Chapter 305 It’s really the wrong time!

To be able to say this kind of thing from Lu Cheng's mouth makes him look special and extraordinarily unprofessional.

Not to mention that the cost of opening an additional catheter during the entire operation is simply a piece of cake. In fact, there is no need to open an additional catheter at all. The instruments for thrombectomy in vascular surgery only have the catheter to pull it out.

In addition to the method, there is also a device that can suck out the thrombus through a catheter.

That is, as long as the location of the thrombus can be found, and then part of the blood and thrombus are sucked away through negative pressure, there is no need to slowly pull it out.

However, this method is not suitable for the presence of a large number of thrombus, but only for the presence of a single thrombus, so Yin Yu and others did not propose it to Lu Cheng before.

After all, even if Lu Cheng is not from vascular surgery, he can do so well in single-handed thrombectomy, but he still needs to know some of the thrombectomy instruments in vascular surgery, right? But Lu Cheng really doesn't know much about it.

I understand, so I spoke in layman’s terms, and the questions I asked were quite painful.

But in fact, people like Yin Yu really wronged Lu Cheng.

Lu Cheng's first exposure to vascular surgery was at the Changshi First People's Hospital. Although the Changshi First People's Hospital is the best hospital in the prefecture-level city, the equipment is really lacking, and many things are not available.

Qin Yuanwu and the others never mentioned this matter to Lu Cheng. The catheter they used was the simplest catheter thrombectomy technique used by Lu Cheng.

It is orthopedics, so he will naturally devote himself wholeheartedly to the study of orthopedics.

Medical students or doctors should get started first, become proficient first, and then go on to gain extensive knowledge. Otherwise, Fang Nixin is a very good example. She knows everything and can do anything, but when she wants to become proficient, it will be more difficult.

Yes, it still takes a lot of time.

However, it will be different if you reach a considerable height in a skill and then try to learn by analogy.

Just like Professor Min Hongmin, if you ask him to learn general surgery, as long as the number of patients is enough, he really doesn't need to spend too much time, but there is no need to change careers.

Therefore, after hearing Lu Cheng's question, Yin Yu did not blame Lu Cheng for being deliberately arrogant. She could only say that his talent was too good and it was not intentional.

He explained: "Xiao Lu, it actually doesn't matter. Our vascular surgery equipment is also very advanced at present. In addition to this simplest and simple catheter, there is also an AngioJet thrombus aspiration system."

Lu Cheng is a talented person in vascular surgery, and a rare top talent, so Yin Yu doesn't mind giving Lu Cheng some basic knowledge of vascular surgery to avoid making such a joke again. What if Lu Cheng changes his mind and switches to vascular surgery?

Where is it?

"The AngioJet thrombus aspiration system can use rheology to aspirate the thrombus after jumping over the distal end of the thrombus without causing too much blood loss. It is very suitable for use in acute, single, or

Multiple simple thrombi. It can be applied to both arteries and veins."

"After all, you also know that many vein segments have venous valves, so when using catheter thrombectomy, the practicality is relatively narrow, which also gave birth to the existence of this suction system. If there is a demand, there will be a market.

Under such circumstances, something new will appear.”

"Tour, open an AngioJet!"

The circulating nurse knew very well. This was a nurse from the vascular surgery department specially called. She almost couldn't hold back her laughter when she heard Lu Cheng's speech before, but considering that the surgeries Lu Cheng had completed before were something that even Yin Yu could not complete.

I had surgery, so I had to save face, so I didn’t laugh.

She immediately went to the instrument cart prepared next to the operating table and found the AngioJet thrombus aspiration system, and confirmed: "AngioJet thrombus aspiration system, come on stage!"

The handwashing nurse took it and connected the most basic parts before handing it over to Yin Yu.

Yin Yu then handed the external connection of the suction system to the circulating nurse and connected it to the special pump rack. Then she connected the waste liquid bag, saline and waste liquid pipeline...

After all the preparations have been done.

Yin Yu asked: "Xiao Lu, can you put this suction catheter in now?"

Lu Cheng continued to enter the cannula of the catheter and said, "Teacher Yin, wait a moment!"

There was no change in his expression. In fact, I felt a little embarrassed inside, but I didn't show it in particular.

Yin Yu paused her movements, while Lu Cheng went around and around several times, but it seemed that he couldn't place the tip of the catheter in the right place.

Yin Yu frowned slightly, but did not urge her.

Lu Cheng is not omnipotent. He is already very good at performing surgeries to this level. It is a taboo to work slowly and carefully, and to urge the surgeon to speed up the pace of surgery. Except for a few weirdos, there are basically no such cases.

people.

After about three minutes, Lu Cheng finally felt happy and said, "Teacher Yin, you can put it in. After I pull out the inner catheter, you can put the suction catheter in."

"Okay, okay! No problem."

While Yin Yu was placing it, a visual field appeared on the display screen instantly as the catheter was being placed. However, it was only when it had just entered the femoral artery, so everything was a relatively common picture.

Follow the guide wire and slowly go deeper, cross the bifurcation of the common iliac artery, and reach the internal iliac artery.

