() The degree of surgical completion is not high because Zheng Ren alone cannot operate two guidewire catheters at the same time. No matter how high the level is, even if it reaches the peak level, it is impossible to operate the two guide wires and catheters at the same time.
If it is an octopus, it is estimated that it is possible.
Zheng Ren is very satisfied with the completion of 88% of the operation. If there is a professor, it is estimated that it will reach more than 95%.
The surgery probably has a spectrum, what to do, Zheng Ren recalled again in his mind.
Well, that's about it.
Zheng Ren was the first experience of surgery for the surgeons. In the past, in the operating room of the system, there was no assistant. Zheng Ren also practiced his own surgery.
But this time, it is different.
Retraining, meaningless, how to do surgery, Zheng Ren has already figured out. When I go to surgery, success or failure, mainly depends on the cooperation of Professor Rudolf Wagner.
Zheng Ren continued to recall the surgical procedure and made corrections and improvements at some small points.
Heidelberg is not big, the car is not a lot, and soon came to the Heidelberg University Medical Center. Professor Rudolf Wagner danced with a flamboyant blond hair and waited anxiously.
When I got off the bus, Zheng Ren asked directly: "What is the situation?"
"Boss, you are finally here." The professor was a bit frustrated. "I guess it is enough, I am finished."
"..." Zheng Ren faced a scorpion, and he was speechless.
"The patient is a 52-year-old woman who has had a history of hypertension for more than 20 years. She was treated in the external hospital for 6 weeks of chest and back pain. The cta examination showed a subacute type 2 aortic dissection between the proximal descending aorta and the bilateral common iliac artery."
"Speaking the key point." Zheng Ren strode in, Shen Sheng said.
The professor quickly leads the way, saying: "The surgery performed by the community hospital may be a problem with the device or a doctor's problem. After the stent was removed, the patient's symptoms were not relieved and the weight was aggravated. So I did a cta check. I found that the distal end of the stent went down to the aortic pseudocavity."
Said, Professor Rudolf Wagner turned back angrily and looked at Zheng Ren.
"A tiger is awkward, and the surgery has a hairy hair. This kind of mistake, how can you make it?!"
Zheng Ren took a moment to understand what the professor said.
This pure Northeastern language, even Zheng Ren, has not been said for many years.
He shook his head and said: "I will watch the film for a while. Can I do it after reading it? After I read it, did the patient go to the operating room?"
"It has already been sent, it is numb." Professor said.
"Do you have any opinions on this side?" Zheng Ren asked.
"There can be any opinions, and all of them are circled." Professor Rudolf Wagner said: "If you are not here, you will definitely try to go on stage. If the surgery can come down, no one can say it. But fortunately, you are, my heart. Can be bottomed out."
The professor said that it was a matter of course, and Zheng Ren was at the ear of the wind, and he did not listen to it.
Stepping into the wind, all the way to the operating room.
After changing clothes in a hurry, after entering, Professor Rudolf Wagner first took the film to Zheng Ren.
"Rudolph, is he the boss in China?" A fatton, visually determined that a big fat man with 240 pounds came over and asked.
It feels that he does not need to wear lead clothing for surgery, and a fat is enough to resist the x-ray.
"Gade, please respect some." Professor Rudolf Wagner looked at the big fat man unhappy, said.
The big fat man, Gade Muller, is a high-level doctor in the interventional department of Heidelberg Medical Center, and his level is similar to that of Professor Rudolf Wagner.
The professor said that the person who wants to beat the hemostatic forceps has Professor Gedmuller.
The relationship between the two seems to be not harmonious. However, this also explains that there are people and places where there are rivers and lakes, especially doctors and technicians, who are eager to win and win. Everyone has it.
This is also one of the driving forces behind human progress.
"Your boss looks so young, Rudolph, you won't be making new tricks with him. It's amazing." Professor Gade Muller said in a very exaggerated tone.
Zheng Ren did not notice what was going on around him. His attention was on the image.
The film looks a little lighter than the one you are doing, which means that the patient's condition is still developing.
Even if the drug is used to control blood pressure and the pressure on the mezzanine is not too high, it still cannot contain the spread of the disease.
"Fugui, the surgery is going to be two together." Zheng Ren looked at the film and said.
Professor Rudolf Wagner did not want to argue with Professor Gedmuller. He stumbled and said quickly: "Boss, sure. I will be your assistant and will be perfect."
"Not an assistant." Zheng Ren Shen said, "You are in the normal position of the surgeon, I am going to the opposite side. Both sides of the femoral artery start surgery at the same time, it is necessary to cooperate well, you should pay more attention."
Professor Rudolf Wagner was really stunned this time.
Double surgeon?
This kind of surgery is not to say that the clinical has not been, but very little.
The earliest radical resection of rectal cancer requires two surgeons, one for the abdominal cavity and one for the **** segment.
However, the importance of resection of the **** and the requirements of the surgeon are very low, and there is no double surgeon.
But this surgery...
Professor Ged Muller met the professor and the young Huaxia Yisheng exchanged a few words and then stopped, said: "Is there a good way for your boss? Or try it according to what I said. Give it a try."
"Gade, the type of surgery you said is a piece of cheese that smells bad! My boss asked the surgeon to do this surgery." Professor Rudolf Wagner yelled like a lion.
"..." Professor Gedmuller also stumbled.
Zheng Ren saw that the two had a dispute, and ordered a film, and the reader read the sound of "砰砰".
"There are several points in the operation." Zheng Ren said in a fluent Bavarian cavity.
Professor Gedmuller was a slap in the face, and the boss of Rudolf Wagner spoke in a very German language. Whether it is a tone or a vocabulary, if you close your eyes, you will never hear it as a Chinese.
"Surgery, it is difficult, need a double surgery." Zheng Ren said with certainty: "At the time of surgery, Rudolph is on the right side, according to normal operation. I will be on the left side, put the snare into it. This time The difficulty of the first operation is that the 5f catheter should pass through the inner membrane between the true and false lumens and enter the snare."
Both professors are stupid.
Is this also the operation that humans can make? No need to do it, just listen, Professor Rudolf Wagner has the idea of giving up the operation.
"The other difficulty is that after the hard wire is exchanged, the balloon is expanded. Don't worry, I will operate it."
After that, Zheng Ren left his left hand on his right side and his right hand squatted, faintly said: "The operation is very simple, don't be afraid."
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