Chapter 76 Yuan Ting Yue Zhi, the Grand Master of the Generation (Leader Dabao passed by and updated)
Luo Hao stepped on the line and could feel X-rays falling on him.
The X-ray rays are converted into energy through [Energy Conversion], making the layers of heavy armor on the body a little lighter.
The contrast agent flows in the blood vessels and appears on the screen opposite Luo Hao and Professor Yun.
Professor Yun gasped after seeing the image.
"Luo Hao, no." Professor Yun whispered in Luo Hao's ear.
The anesthesiologist also stood in the operating room wearing a lead coat. His ears moved. Although he lowered his head, he raised his ears, ready to listen to gossip.
“I think it’s fine.”
“What a fart, the carotid artery has an abnormal branch and has made eight hundred turns. What are you going to do? The branch of the facial artery goes down at a right angle. What do you want to do?"
"Super selection"
"!!!"
Luo Hao said nonsense among nonsense, and Professor Yun was speechless.
Indeed, the next step after angiography is super-selection, but with this blood vessel condition, how can it be super-selected? !
The normal anatomical structure is the carotid artery-external carotid artery-facial artery-medial canthal artery. In addition, the facial artery also divides into the superior and inferior labial arteries, the lateral nasal artery, and so on.
The angiogram of the patient lying on the operating table showed that the carotid artery had an abnormal branch, which accompanied the facial artery for a while and then supplied blood to the maxillofacial hemangioma.
In addition, there are branches of the facial artery that supply blood to maxillofacial hemangiomas.
Each branch is an abnormal anatomical structure, and the thickest blood vessel diameter is only about 0.4-0.5mm.
Whether it was the degree of tortuosity or the diameter of the blood vessels, Professor Yun's scalp felt numb when he looked at it.
Can this be super selected? !
Involving facial blood vessels, once the super-selection is not done properly, a series of side effects will occur, and it may even embolize certain blood vessels supplying the brain, causing brain death in children.
Thinking of the serious consequences, Professor Yun not only felt numb on his scalp, but also on his hands.
"Dr. Luo, forget it." Professor Yun said softly, "There is no way to super-select, so be it. You don't need to tell the patient's family, I'll go talk to the head office. But after I go back, the old man will De Ni said, don't let me take the blame."
"Teacher Yun, don't worry, I'll try."
"..." Professor Yun sighed deeply, "Just try. Once."
"Okay, try it once, which blood vessel will you choose first?" Luo Hao respected Professor Yun.
After all, Professor Yun performed the surgery under the banner of Union Medical College.
Professor Yun has always been worried, and Luo Hao also feels a little shortchanged.
“You can super-select the branches of the facial artery... You should try super-selecting first. Dr. Luo, maybe you saw less catheter intervention when you were in our hospital, and Director Pan’s level is still higher. , so you think the operation is not difficult."
As he said that, Professor Yun sighed again.
In the operating room, Shen Zizai watched the operation with his hands on his arms.
When the dense and complicated blood vessel network was displayed on the screen in the operating room, Shen Zizai immediately determined that the operation could not be completed.
The preoperative examination had already made it clear that the operation would be difficult, but Shen Zizai did not expect that the operation would be so difficult.
The patient’s hemangioma is too large and has too many branch blood vessels supplying blood. How do you plug this thing?
After seeing the images, Shen Zizai once again confirmed that his refusal to undergo surgery was a wise choice.
"Director Shen, I don't understand your surgery very well." Liu Haisen felt a little numb when he saw the images. He asked quietly, "I see a lot of abnormally proliferated blood vessels. What would you do if it were you? ?”
"It's too difficult, I can't do it." Shen Zizai answered directly without any shame.
If you can’t do it, you just can’t do it. It’s better than chasing a duck to the shelves.
Once it is added, it will be screwed if it cannot be removed.
"Uh, what if? Is there any surgical plan?" Liu Haisen saw that the 18-point micro-guidewire had appeared on the screen. The thin micro-guidewire was like a snake, moving along the The carotid artery goes inward and enters the facial artery.
"Here." Shen Zizai walked to the screen and pointed at a point on the screen.
Surgery may not be possible for everyone, but when it comes to it, rich clinical experience will always play a role.
