There is no need to be too normal to be a doctor.
Chapter 135 Shock!
Chapter 135 Shock!
Seeing Chen Gong's eager eyes, Zhao Lei was stunned for a moment.
"You kid...what's wrong? What are you thinking about?"
After finishing speaking, Zhao Lei began to check Chen Gong's surgery results.
After the first glance, Zhao Lei was only slightly surprised for a moment.
but……
When he went deep into it again and patiently examined it, the scenes in front of him gradually made his eyes widen.
"and many more!"
"Xiao Chen, where did you learn this suturing?"
Chen Gong shook his head: "Isn't this what you taught me?"
"Didn't you teach me how to perform vascular anastomosis during the last operation?"
Zhao Lei couldn't help but blush when he heard this.
Who are you complimenting?
Although Lao Zhao has some unique experience in vascular anastomosis, and his level is indeed not low.
But...this is not my path at all!
Moreover, in Chen Gong's suturing, both the tightness of the blood vessel suturing and the speed of suturing were not as good as his own, or even much worse.
At best, it is a backbone level.
Of course!
It is undeniable that it is not easy for Chen Gong to reach such a level.
However, what shocked Zhao Lei the most was that Chen Gong’s damage to blood vessels was really minimal!
This somewhat surprised him.
How did he do it?
"No, that's not what I'm talking about. What I'm talking about is the intervention of your blood vessel injury, which is non-destructive."
"Don't tell me you don't understand this."
While speaking, Zhao Lei stared at Chen Gong with a solemn expression for a long time.
When Chen Gong saw this, he was also stunned for a moment.
"is it hard?"
Zhao Lei: "???"
He was immediately laughed at by Chen Gong's words!
Is it more than difficult? !
"You boy!"
"You're starting to pretend to be with me, aren't you?"
"Difficult? Haha!"
"Let me tell you, do you know what skills Jiang Mingze relies on to survive?"
"This is the lossless state!"
"Lossless, in fact, it cannot be called truly lossless. In a sense, the so-called lossless is just a dream state."
"It is extremely difficult to achieve a lossless state!"
"Nondestructiveness is the most difficult point in vascular anastomosis."
"Compared with the speed and rigor of stitching... these can actually be compensated for by technology, but only non-destructive ones are too difficult to master."
"You kid, are you actually telling me that it's difficult?"
"Hehehe..."
"If you let this bastard Jiang Mingze know that you have some signs of damage, he will be angry to death?"
"Do you know how long he has worked hard for today?"
Chen Gong: "Oh, no wonder he is so stingy!"
Zhao Lei:? ? ?
Is there a direct relationship between the two?
Zhao Lei suddenly couldn't laugh or cry: "It doesn't matter, it doesn't matter!"
"By the way, today's surgery was a success!"
"but……"
At this point, Zhao Lei also became a little bit coy.
As the god of thunder in general surgery, he, Zhao Lei, had never acted so coyly as a little girl.
But now, Zhao Lei felt really embarrassed.
"Well, Xiao Chen... your technique... I think... there is still a little... room for improvement!"
"How about we find some time to think about it together? Discuss it? What do you think?"
Hearing Zhao Lei's words, Chen Gong suddenly looked at him with wide eyes, full of suspicion.
When Zhao Lei saw this, he couldn't help but said awkwardly: "Look at you, what's your look!"
"Brother, what bad intentions can you have!"
"My dear brother, if you can take a step further, I will also be happy for you!"
Chen Gong said directly: "You want to learn, right?"
Zhao Lei:......
Is this right for you?
Zhao Lei suddenly felt that he didn't like this bastard at all.
I can't understand a little bit of human nature.
Although I am rough, there is also fineness in the roughness. Bah, it should be rough, and it should be more delicate.
But this guy Chen Gong simply didn't give him a way to survive. The power of one sentence was like packing six endless, critical strikes.
Zhao Lei was about to speak when he suddenly had a second thought!
Yup!
Only magic can defeat magic.
Therefore, Zhao Lei nodded directly: "Yes!"
This time, it was Chen Gong's turn to be surprised.
Good guy.
You are... quite powerful.
Don't want your face?
Why has honesty become a derogatory term for you?
……
Zhao Lei continued to ask: "Where did you learn this?"
Chen Gong said: "Actually, this is the experience of Professor Gu Haiyi, a famous doctor in the country."
"However, Professor Gu Haiyi only provides theoretical research."
"The one who really made a leap forward in development should be Jiang Mingze."
"I also read this book, and then recalled Jiang Mingze's stitching scenes, and then I figured out something."
It is undeniable that Jiang Mingze is really capable.
Whether Chen Gong admits it or not.
This "non-destructive" feature is currently the most high-end field of vascular anastomosis in China.
As for "nature", this is the best state that appears in Gu Haiyi's book.
Basically unlikely to happen!
Zhao Lei has also read Gu Haiyi's book.
He said seriously: "This book... actually I don't recommend reading it directly!"
"Because, to a certain extent, Gu Haiyi's theory is not realistic!"
"And it is unrealistic to consume a lot of energy, manpower, material resources... and other resources to achieve those ideal states."
"Medicine is incomplete."
"Moreover, if it is truly lossless, it will be enough for use."
"So, just read that book."
"Don't get carried away!"
After Chen Gong heard this, he immediately clicked his tongue.
Good guy!
He has finished thinking about this book.
and……
Without paying attention, it seemed that he had actually reached the natural state mentioned by the other party.
That is, perfect level.
How can this be explained?
Chen Gong was silent for a while.
After hesitating for a moment, Chen Gong asked: "Director Zhao."
"Is there a possibility... that this state is actually possible?"
Zhao Lei was also confused by Chen Gong's question.
He said seriously: "There is only one possibility!"
Chen Gong's eyes instantly glistened: "Really?"
Zhao Lei nodded: "It's possible if you go crazy!"
"Because as long as it's surgery, it's not perfect."
Chen Gong: "!!!"
It means...I'm obsessed?
Impossible, absolutely impossible!
At this moment, the patient suddenly asked: "Wait a minute!"
"Uncle, can you move this list for me?"
"I also want to see..."
Zhao Lei said with a dark face: "No!"
The man coughed: "You don't want to take a look, do you?"
Chen Gong lowered his voice: "You can learn just this little skill? Is that okay?"
"Your uncle depends on this for a living, how can you let you look at it as you please!"
Hearing this, the man couldn't help laughing.
Zhao Lei couldn't help but said with a dark face: "Stop talking so much!"
"You boy!"
"This is my nephew."
"Fortunately, the operation was successful, otherwise I would not be scolded to death by my eldest sister when I go back."
The patient on the bed always felt that something was wrong when he heard this sound.
"and many more!"
"Uncle!"
"And this doctor..."
"Isn't this your first time to undergo this kind of surgery?"
Hearing his uncle's words, Chen Gong coughed, and Zhao Lei also remained silent in embarrassment.
Good guy, no wonder you are so relieved.
It was his own!
