After changing his clothes, Professor Rudolf Wagner went to the operating room outside the operating room.

Through the leaded glass, the professor saw that the patient's position was odd. Before he could look closely, a short woman asked, "Who are you?"

Director Xia of the Department of Gastroenterology saw Professor Rudolf Wagner walk in and couldn't understand the situation.

"Director Xia, he is Professor Rudolf Wagner from the University of Heidelberg, Germany. "Shay gave Zheng Ren a stage last night, and he had a lot of surgeries, and he knew the origin of the professor, so he introduced it.

......Director Xia was dumbfounded, when did a German professor come to visit the hospital? Based on the behavior of the hospital, if German experts and professors came to visit and exchange, I am afraid that the propaganda would have been overwhelming long ago.

Could it be a fake?

She looked at Professor Rudolf Wagner quizzically.

"I'm here to find Zheng, beautiful lady. Professor Rudolf Wagner explained in stiff Chinese.

"What are you looking for Dr. Zheng?" asked Director Xia subconsciously.

"Zheng, with a pair of God's hands. Professor Rudolf Wagner explained: "I wanted to ask him to set up a research group for a new technique, but Zheng refused me. ”

Director Xia sweated profusely......

Her first reaction was that this guy, who looked like a foreign expert, was a liar and was in league with Zheng Ren.

But when you think about it, there is no point in lying to yourself.

Is it true?

She was confused.

"Professor, what is your major......" Director Xia asked.

"Get involved. "I started trying to perform TIPS 20 years ago, and I have performed more than 300 TIPS surgeries so far, making me one of the most performers in the world." ”

This number is very dazzling, the professor knows.

Within the scope of the sphere, it is rare for interventional doctors to perform more than 100 TIPS surgeries, and they are far ahead, having done more than 300 cases.

The gap in experience is something that others can't catch up with.

This is especially true for TIPS surgery, which requires experience and luck...... When it comes to luck, Professor Rudolf Wagner is a little frustrated.

Many years ago, he wanted to improve this kind of luck-based surgery, but he didn't do it.

Perhaps this is God's test for humanity. The professor always consoled himself with this reason.

Director Xia's eyes lit up when he heard Professor Rudolf Wagner's words.

If...... If what the professor said is true, then there is hope for his classmates.

To be honest, Director Xia didn't think that Zheng Ren, a young doctor, could complete TIPS surgery, especially emergency surgery.

If you could, the odds would be outrageously low.

There is a huge difference between emergency and non-emergency, hematemesis and refractory ascites.

In general, chronic diagnosis TIPS surgery, the patient lies flat and has local anesthesia in the neck. If the patient feels pain during the puncture, a demerol can solve the problem.

In the case of emergency TIPS surgery, the patient is vomiting blood, and the supine position must not be used. Otherwise, when the patient vomits blood and aspirates, it will be directly fatal.

Therefore, the patient can only use the awkward surgical position of lateral decubitus......

Professor Rudolf Wagner was also surprised to find this after observing the situation in the operating room.

Zheng's courage is simply too big!

This is a TIPS procedure, and a small error is enough to cause the operation to fail.

The first time he did it, he would use this awkward position.

Professor Rudolf Wagner seems to have seen the frustration of Zheng Ren's failed operation.

Let me save you, Oriental boy.

The professor thought with some pride.

In the operating room, jugular venous puncture and catheterization have been completed, and these operations are not difficult.

Then came the main event, Professor Rudolf Wagner holding his arms and looking intently at the screen.

The puncture needle is built-in, and the speed becomes very slow due to the patient's continuous vomiting of blood and twitching, which is very cautious. Obviously, this kind of emergency surgery is far more difficult than ordinary chronic surgery.

At the same time, in the apricot grove garden, the live broadcast room went crazy.

This is the most difficult operation performed by the surgeon since the start of the live broadcast room.

Some people don't understand the difficulty of TIPS surgery, but after the explanation of the general surgery and interventional surgeons who have been extremely excited, most of them understand.

This technique is not clear, but Menchi vein devascularization is a classic technique in textbooks, and everyone learned it when they were in school.

The sorcerer really wants to go against the sky!

Emergency, lateral position, even to do tips surgery...... If it weren't for the fact that the surgeon would have succeeded every time, I would have decided that the surgery had failed.

Wait for the news of the successful operation, teenager. I have a hunch that the sorcerer will go from one victory to the next, without surprise.

In other words, the complications after TIPS surgery are very troublesome. A few days ago, I just received a patient after TIPS, and he still had intermittent hepatic encephalopathy a few months after the operation.

No way, if you don't do it, you'll die, do you say to do it or not to do it?

Now let's start the prize quiz, guess how many times the magician has to fail to succeed?

Many doctors don't understand what it means to have a puncture many times, because this is too specialized, as long as they are not doctors in general surgery and interventional departments, they will not be able to contact this ultra-difficult operation.

In China, the hospitals that can carry out this kind of surgery are at least provincial capitals.

Or invite experts and professors to run the flying knife, and do one or two successful cases, which is enough for the hospital to brag for a year.

Although it is meaningless, the hospital still enjoys it.

This is also featured.

20 times!

I thought the surgeon would fail, and I saw on the screen that the patient's body was moving, presumably vomiting blood.

Speaking of the side position, how to develop......

The machine can rotate, but the angle of rotation will make the patient's surgery more difficult. I'm now starting to sympathize with the surgeon, and I'm still trying to complete the surgery in this situation.

I think 10 times is about the same, last time our hospital asked a professor from the imperial capital to do it, and the puncture was successful after 10 times.

That's luck, a few years ago we also invited a well-known professor from the magic capital to do the TIPS surgery. Failed 0 times, I estimate that the patient's liver is poked, and the portal vein and hepatic vein puncture have not been completed.

Soon, based on their own personal experience and experience, everyone showed the difficulty of the operation vividly.

Many doctors have heard the descriptions of their peers and have become intimidated by TIPS surgery.

This is a special operation, it is simply a Yama who wants to heal life.

The operation is a matter of luck, dozens of punctures, severe liver damage, and a high probability of hepatic encephalopathy after surgery.

Either way, it gives doctors enough reason to forgo surgery.

If you don't, it doesn't matter to me whether the patient lives or dies.

Yes, if the patient dies, or the hepatic encephalopathy is more serious, there is a high probability of medical disputes.

This...... The sorcerer is really brave and fearless.

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