"Director Jia, have you ever operated on fetal intrauterine cardiac intervention?" asked Director Lei, director of cardiothoracic surgery.

"I have never done interventional surgery for severe pulmonary stenosis of the fetus, but I have done seven or eight cases of puncture and drainage of lung abscess effusion for the fetus!" Jia Yanguan replied truthfully.

If you really want to operate on this fetus, it should be fetal intrauterine cardiac intervention - fetal severe pulmonary stenosis intervention!

"However, I have been studying fetal severe pulmonary valve stenosis interventional surgery for more than a year, and I am more or less sure, but it requires 100% accurate operation, and once a mistake is made, the consequences are unimaginable!" Jia Yanguan said in a deep voice.

This surgery is "fetal intrauterine cardiac intervention" performed by maternal puncture under ultrasound guidance. Although the surgery does not require surgery and is performed through the abdominal wall, it is extremely difficult to perform interventional surgery in a heart the size of an almond.

Because the life of the fetus is very fragile and the heart cannot withstand multiple punctures, the target position of the surgical puncture is the narrow pulmonary valve, which is more difficult; at the same time, if the interventional guidewire wants to reach the fetal heart, it must also pass through more than a dozen layers of septum such as the abdominal wall, uterine wall, placenta, amniotic cavity, fetal chest wall, fetal apex, etc., and a slight deviation during the period will lead to the failure of the operation.

To be honest, when encountering this special case, Jia Yanguan also wants to challenge this operation, and strive to keep up with the international technical level in this field as soon as possible!

"Just did a fetal puncture and drain a lung abscess effusion?" everyone looked at each other after hearing this.

Although it is said that it is very difficult to puncture and drain the lung abscess effusion operation for the fetus, for this fetus with "severe pulmonary valve stenosis, right ventricular dysplasia, and severe tricuspid regurgitation", the difficulty of piercing the heart and dilating the pulmonary valve balloon is definitely several times higher!

Draining the cyst fluid in the fetal lungs is a puncture and a drain can be placed.

However, puncturing the heart for the fetus is a pulmonary valve balloon dilation operation, which has many more steps and several times more technical difficulty.

Imagine that it is a puncture operation through the abdominal wall, and an interventional operation is carried out in a heart the size of an almond, how difficult it is for you to make up for it yourself!

"That's too risky, do you want to let the family transfer to Yangcheng Hospital?" Director He suggested after listening to it.

After all, there is a certain amount of surgical experience over there, so maybe the success rate is high!

"Actually, the most difficult part of this operation is the piercing! If the piercing can be successful, I am 90% sure of this operation!" Jia Yanguan said in a deep voice.

In fact, he has been studying this operation for more than a year, and as the director of the interventional department, how can he become a director without any strength in his hands?

As long as this problem is solved, he will definitely be very big!

"Lao Jia, if you can solve this piercing problem, I am seventy percent sure!" Director Lei rolled his eyes. Heart surgery, his chief director of cardiothoracic surgery definitely has a certain strength, although he will have to do interventional surgery when the time comes!

Jia Yanguan: ......

You're dismantling!

"Can that solve this problem?" Director He frowned slightly.

A BB is as fierce as a tiger, you tell me that your skills are not good?

"Ahem, I'm not sure, but I'll go ask someone and see if he's okay!" Jia Yanguan said with a smile.

"Who?" Director He and Director Lei both looked at him in unison.

"Director Jia, are you talking about going to Ruan Bin?" Ye Sheng guessed.

When it comes to the delicacy of surgical operations, the most famous person in the hospital is Ruan Bin, right?

It can be called the surgical foundation of 'nano' operation!

"That's right! Dr. Ruan's basic surgical operation in the emergency department is absolutely beyond the reach of the dust. I'll ask him, and I'll be right back. After Jia Yanguan finished speaking, he ran away.

Ruan Bin shocked him more than once, the first time was the other party's zero-imaging blind exercise, when he came to their intervention department to help.

The second time was when I was working as an assistant to Professor Chen, and the delicate operation was terrifying.

The third time was also to intervene in the department.

In addition, this kid has been too showy recently, and the level of surgery is simply explosive!

Maybe he can do this puncture problem?

If it can be done, then this surgery should not be a big problem!

"That little genius from our hospital?" Director He said in surprise.

"Recently, he has improved two surgeries, and there is a new operation, which is indeed very strong! But he is not omnipotent, right?" Director Lei had some reservations.

......

Soon, Jia Yanguan came to the emergency department and found Ruan Bin.

When he told Ruan Bin about it, Ruan Bin was speechless. Brother is not omnipotent!

This interventional procedure for severe fetal pulmonary stenosis requires piercing more than a dozen layers of diaphragm, including the abdominal wall, uterine wall, placenta, amniotic cavity, fetal chest wall, fetal apex, etc.

This is not something that you can do with precise control, nano operation and other anti-sky operations.

You have to have an accurate understanding of these structures, and whether the problems you encounter when you are handling them can be solved.

Therefore, if he wants to be successfully pierced, he must be able to perform this pulmonary stenosis interventional surgery!

Not to mention that it needs to be world-class, at least at the director level!

"Ding-dong...... The temporary task of the system, show the operation time is up!The task is completed, and a [General Practice Clinical Basics] card will be rewarded (with it, all the knowledge in the books will be understood, and you will pass every exam!). ”

？？？

"Skill card, or permanent!" Ruan Bin was overjoyed after reading it.

Do you have to pass every exam?

It seems to be some of the more 'textbook' general clinical basics, the kind that are specially designed to deal with exams!

For example, taking all kinds of certificates, and testing all kinds of job titles and whatever.

For him at the moment there is help, but not too obviously great.

If you can become a doctor by memorizing a medical textbook, then it is easy to be a doctor in this year!

It's like having surgery, if you can watch the video of the surgery a few times, you can do it, is it possible?

Unless it's open!

If so, what else do medical schools need to do?

What else do I need to do?

What else do I need to do?

"What's the matter, okay?" Seeing that Ruan Bin didn't speak, Jia Yanguan was a little apprehensive.

"It shouldn't be a big problem!" Ruan Bin began.

"Haha, I knew you could go, go, go over for a consultation!" Jia Yanguan patted Ruan Bin's shoulder and laughed.

Soon, Ruan Bin followed to the consultation room.

First, I learned about the specific condition in detail, and then pretended to look at the examination reports.

"I should be able to make a successful piercing in 2 times!" Ruan Bin said categorically.

"Within 2 times?"

"Hiss......"

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