Chapter 106： Left and right hand cross operation
Pengcheng, a window that has been reopened nationwide.
It’s the Pengcheng people who came here. This sentence has been deeply rooted in the hearts of the people. With the completion of the Hong Kong-Zhuhai-Macao Bridge, Pengcheng has launched another climax of rapid development.
A wide variety of people have flown into Pengcheng from all over the country, and various hospitals have also emerged as supporting facilities. Pengcheng gave the medical staff a high-profile salary, which made the elites of countless medical circles flow in quickly.
......
Pengcheng Development Zone People's Hospital is a newly-built three-level large-scale comprehensive hospital. Bright and spacious corridors and clean wards are pleasing to the eye.
But the most attractive thing is that the People’s Hospital has paid a lot of high-paying talents from the mainland to recruit a few big names in the medical profession.
Among them, there is a retired large-scale hospital retiring intervention director Wu Haishi Wu Lao.
The old man is already 64 years old. He is the first person in China to study the interventional surgery and intervene in the discipline of Taishan Beidou.
The newly established People's Hospital patients are not many, and many medical treatment projects are also in a little bit of regulation and running-in, not very busy.
Wu Lao Bing is adhering to the style of the older generation, practical and willing. Even when I came to Pengcheng, I organized the staff of the department to learn theoretical knowledge every day.
After checking the room in the morning, Wu Lao sat down in the office, took the reading glasses and began to organize the next study materials, and added the digital sketches of the surgery he had stored, so that the little doctors could better understand the contents and difficulties of the surgery.
"Dangdang ~~" knocked on the door.
"Please come in."
"Master." A middle-aged man in his thirties walked in, standing in a well-behaved manner, and the voice was just right to Wu’s ear.
He is a close disciple of Wu Lao, called Mu Tao, who is 38 years old this year. After studying at the university, he was admitted to Wu Lao’s doctor. After graduating from hospital, he has been under Wu Laomen. When Wu Lao retired and was rehired by the People's Hospital of Pengcheng Development Zone, he also came to this ever-changing city.
Although the age is already high, Wu’s ear is not embarrassing. Looking at the information, nodded and said, “What is it?”
"Recently, there is an account on the Xinglin Park for live video broadcast. I have just completed a renal artery embolization after a kidney resection. I think it is wonderful..."
"Oh? Take a look, there are not many videos of this operation." Wu Lao came to interest, raised his head and pushed the reading glasses.
Mu Tao quickly took out his mobile phone and switched to Bluetooth mode. The video image appeared on a large LCD screen in Wu’s office.
In the video, the surgeon is doing a femoral artery puncture.
The action is very skillful, and the needle hits the blood. Although there is no intention to pursue fast, every step is very precise. It is only a blink of an eye, and the arterial sheath has entered the femoral artery.
Wu Lao did not praise the level of arterial puncture of the surgeon, because in his opinion, this is all right.
The micro-guide wire is in place, the imaging system is turned on, and the field of view is moved up.
At this time, Wu sighed.
Mu Tao quickly pressed the pause button and listened carefully.
After more than ten years with Wu Lao, he naturally knows what Wu found.
As for what it is, it must be the accuracy of micro-wire blind operation. Because the micro-guide wire on the screen just falls on the end of the renal artery, subsequent super-selection can save a lot of time.
"Do you want to cross the left and right hands?" Wu Lao pointed at the hands of the surgeon in the screen.
Mu Tao stunned. In his opinion, there are many highlights in the operation of the surgeon, but it does not include a hand that will soon disappear at the bottom of the screen.
What is the ghost of the left and right hands crossing?
Wu Lao smiled and stood up and walked to the big screen. He pointed to the crossed hands wearing sterile gloves and said: "This is an operating habit. Only the older generation of people who are the first to learn interventional surgery will have it."
"Hey, the left hand is on the right, the guide wire is fixed, the right hand is on the left, and the microcatheter is fed."
"This side, there is also the hand of the assistant, but the surgeon is still habitually using the right and left hands to cross, you know why?"
When I heard Wu’s inquiry, Mu Tao’s head was dew.
In his opinion, this operation is awkward, at the very least. Because of the operator's mode of operation, the role of the assistant is much lower.
"I don't know." Mu Tao tells the truth.
"Because there are very few people who are initially involved in interventional surgery, even a person with a pair of surgery can't find it. Basically, one person operates, fixing the guide wire and feeding it into the catheter. So use a more flexible right hand to operate the micro. The catheter, the left hand is responsible for fixing the micro-guide wire. This will result in the left and right hand cross operation.
But you can't use it now. ”
Wu Lao has some feelings, some nostalgia, and misses the time when he was patiently and meticulously treated with huge radiation.
