1064 Double surgery
The operation is not completed because Zheng Ren alone cannot operate two guidewire catheters at the same time. No matter how high the level is, even if it reaches the peak level, it is afraid that it will not be able to operate two guidewires and catheters at the same time.
If it were an octopus man, it would probably be possible.
Zheng Ren is already very satisfied with the 88% completion of the surgery. If the professor cooperates, it will probably reach more than 95%.
Zheng Ren recalled the operation again after a brief analysis.
Well, that's about it.
This is Zheng Ren's first experience in the surgical training of a dual-surgeon. In the past, he had no assistant in the system operating room, and Zheng Ren also developed the ability to perform surgery by himself.
But this time, it's completely different.
It’s meaningless to train again. Zheng Ren has figured out how to do the surgery. When the surgery is done later, success or failure depends mainly on the cooperation of Professor Rudolph Wagner.
Zheng Ren continued to recall the surgical process and made corrections and improvements at some small points.
Heidelberg was not big and there were not many cars. He soon arrived at the Heidelberg University Medical Center. Professor Rudolph Wagner was fluttering with his flaunting blonde hair, waiting anxiously.
After getting off the car, Zheng Ren asked directly: "What's the situation?"
"Boss, you're finally here." The professor was a little depressed, "I guess it's so bad, it's over."
"..." Zheng Ren was speechless when he was finished with a sentence.
"The patient is a 52-year-old woman with a previous history of hypertension for more than 20 years. Due to chest and back pain, she visited the hospital in the outer hospital for 6 weeks. CTA examination showed that there was a subacute type 2 aortic dissection of the proximal descending aorta to the bilateral common iliac artery."
"Tell me the point." Zheng Ren strode in and said in a deep voice.
The professor hurriedly guided the way in front and said: "The operation performed by the community hospital may be due to the equipment problem or the doctor's problem. After the stent was removed, the patient's symptoms did not relieve after the operation and it worsened. So he had another CTA examination and found that the distal end of the stent was descended into the aortic false cavity."
As he said that, Professor Rudolf Wagner turned around angrily and looked at Zheng Ren.
"Everyone is so terrifying that Zhang Guang has suffered from surgery. How can this kind of mistake be made?!"
Zheng Ren was stunned for a moment before he understood what the professor meant.
Even Zheng Ren has not spoken this pure Northeastern dialect for many years.
He shook his head and said, "I'll watch the movie later. Can I do it? I'll talk about it after watching it. Has the patient been sent to the operating room?"
"It has been sent, and it is being total anesthesia." said the professor.
"Do you have any opinions on this?" Zheng Ren asked.
"If you have any opinions, you are confused." Professor Rudolf Wagner said: "If you are not here, you will definitely be on stage. No one can say whether the operation can be done. Fortunately, you are here, and I can hold my heart down."
The professor said it naturally, but Zheng Ren heard nothing at that time.
With the wind, we came all the way to the operating room.
He hurriedly changed his clothes, and after entering, Professor Rudolph Wagner first showed Zheng Ren the film.
"Rudolph, is he the boss you are in China?" A fat man, who was 240 pounds, came over and asked.
It feels like he doesn't have to wear lead clothes during surgery, and his body is fat enough to resist x-rays.
"Gad, please respect it." Professor Rudolf Wagner looked at the fat man with displeasure and said.
The fat man is named Gede Muller. He is a senior doctor in the interventional discipline of Heidelberg Medical Center. His level is similar to Professor Rudolph Wagner.
The professor said that the person who wants to use hemostatic forceps to hit him is Professor Ged Muller.
The relationship between the two does not seem to be harmonious. But this is easy to explain. There are worlds where there are people, especially technicians like doctors, who are competitive and competitive. Everyone has it.
This is also one of the driving forces driving human progress.
"Your boss looks so young, Rudolph, you can't just come up with him to create a new trick, it's amazing," Professor Gad Muller said in a very exaggerated tone.
Zheng Ren didn't notice what was happening around him at all, and he focused on the image.
The film looks a little lighter than the symptomography performed by oneself, which means that the patient's condition is still progressing.
Even if the blood pressure is controlled with drugs and the pressure on the dissection is not too high, it still cannot curb the spread of the disease.
"Fuguier, we need to do the surgery together." Zheng Ren said as he looked at the film.
Professor Rudolf Wagner didn't care about quarrel with Professor Gad Muller. He was stunned for a moment and quickly said, "Boss, sure. I will be your assistant and I will definitely do it perfectly."
"Not an assistant." Zheng Ren said in a deep voice, "You are in the normal position of the surgeon, I will go to the opposite side. The two-sided femoral artery starts surgery at the same time. You must cooperate well, and you must pay more attention."
Professor Rudolph Wagner was really stunned this time.
A dual-surgeon?
This kind of surgery does not mean that it has not been clinically performed, but is rarely.
The earliest radical rectal cancer surgery required two surgeries, one for abdominal cavity and the other for resection of the anal segment.
However, the importance of anal removal and the requirements for the surgeon are very low, and there is no question of a double surgeon.
But this surgery...
Professor Gad Muller was stunned when he saw the professor communicate with the young Huaxia Yisheng for a few words, and said, "Is it okay for your boss to do anything? Let's try it as I said."
"Gad, the kind of surgery you mentioned is a piece of cheese that smells smelly! My boss proposed that a double surgeon do this surgery." Professor Rudolph Wagner roared, like a lion.
"..." Professor Gad Muller was also stunned.
Seeing that the two had a dispute, Zheng Ren clicked the movie and the video reader made a "bang bang" sound.
"There are several key points of the surgery." Zheng Ren said in a fluent Bavarian accent.
Professor Gad Muller was in a daze again. How could the boss of Rudolf Wagner speak in extremely skilled German. Whether it was tone or vocabulary, if he closed his eyes and listened, he would never hear that he was a Chinese.
"The surgery is very difficult and requires double surgery." Zheng Ren said with certainty: "During the operation, Rudolph is on the right and performs according to normal operations. I will go down the snare on the left. At this time, there is the first difficulty in the operation, that is, the 5f catheter must pass through the endodiaphragm between the real and false cavity and enter the snare."
Both professors were stunned when they heard this.
Is this also an operation that humans can do? No need to do it, just listening, Professor Rudolph Wagner has the idea of giving up on operations.
"Another difficulty is to use a balloon to expand after exchanging the hard guidewire. Don't worry about it here, I will operate it."
Chapter completed!