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Page 481
"Good boss." Director Deng asked for warm salt water and began to rinse, and the two operations were carried out in parallel.
Whether it is Deng Ming or Zhou Congwen, they have cooperated with their boss many times in similar operations. The biggest difficulty of the operation is not the implantation of stents.
Although the blood vessels that have just been anastomosed are almost broken at the touch of a touch, but in the hands of the master and apprentice, this is not a big deal.
Angiography, microguide wire superselection, and drug-eluting stents were sent in.
This is the benefit of implanting a stent under direct vision, which is fundamentally different from seeing the position of the stent on images in internal medicine.
In contrast, immediate stent implantation is an operation of another dimension.
Before arriving at the position, Zhou Congwen and Deng Ming stretched out their hands almost at the same time to gently tap on the anastomosis, and cooperated with the boss to lower the bracket.
Because the incision was very small, the hands of the two touched together.
Deng Ming glanced at Zhou Congwen suspiciously.
"Director Deng, come here then." Zhou Congwen smiled.
"I have a strange feeling, or an illusion. I always think that you and the boss have cooperated in many operations." Deng Ming shook his head, reached into the operation area, and gently placed it on the anastomosis.
"Hehe, this is talent." Zhou Congwen said without shame.
In fact, he is also very envious of this kind of talent, but it is a pity that the system does not have this kind of talent reward. Everything was ground out by hundreds of surgeries in the previous life and the boss.
Zhou Congwen withdrew his hand and turned his head to look at the screen behind him. The moment the drug-eluting stent stopped at its position, Deng Ming raised his hand to signal that the boss had reached the best position.
Immediately the boss began to open the brackets.
The stent expanded, and Deng Ming's gesture and Huang Lao's stop movement appeared almost simultaneously.
"The operation is okay." Huang Lao said lightly, "The next step is to see how effective the drug-eluting stent can be."
The radiography showed that the three coronary arteries were completely unblocked, the blocked river was rushing again, and the infinite vitality was surging forward.
The operation was successful.
Chapter 0826
In the operating room, almost everyone did not have the joy of a successful operation.
Only the technician happily turned on the intercom and communicated with it, asking what kind of picture he needed.
The technician was looking forward to finishing the operation early and resting early. As for how difficult the operation was and how exquisite the operation was, he didn't care too much.
While the other people in the operation room watched the operation end, they all kept silent and thought about each other.
Before the operation, everyone wondered how long the operation would take and how difficult it was, but it was really unimaginable that such an extremely difficult operation was completed so calmly.
Director Miao lay on the flat car and looked sideways at the screen. This was the first time he had seen a one-stop operation.
He also had a vascular bypass surgery, and then 4-7 days later he had a split-station surgery for the stent.
The difference between sub-station and one-stop is not the same.
Among them, Director Miao probably knows the various difficulties that test the tacit cooperation of a team.He just wanted to take a look, but never expected to see such a scene.
The one-stop surgery dealt a blow to his mind far more than Huang Lao's new DK-crush surgery at the annual meeting of the Department of Cardiovascular Medicine.
After all, no matter how high-end an interventional surgery is, Director Miao just laments that Mr. Huang is so talented that he can ignore the restrictions of age and technical barriers and make great progress.
But he can fully understand the one-stop operation, but he can't understand it.
Between knowing and not knowing, Director Miao's admiration for Huang Lao has unknowingly turned into worship.
The technical level is one aspect, and what surprised Director Miao even more was the teamwork.
The old saying goes well - surgery is not done alone.
Even if Mr. Huang is awesome, Director Miao admits this, but he is definitely not able to complete an extremely complicated operation by himself.
This one-stop surgery is extremely beautiful, delicate, and cooperates tacitly, just like a precision machine tool, the gears are tightly meshed, there is not even a trace of sound, and the friction force has been reduced to the minimum.
It proves one thing - the team formed by Huang Lao and Zhou Congwen has taken shape.
Director Miao also wanted to have a similar team, and even tried to build it, but in the end it failed.
Everyone has their own ideas, and it takes a lot of effort to bring together a bunch of irrelevant people and polish them into a team, but Director Miao can't do that.
But Mr. Huang...