Chen Gong almost gave Zhao Lei a thumbs up.
It has to be me, Director Zhao.
This pattern cannot be reflected by Jiang Mingze's stinginess.
But... having said that, being a relative of Director Zhao is quite dangerous!
Seeing that the operation was completed, Zhao Lei lowered his voice and said to the man:
"Go back to the ward and tell your mother that I did it myself!"
"Did you hear that!?"
The man was about to cry but had no tears: "Uncle, can I save my leg?"
Zhao Lei glared at the other party fiercely: "It's okay if you don't want to keep it!"
The man quickly shut up and closed his eyes: "Oh, why can't I hear or see..."
"The anesthesia effect is so good!"
"Thank you, Director."
Chen Gong:......
……
After the operation was completed, Chen Gong washed his hands, changed his clothes, and returned to the ward.
Zhao Xi continued to maintain the "pouting state" at this time.
In this state, the anger value is +3; jealousy +1; the probability of aunt delaying +15%; and the probability of uterine fibroids +3%.
Chen Gong saw this and said with a smile: "Okay, are you still angry?"
"I'll tell you something fun!"
When Zhao Xi heard this, his ears immediately pricked up: "What's so fun?"
Chen Gong lowered his voice and couldn't help but laugh.
"do you know?"
"The surgery I just had was a hemangioma removal on my leg."
"Director Zhao asked me to do it independently!"
"hey-hey!"
Zhao Xi rolled his eyes at Chen Gong: "That's it? You're showing off on purpose, right?"
"This dead thunder god!"
"Why don't you ask me to go?"
Chen Gong continued: "Haha, that's not the point!"
"Did you know? The patient's name is Thor, uncle!"
"Tsk, tsk, tsk, this Thor's pattern is really big. My first surgery was performed on a relative!"
"No ambiguity at all, just let me do it!"
"I have to ask Thor tomorrow if there are any relatives at home. I want to try other surgeries?!"
Zhao Xi's eyes suddenly widened.
"what?!"
"Call...uncle?"
"That man is 35 or [-] years old, has a flat nose, thick eyebrows, big eyes, and thick lips!"
Chen Gong nodded quickly: "That's right!"
"This brother, although he looks a bit ugly, but... he is a very nice person."
"Ha ha!"
Zhao Xi was immediately dumbfounded.
Good guy!
Dad isn't afraid that his aunt will scold him?
Let Chen Gong undergo surgery!
Chen Gong continued: "Haha, you said that Thor's thick eyebrows and big eyes have really terrible genes."
"It would be fine if he was a son!"
"You said if it were a daughter, what would she look like?"
"Hey... scary!"
Chen Gong didn't notice at all that Zhao Xi's face was ashen and his eyes were filled with murderous intent.
……
……
in the afternoon.
Zhao Lei took Chen Gong directly to the cardiothoracic surgery office.
After entering, Chen Gong saw Pang Di and Miao Junlong.
But Chen Gong didn't take it seriously and sat on a chair consciously.
Pang Di hesitated for a moment, wanting to say something, but he hesitated.
Although in the clinical field, Chen Gong is only a fifth-year intern, but...his status in the academic field is already an honorary alumnus.
He is a man who can be on an equal footing with Jiang Mingze.
As for today's surgery, there is only one real protagonist, and that is Jiang Mingze.
Apart from this, everyone else is a supporting role, even Zhao Lei is just here as an assistant.
After Miao Junlong saw Chen Gong, his face looked a little unhappy.
This is normal, it’s only strange that it looks good.
However, when Miao Junlong thought of Guan Leshan's favoritism towards Chen Gong, he naturally didn't dare to mess around and could only sit in the office without saying a word.
Just then.
Jiang Mingze walked in.
but……
After Jiang Mingze came in, his eyes looked around the office and fell on Chen Gong.
After seeing Chen Gong, Jiang Mingze naturally raised the corners of his mouth slightly.
Yes, today he wanted to show this ignorant young man what real vascular anastomosis was.
"Director Jiang, let's... start?"
Pang Di saw Jiang Mingze coming in, smiled, stood up and said.
Jiang Mingze nodded: "Okay!"
"let's start!"
Speaking of this, Jiang Mingze glanced at Chen Gong with some deep meaning.
When Chen Gong saw this, he didn't take it seriously and looked directly at him.
This made Jiang Mingze stunned for a moment, then smiled.
this kid!
He really... refused to admit defeat.
Such energy, hehehe...it's great to be young.
At this time, Pang Di suddenly asked Jiang Mingze: "Director Jiang, by the way, do you want to notify the family members?"
Jiang Mingze shook his head: "No need for now!"
We first discuss the situation, analyze the patient's condition, decide on the surgical plan, and then talk to the patient.
Today's patient is also very special. He traveled thousands of miles to come here to seek surgical treatment.
Jiang Mingze's level is naturally well-known in the circle.
Especially in the field of a special type of surgery, it has a high reputation and right to speak.
For example, today's patient is a patient with polyarteritis.
The patient has no choice. He can't get a bed at West China University of Medical Sciences.
There are many hospitalized patients there. To be honest, even if Jiang Mingze is the director, he can't get his own number.
Of course, it’s okay to just find connections to join!
but……
Obviously such an operation does not make much sense.
Therefore, Jiang Mingze arranged for several patients to come to Shanhe Province and be hospitalized here, and then arranged several operations.
It just so happens that I can come to participate in this school anniversary and solve some problems at the same time.
Soon, Pang Di winked at Miao Junlong.
The other party quickly stood up and started to open the multimedia to introduce the patient's condition.
At this time, Jiang Mingze suddenly sat next to Chen Gong.
When Chen Gong saw this, he opened a seat away from him full of disgust.
Sitting with this selfish bastard, Chen Gong was a little allergic. Especially, Chen Gong knew very well that this bastard also liked to play the piano.
Seeing this, I, Jiang Mingze, was very bored and childish and continued to sit next to Chen Gong.
This time, Chen Gong did not continue to change positions, but couldn't help but said to Jiang Mingze, "Are you childish?"
Jiang Mingze smiled slightly: "Childish?"
"Haha...that's not important!"
"The important thing is, do you want to apply for my graduate school?" "You know, my graduate school is not that easy. There are so many people vying for it."
"I can teach you the non-destructive suturing method without reservation."
"how?"
Chen Gong heard this and smiled slightly: "I have a better way!"
Jiang Mingze looked at Chen Gong curiously: "Tell me about it?"
Chen Gong lowered his voice: "I will communicate with the school and give me the qualifications of a master's tutor, and then you will be my student!"
"In this way, I can improve your suture technique by at least one level."
"Maybe we can achieve a natural state!"
"How? Do you want to think about it?"
When Jiang Mingze heard this, instead of being angry, he looked at Chen Gong with a smile:
"You bastard!"
"You are not old, your tone is not small, you are really an arrogant little bastard who doesn't know the heights of heaven and earth!"
"Haha... is it still natural?"
"You know, perfect nature doesn't actually exist, okay?"
