White armor

Chapter 76 Yuan Ting Yue Zhi, a great master of the generation (league leader Dabao passes by to update)

Luo Hao stepped on the line and could feel X-rays falling on his body.

The X-ray rays are converted into energy through [Energy Conversion], making the layers of heavy armor on the body become a little lighter.

The contrast agent flows in the blood vessels and appears on the screen opposite Luo Hao and Professor Yun.

Professor Yun gasped after seeing the image.

"Luo Hao, no." Professor Yun whispered in Luo Hao's ear.

The anesthesiologist also stood in the operating room wearing a lead coat. His ears moved. Although his head was lowered, his ears were raised, ready to listen to gossip.

"I think it's fine."

"What the heck, the carotid artery has an abnormal branch and has made eight hundred turns. What are you going to do? The branch of the facial artery goes down at a right angle. What do you want to do?"

"Super choice."

"!!!"

Luo Hao said nonsense among nonsense, and Professor Yun was speechless.

Indeed, the next step after angiography is super-selection, but with this vascular condition, how can it be super-selected? !

The normal anatomical structure is the carotid artery-external carotid artery-facial artery-medial canthal artery. In addition, the facial artery also divides into the superior and inferior labial arteries, the lateral nasal artery, and so on.

The patient's angiography while lying on the operating table showed an abnormal branch of the carotid artery, which accompanied the facial artery for a period and supplied blood to the maxillofacial hemangioma.

In addition, there are branches of the facial artery that supply blood to maxillofacial hemangiomas.

Each branch is an abnormal anatomical structure, and the thickest blood vessel diameter is only about 0.4-0.5mm.

Whether it was the degree of tortuosity or the diameter of the blood vessels, Professor Yun's scalp felt numb when he looked at it.

Can this be super selected? !

When it comes to facial blood vessels, once the super-selection is not done properly, a series of side effects will occur, and some of the blood vessels supplying the brain may even be embolized, causing brain death in children.

Thinking of the serious consequences, Professor Yun not only felt numb on his scalp, but also on his hands.

"Dr. Luo, forget it." Professor Yun said softly, "There is no way to super-select, so let's do it. You don't need to tell the patient's family, I'll talk to the head office. But after returning, the old man said sternly, don't let it happen I take the blame."

"Teacher Yun, don't worry, I'll try."

"..." Professor Yun sighed deeply, "Just try it once."

"Okay, let's try it once. Which blood vessel do you want to select first?" Luo Hao respected Professor Yun very much.

After all, Professor Yun performed the surgery under the banner of Union Medical College.

Professor Yun has always been worried, and Luo Hao also feels a little shortchanged.

"You can super-select the branches of the facial artery... You should try super-selection first. Dr. Luo, maybe you saw less catheter intervention when you were in our hospital, and Director Pan's level is still high, so you think the operation is not easy." Disaster."

With that said, Professor Yun sighed again.

In the operating room, Shen Zizai watched the operation with his arms folded.

When the dense and complicated blood vessel network was displayed on the screen in the operating room, Shen Zizai immediately determined that the operation could not be completed.

It was already clear from the preoperative examination that the operation would be difficult, but Shen Zizai did not expect that the operation would be so difficult.

The patient's hemangioma is too large and has too many branch blood vessels supplying blood. How can this thing be plugged?

After seeing the images, Shen Zizai once again confirmed that his refusal to undergo surgery was a wise choice.

"Director Shen, I don't understand your surgery very well." Liu Haisen felt a little numb when he saw the images. He asked quietly, "I see a lot of abnormally proliferated blood vessels. What would you do if it were you?"

"It's too difficult, I can't do it." Shen Zizai answered directly without any shame.

If you can't do it, you just can't do it. It's better than trying to catch a duck.

Once it's added on and it can't come off, it's fucked up.

"Uh, what if? Is there any surgical plan?" Liu Haisen saw that the micro-guidewire at point 18 had appeared on the screen. The thin micro-guidewire was like a snake, moving along the carotid artery in a lively manner. Enter the facial artery.

"Here." Shen Zizai walked to the screen and pointed at a point on the screen.

Surgery may not be possible for everyone, but when it comes to it, rich clinical experience will always play a role.

