Chapter 304 Massive Rewards (4/4 All Order 3500 Plus Update)

Chapter 304 Massive Rewards

Zheng Ren and Su Yun didn't communicate at all, even if it was an unconventional operation like doing brackets on brackets.

Su Yun has gradually gotten used to Zheng Ren's operation mode. As long as there are various surgical techniques, they may appear in the operation.

As a flawless assistant, this kind of thing still needs to be asked?

nonexistent.

After the channel between the portal vein and the hepatic vein is established, the relief of portal hypertension is immediate. The patient's gastric venous bleeding was relieved immediately.

The agitation became much lighter, and the difficulty of the operation dropped immediately.

The entry of the second stent-graft is much smoother than that of the first one. The jugular vein, the upper chamber of the heart, and the hepatic vein follow the guidewire stent-graft to the position of the previous stent-graft.

At this moment, Zheng Ren's movements became lighter and slower. Although it is impossible to determine the location with images due to overlapping images, Zheng Ren estimated the location based on experience.

The bracket stopped, Zheng Ren adjusted the position slightly, and then opened the bracket.

The second bracket, is recyclable. The operation is slightly different from the first bracket, but from Zheng Ren's point of view, the difference is not that big.

At this time, apart from Zheng Ren, even the assistant Su Yun and the professor couldn't judge whether the position of the bracket was suitable or not.

Contrast imaging was performed again, and the contrast agent happily flowed through the stent between the hepatic artery and the portal vein. However, the image of the stent initially appeared, and the overlap was excellent, and there was basically no excessive abduction.

This means that the friction between the stents is maximized, and it is difficult for the stent to be carried away by the blood flow.

The operation was successful!

Zheng Ren then turned off the device and pulled out the guide wire.

【handsome! Really handsome! 】

[Counting the patient's agitation time, it took 1 hour and 54 minutes. This is the shortest TIPS procedure I have ever seen! 】

[People who don't know about the TIPS operation drift away silently. I just feel that the performer has done a very good job and is so powerful. 】

The doctors in the Xinglin Garden began to send bullet screens. Although there is no video in the live broadcast room, it does not prevent everyone from using this place as a chat room to exchange postoperative experiences.

When the guide wire was taken out and Zheng Ren was about to step down, the clear and pleasant sound of the task being completed rang in his ears.

[Main task: The first stage of the jewel in the crown is completed.

Task content: Complete a TIPS operation.

Task reward: Because the TIPS operation is completed for the first time, it is an emergency operation, and the difficulty factor is added to 2. The operation time is 1 hour and 54 minutes, and the operation training time is 149×2×2=596 hours.

In addition, you will get a lucky value +2 reward and two golden treasure boxes, with an experience value of 200,000 points.

Task time: 6 hours, the operation time is 1 hour and 54 minutes, and the balance is 4 hours and 6 minutes. 】

The first stage of the main task, the jewel in the crown, is completed, and the system gives out a lot of experience points and rewards.

Especially the surgical training time, as long as 600 hours!

Equivalent to 25 days.

This is the largest fortune Zheng Ren has accumulated!

Zheng Ren is very happy, does this mean that he can squander once or twice?

Tear off the sterile surgical gown, go to the changing room, put the radiant ray energy conversion lead clothes into the system space, and Zheng Ren returned to the operating room with a smile on his face.

Professor Rudolf Wagner was deep in thought. When he saw Zheng Ren coming back, he shook his head and said, "Zheng, your operation is like a perfect work of art."

"Professor, thank you." Zheng Ren replied with a smile.

The professor sighed lightly, and did not argue with Zheng Ren about this matter.

Director Xia was not the one to intervene, but she didn't really understand the operation. Seeing that Zheng Ren was talking with Professor Rudolf Wagner, what he said seemed to be that the operation was successful, and the operation was very beautiful, so he asked, "Doctor Zheng, the operation was successful?"

"That's right." Zheng Ren said: "Just be careful about complications such as hepatic encephalopathy after the operation. In addition, I left two stents in place. If the hepatic encephalopathy is not serious, you can consider taking out the second stent to expand the hepatic vein and portal area." outflow path between veins."

Director Xia was silent and nodded.

"The patient should return to your place, or go to the ICU?" Zheng Ren asked.

"It's better to go back to us to deal with postoperative complications." Director Xia still gave Zheng Ren an answer with the pride and self-confidence of a senior director.

Zheng Ren didn't care, the surgery was done beautifully, and two stents were placed in place, the outflow tract was a little smaller than 8mm, and the possibility of hepatic encephalopathy was much lower than with a single stent.

You can also go to the gastroenterology department, after all, they are the most professional in dealing with hepatic encephalopathy.

In the operating room, Su Yun had already bandaged the patient, and Chu Yanran and others carried the patient onto the flat car and handed it over to the gastroenterology doctor.

Director Xia followed the flat car and left. Before leaving, she hesitated, but still asked: "Doctor Zheng, I have a patient with decompensated liver cirrhosis and intractable ascites."

"If the patient's family members agree with this risky surgical method, surgical treatment is possible." Zheng Ren smiled.

"Okay." Director Xia was also very straightforward, and left in a hurry.

Zheng Ren estimated that if this patient is relatively stable after the operation, there will be an endless stream of patients who need TIPS in the Department of Gastroenterology in the future.

From an epidemiological point of view, the 1960s was the era of large-scale outbreaks of hepatitis B.

Since the late 1980s, hepatitis B has been basically brought under control. Although it is not eradicated like polio, it does not have the rapid infection momentum of the past.

In other words, those patients who got hepatitis B are now around 60 years old.

If entecavir was not taken orally all year round to control the activity of hepatitis B virus, the same symptoms as the patient mentioned by Director Xia should appear.

Being able to perform TIPS surgery can improve the symptoms of patients with portal hypertension, which will greatly prolong the survival period and quality of life of patients.

No wonder the system has to give itself so many rewards.

Zheng Ren felt that he seemed to have touched some behavior rules of that big pig's hoof in the system.

"Why are you smirking? I think the operation is beautiful too?" Su Yun's voice came to his ears while he was thinking about the system.

"Hehe, the surgery is okay." Zheng Ren casually said.

"There is a newcomer reporting tomorrow, and there is such a big emergency surgery today. You are lucky and invincible." Su Yun said.

Zheng Ren really couldn't think of the relationship between being able to be flexible on duty tomorrow and having the TIPS operation tonight, but he was too lazy to argue with Su Yun, so he just smiled.

Professor Rudolf Wagner came out in a daze, his eyes slightly scattered.

"Ah, I forgot the professor." Su Yun laughed softly, "If I had known that your surgery was so beautiful, I wouldn't have brought the professor here."

Zheng Ren was speechless, thinking to himself, how do I know if I can learn well?

"The professor wouldn't think that he brought me here just to see an operation? Is it really a study tour? If the professor is a little bit of a fool, this matter will be a hurdle that cannot be passed. In the future, in the academic world, no matter what you propose The professor will be the first to stand up against any point of view.”

Su Yun's logic... Zheng Ren thought about it, and it seemed to make sense.