"That's just a nice fantasy!"
"In a moment, I'll let you take a closer look at what real sutures are."
At this time, Pang Di sighed when he saw Jiang Mingze and Chen Gong talking and laughing.
Although Chen Gong caused some unpleasantness that day.
But this kind of thing is really not worth mentioning, so why mention him?Does it only add a little more trouble?
Meaningless!
At this time, Miao Junlong also prepared courseware and a projector. He stood in front and cleared his throat. He seemed to feel that participating in such an operation was of great significance to him.
In fact, it is!
Such a case of Takayasu arteritis is not a simple operation.
His full name is "thoracic aorta-abdominal aorta bypass grafting".
This name is hard to hear!
At this time, Miao Junlong nodded to the two directors Jiang Mingze and Pang Di, and said seriously:
"I will host the following pre-operative discussion. First of all, I would like to thank Director Pang for trusting me, and also thank Jiang Mingze..."
Miao Junlong might be really moved, or he might simply have nothing to say.
but!
Chen Gong couldn't help but roll his eyes and muttered directly: "You are talking nonsense, just start!"
When Jiang Mingze heard the sound, he couldn't help but said: "Let's get started!"
"Don't waste your time!"
To be honest, Jiang Mingze doesn't like this kind of person at all.
But Pondy was very useful.
This is where the difference lies.
When Miao Junlong heard this, he nodded quickly: "Okay! Okay! Okay!"
"Patient, male, 55 years old, has had headaches for three years, worsening for one month..."
"Five years ago, I was hospitalized due to cerebral infarction and diagnosed with polyarteritis. A year later, recurrent thrombosis was discovered..."
"The patient was hospitalized for examination and found aneurysmal dilatation of the right thoracic artery, and... a high blood pressure difference."
"The patient is currently risk assessed and without surgical treatment, secondary thrombosis can result, resulting in pulmonary artery and coronary artery involvement, and the aneurysm will expand."
"This is the patient's film. You can take a look."
Chen Gong was below and listened carefully.
Takayasu arteritis is obviously not an easy thing to do.
The difficulty of the operation is not low!
Chen Gong has learned a lot about this disease during this time.
Takayasu arteritis refers to chronic, progressive, and often occlusive inflammation of the aorta and its branches.
Moreover, the key is that the cause of this disease is not yet clear.
Only symptomatic treatment is available.
The pathogenesis of this disease is also difficult to understand, because it is a chronic non-specific inflammation that mainly affects the aorta and its important branches, leading to segmental arterial lumen stenosis and occlusion, and secondary thrombosis, pulmonary artery and coronary artery. Arteries are also often involved.
To put it simply, inflammation occurs within the blood vessels, leading to stenosis of the blood vessel walls.
And it's multiple.
This requires re-estrangement of human blood vessels, removal of areas with inflammation, and then reconstruction of blood vessels.
It sounds simple.
It's hard to do.
The difficulties mainly include the following aspects.
First: Because it is a large artery, the time of blood flow control needs to be strictly controlled, and the suturing speed is relatively high.
Second: The blood vessels need to be reconstructed, which requires the removal of many stenotic areas. How to reconstruct them?Very difficult!
Third: Because the patient has arteritis, it is best to suture non-destructively when suturing blood vessels. Although non-destructive suturing is impossible, we must try our best to prevent the damage to the blood vessel wall from worsening. Therefore, there is a requirement for "non-destructive suturing" Extremely high.
Taking just one of these three points, the difficulty level is enough to make a cardiothoracic surgery patient in a tertiary A hospital overwhelmed.
And putting the three together is even more difficult!
Therefore, Jiang Mingze, a stingy person, is indeed a scarce commodity.
Because they happen to be people who really have these three abilities.
Even Director Zhao Lei Leishen can't do it because his non-destructive suturing failed!
Therefore, no matter what aspect you think about, this surgery is not something that ordinary people can complete.
same!
This is also a rare learning experience for the First Affiliated Hospital of Shanhe Medical University.
Although Jiang Mingze did not let the video of his surgery get out.
However, this kind of invitation to surgery and surgical visits are not exclusive.
In this way, Miao Junlong spoke in great detail, as if he wanted to delve into every detail that he could be involved in.
After the film was released, the scene fell silent again.
Because, the time has come for the real test of technology!
How to formulate a surgical plan is the top priority.
Soon, Jiang Mingze said to Pang Di: "Director Pang, what do you think about this operation?"
Pang Di heard the sound, thought for a moment, and said with a solemn expression:
"I think this surgery can be performed in a three-stage plan."
"Choose a combined thoracoabdominal incision for the opening."
"Then, the first stage is the thoracic aorta area. The length of the thoracic aorta that needs to be separated here is about 5-6 centimeters. I think it can be replaced by artificial blood vessel transplantation!"
"Next is..."
Pang Di is a director with both heart and mind. Even if he doesn't have Jiang Mingze's level of sewing skills, he still knows the plans and designs that should be in place.
After listening to this, Jiang Mingze nodded: "I think Director Pang's plan is very sound!"
"But... I think it can be too conservative!"
Pang Di smiled slightly: "People with high skills are bold, and I designed the plan based on my own strength."
"Director Jiang is a talented artist and bold, so naturally there is room for him to show off."
"Where do you think we can improve?"
Jiang Mingze stood up and walked to the front, taking out a pen on the black board of the demonstration.
A model diagram of the obstruction of a large blood vessel in the patient's body was quickly drawn on it.
Next, Jiang Mingze began to cut off in several areas, and then began to simulate and draw a matching path.
"In this way, I think the effect will be better!"
"In this way, the artificial blood vessel in the area of the thoracic aorta can be removed."
"After all, there are some differences between artificial blood vessels and blood vessels. This slight difference may cause changes in the patient's blood flow speed, which may cause some impact on the blood vessel wall. I am worried that these anastomotic contact points will form obstructions again. .”
"This is more difficult!"
"It can even be said to be a bad operation, because... no one can guarantee when the next operation will be?"
At this time, Zhao Lei nodded: "I agree with Director Jiang's idea!"
"In terms of reconstructing blood vessels, I am not talking about the thoracic aorta area. Let me talk about our abdominal area."
"In fact, when performing vascular reconstruction, artificial blood vessels can be completely discarded."
"So, I have an idea. Here, we can free the spleen and left colon flexure, cut the deltoid ligament, and move the stomach, small intestine, colon, spleen, and pancreatic tail to the right."
“This way, you will have more choices when it comes to reconstructing blood vessels!”
……
Zhao Lei stood on the stage and started discussing with Jiang Mingze.
Zhao Lei's words made Jiang Mingze's eyes shine.
This idea is good.
Really amazing.
He didn't expect that this guy Zhao Lei was still so powerful.
It seems that all these years have not been wasted?
You know, the concept of vascular reconstruction is not that easy.
Moreover, the idea mentioned by Zhao Lei is completely a new concept that is ahead of the times.
