The Surgeon’s Studio

Chapter 97: 0095 You don’t know the suffering of interventional doctors

Views:

There seems to be no difference between the lead clothes equipped by the system and the lead clothes prepared by the city's first hospital. The colors and styles are almost the same. Zheng Ren couldn't tell the difference even if they were thrown on the lead clothes hanger.

But the system is a big pig with no explanation at all on how to convert radiation energy. It's just a piece of cake. Moreover, there is only one lead suit and no supporting equipment such as lead skirt, lead cap, and eyes.

Leave him alone!

Zheng Ren didn't have time to study, so he put on the lead clothes first and then put on other clothes. At this time, the Chu sisters were quickly giving the patient general anesthesia.

Interventional embolization surgery does not require general anesthesia, but the patient is in a state of shock. Once agitation occurs and the guide wire breaks in the blood vessel... then it will be fun.

Brush your hands, put on sterile surgical gown, end the general anesthesia, and officially start the surgery.

"Have you ever had any interventional surgery?" Zheng Ren asked.

Su Yun changed his clothes and stood next to Zheng Ren, like a shadow. Zheng Ren didn't think he would have such a handsome figure, and always felt very awkward.

"I haven't done it before." Su Yun seemed to smile and narrowed his eyes, which looked very beautiful.

"..." Zheng Ren was speechless.

"After you've done it once, you'll almost understand what it means." Su Yun said seriously.

Damn, you think you are a Saint? As long as I can't kill you, you will become stronger? !

Zheng Ren was speechless, but having an assistant was much better than being alone.

Just treat it as an intern.

The patient's blood pressure was 60/40mmhg. Zheng Ren didn't waste any time talking to Su Yun. He started to take out the puncture kit, opened it and took out the puncture instrument.

Disinfect, puncture, hit the nail on the head.

This is real Kung Fu, which Zheng Ren has accumulated by practicing it hundreds of times on experimental subjects in the system operating room, and practicing it hundreds of times on patients suffering from nitrite poisoning.

Su Yun's eyes suddenly lit up.

If it was a small probability event that Zheng Ren hit the nail on the head during the previous operation on a patient with placental abruption, then this time he hit the nail on the head again, and the implications are worth pondering.

With such a low blood pressure, he could still succeed in one attempt. It can only be said that Zheng Ren’s level is very high.

Although Su Yun has a mean mouth, his eyesight is as good as his appearance.

"Microguidewire." Zheng Ren held onto the arterial sheath and stretched out his hand.

Before he finished speaking, a micro guidewire was handed to his hand.

Zheng Ren was stunned. This guy can do it. He has never had an operation before and he actually knows what he wants to do next.

This cooperation is as skillful as Xie Yi's cooperation with himself in surgical operations.

Xie Yiren got it after working as an instrument nurse in the operating room for several years. How did this hateful guy do it? Is it true that he will know it after just reading it once, as he said

Gee, what a genius.

While Zheng Ren was thinking about it, the movement of his hand did not stop. The microguidewire followed the arterial sheath and entered the femoral artery.

In the Xinglin Garden, in the live broadcast room, barrages were flying around.

Just now, I was undergoing splenectomy and liver repair, but now I am starting to undergo interventional embolization for pelvic fractures? Which hospital does this official account belong to

Don't lie, my teacher called Xinglinyuan and said that the source of the signal transmission was at the Montreal Medical Center in Canada.

Huh? Is it actually the hometown of Bethune? Could it be that Mr. Bethune is hosting a live broadcast to teach everyone how to perform surgery

Under the induction of mysterious power, things have been distorted beyond their appearance.

But no matter who is doing the surgery, whether it is a foreigner or a Chinese, whether it is a public hospital or a private hospital, the technical level of the surgeon or the surgeons is first-rate, and no one can deny this.

Nowadays, everyone believes that different people are performing different surgeries, so the idea that the video is from Canada is recognized by many people.

Is there anyone in the interventional department who can tell me about this surgery

Yeah, I can't understand it at all. But I have encountered a case of such a patient. Our hospital does not have an interventional department. After explaining to the family members and signing for the operation, as soon as the retroperitoneum was opened, blood spurted out all over the room. There is no rule of law at all...

