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1832 The crushing of the field (monthly ticket 2850057)

Feeling? Dr. Reiner has vaguely touched the erratic word that Dr. Charles said in recent years.

But he didn't know exactly how to do it.

"Working sterile gloves will affect the operator's judgment, and each pair of sterile gloves has a different feel. So I said that sterile gloves are the biggest part that affects surgical procedures."

Dr. Reiner remembered that Dr. Charles did say this.

At that time, I thought the teacher was joking, but I didn’t expect it to be true.

"But it is necessary to ensure a sterile environment, so the initial stage of the operation is to familiarize the patient's anatomy and clarify the key to the operator's hand feeling." Dr. Charles continued to say slowly.

In his opinion, the operation in front of him will inevitably be a great success.

It was a pleasure to watch this surgery, the flawless process, and Dr. Charles was a little addicted to it.

But except for yourself and the operator on the operating table, no one can understand the state of feeling. Sometimes life is as lonely as snow.

"Everyone's body tissue has unique elasticity and toughness. When it first becomes blunt, it is the best time for the surgeon to establish communication with the unique organ tissue." Dr. Charles said: "This kind of communication will allow the surgeon to clearly face the feel of the organs. As long as the communication method is established and the feel is clarified, many complications and mistakes will never happen."

"Look, the strength and angle of the needle tip when Dr. Zheng is anastomosis, all the choices made by feeling the information left by the vascular feel before." Dr. Charles said happily: "Perfect, without a trace of flaws. Watching this unparalleled surgery brings an inexplicable enjoyment."

Reiner was speechless.

Everything Dr. Charles said was just a vague realization that it seemed like this. But it would be impossible to apply it to clinical surgery without 3-5 years of running-in.

After 3-5 years, I am already old. Although I will have richer experience, I have passed the peak period of surgery.

Some movements, the body no longer allows itself to complete flawlessly.

Dr. Reiner had some regrets.

But it may be 3-5 years, but it may not be able to understand it in 5 years, and it will take a new 5 years.

It has nothing to do with diligence. What is required to reach this level is talent.

"After establishing this connection, once the hand is placed at the brachial artery, you will know how much force should be used to anastomosis. Of course, this method of anastomosis must be based on almost flawless microsurgery."

"Perfectly matched, Reiner, this surgery has reached my peak level, and there is even overflow. After the operation, remember to copy the whole process back and think about it carefully."

"Although your age is no longer at this level, it is still beneficial to improving your surgical level."

Reiner looked at the surgical images speechlessly. As the teacher Dr. Charles explained the "feeling" in a few words, the surgeon had completed the anastomosis of the brachial artery.

After all the three cephalic vessels are anastomotic, full flow perfusion begins.

The proximal end of the four-branch artificial vascular trunk is end-end anastomotic with the distal end of the artificial vascular vascular of the original ascending aorta. After exhaust, Zheng Ren opens the ascending aorta.

After the mixed venous blood oxygen saturation reaches above 90, the heart begins to slowly reheat, and the heart will automatically regain.

At this time, a row of digital perfusion time appears on the screen, blocking 95 n, and selective brain perfusion time of 84 n in deep low temperature stop cycle.

Perfect!

Flawless!

Dr. Reiner looked at these similar numbers and was stunned.

If you do the surgery yourself, these numbers will basically be exponential. Exponential is not critical, and the perfusion time and blocking time will definitely not be so small.

The small gap in time means that the surgeon is doing surgery steadily and quickly.

Is this all the changes brought about by the "feeling"? Dr. Reiner looked at the operation silently.

The surgeon should have finished the operation, but when he saw that the low temperature extracorporeal circulation ended and the heart beat again, another image appeared on the screen.

The interventional guidewire enters the blood vessel, passes through the anastomosis section, and begins the angiography.

At the same time, the art field was still clean, with only a small amount of blood oozing out, but there was no trace of contrast agent.

This is the last confirmation.

Generally, interventional surgery is not used to confirm bleeding after elephant trunk surgery. Dr. Reiner does not agree with the surgeon's behavior.

If the guidewire touches the anastomosis segment, it may cause unpredictable changes in the anastomosis.

"Renner, this is an area that I have never reached." Dr. Charles said suddenly.

"Teacher, I don't think it's necessary here." Dr. Reiner said stubbornly.

"No, you will know if you keep watching." Dr. Charles had guessed Zheng Ren's thoughts, and he said with a smile. "The surgeon made bold changes to the surgical procedure, which is based on his thorough understanding of the anatomy and the patient's status."

"What is he going to do?"

"You must have forgotten what technique this young man used to win the Nobel Prize recommendation."

"..." Reiner was speechless.

Can I show the interventional surgery techniques in such a large-scale operation?

This should be a very irresponsible behavior, but why does the teacher still expect so much?

Suddenly, an idea appeared in Reiner's mind.

During the operation two years ago, the patient underwent coronary bypass and ascending aortic duct replacement. Now, the replaced blood vessels have also undergone certain changes under the influence of Mafang syndrome.

This is the terrible part of congenital disease. The transplanted blood vessels will also be imaged, especially the location of the coronary artery established by the mammary artery in the body.

After watching the film before the operation and imaging analysis, Reiner believed that the patient's coronary artery had a small problem, but it was not worth noting.

In the case of a torn aorta as the background, nothing is worth noting.

And the craftsman's ambition is so great? What is he going to do? Could it be...

Reiner's guess soon became a reality.

Interventional stent surgery.

Coronary artery...ascending aorta... descending aorta...

Every blood vessel that may have tear is covered with a membrane stent, and there is no gap between the stent, perfect and calm.

"Have he gone for an interventional operation?" Dr. Reiner asked in a daze.

"Well." Dr. Charles finally changed his position. It took too long to get a little uncomfortable with the body. "Ma Fang syndrome will cause pathological changes in the mesoar membrane of the large artery, so it is better to use a stent to solve it."

Dr. Reiner couldn't breathe out in his chest.

If surgical operations still have the hope of reaching the level of the surgeon, then the current interventional surgery...

I can't do it at all.
Chapter completed!
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