In the eyes of a group of rough guys + dung digging boys + people who dance knives and guns.

At this moment, Zhao Xi is so clear and beautiful, and he is unique.

So much so that Zhao Lei had an illusion for a while......

What the fuck is my daughter?

That's right!

The diagnostic level of surgery has always been relatively stretched, although everyone can cope with it with ease within the scope of the profession.

But...... Once the department is biased, there will only be a situation where the big eyes stare at the small eyes, and the small eyes ask for foreign help.

Zhao Lei's level is already okay.

General surgery itself involves a wide range of things, and it is actually rare to be able to understand what you are doing.

But......

Lead poisoning......

You get it.

They are all engaged in medicine, and they do know a little about poisoning, but ...... I only know a lot.

Now let Zhao Xi name the diagnosis and treatment under the limitation of so many professional terms.

It's a waltz on the tip of a knife.

It's so wonderful!

For a moment, everyone in the room was silent.

Moments later......

Ye Aiguo hurriedly took out a guide for lead poisoning and handed it to Zhao Lei.

"Director Zhao, look!"

"It's really the same as what Zhao Xi said."

"Exactly!"

"I think Zhao Xi's plan is feasible, she has worked hard, and ...... The details in the diagnosis are also in place. ”

"Last year, I checked and found that there was a case of lead poisoning in a four-year-old boy in the emergency department of our hospital who had been taking tinplate for a long time."

"By the way, I invited Director Huo from the Department of Emergency Internal Medicine to come over."

At this time, Han Shifeng suddenly asked:

"Does tinplate contain lead?"

The people around were also curious.

This problem goes even further than the cell walls of our brain cells.

Zhao Lei couldn't help but glare at Han Shifeng.

When you ask this question, doesn't it seem that our IQ is in a hurry?

Is that a question asked?

Knowing that we are all a bunch of rough guys, isn't it embarrassing for us to engage in this?

But......

As soon as the words fell, a voice sounded from behind.

"According to the latest analysis of food consumables, tinplate cans are lead-free!"

"The shell of the horse-head tin can is hot-dip tin!"

"Tinplate, also known as tinplated iron, is the common name of electro-tinned thin steel plate, abbreviated as SPTE in English, which refers to cold-rolled low-carbon thin steel plate or steel strip coated with commercial pure tin on both sides."

"Under normal circumstances, lead poisoning does not occur, but ...... This is just the general situation. ”

"But in reality, tin ore is often associated with a certain amount of lead, which is common knowledge in the field of minerals and metals, and I believe everyone knows this very well."

Zhao Lei: ???

Han Shifeng: ???

All:......

Be careful when you speak!

Be careful that we call the police.

What is common sense?

I suspect you belittle our intelligence!

Everyone turned around to look, and the person who spoke was definitely not their own person.

I wouldn't have said such a thing!

Sure enough!

Everyone found out that it was Chen Gong.

No wonder.

This is a student in our department, and I haven't stayed long enough, but when I get to know us a little longer, I know us better, and I know very well that we are not like that......

But......

This kid.

How could such cold words come out of a mouth at 36 degrees 5?

Aren't you breaking our hearts?

Chen Gong continued:

"As we all know, the affinity between tin and lead is very strong, and if industrial tin is not purified by precision electrolysis, there will be lead in some cases."

"And many manufacturers, in order to save the procurement cost of raw materials, will choose relatively cheap tinplate canned shell manufacturers."

"So...... This still happens from time to time. ”

Hearing Chen Gong's words, at this time...... Suddenly, there was a round of applause.

Everyone looked for prestige and found that this person was none other than Director Huo of the Department of Emergency Medicine.

Huo Jian clapped his hands and walked in.

"This is classmate Chen Gong!"

"Huh...... That's right. ”

"Director Zhao, Director Han, hello."

"In the past, there was a similar patient in our department, and the cause was not found before, but I later learned that it was caused by this material."

"After that, I also went to the relevant departments to confirm, indeed, as Xiao Chen said."

"It is precisely because of this loophole that this type of disease has emerged."

"Although the probability is relatively small, it cannot be ignored."

Seeing this, Zhao Lei hurriedly invited the other party to come in: "Director Huo, then please take a look." ”

Huo Jian nodded and walked over, glanced at the patient, then made a diagnosis and nodded.

