113 Smashing the field (League advocates Lin Minjia ×1)

Ding Yifan sat in the front row, watching his operation, and even he felt pleasing to the eye.

Many years ago, 912 explored a new procedure to do prostate embolization to treat prostatic hypertrophy, because it is difficult to overselect blood vessels with similar thickness to grade 3 and 4 arteries, so this project ended without disease after many years.

Now that the technical level has improved, I didn't expect that I would also catch up with and surpass 912.

Proud in his heart, Ding Yifan thought that if he took this surgical recording to participate in the competition in the magic capital, he should be at least a top five.

Top 5 in China, hey!

Ding Yifan was proud.

There was a sudden commotion behind him, the sound was not loud, but Ding Yifan could hear the suppressed exclamation.

Yes, that's the effect.

If you really shout it out loud, it's a bit fake. After watching the recording of their own surgery, the directors of the lower-level hospitals wanted to exclaim but felt embarrassed, and shouted out in a depressed state, and the effect was full, and it was the most incisive.

Ding Yifan's face showed a cool expression to the bone.

But after a few seconds, he realized that something was wrong.

Looking back, I saw a few people around an unknown little director in Yongcheng, who were looking at something on their laptops, but they didn't look at their own surgery.

Ding Yifan became annoyed all of a sudden.

"Who, what are you doing?" Ding Yifan got up, put his hands behind his back, and asked in a cold voice.

"Ahh

A director knew Ding Yifan, and he could feel that Ding Yifan was unhappy, and he also knew that it was a bit rude to be distracted on such an occasion.

wanted to leave, but his eyes were unconsciously "hooked" away by the video on Director Sui's computer.

That leprechaun was so enchanting that he couldn't want to leave. As for Ding Yifan......

"Director Ding, I'm sorry, Director Sui has an operation here, I'll take a look." The man explained a non-mindless way.

Ding Yifan frowned, very unhappy in his heart.

What is this, this is called smashing the field!

A second-class hospital in Yongcheng did not have an interventional department before, and it seems that a doctor from the north created the interventional department.

A doctor like this who has no inheritance is the most despised in Ding Yifan's world.

Not to mention a grassroots school, in Union Hospital, graduate students and doctors who graduated from West China are regarded as impure and despised for their blood.

What to do.

Ding Yifan scolded in his heart, but a gentle smile appeared on his face.

He learned this from his own boss, although it looks similar but not the same, but Ding Yifan thinks it's very cool.

He walked over with his hands behind his back, and the people around the computer saw this scene and got out of the way knowingly. But Ding Yifan noticed that their eyes were always glued to the computer screen and refused to leave for a second.

What great tricks can a doctor who has nothing to eat in the north and can only go to a second-class hospital in Yongcheng for surgery, Ding Yifan decided to give him some color to see.

"This is ...... That one...... I've met once, you're Director Sui." Ding Yifan finally remembered Director Sui's name.

"Director Ding, I'm sorry, I'm really embarrassed." Director Sui hurriedly apologized.

"If you have surgery, you can let it go." Ding Yifan endured the unhappiness in his heart and said, "The organizing committee has sent you an invitation letter, although we are a competition, the main purpose is to communicate with each other, learn from each other, promote, and improve."

"It's not good for you to have a small meeting by yourself in the audience."

Director Sui was helpless, he blamed himself for being cheap, and the next thing to see after the competition was the review, so he was anxious to see what Lao Zhao was showing off with him.

As a result, Ding Yifan was attracted.

"Director Ding, it's not ......"

"What's not, let's put it out and watch it together." Ding Yifan smiled, "It's surgery."

"Yes, hemoembolic treatment for bleeding after partial nephrectomy."

"Put!" Ding Yifan waved his hand, "How can you see clearly with a notebook."

"Director Ding, I didn't mean that......

Director Sui wanted to explain, but stopped his words under Ding Yifan's stern gaze.

"Let's let it out, let's watch it together." Ding Yifan pretended to be generous, but he was thinking about how to find fault with the operation for a while.

Since you dare to come to the field, you must be ready to break your bones.

At least we must abolish this guy who doesn't know the height of the sky in the academic circle.

The battle in the academic circle has always been cruel, and Ding Yifan doesn't think there's anything. His own boss is such a domineering person, Ding Yifan has one thing to learn.

Director Sui was helpless, the staff came to get the notebook, he also felt that the notebook screen was a little small, some technical details could not be seen clearly, or high-definition projection was better to use.

So Director Sui didn't know how to help.

This scene fell in Ding Yifan's eyes, and it became that Director Sui carefully prepared a video of the operation, but did not upload it through formal channels, but used tricks to attract the attention of others.

In Ding Yifan's opinion, this kind of behavior can be said to be despicable and despicable.

Soon, no one introduced the doctor who sent the surgery, so the video of the operation began to be played.

"Huh?"

At the beginning, Ding Yifan suddenly said "Huh".

