As mentioned before, it is not difficult to follow the standard steps to place the stent. What is difficult is the surgeon’s pre-planning: where to place it must be well thought out.
Determining where to place the bracket will affect the difficulty and success of placing the bracket.
This is where most of the time is spent in the interventional surgery room where big bosses are present. This is why some patients do not understand and always mistakenly think that the doctor is not working in the operating room but just talking nonsense.
Physical doctors can only "talk enough" to perform the operation in one step, and the patient will truly suffer less pain.
The complete difference between Da Lao and Xiami is here.
Dr. Lin Chenrong and Dr. Shen Youhuan were talking about exactly this topic.
What Dr. Xie said about magic, according to the above-mentioned surgery, the biggest difficulty should also be reflected in this: finding where to put the stent is equivalent to magic.
“Put it down a little lower?” Dr. Lin Chenrong pointed to the patient data collected on the machine screen and said.
Next to them, Dr. Xu, Professor Zhang and others watched the two teachers discussing the placement of the stent for a long time. They felt deeply uneasy. Could it be that both teachers felt that this operation was too difficult to perform and they could not perform it themselves.
wrong.
Dr. Lin Chenrong turned around and said to Dr. Xu, who took the stage in place of Professor Zhang: "Get ready, you will do it yourself soon."
Doctor Xu was so frightened on the spot: Ah, do you really want him to do it?
The people in Professor Zhang’s team may not be as skilled as the big guys in the capital, but they have the basic ability to judge the difficulty of the operation. The operation here is obviously much more difficult than the cerebrovascular part, so the cerebrovascular surgery was performed first.
Just by comparing the imaging pictures of the lesions to be performed in the two parts of the operation, laymen can estimate the difficulty level at a glance.
Simply put, the section of the cerebral blood vessel where the stent is placed is clearly visible in the picture, giving the impression that it is straighter and thicker.
The segment of cardiovascular disease is two blood vessels that branch out. In the picture, it looks like two small tree branches that are not smooth and twist around with multiple branches.
I also know that it used to be more difficult to place a stent on a twisted blood vessel than on a straight blood vessel. It is difficult for a doctor to judge the specific three-dimensional direction of the blood vessel from the image. Secondly, the doctor's brain has to convert the visual and tactile matching of the more complex graphics. The more complex the hand-brain coordination required.
Even if it is so difficult, Dr. Xu must be allowed to do it. Don’t forget that their mission this time is to lead people to improve their skills and not simply perform surgery on people.
Xie the Great Demon King's request is indeed not outrageous and follows the rules.
It is clear that Dr. Shen, Dr. Lin and others were led by King Xie Juan and could not resist this volume.
Dr. Lai Hui looked at him from the next door and nodded: "Hurry up and roll with me."
Professor Zhang in the audience boldly asked Dr. Xu: "Is he OK?" Is he OK? Professor Jiao in the control room turned around, cast a deep gaze on Dr. Xie again, and said, "What do you think they should do?"
You were the first to say magic, as this kind of joke would be easily overturned in the eyes of this seemingly old-fashioned teacher Jiao.
Dr. Xie Wanying said seriously: "First of all, in this kind of case, two vascular stents are usually not placed in the heart at one time during the acute operation. First, it is for fear that the patient's heart will not be able to bear it. Second, interventional surgery requires the placement of stents. Less is more principle.”
Subsequent side effects of stents As mentioned earlier, during the placement of stents, a foreign body is implanted in the human body, which is particularly irritating to the patient's heart. Sudden cardiac problems are a common accident during interventional surgery.
Placing less stents can reduce side effects, so doctors are required to be more precise when placing stents.
Actually, if the patient's condition is really serious and two stents are needed to save his life, that's okay. And even if only one stent is placed, the difficulty of the operation does not decrease.
Emergency surgery like this means first aid. The blood vessel chosen to be inserted must have the most severe stenosis, requiring emergency treatment.
This patient happens to have the most severe circumflex artery stenosis.
Compared with the anterior descending branch, the circumflex branch is similar to a branch extending horizontally. It has a tricky angle, so no wonder it is called the circumflex branch.
The image produced by the "smoke" film is from a two-dimensional angle. The doctor needs to associate the two-dimensional image into a three-dimensional image and then apply it to the hand feeling.
Moreover, such a difficult operation must be successful for a young man like Dr. Xu.
“Yes.” Professor Jiao said, “I don’t think you can do it.”
Professor Jiao pointed to the points that he could see from the current case examination pictures: "As you said, it is very difficult to put in just this one."
Don’t underestimate modern TCM and acupuncture experts, they also know human anatomy very well.
Dr. Xu in the interventional room seemed to be trembling.
Dr. Xie Wanying said: "Is it difficult? You can change the patient's position slightly. This is the same as your acupuncture for difficult acupuncture points. Acupuncture point selection must be based on the patient's condition and the ease of the doctor's operation. To ensure the maximum safety of patients, Western medicine is the same.”
When Dr. Xie’s words came to light, Teacher Shen and Teacher Lin were doing magic. They were really instructing the surgeons on which angle to adjust the operating table before doing the surgery.
The people around looked at Mr. Jiao's expression slowly turning stiff.
Boss Jiao didn’t look back. He knew that he had been slapped in the face instantly without having to see the operation. What embarrassed him was that Dr. Xie actually used his technical views on traditional Chinese medicine to refute him to a precise point.
Thank you for your support, good night, dear friends~