Contrast, superselection, gel sponge, step by step clear and clear, and did not deliberately pursue speed, but no one step delay time, all one-time success.
As the embolization is completed, waiting, and angiography again, it is determined that there is no more bleeding in the renal artery. The video of this operation is finished.
"Not bad." Wu Lao said faintly.
"Soon."
"It should be very precise. Every super-selection is very successful. Let me guess who he is." Wu Lao sat back in the chair, closed his eyes and began to meditate.
Mu Tao did not bother, just waiting quietly.
A few minutes later, Wu Lao shook his head and said: "People who are used to the left and right hands are now basically withdrawing from the clinical line. Even if they are on stage, they are also guiding the operation. This person is very stable, his mind is very fine, his eyes are also good, estimated The age should be small Surgeons and boxers are both occupations and careers that cannot be combined.
For surgeons, the most golden age is between forty and fifty. At this time, a certain amount of experience has been accumulated, and the physical state is still very good, the eyes are not spent, the hands are not shaking.
The peak state will appear in this age group.
But it does not include some enchanting characters.
For example, a big cow in the heart surgery in the early 1990s reached its peak in its thirties. It is a pity that he was so lonely that he was crowded out at the Imperial Hospital, and returned to his hometown in Northeast China to create a hospital for cardiovascular diseases.
In a few years, this hospital has become the top hospital in the country.
There are still many magical things about this kind of cow. After a few years, he went to the medical department of the Chinese Academy of Sciences as a secretary.
After retirement, surgery is needed because of a rapid arrhythmia.
But he is the top Daniel in the country and does not believe anyone. Because everyone’s operations and experience are not as good to him as he is...
So, he was lying on the operating bed and the imaging system was hanging overhead.
Look straight ahead and guide your doctoral students to surgery.
Ventricular fibrillation occurred during the operation, and continued to guide the doctoral students to continue the operation after the rescue.
Finally, the operation is successful!
Of course, the back is just anecdote, he is the kind of enchanting character who reached the peak at the age of thirty-five.
This kind of person Mu Tao is not as good as himself, but Master means... the surgeon of Xinglinyuan, maybe this kind of person?
"Maybe which old friend cultivated the little guy, maybe." Wu Lao smiled lightly. "Pay attention to this live broadcast. Well, this video is recorded in the U disk and inform everyone of the afternoon training."
It’s the Pengcheng people who came here. This sentence has been deeply rooted in the hearts of the people. With the completion of the Hong Kong-Zhuhai-Macao Bridge, Pengcheng has launched another climax of rapid development.
A wide variety of people have flown into Pengcheng from all over the country, and various hospitals have also emerged as supporting facilities. Pengcheng gave the medical staff a high-profile salary, which made the elites of countless medical circles flow in quickly.
......
Pengcheng Development Zone People's Hospital is a newly-built three-level large-scale comprehensive hospital. Bright and spacious corridors and clean wards are pleasing to the eye.
But the most attractive thing is that the People’s Hospital has paid a lot of high-paying talents from the mainland to recruit a few big names in the medical profession.
Among them, there is a retired large-scale hospital retiring intervention director Wu Haishi Wu Lao.
The old man is already 64 years old. He is the first person in China to study the interventional surgery and intervene in the discipline of Taishan Beidou.
The newly established People's Hospital patients are not many, and many medical treatment projects are also in a little bit of regulation and running-in, not very busy.
Wu Lao Bing is adhering to the style of the older generation, practical and willing. Even when I came to Pengcheng, I organized the staff of the department to learn theoretical knowledge every day.
After checking the room in the morning, Wu Lao sat down in the office, took the reading glasses and began to organize the next study materials, and added the digital sketches of the surgery he had stored, so that the little doctors could better understand the contents and difficulties of the surgery.
"Dangdang ~~" knocked on the door.
"Please come in."
"Master." A middle-aged man in his thirties walked in, standing in a well-behaved manner, and the voice was just right to Wu’s ear.
He is a close disciple of Wu Lao, called Mu Tao, who is 38 years old this year. After studying at the university, he was admitted to Wu Lao’s doctor. After graduating from hospital, he has been under Wu Laomen. When Wu Lao retired and was rehired by the People's Hospital of Pengcheng Development Zone, he also came to this ever-changing city.
Although the age is already high, Wu’s ear is not embarrassing. Looking at the information, nodded and said, “What is it?”
"Recently, there is an account on the Xinglin Park for live video broadcast. I have just completed a renal artery embolization after a kidney resection. I think it is wonderful..."
"Oh? Take a look, there are not many videos of this operation." Wu Lao came to interest, raised his head and pushed the reading glasses.