Ding Yifan, an emergency emergency worker for bleeding after partial nephrectomy, is familiar with it, and he often works with urologists to help them wipe their buttocks.

The familiar micro-guidewire walks in the blood vessels, and in front of it is the bifurcation point, which divides into the renal artery.

However, the microguidewire was not prepared in advance, and it seemed as if it was going directly to the liver.

Ding Yifan thinks this is simply funny.

What to do and what, the simplest operation of the abdominal aorta into the renal artery is not good, that's it?

So he snorted.

But a few seconds later, Ding Yifan was stunned.

Ignoring the surging blood flow of the abdominal aorta, the microwire did not prepare in advance, and entered the renal artery on the affected side with a shake during the turn.

I'll go!

Seeing the slight knowledge, with just this hand, Ding Yifan became serious.

The microguidewire continues to advance, the catheter is placed, the imaging is made, and the bleeding vessel is found.

The overselection of the renal artery to the renal artery is still not difficult for the operator, and it can be done overnight, as if it is driving on six lanes, unimpeded.

Most of the doctors present did not know what was going on, and there was thunderous applause after seeing such a wonderful operation.

Similar super-selection can be done in one go, which means that the standard of the surgeon is quite high.

There are even doctors who have begun to speculate that this should be an easter egg operation secretly left by the presiding committee for everyone.

The best one is put at the end, and it even has to overpower Director Ding Yifan's surgery.

The operation should be over at this point, and the bleeding artery is plugged with a yellow circle. Although at least 20% of kidney function is lost, it is better than dying.

But!

The operation continues.

The microguidewire continues downward.

Ding Yifan seemed to be looking directly at the sun, and the child's hole shrank suddenly, as if he had injected an overdose of barbiturates intravenously.

Still down? What is he going to do?

Further down are the 4th grade blood vessels, which are about the same diameter as the guidewire of dot 18.

Ding Yifan couldn't guess what the surgeon was going to continue to do, if he did the surgery, it would be fine here, and he had already achieved perfection.

There was silence in the room.

Everyone felt that something was wrong with their eyesight.

All of you here are mature surgeons, and even if you haven't done similar surgeries, you've seen them.

This step is not impossible to do, but while the patient's vascular faucet is unscrewed and bleeding, it is necessary to keep improving.

This is irresponsible to the patient!

Which is more important, loss of 20% of kidney function or hemorrhagic shock or death?

It takes at least 3-5 times to succeed in a similar ultra-long distance, and 20-30 minutes are "wasted".

Patients are most likely to die from bleeding during this time.

However, the surgeon controls the micro-guidewire to continue to descend, and smoothly enters the next level of blood vessels at the branch blood vessels of the renal artery, which is not at all difficult.

I'll go!

This is a recording of the operation, and the surgeries that can be selected and sent are carefully selected, not the kind of video full of surprises that can be broadcast live.

Everyone could guess that it would be successful, but no one expected it to be a one-time success.

The venue was silent, but soon someone reacted that the recording of the operation must have been edited, and they didn't notice the time just now.

Ding Yifan thought the same way, and his gaze shifted to the time in the upper left corner.

Another injection of barbiturates was injected into the vein, and the drug diffused rapidly, inhibiting Ding Yifan's polysynaptic reaction, weakening the facilitation of colleagues and enhancing the inhibitory effect.

The opening of the Cl- channel, the permeability of his Cl- is increased instantaneously, and the cell membrane is hyperpolarized.

At the same time, the excitatory response caused by depolarization after glutamate acts on the corresponding receptor is blocked, causing central inhibition.

Ding Yifan's bilateral child holes were reduced to a pinpoint-like shape.

It's impossible!

The time clearly shows that the operation took only 8′12" from the beginning to the next artery that was over-selected into the renal artery!

In other words, the overselection just now was a success, not an edit.

Whose surgery is so awesome!

Meng, must be Meng, everyone, including Ding Yifan, has such an idea in their hearts.

Even Director Sui thought so.

Yesterday's surgeon seemed to have crossed over, and he slapped everyone's face directly with practical actions in the next operation.

After the overselection is completed, a yellow circle is inserted into the embolization of a branch of the hemorrhagic artery, and then the microguidewire is overselected again.

It's still the first time!

This time, many people are paying attention to the time, staring at it without blinking, whether there is any trace of editing.

It is a "pity" that the operation was completed in one go, and there was no trace of editing at all.

The branch under the artery of the next renal segment was overselected again, and the yellow circle was punched in, and the bleeding stopped.

The emergency emergency surgery, which was originally extremely difficult, was made by the surgeon to feel boring.

It's as simple as cutting a lipoma.

This feeling of lifting weights makes Ding Yifan feel very unreal.

After the operation, a professor from the organizing committee came to the stage and clicked to replay.

Similar high-level surgeries are rare, and I can't get enough of them no matter how many times I see them.

Ding Yifan reluctantly calmed down after a short sigh, this is a smashing field! Definitely!

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