"Well, it shouldn't be a big deal."

"It's lead poisoning."

"And it's a symptom of an acute attack of chronic lead poisoning."

"The metabolism of this heavy metal of lead is very slow, and the patient has undergone surgery on the digestive system, so during this time, it will aggravate the aggravation of this type of symptoms."

"Just now, Director Ye also communicated with me."

"I have to say that the talents in your department are really excellent."

"Because of this kind of invisible seizure patients, it is still very difficult to accurately explore the cause."

Hearing Huo Jian's praise, Zhao Lei was extremely relieved in his heart.

It's much happier than praising him.

And Zhao Xi also blushed when he heard this.

She's not really a vain person.

Zhao Xi couldn't help but glance at Chen Gong and wanted to say something, but saw Chen Gong smile slightly and shook his head.

Chen Gong actually didn't care who praised him, or what performance made a contribution.

Because he's a student.

Not at all.

Let's be honest......

Instead of wasting it, it is better to give it to Mr. Xiao Zhao.

Moreover, the better Mr. Xiao Zhao's performance, the more opportunities there are, and in such a department with clear rewards and punishments, Chen Gong can naturally have better opportunities.

Besides......

Chen Gong is not making Teacher Xiao Zhao bear too many expectations, it was originally ...... Chen Gong is already cultivating Teacher Xiao Zhao.

Although Chen Gong kept calling Teacher Xiao Zhao, he actually ...... Even Director Zheng Chuguang knew very well that Chen Gong was actually taking Teacher Xiao Zhao.

Whether it is diagnosis, treatment, dressing change, surgery......

Wait a minute!

Chen Gong trained Teacher Xiao Zhao according to his own techniques and means of analyzing diseases.

How could Chen Gong not have his own plans?

First of all, Chen Gong knows very well that the operation cannot be completed by one person, even if it is as strong as Zhao Lei, it also needs the help of Director Han Shifeng.

Chen Gong first wanted to train a surgical assistant who he could do well.

And secondly......

Chen Gong is also exploring the possibility of cultivating students and cultivating excellent medical staff.

Therefore, Chen Gong didn't want to be very good here.

Similarly, Chen Gong also knew very well that he could not stay in the Department of General Surgery all the time.

He also has a plan for his internship.

At the very least, you should determine your future development during the internship.

Therefore, Chen Gong set a plan for himself: surgery, internal medicine, and emergency department.

As for other functional departments, such as laboratory and imaging departments, Chen Gong does not plan to go specifically.

Dentistry, Ophthalmology...... Chen Gong also has too many ideas.

After all, time is limited, and Chen Gong must make the most of this internship time as much as possible.

Surgery, just go to general surgery, there is no doubt about it.

Internal Medicine, go to the Department of Internal Medicine, the First Affiliated Hospital of Shanhe Medical University, in fact, retains a Department of Internal Medicine.

Internal medicine was originally another name for oncology, after all...... In the past, it was difficult for everyone to accept the name oncology, and many patients were afraid.

Therefore, there is the name of internal medicine.

But...... Later, the tumor has become a multi-morbidity, so the oncology department became independent.

However, the hospital retains the existence of the internal medicine department.

Although the Department of Internal Medicine has gradually become a "Department of Difficult and Miscellaneous Diseases" in recent years, the Department of Internal Medicine is still the main department.

Therefore, here, Chen Gong can get a better opportunity to exercise.

Besides......

It's an emergency!

As a clinical doctor, it would be a loss if you didn't go to the emergency department for yourself.

Chen Gong was silent, and at this time, everyone attributed this credit to Zhao Xi.

Zhao Lei was very happy, but his facial expression did not change much.

Seeing this, Han Shifeng smiled lightly.

Zhao Lei was in a good mood and said to Huo Jian: "That'...... Director Huo, this patient will come to your department, right? ”

"After all, this kind of professional problem still has to be left to you."

Huo Jian nodded and smiled: "Okay!" ”

"You can do it now."

"Director Zhao's talent training reserve really makes us envious."

"Hehe......"

