-like slightly high-density shadow, and the abnormal density shadow seemed to protrude from the body at the thorax 12 plane, and the soft tissue at the posterior edge of the thorax 12 spinous process was swollen.

"Boss, do you think the catheter that fell in is only about 6cm? This is at least 10cm!" Su Yun looked at the video and said contemptuously.

"No, it looks like it's at least 13cm." Zheng Ren pointed to the CT image and said.

Su Yun didn't say anything anymore, but directly drove the operator away, and he sat in front of the console.

"You can't work if you drink alcohol," Zheng Ren said.

"I didn't want to move. You can do it inside alone, as if there is no one outside. I'm just curious, how are you going to take out the broken catheter." Su Yun smiled and said as if no one was there.

"Think of it as a thicker blood vessel." Zheng Ren smiled, and took Gao Shaojie to brush his hands and go on stage.

"Boss Zheng, how do you do the surgery?" Gao Shaojie asked while brushing his hands.

"First do an epidural radiography, then puncture at the original puncture point, insert a trap, and grab the broken catheter out." Zheng Ren said.

Gao Shaojie didn't think too much about it. Although the whole process was probably like this, he had never heard of such an operation.

cheer up! Gao Shaojie encouraged himself to take a closer look.

He sped up his movements, and after brushing his hands, he went to lay down the sterile drapes.

Gao Shaojie reserved two different surgical areas because of the need for radiography. One at the sacrum and one at the site of the continuous epidural puncture.

Xiang Heping watched silently, he couldn't understand everything here. With two surgical areas, why does it feel that the trauma area is bigger than the surgical operation!

"Old Gao, have you had an epidural radiography?" Zheng Ren asked.

"No, Boss Zheng." Gao Shaojie replied honestly.

"Then let me do it." Zheng Ren stood on the operating table in a sterile gown and gloves.

He glanced at the various equipment, and then at Xiang Heping. After 1.25 seconds, Zheng Ren's gaze became serious.

Boss Zheng's eyes gave Xiang Heping a bad look, and no one has talked to him about money until now. Coupled with Director Zhang's persuasion, I also saw extremely professional judgment and operation, and the technicians were all driven away.

Saying that they are liars, Xiang Heping himself doesn't believe it now.

What is Boss Zheng doing looking at him like that? Are you going to yell? It is not uncommon for a professor to become a different person when he is on the operating table.

In an instant, Xiang Heping had countless more psychological scenes, and even outlined many scenes of himself being bullied in the operating room.

"Director Xiang, are you going to watch the operation in the operating room?" Zheng Ren asked.

Xiang Heping nodded blankly.

My old man, can't he watch the surgery himself? It shouldn't be.

"Go and put on a lead jacket." Zheng Ren said with a sigh. The technical level of township hospitals is almost understandable. How come they don't even know about wearing lead clothes in interventional operating rooms.

At this level...it's really hard to describe.

Director Zhang of the Department of Orthopedics, who was also in the operating room to watch the whole process of the operation, almost stuffed his head into his crotch.

It's really embarrassing, now in Boss Zheng's heart, Langshan County Hospital is not doing its job properly.

This old item is really embarrassing to the extreme.

After Zheng Ren finished speaking, seeing Xiang Heping hurriedly put on the lead suit, he ignored him and began to puncture.

After local anesthesia, a 16-gauge epidural puncture needle was used to puncture the sacrococcygeal ligament at 45° to the trunk, and then Zheng Ren's hand changed the angle to 25° and slowly penetrated into the sacral canal.

"Old Gao, you need to be careful here." Zheng Ren said, "Since the subarachnoid space terminates at the second sacral vertebral level, the puncture needle should not exceed the second sacral vertebral level to ensure that it will not penetrate into the subarachnoid space."

Gao Shaojie nodded and made a note of this point.

Zheng Ren then pulled out the needle core, checked for cerebrospinal fluid overflow, inserted the epidural anesthesia catheter into the lumbosacral epidural space, and then withdrew the puncture needle.

"Anesthetic." Zheng Ren said.

After injecting the anesthetic, Zheng Ren observed for 5-10 minutes to make sure that the patient did not have spinal anesthesia and ruled out a penetrating dural injury before proceeding to the next step.

The air-tight lead door was slowly closed, and Zheng Ren started imaging.

Because epidural anesthesia catheters are almost invisible under X-rays, even with contrast agents, it is still quite difficult to find catheters that are a few tenths of a centimeter thick.

"Old Gao, combined with the CT image just now, you can find that there is an abnormal image in the chest 7-12." Zheng Ren explained to Gao Shaojie softly, "The position of the catheter is not close to the wall, so there should be no need to inject air into it."

"Well, Boss Zheng, I can probably find a place." Gao Shaojie said.

"You won't be allowed to do it this time." Zheng Ren walked to the thoracolumbar surgery area and began to puncture.

Gao Shaojie knew that this should be the first time Boss Zheng encountered a similar patient. He has enough understanding of Boss Zheng. Anyway, this young boss is still short in clinical practice at this age.

Although relying on the combination of sufficiently deep theoretical knowledge and virtual operation, I often have the idea of ​​flying immortals, such as the operation in front of me.

But the first operation must be done by himself, trying to avoid all accidents.

With Boss Zheng's guidance, Gao Shaojie has roughly understood the operation process. Whether you can do it yourself depends on the method.

Gao Shaojie still has some confidence in this, at least he should have accumulated more experience after watching Boss Zheng do it once.

The guidewire is advanced, followed by the trap into the epidural space. Gao Shaojie concentrated, holding the end of the guide wire in his hand, staring at the opposite screen.

Should adjust the direction, and then open the trap, Gao Shaojie judged in his heart. This step is the most difficult. If you change yourself, you may have to do more than ten times to successfully capture the broken catheter.

It is easier said than done to hold a catheter with a diameter of 3mm firmly.

Just as the trap was lowered, the intercom rang.

"Director Xiang, someone is looking for you." The voice of the nurse in the operating room came from the intercom.

Gao Shaojie was a little bit annoyed, he was full of energy just now, and his state was almost bursting. He firmly believed that Boss Zheng had successfully captured it once, and he would definitely be able to see more details clearly.

The only annoying thing about surgery is being disturbed, even the elegant Gao Shaojie feels disgusted in his heart.

He gave the "patient's family" Xiang Heping a dissatisfied look, and everything was silent.