"The facial artery has an abnormal branch, which is almost at a right angle. The superimposed blood vessels are very thin, so it is completely impossible for super selection to be successful."
Looking along Shen Zizai's hand, in the operating room Everyone saw a very thin branch.
It is branched from the facial artery, curved at a right angle, and then spreads out many blood vessels to feed the hemangioma.
“The diameter of the facial artery in adults is about 1.5-2mm. I don’t deal with pediatric surgery, but I roughly estimate that the diameter of the facial artery in this child is only 1mm at most.”
"It's so thin, and the angle is so tricky, how come it's so selected? But directly embolize the facial artery? Aren't you afraid of something happening?"
Shen Zizai said while glancing at everyone.
Nonsense.
But Shen Zizai was also very satisfied.
Luo Hao went too far. When he went to the First Hospital of the Medical University later this year and brought the medical team into the interventional department, he would have more reasons to refuse some of his reasonable or unreasonable requests.
Want the dragon to cross the river?
Then you have to see what kind of dragon it is!
There are so many raptors in the world.
Shen Zizai believed that all the doctors present could understand. When he glanced over, he saw the chief medical director of the mine frowning and subconsciously holding his hands in front of him as if doing Tai Chi.
Liu Haisen also looked sad. He should have realized that Luo Hao insisted on surgery, but in the end he couldn't do it at all.
Director Shen... Director Shen's expression was a bit too much. He kept calling Luo Hao uncle, but he didn't really call him uncle.
At first, the muscles on Director Shen’s face were stiff and beating slightly, but when he looked over, Director Shen’s shiny head seemed to burst out with a kind of light.
At the same time, his eyes also changed.
It’s like the look in a dog’s eyes when it sees meat.
My eyes lit up!
Yes, it just shines!
Why bother, the expression is artificial and a bit exaggerated.
Shen Zizai felt a little proud. It seemed that young people were not that difficult to deal with, and the old guys standing beside him were all acting.
"Shen Zizai, step aside, you are blocking my view." Director Shen's eyes lit up, and then he said coldly.
"Uh..."
"You said it's difficult, but you can't do it, right?" Director Shen then began to attack him personally.
He is anxious, he is anxious!
Shen Zizai looked at Director Shen with a smile, "I definitely can't do it. There are probably not many people in the country who can do it. Even if they can do it, they have to be super-selected repeatedly. This one in front of me..."
"Shut up, you." Director Shen scolded, "Look back, I've already finished the super selection."
"Impossible." Shen Zizai said, tilting his head .
In the field of view, the guidewire at point 18 had somehow fallen from the facial artery into the branch blood vessel.
Right-angled bends,
ultra-fine blood vessel diameters,
seem to be no obstacles to the surgeon at all.
The guide wire at 1:18 is like a psychic, still super-selecting forward.
Uh...
Shen Zizai was stunned.
Impossible, how is this possible!
It’s not like Shen Zizai has never done a pure blood vessel right-angle bend. Just because he had done it before, Shen Zizai knew why it was difficult.
If you were on your own, you might try ten or twenty times and you might be able to do it.
But it happened overnight, this is...
"Shen Zizai, I'm giving you some face, right? I told you to stay away, I didn't hear you." Director Shen had a straight face, stepped forward, and pulled Shen Zizai away. .
“You blocked me from seeing the surgery!”
“…”
During the whole journey, Shen Zizai kept talking about how difficult the surgery for maxillofacial hemangioma was. The director has long disliked him.
Just now, he was looking at the screen and firmly saying that the operation was impossible.
But Shen Zizai was slapped in the face in an instant, and Director Shen naturally would not miss this opportunity.
No matter whether the operation can be completed smoothly or not, Shen Zizai dares to stand here and point fingers at his uncle. He must stand up and speak for his uncle!
Otherwise, Shen Zizai would be turned upside down?
No matter how young my uncle is, he is still the junior uncle of his own sect, although Luo Hao would not admit it.
"Shen Zizai, you can't do it because you are not good enough. It doesn't mean that others can't do it." Director Shen continued.
"Maybe it's luck, but I'm just lucky." Director Shen Zizai looked at the screen and murmured.