"To be honest, this type of lead poisoning is still difficult to detect, because this kind of sudden onset of chronic symptoms is not typical, and only the attending physician of the emergency department who is proficient in poisoning diseases can detect it."

"But!"

"But it is very timely, if the best time to discharge lead is delayed, it may still lead to aggravation of symptoms and lead poisoning encephalopathy."

"When the time comes, it will be troublesome to treat."

"I also support Dr. Zhao's diagnosis."

In a word, Zhao Xi's worth has increased a lot again.

Now, Huo Jian has given a diagnosis, and the patient's family is also relieved.

After all, the situation is not serious now.

Yang Chen told the truth, and when he heard these words, he was a little unwilling.

Some time ago, his mistake caused Yang Chen's evaluation in the department to plummet.

During this time, both patients and surgeries have been drastically reduced.

This is why the department has begun to reduce the number of patients he has made because of his mistakes.

He originally wanted to rely on this opportunity to increase his weight in the hearts of everyone.

But now!

Zhao Xi's sudden stand up made him feel uneasy.

……

……

Huo Jian did not leave in a hurry, but came to Zhao Lei's office.

"Director Zhao, visiting today, in fact, ...... I also hope that Director Zhao will help with an operation. ”

When Zhao Lei heard this, he was slightly stunned: "Oh? What surgery? ”

"What's going on?"

"Director Huo, please take a seat, tell me about the specific situation."

Huo Jian nodded: "Well, actually...... It's not too much of a hassle. ”

"My father-in-law has a femoral aneurysm, and the aneurysm is not small."

"Now it's serious about life."

"The day before yesterday because I fell, the result was ...... Ruptured and haemorrhaged, sent to the emergency department, and the hematoma has now been cleared. ”

"It's good that it's not a big problem, but ...... Now I'm worried that if he continues, a blood clot may form, and if the vein backs up, it causes a pulmonary embolism or whatever, and the situation is more serious. ”

"So, I hope you will see if you have time to do this surgery for us."

"By the way, this is the film, you can help me see it first, it's not difficult."

After listening to this, Zhao Lei nodded quickly, took the film and watched it.

There are not a few things that help each other in hospitals, and under normal circumstances, everyone can help and will not refuse.

The aneurysm is located on the inner thigh, and the size of the aneurysm is about a fist.

Aneurysm surgery, in fact, is not too difficult for surgery.

But!

The difficulty lies in the vascular anastomosis.

When the aneurysm is removed, blood circulation needs to be re-established, and since it is an aneurysm, it is necessary to pay attention to the time of suturing.

Other than that, it doesn't seem to be much of a problem, it's nothing more than a matter of proficiency.

Here, Zhao Lei is also relatively proficient in this kind of surgery, and it didn't take long to have a plan in mind.

After reading it, I immediately smiled:

"Okay!"

"The operation is not very difficult."

"There shouldn't be any problems."

"But, you see, these two blood vessels, after the aneurysm is removed, we may need to rebuild."

"In the case of reconstruction, in fact, because of the aneurysm removal, this section of the blood vessel needs to be removed, so it should be necessary to use artificial blood vessels."

Zhao Lei told Huo Jian about the relevant precautions and surgical procedures.

Huo Jian smiled slightly: "That's good!" ”

"What about it...... Please, Director. ”

"By the way, did my father-in-law transfer from emergency surgery?"

Zhao Lei smiled and waved his hand: "No need, it's not a big operation." ”

"I'll just go to the emergency surgery room and do it."

"When?"

Huo Jian's eyes lit up: "The sooner the better!" ”

"I don't know when Director Zhao will have time."

Zhao Lei was silent for a while, and after thinking for a while: "From three to five o'clock this afternoon." ”

Huo Jian nodded hurriedly: "Okay!" ”

"Then I'll arrange it."

After finishing speaking, Huo Jian left happily.

Zhao Lei didn't take it seriously.

Began to organize crowd rounds.

After the ward round, he said to Zhao Xi: "Zhao Xi, Ye Aiguo." ”

"There's an operation in the afternoon, come and have a look."

Hearing Director Zhao's words, everyone in the office immediately glanced at Zhao Xi tacitly.

Ye Aiguo is now a key training object, everyone knows.

Among the three generations of the old, middle and young people, the talented surgical experts in the department, whether it is Zhao Lei or Han Shifeng, are all being seriously cultivated.