Thank you! Interventional embolization of pelvic fractures mainly targets bleeding from the two large blood vessels, the internal iliac and external iliac vessels. In case of venous injury, the veins will close under the high pressure of retroperitoneal hematoma, and the amount of bleeding will not be very large. But the internal iliac and external iliac arteries are different. Simply put, the internal iliac blood vessels can be completely embolized without causing ischemic symptoms in the body...

The person who pretended to answer the question was an interventionalist from a third-tier city.

He was troubled because few people knew the use of the interventional techniques he had learned except for stent applications in circulatory departments.

Since the interventional surgery for placental abruption was broadcast live in the last live broadcast room, he watched it many times and finally felt confident that his level seemed to be comparable to that of this legendary expert.

Even if there is a gap... it's not that big.

This conclusion gave him unlimited confidence, and he had been looking forward to Daniel's live broadcast of interventional surgery again.

Being an interventionalist is lonely.

Because even in my own hospital, 95% of people still don’t understand interventional surgery, let alone ordinary people.

So he comes to Xinglin Garden and the live broadcast room every day just to wait for this opportunity to stand in front of thousands of doctors and learn about interventional surgery.

Why? If such a large blood vessel is tied, there will be no ischemia

Go back and read an anatomy book and take a closer look at how many arterial branches there are near the internal iliac artery. But the external iliac artery is different. If it is directly embolized, it will cause occlusion of the femoral artery, causing symptoms in the body, and in severe cases, it can lead to necrosis of the lower limbs. Therefore, the difficulty of the operation lies in the superselection of the external iliac artery.

I probably understand, but how difficult is this surgery

I have done more than 20 sets and it takes four hours on average. You don’t understand the suffering of interventionalists.

In Xinglin Garden, the interventionalist from a third-tier city was popularizing the most basic common sense knowledge. An image appeared on the live broadcast. The super-selected micro guidewire was in place. The microcatheter was then inserted. A spring coil directly closed the internal iliac artery. Lose.

The surgery was done faster than you said.

It's such a quick operation, the respondent admires it.

Of course I admire it, but I have said that the difficulty of this kind of surgery is not the embolization of the internal iliac artery, but the super-selection of the external iliac artery.

On the digital screen behind the barrage, a microguidewire has begun to superselect the external iliac artery.

The microguidewire is very soft and thin, and it is extremely difficult to enter a blood vessel branch that is not much thicker than it.

For example, it is very difficult to hit a table tennis ball two meters away with a whip in your hand. The difficulty of blood vessel super selection is more than ten times that of the example just given, so we can have a general understanding.

See, now it starts to get really difficult.

The interventionalist began to introduce. Not to mention Xinglinyuan, the interventional department is a rare department even across the country. In third-tier cities, there is usually only one hospital with an interventional department, and there are three or five doctors engaged in interventional surgery.

In second-tier cities, there may be two hospitals with interventional departments, but definitely not many.

Otherwise, a large number of liver cancer patients would flow into the Shanghai Hepatobiliary Hospital in Shanghai every year to receive interventional treatment that only takes fifteen minutes.

For truly super-selective treatment of liver cancer, fifteen minutes is simply not enough. It takes almost the same amount of time to perform an imaging procedure.

But there are many patients and few doctors, so we can only do this if we have too many carrots and don't wash away the mud.

In the Xinglin Garden, the interventionalist who usually had no chance to speak finally had a chance to show off what he had learned, and he started talking nonstop.

It is not enough to super-select level 2 blood vessels. In order to avoid negative damage as much as possible, it is best to reach level 4 blood vessels. That’s why every pelvic fracture embolization and hemostasis surgery takes so long.

The interventionalist stared at the buttons on his phone and typed out what he wanted to say word by word, feeling extremely happy.

Finally one day, everyone can know the benefits of interventional surgery. Although he is not the one live broadcasting the surgery, he is still very happy.

More importantly, he was able to teach thousands of doctors about pelvic fracture embolization treatment. This euphoric feeling made him ecstatic.

My eyes are a little dazzled because I have been staring at the screen of my mobile phone.

On the digital image behind the bullet screen... Why is it that the fourth-order branch of the super-selected deep circumflex iliac artery has ended and angiography has started

No, he must have been dazzled. The interventionalist shook his head and blinked hard. Looking carefully, while I was typing, the super-selection of one branch of the deep circumflex iliac artery had been completed, the bleeding point was found, and the surgeon was embolizing it.

sky! Do you want it to be so fast? Three Seconds of Real Man, right