Preoperative talk, sign-off, speed surgery!

In the operating room.

The preoperative examination has been done a long time ago.

Uterine aortic rupture and heavy bleeding!

If the bleeding can be successfully stopped, the uterus can be saved. If the bleeding cannot be stopped, the only way to stop the bleeding is to open the abdomen and remove the uterus!

The operation began.

I saw that through the first-class operation technology, the director of the door cannulated through one side of the femoral artery, indwelling the arterial sheath, and the selected Cobra catheter first intubated the contralateral common iliac artery, and performed DSA angiography of the contralateral iliac artery.

While observing the opening of the contralateral internal iliac artery and the uterine artery, he said to Hou Quanhai: "Whether it is uterine artery interventional embolization or other types of vascular interventional surgery, it is difficult to say, and it is simple to say!" In general, most interventional surgeries are relatively simple and convenient! ”

"However, endovascular intervention, which requires high precision, such as the displacement of the guidewire, requires you to move synchronously with the displacement, and at the same time, the feeling of resistance encountered when the guidewire is stressed in the blood vessel requires you to have a good feel!"

"To sum up, you need accurate positioning experience, familiarity with arterial vascular distribution, and your delicate operation! If you can grasp these points, in fact, vascular intervention surgery is very easy to do. The director of the door said as he further inserted the catheter into the internal iliac artery.

"Hmm." Hou Quanhai nodded. He saw that the door director was very precise, one link after another, and almost no time was wasted.

"Have you ever done vascular intervention simulation training before?" Suddenly, the door director asked.

"I was fortunate enough to train at a city hospital last year!" Hou Quanhai said. This time he really wasn't lying. When he was studying at a hospital in the city last year, it happened that the emergency department of that hospital was conducting simple training and teaching actions for vascular interventional surgery. So he also had the pleasure of participating in the training for a week.

The main thing is to practice on a set of vascular interventional surgical instrument motion control system. The system of the machine can send the displacement signal of the guidewire of the interventional surgical instrument to the host computer, accurately describe the displacement of the virtual guidewire in the software system of the host computer, and realize synchronous movement. At the same time, the design of the guidewire force feedback device can simulate the resistance encountered by the guidewire when moving in the blood vessels, providing a good hand feeling and achieving the purpose of real medical training.

But he was a rookie at the time, and he tinkered with the machine for a week, and in the end he was equal to learning in vain!

That is, the emphasis is on participation, and by the way, you can be lazy.

"Yes, yes, this opportunity is very precious, which will be of great help to you to do vascular interventional surgery in the future." The door director smiled.

A few minutes later, the director of the department successfully stopped the bleeding at the largest rupture of the patient's uterine artery, which was actually to find the ruptured part of the blood vessel and then release the drug for arterial embolization. Once the embolization is blocked, it is equivalent to successfully stopping the bleeding.

At this time, Hou Quanhai looked at the system, and sure enough, this uterine artery interventional embolization was entered!

"After watching this surgery, how much do you think you have understood?" The door director looked at Hou Quanhai with interest. He knew that Hou Quanhai was very strong in laparoscopy. A cholecystectomy for a pregnant woman takes only 19 minutes to complete. Even he thought he couldn't do it so fast!

And there are still some similarities between laparoscopy and vascular interventional surgery, he thought in his heart that since Hou Quan has such a superb talent in laparoscopy, maybe he will have a good understanding after watching this operation. If he can comprehend one or two percent, he feels that Hou Quanhai is definitely a malleable talent!

"Ding-dong...... Temporary pretending task: do a vascular interventional operation! Reward for mission success - [Gastrojejunostomy] - world-class! ”

"! This temporary mission has a great reward! Hou Quanhai was slightly stunned. Although [Gastrojejunostomy] is only a second-level operation, the system rewards are world-class, which is equivalent to tens of thousands of yuan.

And he found out that this was the first time that the system rewarded surgical skills, and it turned out that the reward was not just points! Suddenly, he was looking forward to the rewards of the system in the future. There might be more rewards he didn't expect.

"But I can't do this task! Now there is simply no chance. Hou Quanhai was suddenly speechless when he thought of this. Let's not talk about whether the senior doctor will do it for him, and he may not encounter a second interventional operation today!

However, he still replied: "Director, I don't think this uterine intervention is very difficult. The main thing is to control the precise operation, and I now think I can do it! ”

The reason why he replied like this was to let the director of the door know that his brother's talent was awe-inspiring, and he might have a chance to do this kind of surgery in the future.

Originally, the director of the door thought that Hou Quanhai would say that he would understand a little bit, and even said that he didn't have much of a clue. But he didn't expect this kid to open his mouth to be this kind of bragging!

"Can you go on? It's not a game! Although you have undergone similar teaching training before, you also saw me for an operation. But you haven't done it at all, how can you be sure that you can do this kind of surgery? Hou Quanhai, sometimes conceit is a double-edged sword! Also, bragging is also a bad habit, and I like you to change it later. The door director said with a hint of dissatisfaction. He felt that Hou Quanhai had done several cholecystectomy for pregnant women in the late stages of pregnancy before, and he was complacent after breaking the hospital record, which led to some drifting now!

"Director, I'm really not lying! I am really sure that this kind of interventional surgery can be done, and of course you need to be there to guide you. Hou Quanhai said sincerely. He doesn't want to brag, but his strength doesn't allow it!

"Are you sure?" The door director frowned slightly. To be honest, Hou Quanhai is talented, otherwise biliary laparoscopic cystectomy is so powerful. Generally, surgery needs to be accumulated by accumulation, experience, and accumulation. But there are also some geniuses who can make up for it with talent to skip this accumulation process!

And he doesn't look at Hou Quanhai like this, it's not like a joke!

"Really!"

"Well, there were two arterial hemorrhages in this operation, one of which was very broken, and I was able to stop the bleeding. In the other place, there was only a small hole broken, and the amount of bleeding was very small. Since you said that you can go to you, why don't you try to stop the bleeding in this place? The door director said in a deep voice.

He is very aware that medical education attaches great importance to practical operations, and without clinical practice, qualified doctors cannot be trained. One of the bottlenecks in the training of modern medical talents is that students are forced to stay away from the operation and practice in the real clinical environment, especially the surgical technique of endovascular intervention, which requires high precision.

Therefore, every surgeon has to go through this step sooner or later!

Since Hou Quanhai is confident, and it happens that the other party has also been trained in vascular interventional surgery, and he has seen himself do this operation before, why not let him try to do the remaining hemostasis point?

Since this bleeding point is very small and almost does not affect the patient's life, he will say it and let Hou Quanhai give it a try!