Surgical promotion is almost the same as building a building!

Initially, learn debridement sutures, appendectomy, hemorrhoidal excision......

Minor surgery is the foundation for major surgery.

When the doctor can do a craniotomy or thoracotomy, there are branches in front of it.

The development of medical equipment has made changes in surgery.

Thoracotomy, craniotomy, laparotomy and other major surgeries have been gradually replaced by minimally invasive procedures such as laparoscopy, endoscopy, and intervention.

While advanced technology is constantly evolving, what remains the same is that you need to know enough about human anatomy.

It's like kung fu has reached a certain level, flying flowers and picking leaves can also hurt people.

Heart valve surgery is a fourth-level extracardiac surgery, which requires a good understanding of the heart, can do thoracotomy surgery, and know the principle of cardiopulmonary bypass.

Lay the foundation, step by step, and try to do the surgery with a minimally invasive thoracoscopy.

Now Zhao Yuan uses TAVR technology, which is one level higher than laparoscopic surgery.

Zhao Yuan can actually use thoracotomy or laparoscopy to perform this operation.

But there are two considerations.

First, the patient is not young, the physical signs are not good, and surgery for large wounds can lead to a poor prognosis.

Second, this is an operation in Yanjing, where the master is like a cloud, if you use an operation that everyone can easily do, it is difficult to be convincing, and it makes people feel that the fifth senior brother attaches great importance to the little junior brother, but that's it.

Zhao Yuan didn't do it to show off his skills.

It is mainly a consideration of human feelings.

Zhao Yuan walked into the operating room, swept around, and saw the equipment.

I have to say that the equipment of Yanjing Grade 3A Hospital is different.

Wu Hai glanced at Zhao Yuan, and after entering the operating room, his state was different.

Before, he was very low-key and modest, with a gentle smile on his face, but now he is very serious and does not smile.

Every action is very decisive and capable.

Zhao Yuan's heart is like water, and he will calm himself down enough to treat every operation.

The development time of TAVR technology in China is only about ten years.

Although many hospitals now claim to have this technology, there are not many doctors who can actually perform this surgery.

There is an observation area outside the operating room, where a group of doctors are waiting for the surgery to begin.

Most of them came to Wu Yuan.

"How can Wu Yuan stand in the position of Ichisuke?"

"Wu Yuan is to make way for his junior brother."

"Alas, why don't I have such a good life, with a senior brother like Wu Yuan to support me."

"People don't rely on their lives to get honors, his level is good, and he is the first person in the world with arterial dissection disease."

"The media blew it, do you believe it?"

"Just blush your eyes! Wait a minute, you will know how powerful Zhao Yuan is. ”

There are two distinct factions in the observation area.

Some people think that Zhao Yuan's fame is related to hype packaging.

The other part is Zhao Yuan's fans. They have seen Zhao Yuan's surgery video and seen Zhao Yuan's power.

Although Zhao Yuan has been reported many times, he has even appeared in the central media.

But there will always be people who will question the excellence of genius.

Especially in the hearts of proud doctors, he has always been the first in the world.

Doctors who can gain a foothold in the capital, they are qualified to be proud, and they must first be admitted to the capital medical school with a very high score, which is very difficult.

Secondly, they have to undergo several years of rigorous training and compete with a group of excellent classmates.

Moreover, even if you reach the time of graduation, you may not be able to stay in Yenching. It is also quite difficult to really stay in Yanjing and enter a tertiary hospital.

Experienced

Countless competitions, they have the confidence to believe that they are worthy of the word genius.

Zhao Yuan came from Guangdong Province, how powerful can he be?

Surgery begins.

Zhao Yuan served as the chief surgeon, Wu Hai served as the first assistant, and the director of the chest department served as the second assistant.

Sanzhu is a member of the doctor's group that the hospital focuses on cultivating.

In addition, there are two doctors who watch the operation up close in the operating room in the name of miscellaneous work.

When the operation began, the three doctors sat down with nothing to do, huddled in the corner, and whispered.

Despite the demand for absolute silence in the operating room, everyone kept one eye open and one eye closed for chatting.

After all, time is so long, you can't be like a fool and wait for the operation to end.

"This operation is really difficult, I just asked a student in the interventional cardiology department, and he still has to work for a few years before he can get started."

"Not all patients are suitable for this procedure. I felt a little deliberate. ”

"If the operation fails, it will be ugly."

"After all, there is Wu Yuan, and there is no possibility of failure. However, he will definitely lose face. ”

"I knew I was going to the south. At the age of twenty-seven, he can become the head of the provincial top three department. How long do you have to stay here before you can get ahead? ”

"What's the point of being a chicken head in a small place?"

Zhao Yuan was engrossed in the operation.

Naturally, he didn't hear a few PhD students hate because of jealousy.

Even if he heard it, Zhao Yuan would laugh it off.

"Hey, there's really kung fu."

"The incision was perfectly done! The access was made so quickly? ”

The doctors were quickly attracted to the operation, found a position, and observed the operation.

Zhao Yuan's operation was done very quickly, without any superfluous movements.

Show off your skills.

Wu Hai cooperated

Not bad, as a partner for many years.

femoral arteriovenous puncture, sheath insertion, placement of temporary pacing electrodes, aortic sinus angiography, guidewire transvalve, coronary angiography......

As the surgery progressed, the most critical part was finally reached.

"Balloon dilation of a patient's stenotic aortic valve is a very risky step in surgery."

Zhao Yuan glanced at Wu Hai.

Wu Hai's eyes were solemn and he nodded, indicating that he had received a reminder.

Rapid pacing of the ventricles is required for sac dilation, and the patient has poor cardiac reserve, and transient pacing may also cause circulatory collapse.

"Pacing, dilation;

imaging, convulsions;

Stop pacing! ”

With Zhao Yuan's short command, Wu Hai quickly completed the balloon expansion.

Immediately after the balloon is dilated, the patient's blood pressure rises to 100/60 mmHg.

As the balloon catheter is withdrawn, the assembled valve is delivered into the patient......

The next step is to witness the effect of the valve implantation.

"Descending aortogram!"

A contrast agent is injected into the body.

Everyone held their breath.

Observed for a few minutes.

The director of the second assistant chest department reported, "The valve is working well, the cardiac function has improved significantly, and the left ventricular ejection fraction has increased from 20% to 29% before the operation!" ”

A smile appeared on the corner of Wu Hai's mouth, it was hard to imagine that a patient with such a serious condition could be cured so quickly.

If it is a thoracotomy instead, it will take at least five hours.

However, it took only 50 minutes from entering the catheterization laboratory to valve release.

Zhao Yuan did not relax, and did the finishing touches by himself as he did the previous cross-hospital consultation.

The moment he completed the surgical approach with sutures, he heard crisp applause in his ears.

Wu Hai took the lead in applauding, and the rest of the people followed.

Dr. Sanzhu secretly took out his mobile phone, found an angle, took a photo of himself and Zhao Yuan, and then secretly posted it on the circle of friends.

"I am fortunate to have surgery with Zhao Shen, the junior brother of Wu Academy!"

Soon there were a lot of messages and comments in this doctor's circle of friends!

"Zhao Shen? Zhao Yuan? ”

"Who is Zhao Yuan? Haven't heard of it! ”

"The Elephant Medalist?"

"What? Has Zhao Yuan been transferred from Tianhua to your hospital? ”

News from the big cities spread quickly.

The fourth senior brother, He Jun, was the first to call and asked Wu Hai with a smile!

"You're too unkind as a senior brother. Zhao Yuan just arrived in Yanjing, didn't take him around, first pulled him as a cow and a horse, are you a vampire? ”