roccoschili Page 502
Page 502
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In the conference room, Dr. Miyamoto, with a swollen face and bruised purple, sat aside with the help of his assistant.
The fact that he was beaten by Dr. Huang's students in the locker room was widely known in a short period of time.
Academic disputes are rarely hands-on, and basically disgust each other through professionalism.
The most obvious example is the Schrödinger cat.
Schrödinger used the popular Schrödinger's cat theory to disgust all the big shots in Copenhagen, and there is no way to say that he is wrong.
Even after decades, the double-slit experiment proved the correctness of the Copenhagen school, but the general public still remembers Schrödinger's cat.
But Zhou Congwen actually did it directly...
It's just too rough. Shouldn't the struggle in the medical profession be based on facts?Who knew this fact could be so simple.
Everyone looked at Dr. Miyamoto's face like a pig's head and thought it was funny. If it weren't for the fact that the patient was in danger, big problems would happen at any time, everyone would have burst into laughter by now.
Although Dr. Miyamoto's academic status is high, this is Wellington, and there is not a single Japanese to make a beak.
On the screen, the signal transmitted by the LAN is clear, and after simple debugging, the screen switches to the operating room.
Everyone knows that the surgical team, anesthesia team, and emergency rescue team are ready and are waiting outside the operating room.
If there is a problem with the operation, the world's highest level of emergency first aid will be activated.
Everyone hopes that they never rush in and that Dr. Hwang's surgery will be a success.
However, artificially creating a coronary artery dissection and re-implanting a stent has never been heard of.Although the principle is simple, the operation is not so difficult that the world's top doctors and surgeons feel that there is no chance of winning.
Amidst the anxiety, the hunched figure had already been sterilized, and another young figure rushed into the field of vision and started laying out sterile sheets.
"it's him?"
"Yes, it is said that he is Dr. Huang's new student."
"A new student? Why did you ask him for surgery? We wasted at least nine and a half to ten hours waiting for his arrival!"
In the conference room, discussions about Zhou Congwen kept coming and going.
"Dr. Huang's improved version of the classic crush surgery is performed by this young man."
"It turns out that he is an assistant specially trained by Dr. Huang for interventional heart surgery. No wonder, Dr. Huang is already old, and he is still doing interventional surgery across specialties. It is indeed possible to cooperate with a young man..."
"How is it possible! The Mayo boy made a mistake in diagnosis a few months ago, and you didn't know about the failed operation?"
"It is said that Dr. Huang's student completed the operation, I know this...could it be him?!"
"Yes, this young man did it."
"!!!"
"How is it possible, he is so young."
"Doctor Huang said that he would wait for his students to come. I specifically inquired about it. It was this young man who brought Miyamoto some time ago..." As he spoke, the doctors at the Wellington Hospital glanced at the pig-like Dr. Miyamoto.
"I did a DK-crush operation. He also taught Dr. Miyamoto how the [-] guide wire penetrates the omentum of the double-layer stent."
"!!!"
More exclamation points popped up in the conference room.
In the gossip of people, the tense atmosphere has not been relieved. Although the surgeon has some opinions, what he is going to do is an operation that cannot be completed at all.
Suddenly, everyone shut up at the same time, the operation has already started.
Chapter 0863 incredible operation
"What if the operation fails." Someone murmured as he watched the old man who once stood at the top of cardiothoracic surgery meticulously perform the pre-operation on the screen.
This is a question with no answer.
Perhaps the answer lies outside the operating room, but it's not that simple.
In the face of a situation where general anesthesia is not possible because of an allergy to an unknown anesthetic drug, and even the most powerful surgeon cannot perform the operation, there should not be much that the old man can do.
If the interventional operation fails, the only thing waiting for the patient is a dead end; and this incident will cause a series of uproar.
The conference room was very quiet. Everyone maintained a fixed posture, staring at the screen and watching the old man performing the operation.
The picture in front of me has appeared many times before.
But at that time, he was holding a scalpel and a hemostat in his hand, and conquered the world with the most exquisite techniques.
And more than ten years later, I thought he had already retired to take care of himself.
Unexpectedly, he reappeared in the field of vision of everyone, and what he was operating was a guide wire and a catheter.
Successful catheterization, angiography.
The anterior descending coronary artery was torn, forming an arterial dissection of about 3.5 cm.
This section of arterial dissection is about twice as long as the previous image, and the blood-filled aneurysm is bulging, and the pressure is very high at a glance.
Older people have poorly elastic blood vessels, and as the pressure increases, the risk of rupture suddenly increases.
As for the patient's current situation... the dissection of the coronary artery may spontaneously rupture anytime and anywhere.
Several sighs of surprise, regret, remorse, and sorrow came from the meeting room.
Facts have proved that the patient's condition is getting worse, and it can be said that it is at stake.As for when to return to the embrace of God, it depends on the meaning of the supreme existence in the dark.
Whether this disease can be treated or cured depends on the arrangement of fate.
It is impossible to guarantee risk-free, it is beyond the reach of human beings, and it can only be realized in the realm of gods.
The guide wire in the screen is very stable and is slowly sent into the anterior descending coronary artery.A successful super-selection without redundant operations is extremely exciting in itself.
But everyone's heart was heavy, as if several tons of heavy objects were weighing on them, and they couldn't even breathe smoothly.
What's the point of a super-selection operation no matter how quick it is?
Dr. Miyamoto's face was swollen like a pig's head, his eyes were swollen into slits, and he stared fiercely at the screen.
He watched the operation going on, feeling very tangled.
On the one hand, Dr. Miyamoto hoped that the operation would fail.
Once the operation fails, the arrogant old man and his closed disciple - the arrogant young man will bear the responsibility of the patient's death!
