Chapter 220 Everyone showed off their unique skills!
Zhao Yuan had tried new surgical techniques in emergency surgery before.
He tried the "worm-removing and gallbladder-preserving and liver-preserving" surgery using a combination of three lenses and achieved success.
That technique has been recorded by Xie Changtian, and he is preparing to use it as a basis for project application.
There's no big publicity yet, that's to keep it a secret so that others don't steal the idea and get there first.
After this topic passes the hospital's internal review, it will be reported to the hospital to seek policy support at the provincial and municipal levels.
A new surgical procedure is not only about the doctor's personal honor.
It is equally important for departments.
Setting up a project research team with new surgical techniques as a topic not only means that you can obtain funding support from higher-level departments, but also improves the research level of the department, which will be used as a bonus when ranking in the medical list.
When the department has a new topic, the department director will bear the brunt of it and will receive awards.
During the year-end performance appraisal, the department director can get full innovation points, which is also an important achievement in the later promotion process.
So when Jiang Qiang saw the new technique, he was also very excited.
He planned to support Zhao Yuan's idea, but he also had to consider the risks of surgery.
Compared with biliary intrahepatic ascariasis, thoracic aortic aneurysm is hugely different in terms of grade and difficulty.
Jiang Qiang seemed calm on the surface, but deep inside he was shocked.
Although he knew that Zhao Yuan was a monster-level genius, his evaluation of him was once again refreshed.
Even Gao Qian and myself have not created a few new techniques so far.
However, Zhao Yuan came up with ideas for new surgical techniques based on the patient's condition at the scene. His ability to adapt to the situation on the spot was secretly admirable.
Gao Qian's eyes fell on Jiang Qiang's face, knowing that he was struggling in his heart.
"Boss Jiang, the patient's condition may get worse at any time. You have to make a decision early."
Jiang Qiang took a deep breath, his eyes suddenly brightened, "Follow Zhao Yuan's plan."
Jiang Qiang is still the same as always, never ambiguous on the major issues of right and wrong.
Gao Qian looked at Jiang Qiang with a hint of admiration, "If something goes wrong, we will bear it together."
Jiang Qiang nodded slightly, "What do you want you to be responsible for? If something goes wrong, the taller person will bear it. This is an eternal truth. After you and Zhao Yuan complete the operation, as for the first responsible person in the agreement, write me down
His name. Make preparations before the operation, and I’ll have a good chat with the patient’s family.”
Gao Qian reminded: "The patient's family members were very excited just now. Please tell them carefully not to be beaten."
Jiang Qiang smiled easily, "I have experienced strong winds and waves, what does this mean? If I really got punched, that would be great. If I don't blackmail him, my surname will not be Jiang."
Gao Qian was made to laugh out loud by Jiang Qiang. Jiang Qiang had many nicknames, one of which was Jiang Bapi, who was not generally difficult to deal with.
Jiang Qiang found the anxiously waiting family members and patiently explained the patient's current condition to them.
The patient is older and has a very special condition. If open surgery is used, even if he can survive on the operating table, there will be many complications in the later stage and the prognosis will be very bad. Therefore, it is recommended to use minimally invasive surgery, as the probability of survival will be very high.
, and the prognosis will be very good.
As for minimally invasive surgery, after their careful demonstration, it is the best solution at the moment.
Knowing that the patient was temporarily stable and less anxious, the family members signed the surgical agreement with Jiang Qiang's patient explanation.
…
"Zhao Yuan, are you here for the puncture?" Jiang Qiang glanced at Zhao Yuan.
Gao Qian looked at Jiang Qiang, "Can it be done?"
Jiang Qiang smiled and said: "Don't underestimate Zhao Yuan! He proposed the plan, and he must have a way."
Gao Qian was slightly startled. She had been thinking about how to establish a "transcaval to abdominal aorta" approach.
She didn't expect Jiang Qiang to directly ask Zhao Yuan to handle this key step.
Although Gao Qian and Zhao Yuan were in contact, they never had surgery together.
Jiang Qiang knew Zhao Yuan's surgical ability. Even Sun's surgery could be done without leakage, and establishing an approach should not be difficult for him.
Zhao Yuan nodded slightly and began to prepare for puncture.
He holds the cannula puncture device in his hand and inserts the needle at an angle of 90 degrees to the skin of the abdominal wall.
There is an obvious sense of breakthrough when passing through the fascia and peritoneum.
After passing through the peritoneum, advance to a depth of 2-3 cm into the abdominal cavity.
At this time, Zhao Yuan pulled out the cannula needle core and turned on the inflation valve switch, and carbon dioxide immediately overflowed.
Everything went smoothly. The microguidewire entered the thoracic aorta along the vena cava and stopped 1cm away from the aortic aneurysm.
The entry path was established successfully!
Gao Qian finally knew why Jiang Qiang trusted Zhao Yuan, and was shocked.
Puncture may seem simple, but there are actually many details, such as the strength of the puncture and the depth of penetration into the abdominal cavity. Zhao Yuan handled it impeccably.
In addition, although Zhao Yuan used a visual puncture cannula, it seems that he did not use real-time 3D image navigation technology, so the speed was so fast!
How did he do all this!
The only explanation is that Zhao Yuan was too familiar with this operation and had practiced it countless times before he could perform it blindly.
But Zhao Yuan is obviously so young, he hasn't even graduated yet.
In addition, Gao Qian really did not expect that the balloon-assisted puncture device would have such a good effect!
After the entrance channel was successfully established, Zhao Yuan got out of the way.
Gao Qian completed the stent graft isolation of thoracic aortic aneurysm.
Zhao Yuan watched Gao Qian's operations from the side and also had an understanding of Gao Qian's strength.
As the only female deputy chief physician in the Department of Cardiothoracic Surgery, she demonstrated extraordinary precision and performed every step according to standards.
Her hands are stable and strong, and her strong field control ability gives team members strong confidence.
When Gao Qian completed the isolation surgery, Zhao Yuan immediately stepped forward to seal the vena cava-abdominal aorta fistula with an occluder and covered stent.
The two have a clear division of labor and a tacit understanding of cooperation. It's not like they are working together for the first time.
Next, there is the postoperative angiogram.
Postoperative angiography is equivalent to the last step in completing the test paper: correct the answer!
If the surgery fails, the angiogram will be ruthlessly exposed.
Gao Qian glanced at Zhao Yuan, he was much calmer than herself.
Jiang Qiang was even more nervous than Gao Qian and Zhao Yuan, waiting anxiously!
The results are out!
The aortic aneurysm cavity is well isolated!
There is no extravasation and bleeding of contrast agent at the puncture site!
Normal blood flow in blood vessels is smooth!
The aortic aneurysm has completely disappeared, leaving a clean field of vision as if it had never been there before.
Jiang Qiang clenched his fist hard and waved it twice in the air, "Success!"
Gao Qian breathed a sigh of relief and a smile appeared on her lips.
I didn't expect that the operation would be completed within two hours. I originally thought that I would encounter various difficulties during the operation. However, because of the meticulous handling, no hidden dangers occurred.
Gao Qian took the initiative to extend her hands to Zhao Yuan, "Happy cooperation!"
“I benefited a lot from operating with you!”
Zhao Yuan stepped forward and slapped it with the palm of his hand. He couldn't help but sigh that her hand was so strong.
Jiang Qiang looked at Zhao Yuan and Gao Qian and nodded with satisfaction.
It adds a little more confidence to this Youth Championship.