This new concept involves in-depth thinking and exploration of various factors such as blood vessel flow velocity, blood vessel angle, etc., and even from the aspect of mechanics.
Suddenly!
Jiang Mingze's eyes widened, and he suddenly had an illusion...
Mr. Gu's "natural" realm.
Maybe it's really not impossible? !
If Zhao Lei's ideas continue to improve.
And my sewing skills and abilities are constantly improving!
perhaps……
in the near future.
Naturally, this highest level of vascular anastomosis is really possible!
For a moment, Jiang Mingze's eyes were filled with excitement and emotion.
He never imagined that he would have such great gains and opportunities by attending the school anniversary this time.
And Jiang Mingze can think of questions!
Could it be that... Zhao Lei couldn't think of it?
Zhao Lei said the same thing, his pupils shrank slightly, and he seemed to have thought of various possibilities.
nature……
At this time, Zhao Lei suddenly trembled.
His eyes suddenly widened.
Yup!
Isn't this the "natural" realm that old man Gu Haiyi talks about?
As vascular reconstruction ideas continue to be optimized.
When blood vessel suturing skills continue to improve!
Perhaps, the reward of perfect vascular reconstruction surgery will definitely appear in the near future.
this moment!
Zhao Lei and Jiang Mingze looked at each other.
This one!
The two of them saw hope in each other's eyes at the same time.
The more the two discussed, the more excited they became.
It even feels like a storm of inspiration.
In comparison, Pang Di felt... that he was redundant.
This stage should be given to the two of them.
Soon!
After ten minutes of intense passion.
Zhao Lei and Jiang Mingze finally have a complete plan!
Jiang Mingze asked excitedly: "What do you think?"
As soon as these words came out, everyone in the audience started talking.
Soon, after reading it, Pang Di had to smile bitterly.
“I dare say that the level of this plan is the best in the country!”
Miao Junlong said immediately: "That's true!"
"This surgery is a powerful combination of vascular anastomosis skills and vascular reconstruction plans!"
"As Director Pang said, I estimate that no such excellent plan can be found in the country!"
"Perfect!"
But it just happened at this time.
Suddenly there was a sound.
"is it?"
"Then these domestic experts are too bad."
"You haven't discovered any of the obvious problems?"
As soon as these words came out, the surrounding area suddenly became quiet.
Pang Di went straight to look for reputation, and immediately discovered that this person was none other than Chen Gong!
These words are too arrogant!
It's not just him who thinks so.
At this time, Jiang Mingze also looked at Chen Gong and narrowed his eyes. This time, he was no longer used to Chen Gong.
Jiang Mingze has already been patient with Chen Gong.
But this child... is too swollen, and now there are pre-operative discussions before the operation.
This is no time for joking.
In the adult world, you have to be responsible for your own words and deeds!
Thinking of this, Jiang Mingze said lightly:
"is it?"
"If you have any different opinions, you can raise them!"
Chen Gong nodded, stood up and walked towards the stage.
"The first shortcoming!"
"In the intrathoracic area, the diaphragm should be incised radially from the costal soft arch to the aortic foramen, so that the left lung collapses and is pulled inward to expose the thorax and posterior mediastinum. In this way, the chest can be controlled The artery is separated by 3 centimeters more!”
"These 3 centimeters directly eliminate the need for artificial blood vessel transplantation, and can be effectively used as a proximal anastomosis."
"This is the most basic thing."
"I'm curious. As a cardiothoracic surgeon, Director Jiang doesn't even know the method of radioactive cutting of the mediastinum?"
As soon as this word comes out!
Suddenly everyone looked towards the stage.
Even Jiang Mingze's eyes were a little more dignified.
Wait until you think about it carefully!
Zhao Lei suddenly said at this time: "Oh, this is a good idea!"
"This angle of cutting the mediastinum is really clever!"
After Jiang Mingze heard this, he immediately blushed.
He really didn't expect this.
Moreover, this kind of thinking is difficult to imagine.
For a moment, Jiang Mingze looked at Chen Gong's triumphant look and snorted coldly.
hateful!
Fooled by this bastard.
Chen Gong continued:
"Second point! The superior mesenteric artery and renal arteries on both sides are removed, and a section of the abdominal aorta that is not affected by the disease is freed for use as a distal anastomosis."
"Isn't this the most perfect plan?"
"You actually said that it is very difficult to do non-destructive suturing here? And you chose the collateral circulation on one side. Isn't this just taking off your pants and farting?"
"Aren't you doing non-destructive suturing? Isn't this 30° angle classic suturing the easiest? Or...is Director Jiang kidding me?"
When Jiang Mingze heard these words, he couldn't bear it anymore.
After all, the design just now may be excusable.
But, you actually question my suturing technique?
Isn't this a big show in front of Guan Gong's gate?
Jiang Mingze said directly: "You have no idea how high the angle requirements for this kind of non-destructive suture are."
"Thirty-degree stitching is a difficult problem to solve!"
"I admit that you have said a lot that this plan is the most reasonable and the best."
"However, suturing is the most difficult because the emergence of this angle means increased blood pressure."
"How is it possible to perform non-destructive suturing in this case?"
After hearing this, Chen Gong stood up directly and smiled slightly:
"Hehehe..."
"It's easy!"
After saying that, he picked up the pen, walked directly to the front, lightly sketched on the demo board, then stood up and left.
"You guys discuss it slowly!"
"Call me during the operation."
At this time, Miao Junlong's eyebrows were tightened. Looking at Jiang Mingze's uncertain expression, he was about to say something reassuring.
but!
Just then...
Jiang Mingze's eyes suddenly widened, and his hands trembled slightly with excitement.
Angle stitching!
Is this what angle stitching solves?
The key...how did Chen Gong come up with the idea?
The more Jiang Mingze thought about it, the more he felt that this suturing technique was really magical and wonderful.
What Chen Gong drew was nothing else but the needle insertion technique.
This extremely tricky needle insertion technique can instantly solve the difficulty of such low-angle vascular anastomosis.
Moreover, it involves many details of non-destructive stitching.
Jiang Mingze was extremely excited.
He could never have imagined...
After a trip to Shanhe Province, I actually found an opportunity for a breakthrough! ?
This is too shocking, right?
wrong!
wrong!
Jiang Mingze suddenly widened his eyes and looked at Chen Gong's back.
Did he...did he really learn the non-destructive suturing method?
Do not!
Not to learn!
But...proficient?Good at?
But how long?
This is too incredible, right?
At this moment, Jiang Mingze couldn't help but glance at Zhao Lei and asked quickly:
"Old Zhao!"
"What is the origin of this Chen Gong?"
"Did he really just start to get into the art of vascular anastomosis recently?"
Zhao Lei's expression was also a little dull.
He looked at Jiang Mingze seriously and said:
"He just performed one operation and his blood vessel suturing skills reached a master level!"
"Although there is a background in animal experiments, you also know that this is different!"
“As for lossless suturing!”
"I feel like he's got it..."
……
ps: There is something wrong with the keyboard keys. Holy shit, the two keys are out of order. I didn’t notice it for a while.