Just dragging a closed disciple in a place where the birds don't shit, they can cooperate perfectly and have a tacit understanding.
This ability made Director Miao feel ashamed.
Zhang You was also silent, his eyes were like candles in the wind, flickering at the angiographic image on the screen.
Zhang You always thought the World Surgery Competition was a gimmick, a platform for a master surgeon to show off his superb surgical skills.
He is very interested in Zhou Congwen's participation in the World Surgery Competition, but he believes that although Zhou Congwen's level is high, it is limited to the province, and the highest level does not exceed the domestic level.
Beating the Mayo Boy was just an accident.
But the one-stop operation took 1 hour, 22 minutes and 12 seconds to complete, and it was like a heavy hammer hitting Zhang You's heart viciously.
Zhang You is also the chief director. He has done hundreds of heart bypass surgeries, and he can see the advantages of one-stop surgeries.
Compared with the surgery in front of me, all the bridges I have done before can be said to be rubbish!
Zhang You used to think that it was enough to participate in the World Surgery Competition and win the winning prize. As long as he had a false name, his status in the world could be improved a little bit.
But after watching the operation, Zhang You suddenly realized that what Zhou Congwen wanted to do was not only to participate in the competition, to show his style and level, but also to win the championship!
This kind of operation can't win the championship, Zhang You really can't think of anyone who can do it better!
Elderly patients, taking medicines on time after one-stop surgery, the transplanted blood vessels can guarantee at least 10-15 years of use.
After that, the patients were in their 80s and nearly 90 years old, and the vast majority of them would not survive this age.
The difficulty, value, and significance of the operation were right in front of him, and Zhang You was dazzled by it.
But what he thinks more about is the number one in the world.
If he participates in the operation, even if it is only Sansuke, he can stand in the position of Xiao Kai or Shen Lang. Will he be more confident when bragging in the future? !
Zhang You's eyes are complicated and flickering, and his thoughts are turning back and forth.
Yuan Qingyao has been standing in the corner, silently watching this unexpected operation.
Born in a prestigious school, he could have stayed in Cleveland with sharp eyes, and he knew more than Zhang You and Director Miao.
Not a technical understanding, but a comparison.
Cleveland's heart disease treatment center ranks among the top three in the world, but Yuan Qingyao has never seen a similar operation in Cleveland.
Compared with the one-stop surgery in front of me, the best surgery over there is a light-year behind.
Surgical shock is very small, even for elderly patients, the ventilator-assisted breathing time after operation is estimated to be very short, generally speaking, extubation can be done within 4 hours.
As for Brother Zhou Congwen Zhou's statement that the patient would be able to get out of the ICU early in the morning, Yuan Qingyao didn't have the slightest doubt about it.
How much trauma can a 6 or 7 cm surgical incision cause?The 1.5cm incision under the xiphoid process can be ignored as a drainage port.
One-lung ventilation was interrupted during the operation, and most of the time was double-lung ventilation, plus two arterial bridges and a vein bridge with a drug-eluting stent to continuously deliver fresh blood...
The smooth recovery of the patient was expected.
He wanted to work harder, Yuan Qingyao clenched his fists unconsciously, squinted his eyes and looked at Zhou Congwen's figure inside through the leaded glass.
I can't go home today, so I have to stay in the ICU to see the patient with Brother Zhou.
The saying that [-] points for surgery and [-] points for nursing is correct to some extent. Postoperative care can provide a lot of feedback and improve surgery.
Although Yuan Qingyao saw the operation as impeccable, he still wanted to follow the whole process without missing any details.
Unexpectedly, when she returned to China, she saw a super-difficult operation that crushed previous operations, Yuan Qingyao was silent about this.
Chen Houkun was a little emotional, but also a little lucky.
Originally, he always wanted to engage in cardiothoracic surgery, bypass surgery and heart surgery.
In the Second Hospital of Medical University, Chen Houkun's level can be said to be first-class.But it never occurred to him that coronary artery bypass surgery could do that.
The strangeness of life encounters can be seen.
Invited by Wang Chengfa to have an operation, Chen Houkun just wanted to earn some flying knives to support his family.
But meeting Zhou Congwen fundamentally changed his whole life.
