Chapter 293 Break the doubt!
Guo Deyong looked at the surgery chosen by Ruan Bin. Although this surgery looked very smooth and there were no too many twists and turns or detours. Compared with many aneurysm surgeries, this one is relatively easy to do.
But he felt that he could not complete it in 19 minutes! Even if he had experienced many battles, had thousands of surgical experience and was proficient in one, it would take him 30 minutes to face this surgery!
It will definitely take an hour to change to other ordinary doctors!
You 19 minutes?
Is it a pity to brag?
Even Luo Youhong frowned: "Ruan Bin, are you sure you can do it in 19 minutes?"
Even him took about half an hour.
"To be honest, I have had more than 1,000 interventional surgery for intracranial aneurysms. Needless to mention my proficiency, it takes about 30 to 40 minutes for this surgery." Mo Xuyan said in a deep voice.
Everyone present is a master of cerebral aneurysm intervention. Although there is a small gap in everyone's level, the gap will not be big.
Everyone guessed in their hearts that it was impossible to complete in 19 minutes, unless you were extremely accurate and completed in one go, without any mistakes, and completed at an extremely fast speed.
Otherwise, there would be no time at all.
But the problem arises, the faster the speed, the more likely you are to make mistakes.
Because when operating the arterial guidewire, the faster you speed, the more likely you make mistakes. At the same time, you also need time to judge the internal blood vessel structure and route!
Seeing the doubts of a number of experts, Ruan Bin spread his hands helplessly: "I can really solve the problem within 20 minutes. If you don't believe it, I'll show you it for you?"
Arrogant!
Don’t know that the sky is high and the earth is thick!
Young people just love to show off!
The big guys all looked at Luo Youhong in one go. Their meaning was very obvious. You found the person, so what would you do with him?
Luo Youhong thought for a while and said, "Speak a thousand ten thousand, then try it. But you can't be reckless during the operation later. If there is a problem, you must stop. Do you know? You can't joke with the patient!"
"I understand." Ruan Bin nodded.
If he is not sure, will he say this?
Since we have all arrived at this point, we will meet in the operating room.
All the patient's preoperative examinations were completed.
In fact, I was preparing for the afternoon surgery, so now I have performed the surgery for Ruan Bin in advance.
While walking to the operating room, Ruan Bin turned on the system.
【System Points】: 129,400
【Intracranial aneurysm embolization】: Expert level +
This was the last time he had done several such surgeries, and when he came here, he proved that he had had several surgeries and was a bit convincing. So before he came to participate in this research, he had already spent a lot of money on the Magic City. At the same time, he also had several intracranial aneurysms on Jia Yanguan's side.
"upgrade!"
"Ding Dong...Deduct 18,000, [Intracranial aneurysm embolization]: World-class +!"
【System Points】: 111,400
"World-class, you can definitely complete this operation within 20 minutes." Ruan Bin said in his heart.
In addition, he already has nano-scale operating methods.
There is no need to upgrade to innovation level.
In fact, the treatment method for intracranial aneurysms is: by puncture of the femoral artery, the spring coil is filled into the weak aneurysm cyst cavity, interrupting the blood flow, and achieving the purpose of treating the aneurysm. It means that it is enough to block the rupture of the aneurysm.
Come to the operating room.
Based on the patient's CT, MRI or MRA and cerebroan angiography examination results, Ruan Bin began to select the most suitable soft-head guide catheter, guide wire guide, microcatheter, microguide wire matching with microcatheter, controllable release coil and release system, liquid embolization materials and their embolization systems, etc.
Experts can tell if there is any one at once.
At this time, Luo Youhong and others saw the surgical tools selected by Ruan Bin. They all knew that there was no problem with the selection, and even some details surprised them.
The anesthesiologist has finished giving the patient general anesthesia.
In addition to Ruan Bin, four or five others including Luo Youhong were watching the scene.
After all, it is not advisable to have too many people inside, and the remaining experts are watching the live broadcast of the surgery outside.
Ruan Bin is the chief swordsman and Luo Youhong is personally supervising, because he is afraid that Ruan Bin will make any mistakes.
Anesthesia is effective!
I saw Ruan Bin used the seler method to routinely puncture the femoral artery and insert the 6f catheter sheath and the 6f guide tube in turn. Under TV monitoring, the guide tube was sent to the affected internal carotid artery to reach the level of the second cervical vertebra.
The tail end of the guide tube is connected to a y-shaped valve connector, and its side arm is connected to the tee-way soft connection tube, and then is connected to the arterial pressurized infusion. Open the pressurized infusion bag and slowly drip the normal saline, and the patient is subjected to systemic heparinization.
The whole process was completed in one go, and it was extremely fast!
The arterial guide wire directly enters the abdominal aorta from the femoral artery and then to the internal carotid artery, without any obstruction, just as fast as driving a train!
This speed made Luo Youhong and others stunned!
This is more accurate and faster than a robot operation! How to do it?
At this time, Ruan Bin has begun to select the appropriate exel-14 or exelsior-1018 microcatheter and the GDC platinum microspring coil according to the shape and size of the aneurysm. The exel-14 is inserted through the y-shaped valve at the tail end of the guide tube. Under the guidance of the television monitoring and tracking diagram (road-mapping), the microcatheter is introduced into the aneurysm cavity with a controllable platinum guidewire.
Let its tip be in the middle of the aneurysm cavity, extract the platinum guide wire, use a 1ml syringe to aspirate the low-concentration contrast agent, and gently inject a small amount (0,5ml) through the microcatheter to understand the position of the catheter in the aneurysm cavity.
Still as fast as lightning!
Then, the delivery gdc platinum micro-spring guide wire with guide sheath is inserted through the y-shaped valve at the tail end of the micro catheter, so that the front end of the guide sheath is closely connected to the tail end of the micro catheter, and the y-shaped valve is tightened to fix the guide sheath.
"Old Luo, help me." Ruan Bin said to Luo Youhong beside him.
"Oh, oh..." Luo Youhong, who was still a little stunned, realized that he was a very assistant now, so he quickly pushed the gdc platinum micro-spring coil into the exel-14 or exelsior-1018 micro-catheter, loosen the y-shaped valve, and slowly pull out the guiding sheath...
When Ruan Bin saw that the micro-spring coil had been released, he removed the red electrode at the tail end of the guide wire and slowly pulled the guide wire out of the microcatheter. Turn off the DC electrolytic device until the aneurysm is tightly filled.
Completed!
Mo Xuyan and others looked at their watches in shock and exclaimed: "19 minutes and 37 seconds..."
"It did it! It's so awesome."
"Doctor Ruan is like he can predict the position of the tumor, and the operation is very accurate and there is no obstacle."
"Zero errors! The key speed is so fast or zero errors..."
"It's like he can see through the eyes. The internal blood vessels are so complex, he can be so fast!"
Everyone was still shocked.
Chapter completed!