There are quite signs of a leading figure among the deputy chief physicians.

And Zhao Xi ......

To put it bluntly, everyone knows very well that it is this morning's events that have made a difference.

Yang Chen looked at Zhao Xi with a little more jealousy in his eyes.

However, Director Zhao has always been fair, with clear rewards and punishments, and everyone in the department also recognizes it, so no matter how envious and jealous Yang Chen is, it is meaningless.

Here, Chen Gong is very happy!

Let's be honest......

I can participate in major surgery again.

Chen Gong is really addicted to participating in this high-level surgery.

No way......

High surgery, high difficulty, even if the participation is low, the rewards are rich.

Thinking of this, Chen Gong smiled slightly:

"Sure enough, it feels so good to hug your thighs!"

"It's time to have mixed surgery again!"

Zhao Xi glanced at Chen Gong: "Why don't you hug your thighs?" ”

"Obviously you have such strength!"

"I'm going to get this credit this morning."

Chen Gong smiled: "Teacher Zhao's thighs are more fragrant, I'm ...... Boring! ”

"Say ...... again"

"Teacher Zhao, who are the two of us!"

As soon as these words came out, Zhao Xi's face suddenly turned red and he glanced at Chen Gong, but his heart was beautiful.

"By the way, can you help me figure out my thoughts?"

"With this diagnosis in the morning, I still can't think so smoothly."

Chen Gong nodded after hearing this, and began to help Zhao Xi analyze.

……

Three o'clock in the afternoon.

Chen Gong and Zhao Xi followed to the operating room.

The two didn't know anything about the operation to be performed in the afternoon.

When Chen Gong finished washing his hands and learned that it was an aneurysm removal operation, he immediately became excited.

Finally waiting for you!

Fortunately, I didn't give up!

You must know that the most basic skill of aneurysm surgery is vascular suture!

Vascular suturing has always been an advanced technique.

Why?

Because many surgeries, vascular anastomosis is required.

Cardiac surgery requires a high degree of vascular anastomosis.

Chen Gong had long heard that Zhao Lei's blood vessel sutures were very strong, but ...... I haven't seen it before.

Today I finally have the opportunity to learn from a teacher.

Thinking like this, Chen Gong suddenly felt how cost-effective it was to let Teacher Xiao Zhao pretend to be this beep this morning.

If you say that there are several types of sutures.

Skin suture, vascular suture, organ anastomosis, intestinal anastomosis, tendon anastomosis.

Chen Gong is now just a little minion who has mastered the basic suturing method, and he can still get a little bit of a hand in the field of skin suturing.

In addition to intestinal suturing, there are few other hands-on opportunities for several other advanced sutures.

Thinking of this, Chen Gong said with a smile:

"Teacher Zhao!"

"It's got to be you."

"The legs are so thick."

"I can even see Thor showing vascular surgery."

After hearing this, Zhao Xi couldn't help but glance at Chen Gong: "Your legs are thick!" ”

"Your legs are thick!"

"Humph!"

After hearing this, Chen Gong didn't dislike it, and smiled: "Thank you for the compliment." ”

The more familiar Zhao Xi and Chen Gong became, the more Chen Gong could joke, and the thickness of his face rose sharply.

Ye Aiguo came over at this time.

He said to the two of them, "Today's surgery is a femoral artery resection. ”

"There is a lot to learn from this surgery."

"But the most important thing is the vascular anastomosis surgery."

"Take a good look."

"Director Zhao's vascular surgery is a must in our hospital."

"You know, even the director of cardiac surgery said that Director Zhao's vascular anastomosis skills are among the best in the hospital."

"Blessed!"

After listening to this, Zhao Xi was extremely proud in his heart.

Father's achievement, to be honest...... She is the proudest in her life.

Although he is an expert in general surgery, he ...... But one person has achieved several departments.

A man who dared to kick out his subordinates and set up a new department.

His inner confidence comes from his confidence in his own strength.

It didn't take long!

Zhao Lei and two men walked towards this side.

One of them, Chen Gong, knew Zhang Peng, who helped him operate that day, deputy director of emergency surgery.