(End of this chapter)
Seeing Chen Gong's eager eyes, Zhao Lei was stunned for a moment.
"You kid...what's wrong? What are you thinking about?"
After finishing speaking, Zhao Lei began to check Chen Gong's surgery results.
After the first glance, Zhao Lei was only slightly surprised for a moment.
but……
When he went deep into it again and patiently examined it, the scenes in front of him gradually made his eyes widen.
"and many more!"
"Xiao Chen, where did you learn this suturing?"
Chen Gong shook his head: "Isn't this what you taught me?"
"Didn't you teach me how to perform vascular anastomosis during the last operation?"
Zhao Lei couldn't help but blush when he heard this.
Who are you complimenting?
Although Lao Zhao has some unique experience in vascular anastomosis, and his level is indeed not low.
But...this is not my path at all!
Moreover, in Chen Gong's suturing, both the tightness of the blood vessel suturing and the speed of suturing were not as good as his own, or even much worse.
At best, it is a backbone level.
Of course!
It is undeniable that it is not easy for Chen Gong to reach such a level.
However, what shocked Zhao Lei the most was that Chen Gong’s damage to blood vessels was really minimal!
This somewhat surprised him.
How did he do it?
"No, that's not what I'm talking about. What I'm talking about is the intervention of your blood vessel injury, which is non-destructive."
"Don't tell me you don't understand this."
While speaking, Zhao Lei stared at Chen Gong with a solemn expression for a long time.
When Chen Gong saw this, he was also stunned for a moment.
"is it hard?"
Zhao Lei: "???"
He was immediately laughed at by Chen Gong's words!
Is it more than difficult? !
"You boy!"
"You're starting to pretend to be with me, aren't you?"
"Difficult? Haha!"
"Let me tell you, do you know what skills Jiang Mingze relies on to survive?"
"This is the lossless state!"
"Lossless, in fact, it cannot be called truly lossless. In a sense, the so-called lossless is just a dream state."
"It is extremely difficult to achieve a lossless state!"
"Nondestructiveness is the most difficult point in vascular anastomosis."
"Compared with the speed and rigor of stitching... these can actually be compensated for by technology, but only non-destructive ones are too difficult to master."
"You kid, are you actually telling me that it's difficult?"
"Hehehe..."
"If you let this bastard Jiang Mingze know that you have some signs of damage, he will be angry to death?"
"Do you know how long he has worked hard for today?"
Chen Gong: "Oh, no wonder he is so stingy!"
Zhao Lei:? ? ?
Is there a direct relationship between the two?
Zhao Lei suddenly couldn't laugh or cry: "It doesn't matter, it doesn't matter!"
"By the way, today's surgery was a success!"
"but……"
At this point, Zhao Lei also became a little bit coy.
As the god of thunder in general surgery, he, Zhao Lei, had never acted so coyly as a little girl.
But now, Zhao Lei felt really embarrassed.
"Well, Xiao Chen... your technique... I think... there is still a little... room for improvement!"
"How about we find some time to think about it together? Discuss it? What do you think?"
Hearing Zhao Lei's words, Chen Gong suddenly looked at him with wide eyes, full of suspicion.
When Zhao Lei saw this, he couldn't help but said awkwardly: "Look at you, what's your look!"
"Brother, what bad intentions can you have!"
"My dear brother, if you can take a step further, I will also be happy for you!"
Chen Gong said directly: "You want to learn, right?"
Zhao Lei:......
Is this right for you?
Zhao Lei suddenly felt that he didn't like this bastard at all.
I can't understand a little bit of human nature.
Although I am rough, there is also fineness in the roughness. Bah, it should be rough, and it should be more delicate.
But this guy Chen Gong simply didn't give him a way to survive. The power of one sentence was like packing six endless, critical strikes.
Zhao Lei was about to speak when he suddenly had a second thought!
Yup!
Only magic can defeat magic.
Therefore, Zhao Lei nodded directly: "Yes!"
This time, it was Chen Gong's turn to be surprised.
Good guy.
You are... quite powerful.
Don't want your face?
Why has honesty become a derogatory term for you?
……
Zhao Lei continued to ask: "Where did you learn this?"
Chen Gong said: "Actually, this is the experience of Professor Gu Haiyi, a famous doctor in the country."
"However, Professor Gu Haiyi only provides theoretical research."
"The one who really made a leap forward in development should be Jiang Mingze."
"I also read this book, and then recalled Jiang Mingze's stitching scenes, and then I figured out something."
It is undeniable that Jiang Mingze is really capable.
Whether Chen Gong admits it or not.
This "non-destructive" feature is currently the most high-end field of vascular anastomosis in China.
As for "nature", this is the best state that appears in Gu Haiyi's book.
Basically unlikely to happen!
Zhao Lei has also read Gu Haiyi's book.
He said seriously: "This book... actually I don't recommend reading it directly!"
"Because, to a certain extent, Gu Haiyi's theory is not realistic!"
"And it is unrealistic to consume a lot of energy, manpower, material resources... and other resources to achieve those ideal states."
"Medicine is incomplete."
"Moreover, if it is truly lossless, it will be enough for use."
"So, just read that book."
"Don't get carried away!"
After Chen Gong heard this, he immediately clicked his tongue.
Good guy!
He has finished thinking about this book.
and……
Without paying attention, it seemed that he had actually reached the natural state mentioned by the other party.
That is, perfect level.
How can this be explained?
Chen Gong was silent for a while.
After hesitating for a moment, Chen Gong asked: "Director Zhao."
"Is there a possibility... that this state is actually possible?"
Zhao Lei was also confused by Chen Gong's question.
He said seriously: "There is only one possibility!"
Chen Gong's eyes instantly glistened: "Really?"
Zhao Lei nodded: "It's possible if you go crazy!"
"Because as long as it's surgery, it's not perfect."
Chen Gong: "!!!"
It means...I'm obsessed?
Impossible, absolutely impossible!
At this moment, the patient suddenly asked: "Wait a minute!"
"Uncle, can you move this list for me?"
"I also want to see..."
Zhao Lei said with a dark face: "No!"
The man coughed: "You don't want to take a look, do you?"
Chen Gong lowered his voice: "You can learn just this little skill? Is that okay?"
"Your uncle depends on this for a living, how can you let you look at it as you please!"
Hearing this, the man couldn't help laughing.
Zhao Lei couldn't help but said with a dark face: "Stop talking so much!"
"You boy!"
"This is my nephew."
"Fortunately, the operation was successful, otherwise I would not be scolded to death by my eldest sister when I go back."
The patient on the bed always felt that something was wrong when he heard this sound.
"and many more!"
"Uncle!"
"And this doctor..."
"Isn't this your first time to undergo this kind of surgery?"
Hearing his uncle's words, Chen Gong coughed, and Zhao Lei also remained silent in embarrassment.
Good guy, no wonder you are so relieved.
It was his own!
Chen Gong almost gave Zhao Lei a thumbs up.