"The facial artery has an abnormal branch, which is almost at a right angle. The superimposed blood vessels are very thin. It is completely impossible for super selection to be successful."

Looking along Shen Zizi's hand, everyone in the operation room saw a very thin branch.

It is branched from the facial artery and curves at a right angle, and then spreads out many blood vessels to feed the hemangioma.

"The diameter of the facial artery in adults is about 1.5-2mm. I am not involved in pediatric surgery, but I roughly estimate that the diameter of the facial artery in this child is only 1mm at most."

"It's so thin and the angle is so tricky. Why is it so good? But directly embolizing the facial artery? Aren't you afraid of something happening?"

As Shen Zizai spoke, he glanced at everyone.

nonsense.

But Shen Zizai was also very satisfied.

Luo Hao went too far. When he went to the First Hospital of Medical University in the next year and brought the medical team into the interventional department, he would have more reasons to refuse some of his reasonable or unreasonable requests.

Want the dragon to cross the river?

Then you have to see what kind of dragon it is!

There are so many raptors in the world.

Shen Zizai believed that all the doctors present could understand. When he glanced over, he saw the chief medical director of the mine frowning and subconsciously holding his hands in front of him as if doing Tai Chi.

Liu Haisen also looked sad. He should have realized that Luo Hao had to have surgery, but in the end he couldn't do it at all.

Director Shen... Director Shen's expression was a bit too much. He kept calling Luo Hao uncle, but he didn't really call him uncle.

At first, the muscles on Director Shen's face were stiff and beating slightly, but when he looked over, a kind of light seemed to burst out of Director Shen's shiny head.

At the same time, his eyes also changed.

It's like the look in a dog's eyes when it sees meat.

Bright eyes!

Yes, it just shines!

Why bother? His expression is artificial and slightly exaggerated.

Shen Zizai felt a little proud. It seemed that young people were not so difficult to deal with, and the old guys standing beside him were all acting.

"Shen Zizai, step aside, you are blocking my view." Director Shen's eyes lit up, and then he said coldly.

"Uh……"

"You said it's difficult, but you can't do it, right?" Director Shen then began to attack him personally.

He is anxious, he is anxious!

Shen Zizai looked at Director Shen with a smile, "I definitely can't do it. There are probably not many people in the country who can do it. Even if they can do it, they have to be super-selected repeatedly. This one..."

"Shut up," Director Shen scolded, "look back, I've already finished the super selection."

"Impossible." Shen Zizai said, tilting his head.

In the field of view, the guidewire at point 18 had somehow fallen from the facial artery into the branch blood vessel.

What right angle bend?

What ultra-fine blood vessel diameter?

It seems that it is not an obstacle at all for the practitioner.

The guide wire at point 18 is still moving forward as if it is a psychic.

Uh……

Shen Zizai was stunned.

Impossible, how is this possible!

It’s not like Shen Zizai has never done a pure blood vessel right-angle bend. Just because he had done it before, Shen Zizai knew why it was difficult.

If you were on your own, you might try ten or twenty times and you might be able to do it.

But it's all done in one go...

"Shen Zizai, I'm giving you some face, am I asking you to stay away? I didn't hear you." Director Shen's face was stern, he took a step forward and pulled Shen Zizai away.

"You blocked me from seeing the surgery!"

"..."

Along the way, Shen Zizai kept talking about how difficult it was to operate on maxillofacial hemangioma. Director Shen had long disliked him.

Just now, he was looking at the screen and firmly saying that the operation was impossible.

But Shen Zizai was slapped in the face in an instant, and Director Shen naturally would not miss this opportunity.

No matter whether the operation can be completed successfully or not, Shen Zizai dares to stand here and point fingers at his uncle, and he must stand up and speak for his uncle!

Otherwise, let him turn Shen Zizai upside down?

No matter how young his uncle is, he is still the junior uncle of his own sect, although Luo Hao would not admit it.

"Shen Zizai, you can't do it because you are not good enough. It doesn't mean that others can't do it." Director Shen continued.

"Maybe it's luck, but I'm just lucky." Director Shen Zizai looked at the screen and murmured.