As for the other one who traveled with Zhao Lei, Chen Gong didn't know him.

And the other party ......

But he walked straight to Chen Gong's side and took the initiative to stretch out his hand and smile.

"Hello, I'm Fu Tao, an emergency surgeon."

"I heard Zhang Peng say that you did a good job of laparotomy and exploration."

"Hope to have time to walk around our emergency room."

Fu Tao smiled slightly and took the initiative to show favor to Chen Gong.

This scene surprised Ye Aiguo a little.

He didn't expect Director Fu to be so optimistic about Chen Gong?

Zhao Lei nodded and said to Fu Tao, "Then let's start?" ”

Fu Tao nodded, washed his hands, and the group walked towards the operating room.

The surgery is not difficult!

After a brief discussion, Zhao Lei formulated the surgical process.

There are basically not many doubts.

This operation is actually a dazzling operation.

What does that mean?

It's similar to tendon suture surgery in hand surgery.

This type of surgery depends largely on the surgeon's proficiency in the suture.

The scheme is simple.

The steps are also very simple.

Cut!

Cut it out!

Suture!

That's it in three steps......

Well, it sounds like it's all going to work, but it's all wasteful.

It's just that...... Chen Gong was looking forward to the ...... How can I learn as much as possible in this surgery?

To be honest, Chen Gong felt that his participation in this operation must be very low.

Even the opportunity to get hands-on is not very much.

But......

How can I get better rewards?

Surgical evaluation has now surpassed the points and has become a means for Chen Gong to improve himself.

Therefore, Chen Gong is no longer satisfied with exchanging points.

The surgery is about to begin.

The choice of anesthesia is epidural.

The patient's leg is externally rotated, and after immobilization, surgery is about to begin.

At this moment, Zhao Lei suddenly stopped his operation.

Turned around and glanced at Zhao Xi, hesitated for a moment, and then looked at Ye Aiguo......

But!

After pondering for a moment, Zhao Lei said to Chen Gong:

"I've heard you're doing a good job of excision."

"Come on!"

"The patient's aneurysm is in this area."

"You choose the incision and make the incision."

As soon as these words came out, everyone's eyes widened.

Let's be honest!

No one expected that when the operation was about to begin, Zhao Lei actually gave the incision to Chen Gong.

Ye Aiguo knows very well that Director Zhao is a person who is almost paranoid about the control of surgery.

He rarely takes the initiative to perform surgeries that he considers important.

But......

He actually gave it to Chen Gong.

Chen Gong was also stunned for a moment at this time, only Fu Tao looked at Chen Gong with a little smile on the side.

Seeing this, Chen Gong walked to Zhao Lei's side without the slightest hesitation, and after waiting for the other party to give up his position, he took a deep breath and picked up the scalpel.

As a professional, psychologically competent surgeon.

At this moment, the last thing you should do is cowardice.

Now that you have the opportunity, you have to get it.

Chen Gong stared at the patient's thigh area and began to think about the incision gap.

This process didn't last long.

In an instant, Chen Gong had an idea.

A transverse finger is made next to the pubic tuberosity on the inner thigh.

Immediately afterward, he picked up the scalpel and made a longitudinal incision directly along his mark.

The knife is very stable and not a vertical knife.

In this way, the entrance of the knife is shallow and the wound is clearly visible.

It didn't take long!

A hole appeared, and Ye Aiguo hurriedly opened the wound.

Suddenly......

The scene in front of him made the other party almost stunned.

Good move!

Because the depth of the knife is just right, after cutting the skin tissue in an instant, it also opens the ligament of the groin directly downward.

In this way, the entire leg area is instantly revealed.

Next, just as Ye Aiguo was about to let Chen Gong continue to cut the deep fascia......

Suddenly......

Keep your hand open.

I clearly saw that there was still a shallow knife mark on the deep fascia.

Separated along the imprint, suddenly!

The leg muscles are exposed.

A knife stream!

One-size-fits-all!

Without the slightest hesitation.

The knife edge is clearly visible.

Flat as a mirror.

The entire incision, like a work of art, appears with precision.

Everyone was amazed by this scene.

Zhao Lei and Fu Tao glanced at each other, their eyes full of shock.

They are all surgical experts, how can they not know how difficult it is to achieve such an effect with a single operation?