It has to be me, Director Zhao.
This pattern cannot be reflected by Jiang Mingze's stinginess.
But... having said that, being a relative of Director Zhao is quite dangerous!
Seeing that the operation was completed, Zhao Lei lowered his voice and said to the man:
"Go back to the ward and tell your mother that I did it myself!"
"Did you hear that!?"
The man was about to cry but had no tears: "Uncle, can I save my leg?"
Zhao Lei glared at the other party fiercely: "It's okay if you don't want to keep it!"
The man quickly shut up and closed his eyes: "Oh, why can't I hear or see..."
"The anesthesia effect is so good!"
"Thank you, Director."
Chen Gong:......
……
After the operation was completed, Chen Gong washed his hands, changed his clothes, and returned to the ward.
Zhao Xi continued to maintain the "pouting state" at this time.
In this state, the anger value is +3; jealousy +1; the probability of aunt delaying +15%; and the probability of uterine fibroids +3%.
Chen Gong saw this and said with a smile: "Okay, are you still angry?"
"I'll tell you something fun!"
When Zhao Xi heard this, his ears immediately pricked up: "What's so fun?"
Chen Gong lowered his voice and couldn't help but laugh.
"do you know?"
"The surgery I just had was a hemangioma removal on my leg."
"Director Zhao asked me to do it independently!"
"hey-hey!"
Zhao Xi rolled his eyes at Chen Gong: "That's it? You're showing off on purpose, right?"
"This dead thunder god!"
"Why don't you ask me to go?"
Chen Gong continued: "Haha, that's not the point!"
"Did you know? The patient's name is Thor, uncle!"
"Tsk, tsk, tsk, this Thor's pattern is really big. My first surgery was performed on a relative!"
"No ambiguity at all, just let me do it!"
"I have to ask Thor tomorrow if there are any relatives at home. I want to try other surgeries?!"
Zhao Xi's eyes suddenly widened.
"what?!"
"Call...uncle?"
"That man is 35 or [-] years old, has a flat nose, thick eyebrows, big eyes, and thick lips!"
Chen Gong nodded quickly: "That's right!"
"This brother, although he looks a bit ugly, but... he is a very nice person."
"Ha ha!"
Zhao Xi was immediately dumbfounded.
Good guy!
Dad isn't afraid that his aunt will scold him?
Let Chen Gong undergo surgery!
Chen Gong continued: "Haha, you said that Thor's thick eyebrows and big eyes have really terrible genes."
"It would be fine if he was a son!"
"You said if it were a daughter, what would she look like?"
"Hey... scary!"
Chen Gong didn't notice at all that Zhao Xi's face was ashen and his eyes were filled with murderous intent.
……
……
in the afternoon.
Zhao Lei took Chen Gong directly to the cardiothoracic surgery office.
After entering, Chen Gong saw Pang Di and Miao Junlong.
But Chen Gong didn't take it seriously and sat on a chair consciously.
Pang Di hesitated for a moment, wanting to say something, but he hesitated.
Although in the clinical field, Chen Gong is only a fifth-year intern, but...his status in the academic field is already an honorary alumnus.
He is a man who can be on an equal footing with Jiang Mingze.
As for today's surgery, there is only one real protagonist, and that is Jiang Mingze.
Apart from this, everyone else is a supporting role, even Zhao Lei is just here as an assistant.
After Miao Junlong saw Chen Gong, his face looked a little unhappy.
This is normal, it’s only strange that it looks good.
However, when Miao Junlong thought of Guan Leshan's favoritism towards Chen Gong, he naturally didn't dare to mess around and could only sit in the office without saying a word.
Just then.
Jiang Mingze walked in.
but……
After Jiang Mingze came in, his eyes looked around the office and fell on Chen Gong.
After seeing Chen Gong, Jiang Mingze naturally raised the corners of his mouth slightly.
Yes, today he wanted to show this ignorant young man what real vascular anastomosis was.
"Director Jiang, let's... start?"
Pang Di saw Jiang Mingze coming in, smiled, stood up and said.
Jiang Mingze nodded: "Okay!"
"let's start!"
Speaking of this, Jiang Mingze glanced at Chen Gong with some deep meaning.
When Chen Gong saw this, he didn't take it seriously and looked directly at him.
This made Jiang Mingze stunned for a moment, then smiled.
this kid!
He really... refused to admit defeat.
Such energy, hehehe...it's great to be young.
At this time, Pang Di suddenly asked Jiang Mingze: "Director Jiang, by the way, do you want to notify the family members?"
Jiang Mingze shook his head: "No need for now!"
We first discuss the situation, analyze the patient's condition, decide on the surgical plan, and then talk to the patient.
Today's patient is also very special. He traveled thousands of miles to come here to seek surgical treatment.
Jiang Mingze's level is naturally well-known in the circle.
Especially in the field of a special type of surgery, it has a high reputation and right to speak.
For example, today's patient is a patient with polyarteritis.
The patient has no choice. He can't get a bed at West China University of Medical Sciences.
There are many hospitalized patients there. To be honest, even if Jiang Mingze is the director, he can't get his own number.
Of course, it’s okay to just find connections to join!
but……
Obviously such an operation does not make much sense.
Therefore, Jiang Mingze arranged for several patients to come to Shanhe Province and be hospitalized here, and then arranged several operations.
It just so happens that I can come to participate in this school anniversary and solve some problems at the same time.
Soon, Pang Di winked at Miao Junlong.
The other party quickly stood up and started to open the multimedia to introduce the patient's condition.
At this time, Jiang Mingze suddenly sat next to Chen Gong.
When Chen Gong saw this, he opened a seat away from him full of disgust.
Sitting with this selfish bastard, Chen Gong was a little allergic. Especially, Chen Gong knew very well that this bastard also liked to play the piano.
Seeing this, I, Jiang Mingze, was very bored and childish and continued to sit next to Chen Gong.
This time, Chen Gong did not continue to change positions, but couldn't help but said to Jiang Mingze, "Are you childish?"
Jiang Mingze smiled slightly: "Childish?"
"Haha...that's not important!"
"The important thing is, do you want to apply for my graduate school?" "You know, my graduate school is not that easy. There are so many people vying for it."
"I can teach you the non-destructive suturing method without reservation."
"how?"
Chen Gong heard this and smiled slightly: "I have a better way!"
Jiang Mingze looked at Chen Gong curiously: "Tell me about it?"
Chen Gong lowered his voice: "I will communicate with the school and give me the qualifications of a master's tutor, and then you will be my student!"
"In this way, I can improve your suture technique by at least one level."
"Maybe we can achieve a natural state!"
"How? Do you want to think about it?"
When Jiang Mingze heard this, instead of being angry, he looked at Chen Gong with a smile:
"You bastard!"
"You are not old, your tone is not small, you are really an arrogant little bastard who doesn't know the heights of heaven and earth!"
"Haha... is it still natural?"
"You know, perfect nature doesn't actually exist, okay?"
"That's just a nice fantasy!"
