Vol 3 Chapter 2499: metallic feel

Latest website: In the song of good luck, Lao He took a mask and put it on the nose and mouth of small stones.
Between the breath, the small stone fell asleep under the influence of the drug.
"Boss Zheng, this child is very sensible." Lao He said looking at the sleeping little stone.
"Well." Zheng Ren nodded. "Anesthesia, ready to pose."
The surgical position of small stones has been previewed many times. Zheng Ren wants to perform a neck tumor resection with intervention and cooperation, which is different from ordinary surgery.
Gao Shaojie and Lin Yuan began to get busy, and Zheng Ren didn't call anyone else, and the whole surgery was prepared for him and Su Yun to complete.
For him at the peak level, the presence of assistants is meaningful, but Su Yun's assistants are needed. And to go through the radial artery for imaging, local application of contrast agent, the operating table can not stand more people.
Lao He was busy, intubating, adjusting the value of the ventilator, and administering medicine.
The Shay people tapped the number of equipment with the circuit nurse. At the beginning, the equipment nurse and the circuit nurse were very resistant to being disturbed by others. Once you have forgotten the count, you have to start over.
When he met a hot-tempered itinerant nurse, he would run away and point at his nose and curse.
Zheng Ren stood quietly in front of the viewer, holding his arm to watch the film for the last time.
After 12′22 ″, Su Yun's voice came: "Boss, don't meet each other, brush your hands on the stage. "
"Um." Zheng Ren nodded and turned to brush his hands.
Positioned well, Zheng Ren went to wear lead clothes, brushed his hands, stood back and stood steadily, without standing at the operating table in the first place.
The airtight lead door was closed, Gao Shaojie had completed the puncture, and Lin Yuan, as an assistant, began to step on the line for super selection.
All he had to do was to indigocyanine green into the local blood vessels.
In 2009, a Toyo scholar Ishizawa discovered that indocyanine green was injected intravenously in patients with liver tumors before surgery. The near-infrared imaging technique can be used to detect the fluorescence of tumor tissues, enabling real-time visualization of tumor lesions during surgery.
Initially indocyanine green was used for diagnostic treatment of liver segments and other liver diseases.
Over time, surgeons have discovered that the extent of tumor tissue can be examined using infrared imaging.
In the following years, surgical treatments for gastric cancer, esophageal cancer, and other cancers marked with indocyanine green under special laparoscopy were rapidly developed in clinical practice.
It is only because molecular targeted fluoroscopy technology has not been promoted by competent people, and many clinicians do not think it is necessary at all, coupled with the need to change surgical habits and apply new instruments, the advancement of this technology has been slow.
Indocyanine green has been the only NIR fluorescence approved for clinical use at present, and has shown initial success in applications such as liver cancer imaging and sentinel lymph node imaging. But because indocyanine green itself does not have tumor targeting, since then, targeted fluorescent molecular probes have begun to enter people's field of vision.
Zheng Ren applied this technique this time to accurately locate the tumor.
And he went further than everyone else!
Normal molecular-targeted fluoroscopy technology is administered intravenously before surgery, and the drug is distributed to the tumor tissue along with blood circulation.
With the help of an infrared fluorescent camera, the tumor tissue is displayed on the screen, allowing the surgeon to have a deeper understanding of the patient's condition.
However, small stones are more severe, and the body is weaker. Peripheral intravenous systemic administration is meaningless, and it must increase the burden on the liver.
Therefore, Zheng Ren directly decided to intervene in the external carotid artery and directly act on the tumor in the operation area to make it develop.
In doing so, fewer doses of the drug are given. And for some insensitive imaging locations, repeated administration and angiography can be performed. The accuracy and repeatability of intravenous administration are much higher.
One operation spans three surgical departments and requires interventional intervention, and only boss Zheng with the interventional treatment group can do so.
He didn't need to coordinate the links between the departments, it was enough to pull Gao Shaojie to the stage with just one sentence.
The intervention started, Zheng Ren squinted and looked at the screen.
Opposite the surgeon is an intervention screen, while another infrared-developed screen hangs above the side of the leg of the small stone.
In this way, both Zheng Ren and Su Yun as assistants can clearly see the tumor tissues under fluorescent imaging.
There are almost all kinds of machines around the entire operating table, such as ventilator, monitor, micro pump, interventional development screen, fluorescent infrared development screen.
Zheng Ren and Su Yun wore microscopes on their heads.
Coupled with the operation box presented by Dr. Charles to Zheng Ren in front of the Shay people, everything made this operation look like an all-metal texture.
This is no longer the operating room of 912, it looks like an operating room from the future.
Zheng Ren watched Gao Shaojie silently and gave a small amount of developer with a high-pressure syringe.
This "simple" operation does not require Zheng Ren to get started.
As soon as Gao Shaojie completed the operation, Zheng Ren walked to the operating table.
He first adjusted the angle of the camera covered by a layer of sterile plastic film and the angle of the shadowless lamp. Then he took a deep breath and reached out his hand gently.
The lancet's handle was then shot in Zheng Ren's palm.
The huge
S
-shaped incision appeared in the operation area along with the winding of the lancet, and the curve was flawless. After cutting, Zheng Ren patted the lancet on the side of the leg of the small stone. Reach out, sterilize gauze and hemostatic pliers in the palm of your hand.
Su Yun held electric burns and hemostatic forceps to help Zheng Ren stop bleeding.
After incision of the skin, the image displayed by the infrared camera on the screen shows green tumor tissue and sentinel lymph nodes that are slightly discolored in infrared light.
Lao He looked at Boss Zheng surrounded by countless machines, and a stunned emotion was born in his heart.
This scene is too dark, and it is not the scene of surgery that Lao He is familiar with.
Somewhat strange, but with a little familiarity in the stranger ~ EbookFREE.me ~ bleeding after cutting the skin edge, hemostatic pliers and electric burn in Su Yun's hand, blunt scissors and hemostatic gauze in the boss's hand.
These have dilute the icy mechanical feeling a little, and look a little more real.
Lao He took a deep breath and bulged his cheeks, so that he would not be shrouded in the sense of science and technology like this heavy metal frenzy.
As long as you are responsible for your own part, it is enough, you must not go wrong!
He put his assistant aside and looked carefully at his own territory-ventilator, monitor, micropump, and so on.
I am only a part of the medical team, self-maintenance, it is enough to not delay the operation of the entire machine, this is the position of Lao He.
As for the central control equipment is Boss Zheng, what he wants to do is only to cooperate as much as possible. As for how to do the operation and how well it will perform, that is what Boss Zheng should consider.
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