Because beneath the deep fascia are the muscles.

If you're not careful, you can cut muscle tissue.

It can be said that this knife is perfect!

It's the perfect cut.

Zhao Lei couldn't help but look at Chen Gong dumbfounded, originally wanting to give him a chance.

As a result, this kid gave himself a dismount.

Zhao Lei couldn't help but say:

"What a cut!"

"You kid, you can!"

"You're giving me a problem."

"Hehe......"

"If I don't do this operation well, it will delay and waste such a superb incision of yours."

"Not bad!"

"You're good!"

This time, Zhao Lei did not skimp on his praise at all, and he was full of praise for Chen Gong.

And Chen Gong just smiled and didn't speak.

Instead, he took a step back and gave way to the C position.

He knew that after this step, there would be no room for his own maneuver.

Because the next step, after separating the muscles, is to dissect the aneurysm.

Seeing that Chen Gong knew how to advance and retreat, Zhao Lei was also very satisfied.

Zhao Lei nodded and smiled slightly, and said to Ye Aiguo: "You can give this child more opportunities in the future!" ”

Ye Aiguo nodded.

And Zhao Lei looked at Chen Gong and said:

"Look at it, I'll teach you to do this operation."

"I'll let you get started when I have a chance in the future."

Zhao Lei hadn't said such a thing to Zhao Xi yet, but said it to Chen Gong.

It is enough to see how much this is appreciated for Chen Gong.

But......

Zhao Lei suddenly looked sideways at Chen Gong and asked, "What kind of cutting technique is this?" ”

Chen Gong smiled slightly: "One knife flow!" ”

"Homemade."

This sentence made everyone at the scene, except for Zhao Xi, dumbfounded.

How many surgeries has he had before?

I even created my own incision.

And Zhao Lei's next move made Chen Gong's eyes light up.

I saw him easily separate the muscles, and the entire tumor was exposed.

The size of a fist.

Zhao Lei's technique was light, bypassing the tumor, following the blood vessels, and quickly groping.

It didn't take long!

Under the combination of ton-sharp technique, the proximal common femoral artery and the distal deep femoral artery and superficial femoral artery were quickly dissected.

"Ready to be sterilized!"

Hearing Zhao Lei's words, Ye Aiguo did not doubt him, and hurriedly made a move, bypassing the rubber belt to control the blood flow.

This surgery is not meant to absolutely cut off blood flow.

Instead, the rate of blood flow needs to be controlled to allow room for relaxation during surgery.

After absolute control of blood flow, if an accident is found during the operation, if the anastomosis cannot be performed for a long time, tissue ischemia is likely to occur.

Although the amputation of this part of the blood vessel in the lower extremity area does not cause ischemia to the brain tissue and heart.

But......

The rigor of the operation, that's it.

Each blood vessel has a unique mission.

Controlling blood flow is the best solution.

The operation continues!

The aneurysm body and the surrounding adhesions are tight and not easily separated.

Ye Aiguo, as Han Shifeng's protégé, naturally started his operation.

Not long after, the tumor separated, and he nodded at Zhao Lei.

Seeing this, Zhao Lei was preparing to cut it off!

Suddenly, at this time......

He looked at the veins, his eyebrows furrowed.

"Bring the artificial blood vessels."

As soon as these words came out, Ye Aiguo and Fu Tao's faces changed slightly.

After Fu Tao brought the artificial blood vessels, Zhao Lei frowned:

"No way!"

Fu Tao was stunned for a moment, and hurriedly looked at Zhao Lei: "What do you mean?" ”

Zhao Lei said seriously: "The error is more than 2 mm!" ”

"If the artificial blood vessel is consistent with the end here, there will be an error of about 2 millimeters."

Chen Gong's eyes widened when he heard this.

He looked at the artificial blood vessel in Fu Tao's hand, and then glanced at Zhao Lei pointing to the port area.

He was amazed!

How did the other party find out?

If it is Chen Gong, he can use his own mouse eyes to achieve magnification and micro-manipulation effects.

But......

Zhao Lei didn't!

How could he be so accurate?

At this time, he noticed that Zhao Lei touched the blood vessels with both hands and found the difference here.