"In a moment, I'll let you take a closer look at what real sutures are."
At this time, Pang Di sighed when he saw Jiang Mingze and Chen Gong talking and laughing.
Although Chen Gong caused some unpleasantness that day.
But this kind of thing is really not worth mentioning, so why mention him?Does it only add a little more trouble?
Meaningless!
At this time, Miao Junlong also prepared courseware and a projector. He stood in front and cleared his throat. He seemed to feel that participating in such an operation was of great significance to him.
In fact, it is!
Such a case of Takayasu arteritis is not a simple operation.
His full name is "thoracic aorta-abdominal aorta bypass grafting".
This name is hard to hear!
At this time, Miao Junlong nodded to the two directors Jiang Mingze and Pang Di, and said seriously:
"I will host the following pre-operative discussion. First of all, I would like to thank Director Pang for trusting me, and also thank Jiang Mingze..."
Miao Junlong might be really moved, or he might simply have nothing to say.
but!
Chen Gong couldn't help but roll his eyes and muttered directly: "You are talking nonsense, just start!"
When Jiang Mingze heard the sound, he couldn't help but said: "Let's get started!"
"Don't waste your time!"
To be honest, Jiang Mingze doesn't like this kind of person at all.
But Pondy was very useful.
This is where the difference lies.
When Miao Junlong heard this, he nodded quickly: "Okay! Okay! Okay!"
"Patient, male, 55 years old, has had headaches for three years, worsening for one month..."
"Five years ago, I was hospitalized due to cerebral infarction and diagnosed with polyarteritis. A year later, recurrent thrombosis was discovered..."
"The patient was hospitalized for examination and found aneurysmal dilatation of the right thoracic artery, and... a high blood pressure difference."
"The patient is currently risk assessed and without surgical treatment, secondary thrombosis can result, resulting in pulmonary artery and coronary artery involvement, and the aneurysm will expand."
"This is the patient's film. You can take a look."
Chen Gong was below and listened carefully.
Takayasu arteritis is obviously not an easy thing to do.
The difficulty of the operation is not low!
Chen Gong has learned a lot about this disease during this time.
Takayasu arteritis refers to chronic, progressive, and often occlusive inflammation of the aorta and its branches.
Moreover, the key is that the cause of this disease is not yet clear.
Only symptomatic treatment is available.
The pathogenesis of this disease is also difficult to understand, because it is a chronic non-specific inflammation that mainly affects the aorta and its important branches, leading to segmental arterial lumen stenosis and occlusion, and secondary thrombosis, pulmonary artery and coronary artery. Arteries are also often involved.
To put it simply, inflammation occurs within the blood vessels, leading to stenosis of the blood vessel walls.
And it's multiple.
This requires re-estrangement of human blood vessels, removal of areas with inflammation, and then reconstruction of blood vessels.
It sounds simple.
It's hard to do.
The difficulties mainly include the following aspects.
First: Because it is a large artery, the time of blood flow control needs to be strictly controlled, and the suturing speed is relatively high.
Second: The blood vessels need to be reconstructed, which requires the removal of many stenotic areas. How to reconstruct them?Very difficult!
Third: Because the patient has arteritis, it is best to suture non-destructively when suturing blood vessels. Although non-destructive suturing is impossible, we must try our best to prevent the damage to the blood vessel wall from worsening. Therefore, there is a requirement for "non-destructive suturing" Extremely high.
Taking just one of these three points, the difficulty level is enough to make a cardiothoracic surgery patient in a tertiary A hospital overwhelmed.
And putting the three together is even more difficult!
Therefore, Jiang Mingze, a stingy person, is indeed a scarce commodity.
Because they happen to be people who really have these three abilities.
Even Director Zhao Lei Leishen can't do it because his non-destructive suturing failed!
Therefore, no matter what aspect you think about, this surgery is not something that ordinary people can complete.
same!
This is also a rare learning experience for the First Affiliated Hospital of Shanhe Medical University.
Although Jiang Mingze did not let the video of his surgery get out.
However, this kind of invitation to surgery and surgical visits are not exclusive.
In this way, Miao Junlong spoke in great detail, as if he wanted to delve into every detail that he could be involved in.
After the film was released, the scene fell silent again.
Because, the time has come for the real test of technology!
How to formulate a surgical plan is the top priority.
Soon, Jiang Mingze said to Pang Di: "Director Pang, what do you think about this operation?"
Pang Di heard the sound, thought for a moment, and said with a solemn expression:
"I think this surgery can be performed in a three-stage plan."
"Choose a combined thoracoabdominal incision for the opening."
"Then, the first stage is the thoracic aorta area. The length of the thoracic aorta that needs to be separated here is about 5-6 centimeters. I think it can be replaced by artificial blood vessel transplantation!"
"Next is..."
Pang Di is a director with both heart and mind. Even if he doesn't have Jiang Mingze's level of sewing skills, he still knows the plans and designs that should be in place.
After listening to this, Jiang Mingze nodded: "I think Director Pang's plan is very sound!"
"But... I think it can be too conservative!"
Pang Di smiled slightly: "People with high skills are bold, and I designed the plan based on my own strength."
"Director Jiang is a talented artist and bold, so naturally there is room for him to show off."
"Where do you think we can improve?"
Jiang Mingze stood up and walked to the front, taking out a pen on the black board of the demonstration.
A model diagram of the obstruction of a large blood vessel in the patient's body was quickly drawn on it.
Next, Jiang Mingze began to cut off in several areas, and then began to simulate and draw a matching path.
"In this way, I think the effect will be better!"
"In this way, the artificial blood vessel in the area of the thoracic aorta can be removed."
"After all, there are some differences between artificial blood vessels and blood vessels. This slight difference may cause changes in the patient's blood flow speed, which may cause some impact on the blood vessel wall. I am worried that these anastomotic contact points will form obstructions again. .”
"This is more difficult!"
"It can even be said to be a bad operation, because... no one can guarantee when the next operation will be?"
At this time, Zhao Lei nodded: "I agree with Director Jiang's idea!"
"In terms of reconstructing blood vessels, I am not talking about the thoracic aorta area. Let me talk about our abdominal area."
"In fact, when performing vascular reconstruction, artificial blood vessels can be completely discarded."
"So, I have an idea. Here, we can free the spleen and left colon flexure, cut the deltoid ligament, and move the stomach, small intestine, colon, spleen, and pancreatic tail to the right."
“This way, you will have more choices when it comes to reconstructing blood vessels!”
……
Zhao Lei stood on the stage and started discussing with Jiang Mingze.
Zhao Lei's words made Jiang Mingze's eyes shine.
This idea is good.
Really amazing.
He didn't expect that this guy Zhao Lei was still so powerful.
It seems that all these years have not been wasted?
You know, the concept of vascular reconstruction is not that easy.
Moreover, the idea mentioned by Zhao Lei is completely a new concept that is ahead of the times.
This new concept involves in-depth thinking and exploration of various factors such as blood vessel flow velocity, blood vessel angle, etc., and even from the aspect of mechanics.
