Medical road Qingyun

Zhao Yuan had previously tried a new procedure in emergency surgery.

He used a combination of three mirrors to try the operation of "removing insects to protect gallbladder and liver", and achieved success.

That technique has been recorded by Xie Changtian, and he is going to use it as a basis to declare the project.

For the time being, there is no hype, it is for secrecy, so as not to be stolen from the idea and get the first step.

After this project passes the internal audit of the hospital, it will be declared upwards and strive for policy support at the provincial and municipal levels.

A new procedure is not just about the doctor's personal honor.

Equally important for departments.

Taking the new surgical method as the subject and setting up a project research team not only means that you can get funding support from the higher authorities, but also improve the research level of the department, which will be used as a plus point in the ranking of medical lists.

When the department has a new topic, the department director will bear the brunt and will be rewarded.

In the year-end performance appraisal, the department head can get full new scores, which is also an important achievement in the later promotion process.

Therefore, when Jiang Qiang saw the new technique, he was also excited.

He intends to support Zhao Yuan's idea, but also consider the risks of surgery.

Compared with biliary intrahepatic ascariasis, thoracic aortic aneurysms are very different, with different levels and difficulties.

Jiang Qiang seems to be calm on the surface, but there is a shock in his heart.

Although he knew that Zhao Yuan was a demon-level genius, he now refreshed his evaluation again.

Even if he is like Gao Qian and himself, he has not made a few new techniques so far.

However, Zhao Yuan gave the idea of a new operation according to the patient's situation at the scene, and this kind of on-the-spot adaptability is secretly admired.

Gao Qian's gaze fell on Jiang Qiang's face, knowing that his heart was struggling.

"Boss Jiang, the patient's condition may get worse at any time, you have to make a decision early.

Jiang Qiang took a deep breath, and his eyes suddenly brightened, "Follow Zhao Yuan's plan." Jiang

Qiang is still the same, and he is always unambiguous on the major rights and wrongs.

Gao Qian's eyes towards Jiang Qiang had a touch of admiration, "If something goes wrong, we will bear it together."

Jiang Qiang bowed slightly, "What do you want you to do? Wait a minute, you and Zhao Yuan will do the operation well, and as for the first person responsible for the agreement, write my name. Let's do the pre-operative preparation, and I'll go and talk to the patient's family.

Gao Qian reminded: "The patient's family was very excited just now, you tell them well, don't be beaten."

Jiang Qiang smiled lightly, "I've experienced strong winds and waves, what is this? If I really took a punch, that's good, if I don't blame him, I won't be surnamed Jiang."

Gao Qian was provoked by Jiang Qiang to laugh, Jiang Qiang has many nicknames, one of which is called Jiang Papi, which is not ordinary and difficult.

Jiang Qiang found the anxiously waiting family members and patiently explained the patient's current situation to the family.

The patient is relatively old and has a very special condition, and if open surgery is taken, even if he can survive from the operating table, there will be many complications in the later stage, and the prognosis will be very bad. Therefore, minimally invasive surgery is recommended, the probability of survival will be high, and the prognosis will be very good.

As for the minimally invasive surgery, after their careful argumentation, it is the best plan at the moment.

The family knew that the patient was temporarily stable and not so anxious, and Jiang Qiang patiently explained, so they signed the operation agreement.

......

"Zhao Yuan, are you going to pierce?" Jiang Qiang glanced at Zhao Yuan.

Gao Qian looked at Jiang Qiang, "Can it work?" Jiang Qiang

smiled: "Don't underestimate Zhao Yuan! The plan was proposed by him, and he must have a way."

Gao Qian was slightly stunned, just now she had been thinking about how to establish the "transvena cava to abdominal aorta" approach.

She didn't expect Jiang Qiang to directly let Zhao Yuan deal with this crucial step.

Although Gao Qian and Zhao Yuan had contact, they had not had surgery together.

Jiang Qiang knew Zhao Yuan's surgical ability, even Sun's surgery could be done without leakage, and it should not be difficult for him to establish an approach.

Zhao Yuan bowed his head slightly and began to prepare for the piercing.

He holds the trocar in his hand and inserts the needle at 90 degrees to the skin of the abdominal wall.

When passing through the fascia and peritoneum, there is a noticeable sensation of breakthrough.

When passing through the peritoneum, progress to a depth of 2-3 cm into the abdominal cavity.

At this time, Zhao Yuan pulled out the core of the cannula and opened the switch of the inflation valve, and immediately carbon dioxide overflowed.

EVERYTHING WENT SMOOTHLY AND THE MICROGUIDEWIRE RAN DOWN THE VENA CAVA INTO THE THORACIC AORTA AND STOPPED AT A DISTANCE OF 1 CM FROM THE AORTIC ANEURYSM.

Gao Qian finally knew why Jiang Qiang trusted Zhao Yuan, and she was very shocked in her heart.

The puncture seems simple, but there are many details, such as the strength of the puncture and the depth of entering the abdominal cavity, which Zhao Yuan handled impeccably.

In addition, although Zhao Yuan used a visual puncture cannula, it seems that he did not use real-time 3D image navigation technology, so the speed is so fast!

How did

he do all this! The only explanation is that Zhao Yuan is too familiar with this operation, and he can only do blind exercise with countless practices.

But Zhao Yuan is obviously so young, he hasn't even graduated yet.

In addition, Gao Qian really didn't expect that the balloon-assisted puncture device would have such a good effect!

After the access channel was successfully established, Zhao Yuan moved out of the way.

Gao Qian completed the stent graft isolation of thoracic aortic aneurysm.

Zhao Yuan watched Gao Qian's operation from the side, and also had an understanding of Gao Qian's strength.

As the only female associate chief physician in the Department of Cardiothoracic Surgery, she has demonstrated exceptional precision, and every step is done according to the standards.

Her hands are steady and powerful, and her strong ability to control the field gives her team members a strong sense of confidence.

When Gao Qian completed the isolation operation, Zhao Yuan immediately stepped forward to close the vena cava-abdominal aortic fistula with an occluder and a stent graft.

The division of labor between the two is clear, and the cooperation is tacit, not at all like the first cooperation.

Next, it's time for post-operative imaging.

Postoperative imaging is the last step in completing the test paper: the right answer!

If the surgery fails, the imaging will be exposed without mercy.

Gao Qian glanced at Zhao Yuan, who was much calmer than herself.

Jiang Qiang's mood was even more nervous than Gao Qian and Zhao Yuan, and he waited anxiously

! The results were out

! The aortic aneurysm cavity was well isolated! There was no extravasation and bleeding from contrast at the puncture site

! Normal blood vessels had smooth blood flow! The

aortic aneurysm

had completely disappeared, and the vision was clean as if there had never been there.

Jiang Qiang clenched his fists hard and waved them twice in the air, "It's successful!"

Gao Qian breathed a sigh of relief, and a smile appeared on the corner of her mouth.

I didn't expect the operation to end in two hours, and I thought that I would encounter all kinds of difficulties during the operation, but because of the careful handling, no hidden dangers occurred.

Gao Qian took the initiative to stretch out her hands towards

Zhao Yuan, "Happy cooperation!" "I have benefited a lot from the operation with you!"

Zhao Yuan stepped forward and slapped it with his palm, and couldn't help but sigh that her hand was really strong.

Jiang Qiang looked at Zhao Yuan and Gao Qian and nodded with satisfaction.

I have added a little confidence to this Youth Championships.

......