The Surgeon’s Studio

>He had performed this procedure so many times and understood its difficulty intimately, which was why he was flabbergasted.

How many times had he been berated when learning TIPS? How many failures had he encountered? How thrilling had his very first success been?

The professor’s mind was consumed by a series of flashbacks.

Impossible.
This was definitely not Zheng Ren’s first time performing TIPS surgery.

Even with the professor’s current skill, he was unlikely to succeed with the third puncture, especially in an emergency where the patient was vomiting blood.

However, after the third attempt and failure, Zheng Ren had remained as steady as the position of the guide wire.

And the fourth puncture was successful!

Professor Rudolf Wagner fully knew how tremendous that had been.

Zheng’s hands were God’s own.
The man’s sole purpose of existence seemed to be for interventional surgery.

Professor Wagner’s decision to bring Zheng Ren to his research lab in Heidelberg University was further reinforced, rock-solid as the Alps themselves.

Zheng Ren held onto the guide wire while observing the patient’s condition closely.
If the patient had any intense movements due to vomiting in the next second, it would result in the withdrawal of the guide wire…

That would f*ck things up.

Su Yun inserted a 10 mm stent graft along the wire.

They both switched the position of their hands.
So experienced with each other were they that their cooperation was seamless.

The stent was successfully deployed.

Since this was his first actual TIPS surgery and the patient was intermittently vomiting blood, the guide wire could deviate from its position at any time.

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Therefore, Zheng Ren kept the angiography on to observe the wire and stent in real time.

Suddenly, the patient started puking intensely, filling the operating room with a thick scent of blood.

They had to stop inserting the stent.
Zheng Ren and Su Yun carefully held onto the wire, fearing it would be drawn out a few centimeters and cost them the surgery.

Redoing the entire operation was not the issue.

However, if they could not resolve the pressure buildup in the portal vein and gastric varices, the patient would die of massive blood loss.

It was a race against death itself.
Each detail had to be perfectly executed.

Even so, a doctor could only do so much when up against the grim reaper.
Not only did the execution need to be perfect, it had to be swift!

The faster, the better.

The patient finally stopped vomiting after half a minute, seemingly exhausted beyond measure.

Zheng Ren glanced at the man’s vitals on the monitor and abruptly yelled, “Put me through the phone!”

The operating console room was to the right of the first assistant’s position.
Su Yun had only just allowed himself some relief that the patient had stopped vomiting blood with the guide wire’s position still intact.

When he heard Zheng Ren shouting, he instinctively hit the covered button on the intercom to the operating console room.

“Yanran, Yiren, put on lead aprons and come in now.
The patient’s suffering aspiration!” Zheng Ren roared.

Since interventional surgery required exposure to radiation, Zheng Ren preferred not to let the girls in if possible.

However… complications had arisen when he was about to insert the stent.

Due to the intense vomiting, blood had been aspirated into the patient’s airway.

The monitor alarm began blaring loudly.

There was instantaneous scrambling outside the room.

Chief Xia put on a lead apron and entered the operating room with Xie Yiren and Chu Yanran.

Zheng Ren had kept the radiation active since he needed to constantly monitor the position of the guide wire.

When the door opened, there would be a certain amount of radiation let into the operating console room… but not sufficient to cause an effect on the human body.

After all, X-rays travelled in straight lines…

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“Suction!” Chu Yanran called out while she put on sterile gloves.

In an unexpected emergency, not only did everyone move faster, their voices were louder as well.

Almost every word was conveyed by yelling.
It was an overall risk that one’s demands would be buried under another’s anxiety and become overlooked.

Chu Yanran reached her hand into the patient’s mouth and removed the remaining blood clots piece by piece.

Xie Yiren quickly turned on an aspirator and inserted the tube along the corner of the patient’s mouth.

“Not enough,” Chief Xia said loudly, “Pass it to me.”

She snatched the suction tube from Xie Yiren and glanced at Zheng Ren before saying, “I’m going to insert the suction tube from the patient’s nasal cavity.
It might cause agitation.”

“Wait, give me ten seconds!” Zheng Ren said.

A suction tube entering the nasal cavity would induce the patient’s gag reflex, causing coughing and retching.

The recently-inserted guide wire was in a precarious position, like a small boat in danger of being drowned by giant waves at any moment.

Given the patient’s blood pressure was at a dangerous level, Zheng Ren did not have the time for another puncture.

It was a choice between saving the patient from aspiration or blood loss.

Chief Xia looked at Zheng Ren with astonishment and confusion.

The patient was suffocating, but this man wanted to wait for another ten seconds?

Was he that confident in his success within that time?

Success or failure,

Separated by a hair’s breadth.

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