Suddenly!
Jiang Mingze's eyes widened, and he suddenly had an illusion...
Mr. Gu's "natural" realm.
Maybe it's really not impossible? !
If Zhao Lei's ideas continue to improve.
And my sewing skills and abilities are constantly improving!
perhaps……
in the near future.
Naturally, this highest level of vascular anastomosis is really possible!
For a moment, Jiang Mingze's eyes were filled with excitement and emotion.
He never imagined that he would have such great gains and opportunities by attending the school anniversary this time.
And Jiang Mingze can think of questions!
Could it be that... Zhao Lei couldn't think of it?
Zhao Lei said the same thing, his pupils shrank slightly, and he seemed to have thought of various possibilities.
nature……
At this time, Zhao Lei suddenly trembled.
His eyes suddenly widened.
Yup!
Isn't this the "natural" realm that old man Gu Haiyi talks about?
As vascular reconstruction ideas continue to be optimized.
When blood vessel suturing skills continue to improve!
Perhaps, the reward of perfect vascular reconstruction surgery will definitely appear in the near future.
this moment!
Zhao Lei and Jiang Mingze looked at each other.
This one!
The two of them saw hope in each other's eyes at the same time.
The more the two discussed, the more excited they became.
It even feels like a storm of inspiration.
In comparison, Pang Di felt... that he was redundant.
This stage should be given to the two of them.
Soon!
After ten minutes of intense passion.
Zhao Lei and Jiang Mingze finally have a complete plan!
Jiang Mingze asked excitedly: "What do you think?"
As soon as these words came out, everyone in the audience started talking.
Soon, after reading it, Pang Di had to smile bitterly.
“I dare say that the level of this plan is the best in the country!”
Miao Junlong said immediately: "That's true!"
"This surgery is a powerful combination of vascular anastomosis skills and vascular reconstruction plans!"
"As Director Pang said, I estimate that no such excellent plan can be found in the country!"
"Perfect!"
But it just happened at this time.
Suddenly there was a sound.
"is it?"
"Then these domestic experts are too bad."
"You haven't discovered any of the obvious problems?"
As soon as these words came out, the surrounding area suddenly became quiet.
Pang Di went straight to look for reputation, and immediately discovered that this person was none other than Chen Gong!
These words are too arrogant!
It's not just him who thinks so.
At this time, Jiang Mingze also looked at Chen Gong and narrowed his eyes. This time, he was no longer used to Chen Gong.
Jiang Mingze has already been patient with Chen Gong.
But this child... is too swollen, and now there are pre-operative discussions before the operation.
This is no time for joking.
In the adult world, you have to be responsible for your own words and deeds!
Thinking of this, Jiang Mingze said lightly:
"is it?"
"If you have any different opinions, you can raise them!"
Chen Gong nodded, stood up and walked towards the stage.
"The first shortcoming!"
"In the intrathoracic area, the diaphragm should be incised radially from the costal soft arch to the aortic foramen, so that the left lung collapses and is pulled inward to expose the thorax and posterior mediastinum. In this way, the chest can be controlled The artery is separated by 3 centimeters more!”
"These 3 centimeters directly eliminate the need for artificial blood vessel transplantation, and can be effectively used as a proximal anastomosis."
"This is the most basic thing."
"I'm curious. As a cardiothoracic surgeon, Director Jiang doesn't even know the method of radioactive cutting of the mediastinum?"
As soon as this word comes out!
Suddenly everyone looked towards the stage.
Even Jiang Mingze's eyes were a little more dignified.
Wait until you think about it carefully!
Zhao Lei suddenly said at this time: "Oh, this is a good idea!"
"This angle of cutting the mediastinum is really clever!"
After Jiang Mingze heard this, he immediately blushed.
He really didn't expect this.
Moreover, this kind of thinking is difficult to imagine.
For a moment, Jiang Mingze looked at Chen Gong's triumphant look and snorted coldly.
hateful!
Fooled by this bastard.
Chen Gong continued:
"Second point! The superior mesenteric artery and renal arteries on both sides are removed, and a section of the abdominal aorta that is not affected by the disease is freed for use as a distal anastomosis."
"Isn't this the most perfect plan?"
"You actually said that it is very difficult to do non-destructive suturing here? And you chose the collateral circulation on one side. Isn't this just taking off your pants and farting?"
"Aren't you doing non-destructive suturing? Isn't this 30° angle classic suturing the easiest? Or...is Director Jiang kidding me?"
When Jiang Mingze heard these words, he couldn't bear it anymore.
After all, the design just now may be excusable.
But, you actually question my suturing technique?
Isn't this a big show in front of Guan Gong's gate?
Jiang Mingze said directly: "You have no idea how high the angle requirements for this kind of non-destructive suture are."
"Thirty-degree stitching is a difficult problem to solve!"
"I admit that you have said a lot that this plan is the most reasonable and the best."
"However, suturing is the most difficult because the emergence of this angle means increased blood pressure."
"How is it possible to perform non-destructive suturing in this case?"
After hearing this, Chen Gong stood up directly and smiled slightly:
"Hehehe..."
"It's easy!"
After saying that, he picked up the pen, walked directly to the front, lightly sketched on the demo board, then stood up and left.
"You guys discuss it slowly!"
"Call me during the operation."
At this time, Miao Junlong's eyebrows were tightened. Looking at Jiang Mingze's uncertain expression, he was about to say something reassuring.
but!
Just then...
Jiang Mingze's eyes suddenly widened, and his hands trembled slightly with excitement.
Angle stitching!
Is this what angle stitching solves?
The key...how did Chen Gong come up with the idea?
The more Jiang Mingze thought about it, the more he felt that this suturing technique was really magical and wonderful.
What Chen Gong drew was nothing else but the needle insertion technique.
This extremely tricky needle insertion technique can instantly solve the difficulty of such low-angle vascular anastomosis.
Moreover, it involves many details of non-destructive stitching.
Jiang Mingze was extremely excited.
He could never have imagined...
After a trip to Shanhe Province, I actually found an opportunity for a breakthrough! ?
This is too shocking, right?
wrong!
wrong!
Jiang Mingze suddenly widened his eyes and looked at Chen Gong's back.
Did he...did he really learn the non-destructive suturing method?
Do not!
Not to learn!
But...proficient?Good at?
But how long?
This is too incredible, right?
At this moment, Jiang Mingze couldn't help but glance at Zhao Lei and asked quickly:
"Old Zhao!"
"What is the origin of this Chen Gong?"
"Did he really just start to get into the art of vascular anastomosis recently?"
Zhao Lei's expression was also a little dull.
He looked at Jiang Mingze seriously and said:
"He just performed one operation and his blood vessel suturing skills reached a master level!"
"Although there is a background in animal experiments, you also know that this is different!"
“As for lossless suturing!”
"I feel like he's got it..."
……
ps: There is something wrong with the keyboard keys. Holy shit, the two keys are out of order. I didn’t notice it for a while.
(End of this chapter)
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