The next day, Ruan Bin's surgery video was uploaded to the surgery forum.

The sharp operation of a 20-minute operation is simply appalling.

Many surgeons who saw this operation were shocked!

"20 minutes, the longest is no more than 30 minutes! Oh my God, how do you do that?"

"I think he is like a sophisticated surgical instrument, with fluoroscopy function, humanoid self-propelled detection function, zero-error benchmark operation, cloud brain calculation...... I really can't make it up, it's awesome anyway!"

"It is worthy of being produced by Beijing Union Hospital, and it is really powerful. ”

"It looks like an operation done by a doctor from an outlying hospital. ”

"Emergency physician at the First Affiliated Hospital of the Demon City, Dr. Nguyen Bin Nguyen?"

", didn't he develop a 'chicken rib' CTO intervention new technique some time ago? In terms of surgical skills, it is also invincible!"

"What an eye-opener!"

"This person has been writing a lot of papers lately. Also, their magic capital team once appeared in the monthly paper magazine "The Lancet". ”

"Yes, I remember that the First Affiliated Hospital of the Demon Capital has been in the limelight recently, and most of it is related to this Ruan Bin. ”

"I feel like he has the qualifications of an academician!"

"It's too early to tell. Many famous doctors and professors in China were also very scary when they were young. Many of them have improved some surgical procedures in their twenties, and occasionally new ones have been introduced. But in the end, whether or not we can become a big party still has to create a new genre! This kind of person can be a real academician!"

"That's right, most of the new surgeries are improved on the basis of the original surgery, but in fact, most of them are pseudo-surgeries!"

"That's just as well. ”

But no matter what, this batch of surgeries has indeed caused quite a stir on the online surgery forum. Many CTO surgical colleagues were impressed.

............

The next day, Ruan Bin continued to be cheekily invited by Zhu Yongchang to come over to help with the operation, and today he did a total of 21 units!

In two days, he made a total of 41 units.

However, Zhu Yongchang can also be a man, and privately stuffed Ruan Bin with 5,000 yuan in hardship fees.

Because Ruan Bin did reduce the pressure on their department a little.

"Doctor Ruan, if you are free in the evening, you can also come to us to help with the operation, there are still hundreds of people waiting for the operation. Zhu Yongchang said with a bitter face.

"If you have time, you can. Ruan Bin nodded. Anyway, his mental strength is now twice that of ordinary people, and his physique is also twice that of ordinary people.

There was no fatigue after the operation.

Since there are so many patients waiting for surgery on the other side, it is just a gesture for him to help.

............

In the next few days, Luo Youhong and other experts tried the latter two surgical plans that they came up with, discussed, and verified.

It was still Ruan Bin himself who carried out the operation under their command.

Unfortunately, they worked so hard that the two subsequent surgical plans that they had developed from half a lifetime of experience did not work.

It still cannot be solved, such as aneurysm thrombosis, ectopic embolism, aneurysm is too small, the aneurysm artery is too tortuous, the microcatheter is difficult to reach the distal end of the blood vessel, and the contrast cannot show small perforating arteries. Or it is easy to damage the perforating artery, resulting in problems such as the "snow plough effect".

In the consultation room, Luo Youhong and the others were silent.

"Lao Luo, it seems that our previous research and precipitation are still not enough. All three of the surgical options we explored ended in failure. It seems that this basilar artery aneurysm interventional surgery is still not good. Even internationally, there is no new development. We will probably have to accumulate a few more years of experience before we charge. Guo Deyong sighed and said.

It's been more than half a month now.

It seems that this time, the team will be able to go back to their respective homes for the first time.

"Give up now? I think we can continue to discuss it, maybe we can sum up these three failures again, and it won't be long before we can develop a feasible new technique on a whim?" Luo Youhong couldn't bear to give up now.

Everyone finally got together to do research, and the next time, I don't know if it will be a few years later.

This group of people is basically a master of intracranial aneurysm interventional surgery in China.

Usually everyone is very busy.

"Well, I'm losing some of my confidence now. This surgery has been developed for so many years, and it is still stuck in this step. I think we need to develop new surgical medical equipment? The branch arteries and blood vessels inside are too small, and it is easy to cause trauma at every turn, causing the "snow plough effect"!" Mo Xuyan said in a deep voice.

Seeing the gloomy faces of this group of people, Ruan Bin couldn't help but say: "Is it possible to consider a new approach method, which is completely different from the original intracranial embolization!" In fact, most of the problems now are that there are many branch arteries, which are difficult to reach the distal end, and it is easy to cause trauma to the branch arteries. If we can develop a new surgical method that can completely avoid most of the artery vascular access problems. Maybe it will work!"

In fact, the microanatomical features of some perforators of the basilar artery are still unknown in clinical practice, and their imaging manifestations are rarely mentioned in relevant literature.

In other words, this is where the bottleneck of surgery lies now!

If we can dissect all the arteries and understand their characteristics, maybe there will be a new breakthrough!

You don't fully understand it now, so the new surgical procedure is bottlenecked.

As soon as Ruan Bin's words came out, they immediately attracted everyone's side attention.

Because for most of the past half a month, Ruan Bin has always been small and transparent, and he usually sits in the corner for consultation and research.

In fact, they won't ask Ruan Bin, after all, they are experts.

If they were fighting in ancient times, they would be marshals in the army, specializing in giving advice, while Ruan Bin was just a vanguard general who was charging into battle, and he only did technical work.

All you need to do is execute their orders.

"It doesn't work! The branch arteries are all over the basilar arteries, and it's almost impossible to work. A completely new path, we don't know at all!" Luo Youhong shook his head.

"Dr. Ruan, I have thought of this idea of yours before, and I have tried it, but I can't do it at all! Jin Zhiwei shook his head.

Regardless of the treatment method, it is necessary to understand the anatomical structures such as the perforator artery in clinical practice to avoid intraoperative damage to the perforator artery and cause serious complications.

Once the approach is wrong, or there is an error during the operation, the perforator artery will be damaged due to the effect of "stent blocking" and "snow plough effect", resulting in immediate brainstem ischemic infarction and serious clinical symptoms. Therefore, intraoperative preservation of the perforating artery is particularly important.

Anyway, if you can't solve the problem of the branch arteries in one day, you won't be able to succeed in one day!