Chapter 763 Flying flowers and picking leaves can save people!
Upgrading in surgery is almost the same as building a building!
Initially, I learned about debridement and suturing, appendectomy, and hemorrhoidectomy...
Minor surgery is the foundation of major surgery.
When doctors can perform craniotomy or thoracotomy, branches appear in the front.
The development of medical equipment has led to changes in surgery.
Major surgeries such as thoracotomy, craniotomy, and laparotomy are gradually replaced by minimally invasive surgeries such as laparoscopy, endoscopy, and interventional surgery.
Although advanced technology is being updated iteratively, what remains the same is that you need to have a good understanding of human anatomy.
Just like when your kung fu reaches a certain level, flying flowers and picking leaves can also hurt people.
Heart valve surgery is a fourth-level extracardiac surgery. It requires a good understanding of the heart, being able to do thoracotomy, and knowing the principles of extracorporeal circulation.
Lay the foundation, move up step by step, and then try minimally invasive thoracoscopic surgery.
Now Zhao Yuan uses TAVR technology, which is one level higher than laparoscopic surgery.
Zhao Yuan can actually perform this surgery using thoracotomy or endoscopic surgery.
But there are two points to consider.
First, the patient is old and has poor physical signs. Surgery with large wounds will lead to a poor prognosis.
Secondly, this was an operation performed in Yanjing where there are many experts. If you use an operation that can be easily performed by everyone, it will be difficult to be convincing. It makes people think that the fifth senior brother attaches special importance to the younger brother, but that's it.
Zhao Yuan did not do it to show off his skills.
Mainly due to human considerations.
Zhao Yuan walked into the operating room and scanned around, taking in all the equipment.
It must be said that the equipment of Yanjing's tertiary hospital is unique.
Wu Hai glanced at Zhao Yuan. After entering the operating room, his state was different.
Before, he was very low-key and modest, with a gentle smile on his face, but now he is very serious, unsmiling, and every movement is very decisive and capable.
Zhao Yuan's heart is as calm as water, and he will stay calm enough for every operation.
The development time of tavr technology in China is only about ten years.
Although many hospitals now say they have this technology, there are not many doctors who can actually perform this surgery.
There is an observation area outside the operating room, where a group of doctors are waiting for the operation to begin.
Most of them came for Wu Yuan.
"Why is Wu Yuan standing in Isuke's position?"
"Wu Yuan is making way for his junior brother."
"Oh, why don't I have such a good life? I have a senior brother like Wu Yuan to support me."
"People don't get honors by relying on their lives. He has a good level and is the first person in the world to suffer from arterial dissection disease."
"The media is blowing it, do you believe it?"
"You can be jealous as much as you want! You will know how powerful Zhao Yuan is later."
There are two distinct factions in the viewing area.
Some people think that Zhao Yuan's fame is related to hype packaging.
Another group of people are fans of Zhao Yuan. They have watched Zhao Yuan's surgery videos and seen how powerful Zhao Yuan is.
Although Zhao Yuan has been reported many times and even appeared in the central media.
But there are always people who question the excellence of genius.
Especially in the hearts of proud doctors, I have always been the best in the world.
Doctors who can gain a foothold in the capital are entitled to be proud. They must first be admitted to the Capital Medical School, which has extremely high scores, which is very difficult.
Secondly, they have to undergo several years of rigorous training and compete with a group of outstanding classmates.
Furthermore, even if you graduate, you may not be able to stay in Yanjing. If you can really stay in Yanjing and enter a tertiary hospital, it will be quite difficult.
After experiencing countless competitions, they have the confidence to believe that they are worthy of the term genius.
Zhao Yuan comes from Guangdong Province, how powerful can he be?
The operation begins.
Zhao Yuan serves as the chief surgeon, Wu Hai serves as the first assistant, and the director of the chest department serves as the second assistant.
Sanshu is a member of the doctoral group that the hospital focuses on training.
