On 912, Mao Chi, director of the vascular department, watched the thoracic aortic stent operation performed with double guide wires, fascinated.
He didn't take care of the super-selected part of the microguidewire operation, and it had nothing to do with the vascular department.
However, thoracic aortic stent surgery is a vascular surgery procedure, and the surgeon's performance is described as clean and neat. The operation is actually not difficult, but the surgeon's technique is extremely delicate, and all the subtleties show a level of excellence.
The cell phone rang, interrupting Mao Chi's thoughts.
"Turn off your phone!" Mao Chi roared angrily. It was a very unpleasant thing for his moment of inspiration to be interrupted.
When I think about it again, I don’t know when it happened.
He looked back and saw that it was Su Tianci, the chief resident. Mao Chi glared at Mr. Su fiercely and cursed: "Have you seen the surgery? This is teaching. If you don't turn off your phone, who gave you the courage!"
Su Tianci didn't dare to talk back. He closed the phone in a sullen voice, but after thinking about it, he came to Mao Chi and whispered: "Director, Boss Zheng has returned to Haicheng."
"I don't care who goes where, now you... eh? Who are you talking about?" Mao Chi finally realized what Su Tianci was talking about and asked strangely.
"Boss Zheng, Wang Liang said that he returned to Haicheng last night and has just performed a thrombectomy for Crohn's disease combined with superior mesenteric venous thrombosis." Su Tianci said in a low voice.
Mao Chi looked a little strange.
Superior mesenteric vein thrombosis? This is rare. As for thrombectomy surgery, it can be more or less difficult. Really... How did Boss Zheng perform the surgery in Haicheng? If only I could take a look at 912.
"Alas." Mao Chi sighed.
"Director, what's wrong?" Su Tianci asked.
"It would be nice if I could do the surgery at home. It's always better to go to the viewing platform." Mao Chi said with some regret.
"Well, Wang Liang and I asked for a video of the surgery." Mr. Su didn't mention the previous phone call, so explaining it now seemed like a slap in the director's face.
Just tell things, don't explain.
"Pa~" Mao Chi's slap hit Su Tianci's arm, startling him: "If you don't show the video quickly, you're just wasting your time here!"
Su Tianci smiled bitterly, isn't this a report to you? Director Jin'er didn't know what he was doing. He watched a lower thoracic aortic stent surgery dozens of times and asked everyone to share their thoughts.
Was that made by humans? What’s your experience? Let’s talk about split personality.
Really, he didn't dare to complain and quickly received the video on his mobile phone. The data consumption is very fast, which is a bit distressing.
The operation appears on the projection screen.
Because the surgical process is recorded in the operating room, there are no previous puncture steps, and only the imaging is done.
Portal puncture and angiography showed that there were more than a dozen embolization locations in the patient's superior mesenteric vein.
This operation was difficult to perform, and Mao Chi frowned.
He put himself in the position of the surgeon and lamented the difficulty of this operation.
For blood clots, the fresher they are, the better they can be removed.
But it is also directly related to the size of the thrombus. For example, in the patient's thrombus in front of me, several large hairpins can be removed with confidence. Other small blood clots cannot be removed at all.
However, it will not leave a big impact. As long as the tube is inserted for thrombolysis, and the tube with the thrombolytic agent inside is taken out after 24-48 hours, it will be fine.
This is how the surgery should be done, Mao Chi was sure.
It's just that the skill of the artist is indeed excellent. The operation was not fast, but it was very stable. The thrombectomy device went directly in and took out a large piece of thrombus without hesitation.
Mao Zhi nodded. If it were him, there should be no problem. Well, it should be no problem!
He thought so in his heart, but there was a voice in the deepest part of his heart telling him that if he were to do the operation, he would never be able to remove the large thrombus so cleanly.
At least try 3... No, it should be about 5 times.
The operation continued, still unhurried and frighteningly steady.
Several large clots were removed one after another. The operation was about to end, Mao Chi thought to himself. Now it’s time to insert a catheter for thrombolysis. I don’t know whether the surgeon uses...
Just when he thought of this, Mao Zhi saw the thrombectomy device entering the patient's superior mesenteric vein again.
12″ later, a small thrombus was removed.
It was the same as the previous operation, and it seemed that the size of the thrombus did not affect the surgeon's operation at all.
As the small thrombus was completely removed, Mao Zhi's body became stiff. Mao Chi understood this operation, but he didn't understand it.
The reason why I understood it was because the intention of the operation was very simple. Just like before, it was to remove the thrombus by removing the thrombus.
The reason why I didn’t understand it was because the artist’s intention was too simple and the operation was too difficult. Do you want to remove such a small blood clot? The difficulty is not that great.
No matter how much Mao Chi didn't want to admit it, he still had to face the reality that he couldn't do the thrombectomy operation himself.
It's really scary. I don't know how high the success rate of Boss Zheng's operation of the thrombectomy device is to remove such a small blood clot.
100% successful? That is impossible. There is a fundamental difference between what is shown in the image and what is seen directly with the naked eye. Each vascular circuit and blood flow velocity within the blood vessel will have a considerable impact on thrombectomy.
However, Boss Zheng's level is really very high. It seems that he will have to find a chance to get close when he comes back, Mao Chi thought to himself.
His body seemed a little softer, and he wanted to change his position. As you get older, your waist will feel uncomfortable if you stay in the same position for a long time.
But before he could move, the thrombectomy device coldly entered the superior mesenteric vein again. The tortuous veins did not cause any confusion to the surgeon. The thrombectomy device kept changing directions with subtle manipulations, without even touching the blood vessel wall. It moved forward all the way to a small thrombus.
The thrombectomy device opens, clamps the thrombus, and removes it.
The whole process was so simple that Mao Chi was dumbfounded.
Once might be luck, but twice? There are more than a dozen small blood clots at the back. Can the surgeon remove them all without making mistakes
God knows!
But after watching this operation, Mao Chi had a vague idea in his mind that he couldn't even believe.
It should be possible to remove all the blood clots without any accidents.
The operation continued and the classroom was quiet.
The operator's operations are very simple, there is nothing difficult to understand, they are all the most classic and basic operations in textbooks.
But that being said, among the many doctors who are doing this, no one can dare to say that they can remove the blood clot as smoothly as the surgeon. Even the largest blood clots require several attempts.
Try it a few more times and you might succeed. But the fresher the blood clot is, the softer it is. If the strength is wrong, it will be crushed immediately.
Operating a thrombectomy device that is tens of centimeters long is completely different from manual surgical operations. The less trauma the patient suffers, the more difficult the operation becomes.
This surgery is so inhuman, Su Tianci thought to himself.