“Well, there is a thinner spiral curve in front of you. Normally, the surgery has to pass through this to be considered a success. But I guess Dr. Luo can’t get through, and he will stop in front of the spiral curve. "
Eager to regain his face, Shen Zizai pointed at the next super-selected blood vessel and said.
Luo Hao, who was undergoing surgery, seemed to have heard Shen Zizai's words and paused in front of the spiral shape of the blood vessel.
Shen Zizai breathed a sigh of relief. He was really afraid that Luo Hao would do something to make him unable to step down.
Fortunately, he is still a human being, not a monster.
He can pass the right-angled bend, but the blood vessel below is 100% unable to pass.
“It’s almost impossible to get through spiral curves. Do you know why the prostatic artery is difficult to embolize? It’s because most of the proliferated blood vessels are spiral-shaped, making super selection extremely difficult.”
Shen Zizai Still talking, the next second, his eyes widened.
The 18-point guidewire just paused for a moment, as if a hunting beast leaned down to gain momentum before encountering its prey.
Before he could finish his sentence, the guide wire pointed at 18 continued to move forward.
Shen Zizai did not notice the skill of the surgeon. He only saw that the guide wire at point 18 followed the spiral curve and went down without any hindrance.
As if the micro guidewire was born for spiral bends, the smooth and silky feeling gave Shen Zizai the feeling of a 1.8-point micro guidewire walking in the aorta.
Him!
How is it done! !
A huge voice shouted in Shen Zizai's ears.
How to do it! !
From the screen, the artist's technique cannot be seen at all.
Inexperienced people think it is not difficult, but Shen Zizai, who has undergone similar surgery but failed in super selection, knows that this is no longer something that his technical level can understand.
For a moment, Shen Zizai was like an old monk in trance, staring blankly at the screen, completely ignoring Director Shen's teasing and provocation.
Super selection is in place and micro-channel is sent in.
The next step is to apply medicine inside the hemangioma, and then plug the blood vessel with a gel sponge.
This is a normal procedure. The difficulty lies in the previous right-angled bends and spiral blood vessels.
The equipment in Dsa's operating room was basically similar. Shen Zizai was familiar with it to his core. With his thoughts in mind, he subconsciously sat in front of the computer next to him, opened the operating system and started to review Luo Hao's surgical process.
At the right-angled bend in the facial artery, the guidewire at point 18 was not bent by invisible forces, and there was no supernatural phenomenon.
The microguidewire at point 18 passes through the facial artery and is slightly downward. When passing through the branch blood vessels, the blunt end of the microguidewire "just happens" to hit the branch.
Using the collision of the branch position and the surgeon's control of the angle, the 18-point microguidewire enters the branch blood vessel smoothly.
Me!
Fuck! !
Shen Zizai clicked to read it again.
Awesome! !
Watching it again, I still think it’s awesome.
The more I look at it, the more flavorful it becomes, and the more I look at it, the more beautiful it becomes.
What beautiful women are, they are all red and pink skulls, how can they look good without surgery.
Shen Zizai is immersed in it, unable to extricate himself.
This is just one of the "trivial" technical details.
Lin Yuming silently looked at Shen Zizai who was almost crazy. Although his technical level was not high, he had a clinical background after all and knew this feeling. It seemed that Xiaoluohao's surgery was so good that Shen Zizai, who had been chattering endlessly and saying unlucky things, shut up.
But to what extent does the surgery have to be done to achieve this effect?
Lin Yuming didn't know.
He doesn’t need to know either.
As Luo Hao's uncle, Lin Yuming only needed to know that Luo Hao's surgery was awesome, and it was enough to inadvertently impress the director of the interventional department of the First Hospital of the Medical University.
Lin Yuming can boast about this for a year.
A smile appeared on the corner of Lin Yuming's mouth.
...
In the operating room.
Professor Yun stopped talking. He silently held the guide wire and concentrated on assisting Luo Hao in the operation.
The facial artery was super-selected just now. It looked a little scary to others, but to Professor Yun it was normal.
Professor Yun’s level is very high. Entering the right-angle corner is difficult but can be overcome.
The key points of technology are speed, accuracy and stability.
There is only a small point. The surgeon operates the micro guidewire at point 18 to directly hit this point, and cooperates with the hand shape to make the micro guidewire "turn".