In addition, there are two doctors who watch the operation at close range in the operating room in the name of doing odd jobs.
When the operation started, the three doctors had nothing to do and sat in the corner, talking quietly.
Although the operating room requires absolute silence, everyone turns a blind eye to chatting.
After all, the time is so long, you can't just wait for the operation to end like a fool.
"This surgery is really difficult. I just asked a classmate in the Department of Cardiology and Interventional Surgery that it will take several years before I can practice it."
"Not all patients are suitable for this surgery. I feel it is a bit deliberate."
"It will be ugly if the operation fails."
"After all, with Wu Yuan taking care of everything, there is no possibility of failure. However, he will definitely be embarrassed."
"If I had known, I would have gone to the south. At the age of twenty-seven, I would have become the director of a department in the top three hospitals in the province. How long will it take for me to stay here before I can get ahead?"
"What's the point of going to a small place and being a chicken head?"
Zhao Yuan was concentrating on the operation.
Naturally, he had never heard of a few PhD students becoming jealous and resentful.
Even if he heard it, Zhao Yuan would laugh it off.
"Hey, you really have some skills."
"The incision was made perfectly! The access was created so quickly?"
The doctors were quickly attracted to the surgery, found a seat, and observed the operation.
Zhao Yuan performed the surgery very quickly without any unnecessary movements.
Move your hands and feet to show off your skills.
Wu Hai also cooperated well, like a partner for many years.
Femoral artery and vein puncture, sheath placement, temporary pacing electrode placement, aortic sinus angiography, guidewire across the valve, coronary angiography...
As the surgery continued to advance, the most critical part finally arrived.
"Balloon dilatation of the patient's stenotic aortic valve is a very risky step in the procedure."
Zhao Yuan glanced at Wu Hai.
Wu Hai looked solemnly and nodded, indicating that he had received the reminder.
Rapid ventricular pacing is required during sac expansion, and in patients with poor cardiac function reserve, short-term pacing may also cause circulatory collapse.
“pace, dilate;
Contrast, deflation;
Stop pacing!”
Following Zhao Yuan's short command, Wu Hai quickly completed the balloon expansion.
After balloon expansion, the patient's blood pressure immediately rose to 100/60mmhg.
As the balloon catheter is withdrawn, the assembled valve is immediately delivered into the patient's body...
The next step is to witness the effects of valve implantation.
"Descending aortography!"
Contrast agent is injected into the body.
Everyone held their breath.
Observed for a few minutes.
The director of the second assistant chest department reported, “The valve works well, the heart function improved significantly immediately, and the left ventricular ejection fraction increased from 20% before surgery to 29%!”
A smile appeared on Wu Hai's lips. It was hard to imagine that a patient with such a serious condition could be cured so quickly.
If it were a thoracotomy, it would take at least five hours.
However, from entering the cath lab to valve release, it only took 50 minutes.
Zhao Yuan did not relax and finished the work himself just like he did during the cross-hospital consultation before.
The moment he completed the suturing of the surgical approach, he heard crisp applause in his ears.
Wu Hai took the lead in applauding, and the others followed suit.
Dr. Sansuke secretly took out his mobile phone, found an angle, took a photo of himself and Zhao Yuan, and then secretly posted it on Moments.
"I am honored to have surgery with Wu Yuan's junior brother Zhao Shen!"
Soon there were many messages and comments in this doctor’s circle of friends!
"Zhao Shen? Zhao Yuan?"
"Who is Zhao Yuan? I've never heard of him!"
"The Elephant Medal winner?"
"What? Has Zhao Yuan been transferred from Tianhua to your hospital?"
News spreads quickly in big cities.
Fourth Senior Brother He Jun called first and questioned Wu Hai with a smile!
"Senior brother, you are so unkind. Zhao Yuan just arrived in Yanjing and you didn't take him around. You first treated him like a cow and a horse. Are you a vampire?"
