(The previous chapter has changed the 5,000 hardship fee to 50,000 yuan~)

"Actually, I've been studying it for a long time recently, and I have a new idea now, do you want to listen to it?" said Ruan Bin.

Everyone was amazed when they heard this.

Your new idea?

Okay, right?

However, Luo Youhong still said: "Doctor Ruan, let's talk about it." ”

In fact, now he thinks that since he has no ideas, it is good to listen to the ideas of young people.

What if he could take some inspiration from it?

"System!"

[System Points]: 10,000!

[Intracranial aneurysm embolization]: world-class+

"Level up!"

"Ding-dong...... Deduct 21,000, intracranial aneurysm embolization - innovative level!"

Rumble......

Another stream of unfamiliar information melted into Ruan Bin's mind.

For intracranial aneurysm surgery, he instantly felt as if he had done tens of thousands of units, and he was very clear about all the structures of the entire intracranial aneurysm.

At present, there are no clinical microanatomical features of some perforators of the basilar artery, and he has been given an all-knowing microanatomical feature in his mind.

At the same time, several new techniques also appeared in his mind.

There are new aneurysms for the anterior circulation, aneurysms for the posterior circulation, and basilar aneurysms......

A new approach, a new technique, a new set of surgical methods.

Surgery specifically for aneurysms will cause problems such as unclear vision, deep location, and many important blood vessels and nerve structures, surrounded by bony structures such as skull, which will damage the perforating arteries and lead to the "snow plough effect".

It's all solved!

Either some of the above thorny problems have been avoided, or the microanatomical features of all the perforators of the basilar artery have been dissected, so that a feasible surgical plan has emerged!

"Steady!"

"My new idea was that I had a new approach, as well as the study and understanding of the microanatomical features of some perforators of the basilar artery. So as to make a new type of surgery. ”

"My approach is to abandon the femoral artery approach and puncture directly from the left clavicle or right subclavian artery, into the left or right vertebral artery, and then into the basilar artery......"

Then avoid the anterior segment of the basilar branch artery...... And this part...... And this part. This artery should work......"

"And this basal flexure artery, we can avoid it......"

"Access to the ...... through this basal branch artery approach," Ruan Bin gushes.

"Wait a minute, what the hell is this base varices? Why haven't I heard of this branchary artery. Luo Youhong was stunned.

"This is a branch artery that I found when I dissected a cadaver before, and it seems that it is not currently in the textbook, and it should belong to the branch artery whose microanatomical features are still unknown. Ruan Bin explained.

This ...... "Everyone, you look at me, I look at you, all of them are shocked!"

"The perforator artery of the basilar artery supplies important structures of the brainstem, midbrain, basilar ganglia, and internal capsule, but the description of the brainstem artery, especially the perforator artery, in relevant textbooks and literature is relatively simple. I have studied for so long, I feel that the core of the posterior cerebral circulation is the basilar artery, which is formed by the confluence of the vertebral artery at the junction of the pons oblongata, and the diameter slowly becomes taper during the ventral side of the pont, and the diameter slowly narrows during the upward journey, and at the same time bends to the left or right, mostly single bend, and the bend increases with age, and the starting part has a gradual upward trend, and the posterior cerebral artery is divided to the left and right at the level of the interped fossa. From bottom to top, the large branches ———anterior inferior cerebellar artery, superior cerebellar artery, and posterior cerebral artery supply the brainstem, cerebellum, and posterior cerebral artery, respectively......"

"Perforator arteries are well known, however, imaging studies do not reliably show these potential collateral circulation, as these perforators are difficult to visualize with a diameter of about 383 μ. In intracranial infarction caused by perforator artery occlusion, small perforator occlusion may cause 2~15mm lacunar infarction, and large perforator occlusion may lead to extensive ischemic foci of brain parenchyma, which can be observed on MRI...... Therefore, we can't do it at the moment, so we can only avoid it directly......!

"I plan to approach from this perforatorial artery group, because the collateral arteries on this side are slightly larger, and imaging can reliably show these potential collateral circulation......"

Ruan Bin spoke for more than an hour in one breath, and finally took a sip of water and said, "I'm done, do you think this idea is feasible?"

At this time, some of Luo Youhong and others were dumbfounded, some were thoughtful, some were confused, some were deeply touched, and some were stunned......

"This ...... The lecture is very good, the idea is very clear, and it is also very bold and innovative, especially your detailed explanation of the microanatomical features of some perforators of the basilar artery. But we're not sure if you're right, and whether it stands up to scientific experiments. Luo Youhong said in a deep voice.

"Well, I really appreciate this surgical approach. However, we are not sure whether the internal branch artery will be able to be operated on at that time, whether it can be avoided, whether the branch artery problem you mentioned really exists, or whether it will change. Guo Deyong also shook his head.

"I think we need time to digest it~" Mo Xu said truthfully.

Yes, this new type of surgical plan and the anatomical content mentioned in it that has never been seen in the outside world before, they are completely hearing it for the first time, and they don't know if it exists.

Even if it exists, will it work?

After all, there is no turning back after surgery.

In the event of collateral artery injury, the patient may experience some serious clinical symptoms such as immediate ischemic infarction of the brainstem. Therefore, intraoperative preservation of the perforating artery is particularly important.

"I also feel like it takes time to digest it, but Dr. Ruan, your new idea really gives us a lot of inspiration!"

"If this new technique can really be successfully tested, then you are the creator of this new technique!"

In the end, Luo Youhong and others planned to think and study according to Ruan Bin's ideas in the next period of time, and slowly digest what Ruan Bin said.

After Ruan Bin heard this, the other party didn't dare to take risks.

All right.

He doesn't care.

For the next few days, a group of old pedants went crazy to study.

Ruan Bin went to Zhu Yongchang's side from time to time to make extra money.

In a week, Ruan Bin earned a total of 300,000 extra money!

It's really unexpected.

Of course, Ruan Bin also performed a lot of surgeries on Zhu Yongchang, which greatly relieved the pressure on their department.

In this regard, it is mutually beneficial!

Even Zhu Yongchang still wants to dig the foot of the wall!

Almost every time Ruan Bin came to the operation, he gave all kinds of hints, saying that Beijing Union Medical College Hospital is the best in the world, with good benefits and all kinds of good, are you interested in coming to their department?

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