"Well, there is a thinner spiral curve in front of it. Normally, the operation must pass this to be considered a success. But I guess Dr. Luo won't be able to pass it, and he will stop in front of the spiral curve."

Shen Zizai was eager to regain his face and pointed at the next super-selected blood vessel.

Luo Hao, who was undergoing surgery, seemed to have heard Shen Zizai's words and paused in front of the spiral-shaped blood vessel.

Shen Zizai breathed a sigh of relief. He was really afraid that Luo Hao would do something to make him unable to step down.

Fortunately, he is still a human being, not a monster.

He can pass the right-angle bend, but the lower part of the blood vessel cannot be passed 100% of the time.

"It is almost impossible to get through the spiral curve. Do you know why it is difficult to embolize the prostatic artery? Most of the proliferated blood vessels are spiral, making super selection extremely difficult."

Shen Zizai was still talking, and the next second, his eyes widened.

The 18-point guidewire just paused for a moment, as if a hunting beast leaned down to gain momentum before encountering its prey.

Before he could finish his sentence, the 18-point guide wire continued to move forward.

Shen Zizai didn't notice the skill of the surgeon. He only saw that the 18-point guide wire went down along the spiral curve without any hindrance.

It was as if the micro guidewire was born for spiral bends. The smooth and silky feeling gave Shen Zizai the feeling of a 1.8-point micro guidewire walking in the aorta.

he!

How is it done! !

A huge voice shouted in Shen Zizai's ears.

How did you do it! !

From the screen, the artist's technique cannot be seen at all.

People who don't know how to do it think it's not difficult, but Shen Zizai, who has undergone similar surgeries but failed in super selection, knows that this is no longer something he can understand at his technical level.

For a moment, Shen Zizai was like an old monk in trance, staring blankly at the screen, completely ignoring Director Shen's teasing and provocation.

Super selection is in place and micro-channel is sent in.

The next step is to apply medicine inside the hemangioma, and then plug the blood vessel with a gel sponge.

This is a normal procedure. The difficulty lies in the previous right-angled bends and spiral blood vessels.

The equipment in Dsa's operating room was basically similar. Shen Zizai was familiar with it. With his thoughts in mind, he subconsciously sat in front of the computer next to him, opened the operating system and started to review Luo Hao's surgical process.

At the right-angled bend in the facial artery, the guidewire at point 18 was not bent by invisible forces, and there was no supernatural phenomenon.

The microguidewire at point 18 passes through the facial artery and is slightly lower. When passing through the branch blood vessels, the blunt end of the microguidewire "just" hits the branch.

Using the collision of the branch position and the surgeon's control of the angle, the 18-point microguidewire can smoothly enter the branch blood vessel.

I!

grass! !

Shen Zizai clicked to read it again.

Awesome! !

Watched it again and still thought it was awesome.

The more I look at it, the more flavorful it becomes, and the more I look at it, the more beautiful it becomes.

All beauties are just red and pink skulls, how can they be as good-looking as those undergoing surgery?

Shen Zizai is immersed in it, unable to extricate himself.

This is just one of the "trivial" technical details.

Lin Yuming silently looked at Shen Zizai who was almost crazy. Although his technical level was not high, he had a clinical background after all and knew this feeling. It seemed that the Xiaoluohao surgery was very good, so Shen Zizai, who had been chattering endlessly and saying unlucky words, was able to shut up.

But to what extent does the surgery have to be done to achieve this effect?

Lin Yuming didn't know.

He doesn't need to know either.

As Luo Hao's uncle, Lin Yuming only needed to know that Luo Hao was good at surgery, and it was enough to inadvertently impress the director of the interventional department of the First Hospital of the Medical University.

Lin Yuming can brag about this awesomeness for a year.

A smile appeared on the corner of Lin Yuming's mouth.

……

In the operating room.

Professor Yun stopped talking. He silently held the guide wire and concentrated on assisting Luo Hao in the operation.

The facial artery superselection just now seemed a bit scary to others, but to Professor Yun it was normal.

Professor Yun's level is very high. Entering the right-angle corner is difficult but can be overcome.

The key points of technology are speed, accuracy and stability.

There is only a small point. The surgeon operates the micro guidewire at point 18 to directly hit this point, and cooperates with the hand shape to make the micro guidewire "turn".