At this moment, Chen Gong couldn't help but be in awe.

Sure enough, success never happens by chance.

How rich of clinical experience does this have to be to use both hands and the naked eye to instantly judge the difference in the thickness of the vascular anastomosis?

Week of the Week!

The premise of performing femoral artery aneurysm resection and artificial vascular grafting is that the caliber of the artificial blood vessel selected must be consistent with the caliber of the femoral artery.

Although it is said......

This requirement is basically the same.

Because it is difficult to have perfectly matched blood vessels.

But......

There are some considerations for this error.

Fu Tao frowned and looked at Zhao Lei: "Director Zhao, the error of 2 millimeters is ...... Is it dangerous? ”

Zhao Lei nodded: "Have you heard of a vascular crisis?" ”

"When there is an error of 2 mm, in fact, the difficulty of stitching is not big for me."

"I'm worried that there will be a vascular crisis."

"Here...... You see, the blood vessel velocity in this area is relatively fast. ”

"If an imperfect anastomosis is performed, it can affect the flow rate of the blood vessels and, in this area, cause a vascular crisis."

"And, remember, there is no such thing as perfection in vascular anastomosis."

"Because as long as there is a anastomosis, there will be a wound, which means that when the blood vessel flow rate appears, it may ...... Aneurysms can form! ”

"When the time comes...... If it does, it's going to be a big problem! ”

"We can't take any chances."

At this time, Chen Gong asked: "Isn't there a perfect enough artificial blood vessel?" ”

Zhao Lei couldn't help but smile: "No! ”

"If you have a way, I think it won't take a few years before you become the richest man in China!"

Chen Gong couldn't help but be stunned.

All right!

"More than 600,000 people worldwide need revascularization surgery every year.

Among them, "artificial blood vessels" larger than 6 mm are indeed now commercialized.

But...... The preparation of small-diameter blood vessels less than 6 mm has become an international problem.

Moreover, the price of imported artificial blood vessels is very high!

Domestic artificial blood vessels cost tens of thousands of yuan, which can be imagined......"

"The School of Materials Science and Engineering of BJ University of Technology has prepared 3-5 mm anticoagulant materials and small-caliber vascular samples using silk fibroin as the basic raw material."

"But...... Did you know that this is only 3-5 mm, and it is still experimental? ”

"So!"

"Within 6 millimeters, every millimeter is a historic step!"

"Surgery, especially vascular surgery, is an interventional device that involves the whole body, and it must not be careless."

Zhao Lei's words made everyone nod their heads.

Chen Gong has a new understanding of Director Zhao, who seems to be rude and reckless.

It's really true, there is a tiger in the heart, sniffing the roses!

Such delicate details can also be taken into account.

It's really a bit powerful.

At this time!

Fu Tao looked at Zhao Lei and asked, "That's ...... How? ”

Zhao Lei was silent and said lightly: "I want to think about it!" ”

But......

Think about it, how hard it is?

And Chen Gong stared at the blood vessels, and his heart fell into thought.

He himself has a high grasp of anatomy and ...... Combined with Zhao Lei's thinking just now, he suddenly thought of a special idea of vascular anatomy in his mind.

Time passes minute by minute.

Chen Gong closed his eyes, and began to think about the vascular circulation, blood supply area, and many aspects of this area in his mind.

Just when everyone was in a quandary.

Chen Gong suddenly said: "I have a way!" ”

As soon as these words came out, everyone around immediately looked at Chen Gong, and Zhao Lei also said curiously:

"Tell me!"

"Actually...... I don't think it's necessary to use this artificial vessel! ”

Zhao Lei quickly understood Chen Gong's thoughts, but ......

"Where do you want the blood vessels?"

Chen Gong said directly: "Spiral lateral femoral artery descending artery!" ”

Zhao Lei knew the anatomical structure of the leg very well, and quickly followed Chen Gong's words and found the blood vessel.

Soon!

Zhao Lei's eyes widened, and as soon as he touched his hands, he sensed how high the fit between the two was!

This moment!

It was no longer Chen Gong who was surprised.

And became Zhao Lei!

Attaboy!

How do you know how thick he is?

To know......

These hands, which can judge the size, have been trained through an unknown number of surgeries.

And what about Chen Gong!

