Auto chess in the operating room

Chapter 307 Qian Gang's Improved Art?
On the screen were Director Huang Guanying and Deputy Director Qian Zheyu of the Department of Cardiovascular Medicine of Zijingang Hospital.

Director Huang is very accomplished in the field of atrial fibrillation, especially in the Cox maze III procedure.

Director Qian Gang directly communicated with Director Huang. After listening to the patient's situation and analyzing the medical records in detail, Director Huang quickly came up with a plan.

"The most important thing about the Cox maze III operation is the "cut and suture" route design, especially for the treatment of the tricuspid annulus, mitral valve isthmus and coronary sinus."

Director Huang was very experienced and began to explain to Director Qian Gang, and at the same time explained the difficulties and skills involved.

At the same time, I pulled out a small whiteboard, took a marker pen, and started to draw the unfolding plane of the heart in detail. The blood vessels, tissues, and anatomical layers on it were very clear.

Director Huang described his surgical experience while talking, while Director Qian Gang listened carefully. Although he had done the Cox maze III operation before, he did not understand it as deeply as Director Huang.

The reason why the Cox maze III operation is not carried out in domestic hospitals is because if the "cut and suture" is not done well, it is very easy to cause great trauma, and the whole operation is complicated due to the structure of the heart, and the points that need to be operated There are many and discontinuous, so the operation time is also very long.

Only an experienced person like Director Huang can formulate the most appropriate and suitable route.

After listening to Director Huang's explanation, Qian Gang, Wu Changlin, and Tang Lou were all in admiration. Simply speaking from the processing of the Cox Maze III technique, Director Huang is indeed the top expert in the province.

However, what made Director Qian Gang a little embarrassed was that he could understand many details of the operation, but it was still very difficult to actually operate it.

"Director Huang, your plan is indeed the limit of the Cox maze III operation, but the timing control of operation time, cardiopulmonary bypass time, aortic occlusion time, endotracheal intubation time, etc. Speed ​​is closely related, and if there is a slight error, it may lead to surgical complications."

Of course, Director Qian Gang knows that Director Huang's plan is done by himself, and the success rate is very high, but it may not be suitable for the chief surgeon of the city's first hospital. For example, with his operation skills, it is impossible to complete such an exquisitely designed and complicated operation. .

Such a complex operation, sometimes it really needs a specific person to perform it, to be successful. To a certain extent, it requires experience and talent, and it is not a perfect operation.

That kind of technique is simpler, more popular, and the one that ordinary doctors can master through practice is the better technique.

Of course, Director Huang also understood Director Qian Gang's implication, and felt that his design plan was too complicated.

The deputy director Qian Zheyu on the side also frowned, feeling a little bit like cursing in his heart, the plan is in place, your city's first hospital can't do it, who can be blamed?

The scene fell into silence for a while.

"Is it possible to improve the optimization technique?"

Tang Lou on the side said something lightly.

"optimization?"

Qian Gang looked at the Tanglou on the side. Since the Tanglou was not in the screen, on the other side of the screen, Director Huang and Deputy Director Qian Zheyu only heard the voice, and they also began to ponder. However, where is the improvement and optimization plan? so easy?You thought it was all you.

"It would be nice to be able to simplify the 'cut and sew'."

Tang Lou murmured to himself calmly.

The speaker has the heart, and the listener has the heart.

"How can it be so easy to improve the technique."

Qian Gang smiled wryly, just looking at Tang Lou, suddenly a picture flashed, huh?
Qian Gang paused, pondered for a while, and suddenly burst out laughing.

"Director Huang, Director Qian, I really want to have some ideas, but I'm not very mature yet, please help me think about it together."

Hearing what Qian Gang said, everyone except Tang Lou looked at Qian Gang.

"Director Qian has any ideas for improvement?"

"Yes, in fact, the most difficult part of the Cox Maze III surgery is the "cut and suture" circuit design. The most prone to accidents during the surgery are the treatment of the tricuspid valve annulus, mitral valve isthmus and coronary sinus. Therefore, I then wonder whether I can use Medtronic's bipolar radiofrequency forceps to replace traditional incisions and sutures. In theory, radiofrequency ablation is easier to control than traditional methods, can also greatly reduce complications, and the operation time will also be greatly reduced. "

After Director Qian Gang finished speaking, he was also very excited. Damn, am I creating an improved technique?

On the other side of the screen, after listening to Director Huang and Deputy Director Qian Zheyu, they were also stunned. After thinking for a while, they looked at Director Qian Gang with shocking eyes: "Director Qian, what you said is very reasonable, and it is also feasible. Very high. In this way, let’s design a bipolar radiofrequency ablation line together.”

Director Huang was already very familiar with the Cox Maze III technique. He took a red marker and started drawing on the whiteboard. As he continued to draw, he frowned: "There seems to be something wrong with both hands." Polar radiofrequency forceps cannot reach the tricuspid annulus in the right atrium, and bipolar ablation in the left atrium cannot reach the mitral annulus."

"It seems so."

Several people stopped their movements again, feeling very regretful and uncomfortable, and fell into silence again.

"I know, you can use a monopolar radio frequency pen to supplement it. The monopolar radio frequency is more compact and can handle these places that the bipolar radio frequency cannot reach."

Director Qian Gang thought of the set of bipolar RF and monopolar RF pens in the laboratory, and blurted out.

"Not bad, not bad, Director Qian is amazing."

Director Huang, of course, knew everything, and directly asked the subordinate doctor beside him to ask for a blue pen, and began to draw supplementary ablation lines on it.

The ablation line plan is getting more and more perfect. Director Qian Gang watched with relish, and he was very excited. This is a rare flash of inspiration for him to think of an improved operation method for so many years.

And it was an expert from Zijingang years ago, so his face was too long.

It's just that Director Qian Gang always felt that this aura came by some coincidence, did he really come up with it himself?

After thinking for a while, Director Qian Gang affirmed his talent and luck, which should be the so-called medical saint possessing himself at this moment.

On the other hand, Wu Changlin saw the increasingly perfect ablation line, and his eyes protruded.

"I've seen this pattern before!"

Wu Changlin said something to himself, and then he was startled. Isn't this the ghost symbol on the heart model of Tang Lou before!
No, Tang Lou's pattern is smoother and simpler than Director Huang's drawing!

Of course Wu Changlin didn't dare to say such amazing information on such an occasion, but his heart was pounding, and he looked at Tang Lou, who was seriously watching Director Huang's plan on the screen, completely silently approved by a master , a childish look of approval.

Wu Changlin suddenly understood that Tang Lou didn't want to jump out and point out that this plan was actually thought of by him one step ahead of Director Qian Gang. Obviously, his plan was more complete and mature.

Wu Changlin suddenly became a little moved, it's not that he doesn't want to, it's that Tang Lou doesn't care, is he so indifferent to fame and fortune.

That's right, with a genius like him, how could he care about such a little fame.

This kind of plan, which was conceived by Director Qian Gang and experts from Zijingang, was nothing more than a "ghost drawing" drawn by Tang Lou casually after watching the video for fun.

Soon, under Director Huang's profound skills, the design of the ablation line was gradually perfected.

In Wu Changlin's eyes, it is also a "ghost painting talisman" that is getting closer and closer to Tang Lou.

(End of this chapter)