Mu Tao quickly took out his mobile phone and switched to Bluetooth mode. The video image appeared on a large LCD screen in Wu’s office.
In the video, the surgeon is doing a femoral artery puncture.
The action is very skillful, and the needle hits the blood. Although there is no intention to pursue fast, every step is very precise. It is only a blink of an eye, and the arterial sheath has entered the femoral artery.
Wu Lao did not praise the level of arterial puncture of the surgeon, because in his opinion, this is all right.
The micro-guide wire is in place, the imaging system is turned on, and the field of view is moved up.
At this time, Wu sighed.
Mu Tao quickly pressed the pause button and listened carefully.
After more than ten years with Wu Lao, he naturally knows what Wu found.
As for what it is, it must be the accuracy of micro-wire blind operation. Because the micro-guide wire on the screen just falls on the end of the renal artery, subsequent super-selection can save a lot of time.
"Do you want to cross the left and right hands?" Wu Lao pointed at the hands of the surgeon in the screen.
Mu Tao stunned. In his opinion, there are many highlights in the operation of the surgeon, but it does not include a hand that will soon disappear at the bottom of the screen.
What is the ghost of the left and right hands crossing?
Wu Lao smiled and stood up and walked to the big screen. He pointed to the crossed hands wearing sterile gloves and said: "This is an operating habit. Only the older generation of people who are the first to learn interventional surgery will have it."
"Hey, the left hand is on the right, the guide wire is fixed, the right hand is on the left, and the microcatheter is fed."
"This side, there is also the hand of the assistant, but the surgeon is still habitually using the right and left hands to cross, you know why?"
When I heard Wu’s inquiry, Mu Tao’s head was dew.
In his opinion, this operation is awkward, at the very least. Because of the operator's mode of operation, the role of the assistant is much lower.
"I don't know." Mu Tao tells the truth.
"Because there are very few people who are initially involved in interventional surgery, even a person with a pair of surgery can't find it. Basically, one person operates, fixing the guide wire and feeding it into the catheter. So use a more flexible right hand to operate the micro. The catheter, the left hand is responsible for fixing the micro-guide wire. This will result in the left and right hand cross operation.
But you can't use it now. ”
Wu Lao has some feelings, some nostalgia, and misses the time when he was patiently and meticulously treated with huge radiation.
Contrast, superselection, gel sponge, step by step clear and clear, and did not deliberately pursue speed, but no one step delay time, all one-time success.
As the embolization is completed, waiting, and angiography again, it is determined that there is no more bleeding in the renal artery. The video of this operation is finished.
"Not bad." Wu Lao said faintly.
"Soon."
"It should be very precise. Every super-selection is very successful. Let me guess who he is." Wu Lao sat back in the chair, closed his eyes and began to meditate.
Mu Tao did not bother, just waiting quietly.
A few minutes later, Wu Lao shook his head and said: "People who are used to the left and right hands are now basically withdrawing from the clinical line. Even if they are on stage, they are also guiding the operation. This person is very stable, his mind is very fine, his eyes are also good, estimated The age should be small Surgeons and boxers are both occupations and careers that cannot be combined.
For surgeons, the most golden age is between forty and fifty. At this time, a certain amount of experience has been accumulated, and the physical state is still very good, the eyes are not spent, the hands are not shaking.
The peak state will appear in this age group.
But it does not include some enchanting characters.
For example, a big cow in the heart surgery in the early 1990s reached its peak in its thirties. It is a pity that he was so lonely that he was crowded out at the Imperial Hospital, and returned to his hometown in Northeast China to create a hospital for cardiovascular diseases.
In a few years, this hospital has become the top hospital in the country.
There are still many magical things about this kind of cow. After a few years, he went to the medical department of the Chinese Academy of Sciences as a secretary.
After retirement, surgery is needed because of a rapid arrhythmia.
But he is the top Daniel in the country and does not believe anyone. Because everyone’s operations and experience are not as good to him as he is...
So, he was lying on the operating bed and the imaging system was hanging overhead.
Look straight ahead and guide your doctoral students to surgery.
Ventricular fibrillation occurred during the operation, and continued to guide the doctoral students to continue the operation after the rescue.
Finally, the operation is successful!
Of course, the back is just anecdote, he is the kind of enchanting character who reached the peak at the age of thirty-five.
This kind of person Mu Tao is not as good as himself, but Master means... the surgeon of Xinglinyuan, maybe this kind of person?
"Maybe which old friend cultivated the little guy, maybe." Wu Lao smiled lightly. "Pay attention to this live broadcast. Well, this video is recorded in the U disk and inform everyone of the afternoon training."
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