Professor Yun was not surprised that Luo Hao could do it.
If you don’t even have these two levels, why bother treating maxillofacial hemangioma? Just stop the surgery.
Sure enough, Luo Hao’s micro guide wire at operating point 18 passed through the right-angled bend in one go.
Next comes the point that Professor Yun focuses on - super-selection of spirally proliferating arteries.
At that time, Luo Hao seemed to find it a bit difficult and paused.
But just once, less than 2 seconds later, Professor Yun felt that Luo Hao's whole body temperament changed.
If Luo Hao’s label in the past was sunshine, then at this moment Luo Hao’s label becomes profound.
A calm aura overflowed from Luo Hao's body, and the aura of a master suddenly appeared.
As soon as Professor Yun noticed the change, the micro guidewire at point 18 began to move forward.
Professor Yun understood the right-angle bend operation just now, but he couldn't understand the current operation of the 18-point micro guide wire at all.
Luo Hao used his right thumb, index finger, and middle finger to twist the microguidewire. Without any special movement, the microguidewire entered the spiral hyperplastic artery smoothly.
Professor Yun knows that the current Luo Hao is the serious Luo Hao. Luo Hao didn't pay attention to the previous right-angle bend at all, it was just a routine operation.
He didn’t dare to be distracted.
Luo Hao, who was "concentrating", did not perform the operation very quickly, but there was no redundancy in all the movements, and they were extremely concise and clean.
Because there are no unnecessary small movements, the overall speed suddenly increases. Professor Yun can only cooperate with Luo Hao's movements by paying full attention.
The super selection ended soon, and a layer of white sweat appeared on Professor Yun's back unknowingly.
Injection of medicine, embolization, and embolization of branch vessels of the facial artery are completed.
Professor Yun took a look at the time, and it only took 13′12″ from the beginning of femoral artery puncture to now.
It's so fast.
But the next second, Luo Hao's voice came.
"Technician, play back the angiography."
Professor Yun was startled for a moment, he was preparing to continue the super-selection and embolization rhythm.
He had no time to appreciate and recall the details of Luo Hao's previous surgery, so he concentrated on cooperating with Luo Hao.
Full concentration was not enough, but Luo Hao obviously slowed down his movements slightly in several places and waited for Professor Yun.
Others can’t see it, but Professor Yun knows it.
He didn't even have time to feel ashamed or sigh. Professor Yun just prayed that he could keep up with the surgery.
The oppressive feeling brought by the aura on Luo Hao's body was too strong, so powerful that it was suffocating. Professor Yun felt it the most.
He just hopes that he will never make any mistakes.
At this time, Professor Yun seemed to have returned to his student days. The teacher performed the first operation and asked him to be an assistant.
In addition to concentrating and cooperating, Professor Yun could only pray that he would not be held back.
Otherwise the teacher would definitely not give me another chance.
The operation continued. This time, a branch of the external carotid artery was superselected.
The blood vessels are tortuous and take countless turns.
In the operation room, the technicians were already numb.
As the person who is known as the most knowledgeable person, the technician does not dare to say a word of nonsense now.
He has never seen this kind of surgery, nor has he seen such a high-level surgeon, even when the mine manager was at his most glorious.
But Shen Zizai was smirking at the screen next to him. He had just seen Luo Hao operating the micro-guidewire super-selected spiral artery at point 18.
Director Shen saw that a blood vessel was embolized and knew that the operation would be successful.
With support in his heart, he suddenly became mischievous and came up behind Shen Zizai and patted him hard on the shoulder.
"Ah~"
Shen Zizai screamed and almost had a heart attack from the fright.
"What are you doing, Lao Shen."
"This blood vessel has been blocked. Luo Hao is super-selecting abnormal branch vessels of the external carotid artery. Don't you want to read it?" Director Shen asked.
"Ah? Finished tying? So fast?!"
"Yes."
Shen Zi patted himself on the head, with regret on his face, and immediately stood up and returned to the console.
Director Shen did not lie to him, the operation was in progress.
The circuitous branches of blood vessels have been selected to the deepest point, and they are about to be injected with medicine and embolization.
Director Shen Zizai let out a wail.
It was even worse than when Director Shen scared him just now.