But on the one hand, Dr. Miyamoto also hopes that the operation will be successful.
After all, the damned anterior descending branch dissection aneurysm was caused by his own surgical mistakes. If the patient lying on the operating table died due to a failed operation, he would have to bear certain responsibilities.
Dr. Miyamoto was tangled in his heart, watching the operation, but his focus was not on the operation. He kept thinking about the word responsibility in his heart.
The guide wire was very stable and came to the vicinity of the aneurysm dissection of the anterior descending artery.
The hemodynamics here are particularly odd because of the presence of a thrombus and the presence of a dissecting aneurysm.
Dr. Miyamoto can vaguely see on the screen that the front end of the guide wire is constantly shaking by the force of blood flow.
This kind of "jitter" is very slight, and it may be negligible in ordinary surgery, but for the operation that Dr. Huang and his students are about to complete, this kind of "jitter" is extremely fatal.
Dr. Miyamoto is well aware that the tip of the laser catheter is very thin, less than 2 millimeters.
The intima of the anterior descending artery punctured by the laser catheter is also very thin, and with tearing, it is only about 3 millimeters at most.
To operate a guide wire outside the body through a 3 mm incision, and face extremely complicated hemodynamic interference, similar operations are almost impossible in his opinion.
Unknowingly, Dr. Miyamoto clenched his hands into fists, staring blankly at the scene in front of him.
Can the old man do it? !
One time will definitely not succeed, at least 3 attempts... no, at least 5 attempts, to find the right position, and then the guide wire can be inserted into the aneurysm.
Just like a straddle in a war, there are always two operations as positioning coordinates.
However, the positioning operation is very likely to continue to tear the tear of the anterior descending branch, or even directly penetrate the anterior descending branch, causing acute cardiac tamponade!
Dr. Miyamoto even stopped breathing instinctively, watching the "most critical" step intently.
The guide wire moved forward very slowly in the blood vessel. Huang Lao's operation was delicate, and he tried his best to overcome the various changes brought about by the hemodynamic impact on the guide wire.
It seems like a long time, but it seems like only a blink of an eye, the guide wire inexplicably appeared in the aneurysm.
Dr. Miyamoto stared at the screen in a daze.
He imagined that he would have to try at least 3-5 times to complete the coordinate positioning, and this is already the limit of his imagination.
However, that mountain-like old man didn't "straddle" at all, and hit it directly with one shot.As far as this accuracy is concerned, in the navy, it belongs to the elite of the elite, an invincible existence.
"How did the micro guide wire get in?!"
"Impossible, how did Dr. Huang find the damaged point?"
"Oh my God, what did I see! Why can he see the broken part? How the hell did he do it!"
A series of surprised voices came, and the others also agreed with Dr. Miyamoto that it would take at least 3-5 manipulations of the guide wire to enter smoothly.
As far as this is concerned, as long as the anterior descending artery is not ruptured and the operation fails, it will be considered the smoothest.
However, the surgeon simply manipulated the guide wire, and slowly sent the guide wire into the damaged intima of the anterior descending artery that was damaged by Dr. Miyamoto's misoperation.
It seems that Huang Lao's operation is not difficult at all, everything is so natural, everything is so simple.
However, the better the operation, the better the person knows the skill of the surgeon.
Dr. Miyamoto was rather at a loss.
Is Dr. Huang so powerful in performing pci surgery? !
He thought of the experience he had when he participated in the World Cardiothoracic Surgery Competition more than ten years ago, but bumped into the old man head-on, and his head was broken.
He thought of his experience of bumping into that old man at the annual meeting not long ago.
The difference is that the old man used to do surgery, but now he is doing cardiovascular interventional surgery.
The same sturdy, the same superb, the same incredible.
Dr. Miyamoto stared blankly, still thinking about how Dr. Huang sent the guide wire in, when he suddenly saw a frame, he froze for a moment.
The swollen and bruised eyes suddenly opened wide, and the heart-piercing pain did not stop Dr. Miyamoto from widening his eyes.
At the same time, the discussion in the conference room disappeared.
After a brief silence, there was a suppressed exclamation.
Chapter 0864 miracle - creation out of thin air!
The microguide wire enters the anterior descending artery hemangioma and is still moving slowly.
Soon the micro guide wire reached the front of the hemangioma.
But at this time, the operator did not stop the guide wire, but twisted the guide wire to let it penetrate the inner and outer membranes of the blood vessel and move on!
Is this artificial arterial dissection? !
Everyone can understand the operator's operation, but it just happens to be seen in the eyes, echoed in the mind, and finally turned into a blank.
Few people have seen the process of arterial dissection, even experienced doctors have rarely seen it with their own eyes.
It's one thing to go wrong during surgery, but it takes all sorts of serendipity to witness a dissection.
But in front of him, all the doctors present watched the artificial coronary artery dissection appear, as if a miracle had come!
The guide wire rotates continuously at a slight angle on the screen. It is like a drill trying to drill deep into the inner and outer layers of the coronary artery.
"Electron microscope! Is there an electron microscope! Is the operator using an electron microscope to perform the operation!" A doctor shouted subconsciously.
No one answered his question.
This is surgery, not the study of tissue culture structures or pathological molecules, so how could electron microscopy exist.
The ultimate human surgical operation is at the millimeter level, while what the electron microscope sees is at the nanometer level.
Although no one spoke, everyone else knew what they wanted to see with that roar.
Vascular intima is lined with a single layer of squamous epithelium in the vascular lumen. Electron microscope observation shows that there are sparse cytoplasmic protrusions of different sizes on the luminal surface of endothelial cells.
The surface is covered with a cell coat with a thickness of about 30-60nm, and there are tight junctions, gap junctions and gaps of 10-20nm between adjacent cells.