Immediately afterwards, Yin Yu discovered something was wrong, paused the action of entering the catheter, and then said in shock: "Xiao Lu, this patient's internal pudendal artery? Is there a mutation? Do we still need to continue sending it?"

Because Yin Yu discovered that the catheter did not go directly to the anterior and posterior trunks of the internal iliac artery, but bypassed the inferior gluteal artery.

In this case, there are only two possibilities. One is that Lu Cheng entered the wrong place, and the other is that Lu Cheng actually sent the guide wire in even though the blood vessel had mutated.

What the hell?

Is it a human?

Hearing Yin Yu's words, everyone turned their attention to the display screen, where they saw the direction of the guide wire, which was the direction and shape of the inferior gluteal artery.

"Send it off, Teacher Yin." Lu Cheng nodded and said.

Yin Yu almost burst into tears when she heard Lu Cheng's affirmative reply.

Let me fuck your sister!

What you are doing is a little too much, isn't it? Can you penetrate mutated blood vessels? Please explain to me again, what theory do you follow?

If the difficulty of blindly entering the internal pudendal artery is 10, then in the event of a mutation, the difficulty of entering again is at least 1000!

This is no joke, it's an exponential increase because you can't tell where the internal pudendal artery is.

Moreover, this was not shown in the previous angiography marks. Because the opening of the internal pudendal artery may be blocked by the inferior gluteal artery and the internal iliac artery, I mistakenly thought it was only the internal iliac artery.

.

Angiography is a front-to-back plan view, so it is easy to overlap, and ordinary plain films cannot see the overlap.

This blind turn, you can also find the precise position???

Yin Yu understood why Lu Cheng looked so embarrassed before. It turned out that Lu Cheng was blocked here.

It’s not the difficulty of the operation itself, but the variation in the patient’s blood vessels that makes the operation at least ten times more difficult!

However, this was obviously not the time to ask Lu Cheng what he was doing. He needed to determine as soon as possible whether what Lu Cheng said he could do was true.

Continuing to dig deeper, I saw that after the inferior gluteal artery branched off, there was a branch just in front of the bifurcation that should not exist!

That’s right, this is the entrance to the internal pudendal artery, there’s nothing to say!

Lu Cheng actually found the entrance.

Then he went deeper and saw the thrombus, and the guide wire was just in front of the distal end of the thrombus, just enough for his suction catheter to enter.

The moment they saw the existence of this blood clot, everyone's scalp started to feel numb.

In fact, the main reason why Lu Cheng was asked to come down was to let Lu Cheng operate the thrombus in the blood vessel of his upper arm. This was just a case of thrombus in the internal pudendal artery. Since Lu Cheng had come down, they wanted to see if the internal pudendal artery could be treated.

The blind exercise also prepared Lu Cheng for his next operation.

The next surgery is plaque. This suction system is not suitable for the presence of plaque because it can easily become unsuctioned.

Therefore, in fact, their plan was that even if Lu Cheng did not perform the surgery on the internal pudendal artery, Yin Yu could handle it by herself.

Who would have thought that this would allow them to see another limit of Lu Cheng!

Will this make my scalp less numb?

The suction process was not complicated, but even though Yin Yu tried to comfort herself by saying, "Don't be nervous, don't be nervous," your hands could not help but tremble slightly during the operation.

There is no way, Lu Cheng is so inappropriate that Yin Yu can't even understand who Lu Cheng is. Even though he has been exposed to games, he feels that Lu Cheng is open.

But is there a limit to how it can be opened? In reality, if you can achieve whosyourdaddy in a single player, how can others play it?

"Sorry, I'm a little nervous, let's try again." When he turned on the pump for the first time, he almost lost his grip. Yin Yu was so frightened that he quickly turned off the switch. If a blood vessel was ruptured, he would have to call someone.

Open the abdomen downward to stop the bleeding.

…

Almost four minutes later, the operation was over. The sheath was pulled out from the femoral artery and bandaged under pressure, and it was basically done.

This is the benefit of using a sheath on the femoral artery. Traditionally, it required an incision. Now the incision is within five millimeters. No sutures are needed. You can get out of bed immediately the next day. The pros and cons and the patient's experience are naturally

It's a world of difference.

The development of minimally invasive surgery in all departments will soon become an inevitable trend.

After completing the operation, Yin Yu wanted to look for Lu Cheng, but she didn't know where Lu Cheng had gone while he had left the stage first.

This made Yin Yu really want to talk to Lu Cheng Bingzhuye at dawn without feeling tired, but it came to nothing for the time being.

Of course Lu Cheng hid and called Lin Hui.

However, it seemed that it was not convenient for Lin Hui to answer the phone at this time. The first sentence he answered was: "Xiao Lu, it's not convenient for me right now. Can I get back to you later?"

But Lu Cheng's things here were also very important, so he said directly: "Master, what I want to talk about is also a bit important. It won't waste a lot of time. Can you take some time to listen to it?"

Lin Hui was silent for a moment, as if he was playing something, and put the phone away to say something to someone. After about half a minute, Lin Hui spoke again: "Tell me, I
To be continued...