"Ready to send the patient, call the ICU to prepare the bed." Zhou Congwen's voice came from the intercom, interrupting everyone's thoughts, "The ICU is ready, go to someone to ask for an elevator, and take the patient away."
The operation was completed, and it was done without any surprises. The only disturbance was that Director Miao sprained his waist.
Mixed flavors.
Chapter 0827 amphetamine, so I smell
"Boss, go and have a rest." Zhou Congwen said to his boss in a good mood after hearing the pleasant sound of "Ding Dong~".
"Hmm." Mr. Huang tore off the sterile suit and the lead coat, and Zhou Congwen immediately took it, leaving only Deng Ming who had just stretched out his hand fluttering in the wind.
"I'm going to the ICU to take care of you today, so I won't have dinner with you." Zhou Congwen said, "I will call you anytime if there is anything wrong. If there is no accident, we will go to the ward round tomorrow morning and walk out of the ICU with the patient."
"Call me anytime if you have any questions." Huang Lao confirmed it himself.
Zhou Congwen smiled and watched his boss leave.
Deng Ming took a deep look at Zhou Congwen, and followed his boss to change clothes.
Seeing the boss leave, Zhou Congwen relaxed.
The operation seemed to be uneventful, and Zhou Congwen had done it many times, but the feeling of one-stop surgery in this life is a little different.
It may be that the equipment is made by the boss, and the feeling of using it is still different from the standard products.
To be honest, the current products are not as good as the previous standard products, but Zhou Congwen feels very happy.
The caller carried the patient onto the flat car, and waited for the ICU to call to inform that the patient could be sent. The flat car drove all the way, and it took only 3 minutes to arrive at the ICU and put the patient on a ventilator.
Huang Lao came to the ICU to check the patient's postoperative condition, and everything was fine. He took the trouble to tell Zhou Congwen some precautions before leaving with his hands back.
Zhou Congwen directly pulled over a chair and sat beside the patient's bed, crossing his legs to look at various values of the ventilator, monitor, and micropump.
The surgery was done well, and Zhou Congwen had a solid understanding of the patient's postoperative recovery.
But after all, it is the first one-stop surgery after rebirth, Zhou Congwen needs to be safe, so he sits firmly by the bed to take care of it.
The others were driven away by Zhou Congwen, only Yuan Qingyao insisted on staying.
"Qingyao, you haven't seen a similar operation in Cleveland, are you particularly interested?" Zhou Congwen didn't force it, and handed the medical record paper on his lap to Yuan Qingyao for him to record, and asked casually.
"Well, I haven't seen it before. And I never thought that there would be a similar technique, it's simply amazing." Yuan Qingyao couldn't suppress his excitement, which was revealed in his words.
"It's okay, just get used to it." Zhou Congwen said lightly, "Want to learn? I'll teach you."
"Think!" Yuan Qingyao said immediately without thinking, but after he finished speaking, he suddenly paused and frowned in embarrassment.
"Is it because there are too many surgeries to be done and you don't have time?" Zhou Congwen smiled.
Yuan Qingyao sighed, recorded the first set of values, and nodded slightly.
"Mastering thoracoscopy is actually enough." Zhou Congwen said, "You can't chew too much."
"What about you?" Yuan Qingyao asked a little unconvinced.
Zhou Congwen looked at Yuan Qingyao and said softly, "Amphetamines, so I heard."
"..."
Yuan Qingyao was taken aback.
What amphetamines, so I smell?
This is how I heard these four words, Yuan Qingyao knew that it was the last of the four questions asked by disciple Ananda before the Buddha came to Nirvana.
And amphetamine is even more familiar. It was originally a medicine for treating mental illness, but soldiers on the front lines of various countries took it during World War II... ummm, Yuan Qingyao knew the attitude towards methamphetamine in China.
Putting these two unrelated words together, Yuan Qingyao was in a daze for a moment.
Zhou Congwen grinned and smiled silently.
This kid Yuan Qingyao is really honest, amphetamine, so I heard that this sentence is a homophonic stalk made up by later generations, but I didn't expect him to think about it carefully.
"Just kidding." Zhou Congwen said, "Don't compare me, I mean it, I don't mean to underestimate you."
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