"What's wrong with you?"
"Do you see clearly how the surgery is done?" Shen Zizai asked.
“I don’t do interventional surgery, so how can I understand.”
Shen Zizai looked at the others again. Except for the technician who shook his head blankly, everyone else looked blank.
"Why didn't you read anything?" Shen Zizai's brain was not working well after he went crazy, and he was very angry.
"We are just here to watch. It's enough to see how good my uncle's surgery is." Director Shen said scornfully, "Didn't you just say that the surgery is impossible to do? You usually say you are not good at it. Low, you always say that I am arrogant, that’s the original sin!”
Director Shen pursed his lips, “You know why I said you are low”
Chen Yong stood in the corner. , a little dazed.
He was not in a daze because of Luo Hao's high technical level. Chen Yong felt that Director Shen's speaking style was a bit similar to Qin Chen.
Is it possible that the big guys in the medical field are so willing to show off?
Or is everyone willing?
It should be everyone. Wasn't Xiang Yu envious when he saw Qin Shihuang's eastward tour?
This is how a man should be born!
Thinking of this, a heroic spirit suddenly rose from the bottom of my heart.
Chen Yong clenched his fists with both hands and pursed his lips hard.
"Technician, prepare for imaging."
Luo Hao's voice came from the intercom.
“Okay!”
Technicians and nurses are busy.
Shen Zizai looked at Luo Hao silently through the leaded glass.
Re-angiography means that the main body of the surgery has been completed. The angiography confirms that the knot of the plug is not strong.
Really fast.
Luo Hao not only can do it, but he can do it quickly and well.
Every other line is like a mountain
This patient is lucky that I didn't answer
The words I once said were like a whirling slap slapped on Shen Zizi's face, crackling.
Shen Zizai remained silent, refusing to fight back when hit or scolded.
Luo Hao's technical level is so high that he can't even see it, so what else is there to say? Talking too much will only make him more embarrassed and unbearable.
Shen Zizai has the most basic understanding of standing up straight when he admits a mistake and standing firm when he is beaten.
Fortunately, I never said anything provocative. The old adage of keeping a tightrope is still true.
Shen Zizai secretly rejoiced in his heart.
Just as his heart was fluctuating, the air-tight lead door closed again and imaging began.
A large blank appeared on the image, and the image of the hemangioma that once occupied a huge position completely disappeared.
Surgery,
successful!
Perfect success! !
"Teacher Yun, I'm a little tired. I'd like to trouble you next." Luo Hao pulled out the microcatheter, said something, turned around and stepped down.
Professor Yun said quickly, "You go and rest for a while, I will do the rest."
He didn't care at all that Luo Hao treated him like a little doctor.
The surgery was really good. I didn’t do anything during the whole process. I should have dealt with some minor postoperative issues.
A "bang" sound came, startling Professor Yun.
Luo Hao tore open the lead coat and threw it on the ground.
The floor in the operating room seemed to be shaking.
Stab~
The lead skirt was torn apart.
Boom~
The lead skirt fell to the ground.
With every step he takes, Luo Hao will take off a piece of lead clothing.
Kicking open the airtight lead door, Luo Hao walked out feebly and sat down on the sofa in the operation room.
"Luo Hao, what's wrong with you?" Lin Yuming asked with concern.
"Director Lin, that equipment is too heavy and tiring." Luo Hao put the responsibility on the equipment.
"Hey, just take a rest when you are tired. It'll be fine. It's okay. It's heavy. It's a real material. It's full of lead. How can it not sink?" Lin Yuming said with a smile.
"Luo Hao, it's time for you to exercise."
"I..." Luo Hao was embarrassed to say.
I really don’t want to say anything nonsense now, just like lying down and taking a good rest.
But my uncle was concerned about him and several experts from the First Hospital of the Medical University. It was really not a good time to lie down.
"Chen Yong, brush your hands and apply pressure. Don't let Professor Yun do it alone." Luo Hao arranged.
"Okay, let's go now." Chen Yong responded obediently and turned around to wash his hands.
"Dr. Luo, welcome to the Interventional Department of the First Department of the Medical University." Shen Zizai looked serious, bent at 90°, stretched out his hands, and said respectfully.
(End of this chapter)