Chapter 1063 The Operation of the Double Surgeon

The completion of the operation was not high because Zheng Ren could not operate two guide wire catheters at the same time. No matter how high the level is, even if it reaches the peak level, I am afraid that it is impossible to operate two guide wires and catheters at the same time.

If it is an octopus, it is estimated that it is still possible.

Zheng Ren is very satisfied with the 88% completion rate of the operation. If there is a professor to cooperate, it is estimated that it will reach more than 95%.

There is probably a spectrum for the operation, how to do it, Zheng Ren thought about it again in his mind.

Well, that's about it.

It was the first time for Zheng Ren to experience double surgery training. In the past, in the operating room of the system, there was only no assistant, and Zheng Ren also practiced the ability to perform surgery by himself.

But this time, it was completely different.

Retraining is meaningless. Zheng Ren has already figured out how to do the surgery. When the operation is performed for a while, success or failure mainly depends on the cooperation of Professor Rudolf Wagner.

Zheng Ren continued to recall the surgical process, and made corrections and improvements in some small points.

Heidelberg is not big, and there are not many cars, and soon came to the Heidelberg University Medical Center. Professor Rudolf Wagner, with his flamboyant blond hair fluttering, waited anxiously.

After getting out of the car, Zheng Ren asked directly, "What's the situation?"

"Boss, you're finally here." The professor was a little frustrated, "I guess it's enough, it's over."

"..." Zheng Ren was speechless when he was finished with a sentence.

"The patient is a 52-year-old female with a history of hypertension for more than 20 years. She was admitted to another hospital for 6 weeks because of chest and back pain. CTA examination showed that there was subacute type 2 aortic dissection from the proximal descending aorta to the bilateral common iliac arteries."

"Talk about the point." Zheng Ren strode in and said in a deep voice.

The professor hurriedly led the way and said, "The operation performed by the community hospital may be due to a problem with the equipment or the doctor. After the stent was placed, the patient's symptoms did not relieve after surgery, and the symptoms worsened. So another CTA examination was performed. , and found that the distal end of the stent went down into the aortic false lumen."

Having said that, Professor Rudolf Wagner turned back angrily and looked at Zheng Ren.

"One by one, it's a slap in the face, and Zhang Guang's surgery is hairy. How can such a mistake be made?!"

Zheng Ren was stunned for a moment, only to understand what the professor meant.

This kind of pure Northeastern dialect, even Zheng Ren, has not spoken for many years.

He shook his head and said, "I'll watch the film for a while, whether I can do it or not, and then I'll talk about it. Has the patient been sent to the operating room?"

"It has been sent, and it is under general anesthesia." The professor said.

"Do you have any opinions on this side?" Zheng Ren asked.

"If you have any opinions, everyone is confused." Professor Rudolf Wagner said: "If you are not here, you will definitely try to come to the stage. No one can say whether the operation will come down. But fortunately you are here, I I can hold my mind."

What the professor said was logical, but Zheng Ren was deaf at the time and didn't hear a word.

Steps with wind, all the way to the operating room.

After changing clothes hastily, after entering, Professor Rudolf Wagner showed Zheng Ren the film first.

"Rudolph, is he your boss in Huaxia?" A fat man with a weight of 240 pounds came over and asked.

It feels like he doesn't need to wear a lead coat for surgery, and his body fat is enough to resist X-rays.

"Ged, please be respectful." Professor Rudolf Wagner looked at the fat man displeased and said.

The big fat man is Gerd Mueller, a high-level doctor in the interventional department of the Heidelberg Medical Center, about the same level as Professor Rudolf Wagner.

The professor said that the person who wanted to hit with the hemostatic forceps was Professor Ged Muller.

The relationship between the two did not seem to be harmonious. But this is also easy to explain, where there are people, there are rivers and lakes, especially the technical staff like doctors, who are competitive and competitive, and everyone has it.

This is also one of the driving forces for human progress.

"Your boss looks so young, Rudolph, it's surprising that you didn't just come up with new spells with him." Professor Gerd Mueller said in a very exaggerated tone.

Zheng Ren didn't notice what was going on around him at all, his attention was on the image.

The film looked a little lighter than the self-made angiography, which means that the patient's condition was still progressing.

Even if the blood pressure is controlled with drugs and the pressure of the dissection is not too high, it still cannot stop the spread of the disease.

"Fugui'er, we want the two of us to perform the operation together." Zheng Ren said while watching the film.

Professor Rudolf Wagner didn't care about arguing with Professor Gerd Muller. He was stunned and said quickly: "Boss, for sure. I will be your assistant and I will definitely be perfect."

"It's not an assistant." Zheng Ren said solemnly, "You are in the normal position of the surgeon, I will go to the opposite side. The operation on both femoral arteries will start at the same time. It needs good cooperation. You have to pay more attention."

Professor Rudolf Wagner was really stunned this time.

Dualist?

This kind of operation is not to say that it has never been done clinically, but it is rare.

The earliest radical resection of rectal cancer required two surgeons, one for the abdominal cavity and one for the removal of the anal segment.

However, the importance of removing the anus and the requirements for the surgeon are very low, and there is no such thing as a double surgeon.

But this surgery...

When Professor Gerd Muller saw the professor and the young Huaxia Yisheng exchanged a few words, he was stunned and said, "Is it possible that your boss has nothing to do? Let's try as I said."

"Gade, the kind of operation you're talking about is a piece of stinky cheese! My boss suggested that a double surgeon should perform this operation." Professor Rudolf Wagner roared, like a lion.

"..." Professor Gerd Muller was also stunned.

Zheng Ren saw a dispute between the two, so he clicked on the film, and the film reader made a "bang bang" sound.

"There are several points for the operation," Zheng Ren said in a fluent Bavarian accent.

Professor Gerd Müller was in a trance again. Rudolf Wagner's boss spoke in extremely proficient German. Whether it is tone or vocabulary, if you close your eyes and listen, you will never hear that you are Chinese.

"The operation is very difficult and requires a double surgeon." Zheng Ren said with certainty: "During the operation, Rudolph was on the right side and performed as normal. I will be on the left side and put the snare in. At this time , There is the difficulty of the first operation, that is, the 5F catheter has to pass through the inner membrane between the true and false lumen and enter the snare."

Both professors were dumbfounded.

Is this something that humans can do? Don't do it, just listen, Professor Rudolf Wagner has the idea of ​​giving up the operation.

"Another difficulty is to use balloon dilation after exchanging the rigid guide wire. Don't worry here, I will handle it."

After finishing speaking, Zheng Ren placed his left hand under his right armpit and his right hand on his cheek, and said lightly, "The operation is very simple, don't be afraid."