Professor Yun was not surprised that Luo Hao could do it.

If you don't even have these two levels, why bother treating maxillofacial hemangioma? Just stop the surgery.

Sure enough, Luo Hao's micro guide wire at operating point 18 passed through the right-angled bend in one go.

Next comes the point that Professor Yun focuses on - super-selection of spirally proliferating arteries.

At that time, Luo Hao seemed to find it a bit difficult and paused.

But it only took less than 2 seconds, and then Professor Yun felt that Luo Hao's whole body temperament changed.

If Luo Hao's label was sunshine in the past, then Luo Hao's label at this moment becomes profound.

A calm aura overflowed from Luo Hao's body, and the aura of a master suddenly appeared.

As soon as Professor Yun noticed the change, the micro guidewire at point 18 began to move forward.

Professor Yun understood the right-angle bend operation just now, but he couldn't understand the current operation of the 18-point microguidewire at all.

Luo Hao used his right thumb, index finger, and middle finger to twist the microguidewire. Without any special movement, the microguidewire entered the spiral hyperplastic artery smoothly.

Professor Yun knew that the current Luo Hao was the serious Luo Hao. Luo Hao didn't pay attention to the previous right-angle bend at all, it was just a routine operation.

He didn't dare to be distracted.

Luo Hao, who was "concentrating", did not perform the operation very quickly, but there was no redundancy in all the movements, and they were extremely concise and clean.

Because there are no unnecessary small movements, the overall speed suddenly increases. Professor Yun can only cooperate with Luo Hao's movements by paying full attention.

The super selection ended quickly, and a layer of white sweat appeared on Professor Yun's back unknowingly.

After injection and embolization, the branch vessels of the facial artery were embolized.

Professor Yun took a look at the time and saw that it had only taken 13′12″ since the femoral artery puncture.

It's so fast.

However, the next second, Luo Hao's voice came.

"Technician, please review the imaging."

Professor Yun was startled for a moment. He was preparing to continue super selection and embolization.

He had no time to appreciate and recall the details of Luo Hao's previous surgery, and was fully focused on cooperating with Luo Hao.

Full concentration was not enough, but Luo Hao obviously slowed down his movements slightly in several places and waited for Professor Yun.

Others can't see it, but Professor Yun knows it in his heart.

He didn't even have time to feel ashamed or sigh. All Professor Yun prayed for was that he could keep up with the surgery.

The oppressive feeling brought by Luo Hao's aura was so strong that it was suffocating. Professor Yun felt it the most.

He just hopes that he will never make any mistakes.

At this time, Professor Yun seemed to have returned to his student days. The teacher performed the first operation and asked him to be an assistant.

In addition to concentrating and cooperating, Professor Yun could only pray that he would not be held back.

Otherwise, the teacher will definitely not give you another chance.

The operation continued, and this time a branch of the external carotid artery was superselected.

The blood vessels were tortuous and took countless turns.

In the operation room, the technicians were already numb.

As the person who is said to know the most about art, the technician doesn't dare to say a word of nonsense now.

He had never seen this kind of surgery, nor had he seen such a high-level surgeon, even when the mine manager was at his most glorious.

But Shen Zizai was smirking at the screen next to him. He had just seen Luo Hao operating the micro-guidewire super-selected spiral artery at point 18.

Director Shen saw that a blood vessel was embolized and knew that the operation would be successful.

With support in his heart, he suddenly became mischievous and came up behind Shen Zizai and patted him hard on the shoulder.

"Ah~"

Shen Zizai screamed and almost had a heart attack from the fright.

"What are you doing, Lao Shen?"

"This blood vessel has been blocked. Luo Hao super-selected the abnormal branch blood vessel of the external carotid artery. Don't you want to look at it?" Director Shen asked.

"Ah? Finished tying? So soon?!"

"correct."

Shen Zi patted himself on the head, with regret on his face, and immediately stood up and returned to the console.

Director Shen didn't lie to him, the operation was in progress.

The circuitous branches of blood vessels have been selected to the deepest point, and they are about to be injected with medicine and embolization.

Director Shen Zizai let out a wail.

It was even worse than when Director Shen scared him just now.

"what happened to you?"

