The completion of the operation was not high because Zheng Ren could not operate two guidewire catheters at the same time. No matter how high your level is, even if you reach the peak level, you may not be able to operate two guide wires and catheters at the same time.
If it were an octopus man, it might still be possible.
Zheng Ren is already very satisfied with the 88% completion rate of the operation. With the cooperation of professors, it is estimated that it will reach more than 95%.
Zheng Ren thought about how the surgery should be done and how to do it again in his mind.
Well, that's pretty much it.
This was Zheng Ren's first experience with the surgical training of a dual surgeon. In the past, there were only no assistants in the system operating room, so Zheng Ren also developed the ability to perform operations by himself.
But this time, it was completely different.
There is no point in training again. Zheng Ren has already figured out how to perform the surgery. When it comes to the surgery, success or failure mainly depends on the cooperation of Professor Rudolf Wagner.
Zheng Ren continued to think about the operation process and made corrections and improvements in some small points.
Heidelberg is not big and there are not many cars. Soon we arrived at Heidelberg University Medical Center. Professor Rudolf Wagner, with his fluttering blond hair, was waiting anxiously.
After getting out of the car, Zheng Ren asked directly: "What's going on?"
"Boss, you're finally here." The professor was a little frustrated, "I guess it's been a long time and I'm done."
"..." Zheng Ren was speechless and speechless.
"The patient is a 52-year-old female with a history of hypertension for more than 20 years. She went to an outside hospital for 6 weeks of chest and back pain. The CTA examination showed subacute type 2 aortic dissection from the proximal descending aorta to the bilateral common iliac arteries."
"Tell me the important point." Zheng Ren strode in and said in a deep voice.
The professor quickly led the way and said: "The surgery performed in the community hospital may have a problem with the equipment or the doctor. After the stent was removed, the patient's symptoms were not relieved and worsened after the operation. So another CTA examination was performed , and found that the distal end of the stent had descended into the false lumen of the aorta."
As he said that, Professor Rudolf Wagner turned back angrily and looked at Zheng Ren.
"Everyone is so squirmy, and they are so hairy after surgery. How can you make this kind of mistake?!"
Zheng Ren was stunned for a moment before he understood what the professor meant.
Even Zheng Ren has not spoken this pure Northeastern dialect for many years.
He shook his head and said: "I will watch the film later to see if it can be done. I will tell you after watching it. Has the patient been sent to the operating room?"
"It has been sent and is under general anesthesia." said the professor.
"Do you have any objections?" Zheng Ren asked.
"Everyone is confused as to what opinions they have." Professor Rudolf Wagner said: "If you were not here, you would definitely have tried to go on stage. No one can say whether the operation can be completed. But fortunately you are here, in my heart That’s a shame.”
What the professor said was logical, but Zheng Ren was deaf at the time and didn't listen to a word.
With wind in her footsteps, she came all the way to the operating room.
After changing clothes in a hurry, Professor Rudolf Wagner first showed Zheng Ren the film.
"Rudolf, is he your boss in China?" A fat man, weighing 240 pounds by visual inspection, came over and asked.
It felt like he didn't even need to wear a lead suit for surgery, as his body fat was enough to withstand X-rays.
"Ged, please be respectful." Professor Rudolf Wagner looked at the big fat man displeased and said.
The big fat man's name is Gerd Muller. He is a senior doctor in the interventional department of Heidelberg Medical Center, with a level similar to that of Professor Rudolf Wagner.
The professor said that the person who wanted to hit him with a hemostatic forceps was Professor Gerd Muller.
The relationship between the two does not seem to be harmonious and harmonious. But this can be easily explained. Wherever there are people, there are rivers and lakes, especially for technicians like doctors. Everyone has a competitive spirit.
This is also one of the driving forces behind human progress.
"Your boss looks so young, Rudolf. You didn't come up with new techniques with him, right? It's really surprising." Professor Gerd Muller said in an exaggerated tone.
Zheng Ren didn't notice what was happening around him at all, his focus was on the image.
The film looks a little lighter than the angiography done by myself, which means that the patient's condition is still progressing.
Even if the blood pressure is controlled with drugs to prevent the dissection pressure from being too high, it still cannot contain the spread of the disease.
"Fugui, the two of us need to go through the surgery together." Zheng Ren said while looking at the movie.
Professor Rudolf Wagner did not bother to argue with Professor Gerd Muller. He was stunned for a moment and said quickly: "Boss, for sure. I will be your assistant and I will definitely do it perfectly."
"Not an assistant." Zheng Ren said solemnly, "You are in the normal position of the surgeon, and I will go to the opposite side. The operation will start on both femoral arteries at the same time. It requires good cooperation. You have to pay more attention."
Professor Rudolf Wagner was really stunned this time.
A dual magician
This kind of surgery is not that it has not been done clinically, but it is very rare.
The earliest radical resection of rectal cancer required two surgeons, one to do the abdominal cavity and the other to remove the anal segment.
However, the importance of anal resection and the requirements for the surgeon are very low, and there are no double surgeons.
But this surgery...
When Professor Gerd Muller saw the professor exchanging a few words with the young Hua Xia Yisheng, he was stunned and said, "Is it true that your boss doesn't have any good ideas? You should give it a try as I said."
"Ged, the surgery you are talking about is like a piece of cheese that stinks! My boss proposed that a double surgeon perform this surgery." Professor Rudolf Wagner roared like a lion.
"..." Professor Gerd Muller was also stunned.
Seeing the dispute between the two, Zheng Ren clicked on the film, and the film reader made a "bang bang" sound.
"There are several key points of the operation." Zheng Ren said in a fluent Bavarian accent.
Professor Gerd Müller was in a trance again. Why did Rudolf Wagner's boss speak in extremely proficient German? Regardless of the accent or vocabulary, if you close your eyes and listen, you will never know that he is a Chinese.
"Surgery is very difficult and requires double surgery." Zheng Ren said with certainty: "During the operation, Rudolph will be on the right side and will be carried out according to normal operations. I will be on the left side and put the snare in. At this time , there is the first difficulty in the operation, which is that the 5f catheter needs to pass through the inner membrane between the true and false lumens and enter the snare."
Both professors were dumbfounded.
Is this an operation that humans can do? Without doing anything, just listening to it made Professor Rudolf Wagner want to give up the operation.
"Another difficulty is to use balloon dilation after exchanging the hard guide wire. Don't worry here, I will do it."
After finishing speaking, Zheng Ren put his left hand under his right armpit, supported his chin with his right hand, and said calmly: "The surgery is very simple, don't be afraid."