Chapter 300： Brave fearless

Dressing up, Professor Rudolf Wagner came to the operating room outside the operating room.

Through lead glass, the professor saw that the patient's position was very strange. He didn't look carefully, a little woman asked: "Which are you?"

Director Xia of the Department of Gastroenterology saw Professor Rudolf Wagner walk in and could not understand the situation.

"Director Xia, he is Professor Rudolf Wagner from the University of Heidelberg, Germany." The Xie Yi people gave Zheng Ren a match last night and did a lot of surgery. He knew the origin of the professor and introduced it.

"..." Director Xia was dumb. When did the hospital have a German professor to visit? In the conduct of the hospital, if German experts and professors come to visit and exchange, it is afraid that the propaganda will be overwhelmed.

Is it difficult to be fake?

She looked puzzled at Professor Rudolf Wagner.

"I came to Zheng, a beautiful lady." Professor Rudolf Wagner explained in a blunt Chinese language.

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

"Zheng, has a pair of hands of God." Professor Rudolf Wagner explained: "I want to find him to set up a new research group, but Zheng refused me."

Director Xia sweats...

Her first reaction was that this guy who looked like a foreign expert was a liar and a group of Zheng Ren.

But when I think about it, it doesn’t make sense to lie to myself.

Is it true?

She is puzzled.

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

"Intervene." Professor Rudolf Wagner said, "TIPS surgery, I started trying it 20 years ago. I have completed more than 300 TIPS surgeries so far. It is the world's most complete doctor. one."

This number is very dazzling, the professor knows.

Globally, it is rare for interventionalists to perform more than one hundred TIPS surgeries, and they are far ahead, and have done more than 300 cases.

The gap in experience is that other people cannot catch up.

Especially for TIPS surgery, which requires experience and luck... When it comes to luck, Professor Rudolf Wagner is somewhat frustrated.

He wanted to improve this kind of surgery that relied on luck many years ago, but he didn't.

Perhaps this is God's test of mankind, and maybe it is uncertain. Professors always use this reason to comfort themselves.

After Director Xia heard the words of Professor Rudolf Wagner, his eyes lit up.

If... If the professor is telling the truth, then his classmates have hope.

To tell the truth, Director Xia does not think that Zheng Ren, a young doctor, can complete TIPS surgery, especially emergency surgery.

If you can, the odds are low and horrible.

This surgery, emergency and non-emergency, hematemesis and stubborn ascites, have huge differences.

General short-term TIPS surgery, patients lying flat, neck local anesthesia. If the patient feels pain when puncture, a Du Leng Ding can solve the problem.

In the emergency TIPS operation, the patient is in hematemesis, and the position in the supine position must not be used. Otherwise, the patient will vomit blood and have aspiration, but it will be directly fatal.

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

Professor Rudolf Wagner observed the situation in the operating room and was surprised to find this.

Zheng’s courage is simply too big!

This is a TIPS procedure, as long as there is a slight error, it is enough to cause the surgery to fail.

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

Professor Rudolf Wagner seems to have seen the frustrated figure after Zheng Ren’s failure.

Let me save you, the Oriental boy.

The professor thought of something smug.

In the operating room, the jugular vein puncture and catheterization have ended, and these operations are not difficult.

The next step was the highlight, and Professor Rudolf Wagner held his shirt and concentrated on the screen.

The puncture needle is built in, and the speed is very slow because of the patient's constant hematemesis and twitching. Obviously, the difficulty of this emergency surgery far exceeds that of normal slow surgery.

At the same time, in the Xinglin Park, the live broadcast was crazy.

Emergency TIPS surgery to stop bleeding! This is the most difficult operation that the surgeon has done since the broadcast of the live broadcast.

Some people don't understand the difficulty of TIPS surgery, but after the excitement of the general surgery and interventional doctors, most of them understand.

This procedure is not clear, but the portal venous devascularization, but the classic surgery in the textbook, everyone learned all when they went to school.

[The surgeon is really going against the sky! 】

[Emergency, lateral position, actually do TIPS surgery... If it is not because the surgeon will succeed in every operation, I will definitely determine the operation failure early. 】

[Waiting for the success of the operation, juvenile. I have a hunch that the surgeon will take the next victory from a victory, no accident. 】

[Speaking, TIPS surgery, postoperative complications are a headache. A patient who had been treated with TIPS just a few days ago, he had intermittent hepatic encephalopathy 3 months after surgery. 】

[No way, do not die, do you say whether to do or not? 】

[Now there is a prize quiz. Do you guess how many punctures the surgeon has to fail to succeed? 】

Many doctors don't understand how many times the puncture means it, because this is too professional, as long as it is not a general surgery, interventional doctor, there is no such high difficulty surgery.

In China, hospitals that can carry out such operations are at least provincial-level cities.

Or ask experts and professors to run the flying knife. To do a successful case and two cases, it is enough for the hospital to brag for a year.

Although it makes no sense, the hospital is still happy.

This is also a feature.

【20 times! 】

[I think the surgeon will fail. I see that the patient's body is moving on the screen. It is estimated that he is vomiting blood. 】

[If you say the side position, how to develop it...]

[The machine can rotate, but the angle of rotation increases the difficulty of the patient's surgery. I have already started sympathizers, and in this case I have to work hard to complete the surgery. 】

[I think there are about 10 times. The last time we asked the professor of the Imperial Hospital to do it, the puncture was successful 10 times That is good luck. A few years ago, we also invited famous professors of the Magic to do TIPS. surgery. After failing 30 times, I estimated that the patient's liver was smashed and did not complete the portal vein or hepatic vein puncture. 】

Soon, everyone based on their own experience and experience, the difficulty of the surgery is fully demonstrated.

Many doctors have heard the descriptions of their peers and are already afraid of TIPS surgery.

This is a special surgery, it is simply to cure the life of the scorpion.

Surgery should take chances, puncture dozens of times, severe liver damage, and a high probability of hepatic encephalopathy after surgery.

At any point, doctors are given enough reason to give up surgery.

If you don't do it, the patient's life and death have nothing to do with me.

If the patient is dead, or if the hepatic encephalopathy is serious, there will be a medical dispute with a high probability.

This...the surgeon is really brave and fearless.