"Have you seen clearly how the surgery is done?" Shen Zizai asked.

"I don't do interventional surgery, so how can I understand?"

Shen Zizai looked at the others again. Except for the technician who shook his head blankly, everyone else looked blank.

"Why didn't you read anything?" Shen Zizai's brain didn't work very well after going crazy, and he was very angry.

"We're just here to watch. It's enough to see how good my uncle's surgery is." Director Shen said scornfully, "Didn't you just say that the surgery is impossible to do? I usually say that your skills are low, but you always say My arrogance is the original sin. Here!"

Director Shen pursed his lips and said, "You know why I said your level is low?"

Chen Yong stood in the corner, a little dazed.

He was not in a daze because of Luo Hao's high technical level. Chen Yong felt that Director Shen's speaking style was a bit similar to Qin Chen.

Is it possible that the big guys in the medical field are so willing to show off?

Or is everyone willing?

It should be everyone. Wasn't Xiang Yu envious when he saw Qin Shihuang's eastward tour?

This is how a man is born!

Thinking of this, a heroic spirit suddenly rose from the bottom of my heart.

Chen Yong clenched his hands into fists and pursed his lips hard.

"Technician, prepare for imaging."

Luo Hao's voice came from the intercom.

"Okay!"

Technicians and nurses are busy.

Shen Zizai looked at Luo Hao silently through the leaded glass.

Re-angiography means that the main body of the surgery has been completed. The angiography confirms that the knot of the plug is not strong.

so fast.

Not only can Luo Hao do it, he can do it quickly and well.

Every other line is like a mountain

Fortunately, I didn't take this patient.

The words he once said hit Shen Zizi's face like a whirling slap, making a crackling sound.

Shen Zizi remained silent, refusing to fight back when hit or scolded.

Luo Hao's technical level is so high that he can't even see it, so what else is there to say? Talking too much will only make him more embarrassed and unbearable.

Shen Zizai has the most basic understanding of standing up straight when he admits a mistake and standing firm when he is beaten.

Fortunately, I never said anything provocative. The old adage of keeping a tightrope is still true.

Shen Zizai secretly rejoiced in his heart.

Just as his heart was fluctuating, the airtight lead door closed again and imaging began.

A large blank appeared on the image, and the image of the hemangioma that once occupied a huge position completely disappeared.

Operation,

success!

Perfect success! !

"Teacher Yun, I'm a little tired. I'd like to trouble you next." Luo Hao pulled out the microcatheter, said a few words, and turned around to step down.

Professor Yun said quickly, "You go and rest for a while, I will do the rest."

He didn't care at all that Luo Hao treated him like a little doctor.

The surgery was really good. I didn’t do anything during the whole process, so I should have dealt with some minor post-operative matters.

A "bang" sound came, startling Professor Yun.

Luo Hao tore open the lead coat and threw it on the ground.

The floor of the operating room seemed to be shaking.

stab~

The lead skirt was ripped open.

Boom~

The lead skirt fell to the floor.

With every step he took, Luo Hao would take off a piece of lead clothing.

Kicking open the airtight lead door, Luo Hao walked out feebly and sat down on the sofa in the operation room.

"Luo Hao, what's wrong with you?" Lin Yuming asked with concern.

"Director Lin, that equipment is too heavy and tiring." Luo Hao put the responsibility on the equipment.

"Hey, just take a rest when you're tired. It'll be fine. It's better to be heavy. Heavy is a real material. It's full of lead. How can it not be heavy?" Lin Yuming said with a smile.

"Luo Hao, it's time for you to exercise."

"I..." Luo Hao was embarrassed to say.

Now I really don’t want to say anything nonsense, I just want to lie down and take a good rest.

But my uncle was concerned about him and several experts from the First Hospital of the Medical University. It was really not a good time to lie down.

"Chen Yong, go ahead and apply pressure with your hands. Don't let Professor Yun do it alone." Luo Hao made arrangements.

"Okay, let's go now." Chen Yong responded obediently and turned around to wash his hands.

"Dr. Luo, welcome to the Interventional Department of the First Department of Medical University." Shen Zizai looked serious, bent at 90°, stretched out his hands, and said respectfully.

(End of this chapter)