I didn't even have my hands on it.

These eyes...... How wicked must it be?

Really......

Zhao Lei stared at Chen Gong's eyes.

And Chen Gong looked at Zhao Lei's hand.

The two glanced at each other, and saw a little bit in each other's eyes: amazing.

Like-minded people!

But......

This cannot be a reason to convince Zhao Lei.

It's important to remember that a blood vessel transplant is not just about two blood vessels that fit together.

There's a lot to think about.

The first is the blood vessel supply area, whether it can meet the relevant blood circulation.

It can be said that each of these blood vessels has a unique mission, and all grafting and transplantation are blind.

Zhao Lei looked at Chen Gong: "Why do you think it's feasible here?" ”

Chen Gong's eyes were a little more excited.

"Not feasible!"

"First of all, we have to anatomically analyze these blood vessels and discuss their main blood supply areas."

"Secondly, I think that by changing the order of these two blood vessels, a new collateral circulation can be established, so that it can perfectly conform to the normal blood circulation of the human body!"

Hearing Chen Gong's words, Zhao Lei's eyes widened more and more: "Let's talk about it!" ”

……

Chen Gong swallowed.

"First of all, first of all, you see, this lateral circumflex femoral artery and its ascending and descending branches send out thick branches at the root to support nearby muscles, such as the rectus femoris, vastus intermediadius, and vastus lateralis muscles."

"So, the total blood supply here is abundant, and it doesn't affect the blood circulation in this area."

"For the tissues, there is no damage."

"Secondly, the ascending branch is constant, except for large branches at the root, there are no large branches along the way, and the terminals are distributed in the tensor fascia lata, gluteus medius, etc."

"However, the cost reduction is different."

"The descending artery is coarse and long, the path is constant, the terminal pipe diameter is thin, and there are no important branches except the roots."

The more Chen Gong spoke, the more excited he became.

At this time, he had already followed the entire vascular area and explained to Zhao Lei.

And Zhao Lei was also surprised when he heard it.

Because, the more he got to the back, the more profound Chen Gong's explanation became.

Gradually......

The others couldn't keep up with Chen Gong's thinking.

And Zhao Lei was the only one who listened to it with relish.

Even......

As time passed, the brainstorming in Zhao Lei's mind became more and more exciting.

Gradually!

With Chen Gong's explanation, Zhao Lei even realized a little.

That's ......

It seems that the femoral artery aneurysm removal surgery does not require a vascular graft at all!

It's really like what Chen Gong said, maybe it will really change some traditional techniques.

This surgery is not as simple as choosing a blood vessel.

Instead, two blood vessels need to be changed.

After the change!

The problems that plagued them before will all be solved.

The more Zhao Lei thought about it, the more excited he became.

The more you think about it, the more feasible it becomes.

Safe!

Highly efficient!

Cheap!

This is simply in line with all the advantages of the surgical modification.

Zhao Lei looked at Chen Gong with a look in his eyes, and at this time, there was a kind of excitement to see each other.

Chen Gong continued:

"Therefore, the descending artery is an excellent multi-purpose vessel in the anterior femoral region, which can be used both as a vessel in the anterior femoral receptor area, and at the same time, it can also be considered to be implanted into the femoral shaft bone to establish a new blood supply for the treatment of nonunion of femoral shaft or lower femoral fractures."

"It can be said that whether it is orthopedics or general surgery, this is the direction of our improvement!"

After hearing this, the surrounding people were completely dumbfounded.

Boy!

You've gotten to this point?

Ascended to the direction of surgical improvement?

Zhao Lei looked at Chen Gong excitedly, with a great sense of bowing.

It's so fucking lovely!

After all, for so many years.

It was really the first time he had come across such an amazing talent.

The more he looked at Chen Gong, the happier he became!

"Good!"

"Good!"

"It's a big issue!"

"We can pull the orthopedic department to do it together!"

"I'm going to find Qin Xuehai!"

"Chen Gong, you are a hero of this project, and you are also an important participant!"

Seeing this, Chen Gong smiled: "Let's finish this operation first!" ”

"Big brother!"

Zhao Lei was excited: "Okay, virtuous brother!" ”

Zhao Xi: ???

……

(End of chapter)