On the screen are Director Huang Guanying and Deputy Director Qian Zheyu of the Department of Cardiovascular Medicine at Zijingang Hospital.

Director Huang is very accomplished in the field of atrial fibrillation, especially the Cox maze III surgery.

Director Qian Gang directly communicated with Director Huang. After listening to the patient's condition and analyzing the medical records in detail, Director Huang quickly came up with a plan.

"The most important thing about the Cox Maze III surgery is the "cut and suture" circuit design, especially for the treatment of the tricuspid annulus, mitral valve isthmus and coronary sinus..."

Director Huang was very experienced and began to explain to Director Qian Gang, while explaining the difficulties and techniques involved.

At the same time, he pulled up a small whiteboard, took a marker and began to draw the unfolded plane of the heart in detail. The blood vessels, tissues, and anatomical levels on it were very clear. I had to admit that the department director of Zijingang Hospital had solid basic skills.

While Director Huang was talking, he described his surgical experience. Director Qian Gang listened carefully. Although he had performed Cox Maze III surgery before, he did not understand it as deeply as Director Huang.

The reason why the Cox maze III surgery is not often performed in domestic hospitals is because if the "cutting and suturing" is not done well, it can easily cause great trauma. Moreover, due to the complexity of the heart structure, the entire operation requires many operating points.

They are numerous and discontinuous, so the operation time is also very long.

Only an experienced person like Director Huang can work out the most appropriate and appropriate route.

After listening to Director Huang's explanation, Qian Gang, Wu Changlin, and Tang Lou were all very impressed. Simply speaking from the perspective of handling the Cox Maze III technique, Director Huang is indeed the top expert in the province.

However, what makes Director Qian Gang a little embarrassed is that he can understand many detailed operations, but it is still very difficult to actually operate them.

"Director Huang, your plan is indeed the limit of what Cox maze III surgery can do, but the time points of the operation time, extracorporeal circulation time, aortic occlusion time, tracheal intubation time, etc. are different from those of the main surgeon.

Speed ​​is closely related, and if there is a slight mistake, it may lead to surgical complications."

Of course Director Qian Gang knew that Director Huang's plan was done by himself and had a high success rate, but it was not necessarily suitable for the chief surgeon of the First City Hospital. For example, with his operating skills, he would not be able to complete such a beautifully designed and complicated operation.

.

Complex surgeries like this sometimes really require a specific person to do it in order to be successful. To a certain extent, the surgery requires experience and talent, and it is also an imperfect surgery.

The kind of surgery that is simpler, more popular, and that ordinary doctors can master through practice is the better surgery.

Of course, Director Huang understood what Director Qian Gang meant and felt that his design was too complicated.

Deputy Director Qian Zheyu on the side also frowned, wanting to curse in his heart. We have a plan, but if your city's first hospital fails, who can you blame?

The scene fell into silence for a while.

"Is it possible to improve and optimize the technique?"

Tanglou on the side said lightly.

"optimization?"

Qian Gang looked at the tenement building on the side. Since the tenement building was not in the screen, on the other side of the screen, Director Huang and Deputy Director Qian Zheyu only heard the sound and began to think deeply. However, where was the improvement and optimization plan?

So easy? You thought it was all you.

"It would be nice to simplify 'cut and sew'."

Tanglou muttered to himself calmly.

The speaker is intentional and the listener is intentional.

"How can it be so easy to improve a technique?"

Qian Gang gave a bitter laugh and just looked at the tenement building when suddenly a picture flashed across his mind, Huh?

Qian just paused, thought for a while, and suddenly burst into laughter.

"Director Huang, Director Qian, I really want to have some ideas, but I'm not very mature yet. Please help me think about it together."

Hearing what Qian Gang said, everyone except Tang Lou looked at Qian Gang.

"Does Director Qian have any ideas for improvement?"

"Yes, in fact, the most difficult part of the Cox Maze III surgery is the "cut and suture" circuit design. The most prone to accidents during the surgery are the treatment of the tricuspid valve annulus, mitral valve isthmus and coronary sinus. Therefore,

I then wonder whether I can use Medtronic's bipolar radiofrequency forceps to replace traditional incisions and sutures. Theoretically, radiofrequency ablation is easier to control than traditional methods, can also greatly reduce complications, and the operation time will also be greatly reduced.

"

After Director Qian Gang finished speaking, he was very excited. Damn it, am I creating an original and improved technique?

Across the screen, Director Huang and Deputy Director Qian Zheyu were stunned after listening. They thought for a while and then looked at Director Qian Gang with shocked eyes: "Director Qian, what you said makes sense, and the feasibility is also

Very high. In this way, let’s design a bipolar radiofrequency ablation line together.”

Director Huang was already very familiar with the Cox Maze III technique. He immediately took a red marker and started drawing on the whiteboard. As he continued to draw, he frowned: "There seems to be something wrong with both hands."

Polar radiofrequency forceps cannot reach the tricuspid annulus in the right atrium, and bipolar ablation in the left atrium cannot reach the mitral annulus."

"It seems so."

Several people stopped moving again, feeling very regretful and uncomfortable, and fell into silence again.

"I understand, you can use a unipolar radio frequency pen to supplement it. Unipolar radio frequency is more compact and can handle areas that bipolar radio frequency cannot reach."

Director Qian Gang thought of the set of bipolar radio frequency and monopolar radio frequency pens in the laboratory and blurted out.

"Yes, yes, Director Qian is great."

Director Huang, of course, understood immediately and directly asked the junior doctor on the side to ask for a blue pen and began to draw additional ablation lines on it.

The ablation line plan is becoming more and more perfect. Director Qian Gang watched it with relish and was very excited in his heart. This was a rare flash of inspiration for him in so many years of working in the industry and he thought of an improved technique.

Moreover, he was an expert in Zijingang years ago, and he was too shameless.

However, Director Qian Gang always felt that this inspiration came by chance. Did he really come up with this?

After thinking for a while, Director Qian Gang affirmed his talent and luck. This should be the so-called medical saint possessing him at this moment.

Wu Changlin on the side saw the increasingly perfect ablation line, and his eyes popped out.

"I've seen this pattern before!"

Wu Changlin muttered to himself, and then he was horrified. Isn't this the ghost talisman Tanglou had painted on the heart model before?

No, the pattern of the tenement building is smoother and more streamlined than what Director Huang is painting!

Of course Wu Changlin did not dare to say such shocking information on such an occasion, but his heart was beating loudly. He looked at Tanglou who was carefully watching Director Huang's plan on the screen, and he looked like a master who silently approved it.

, a childish look of approval.

Wu Changlin suddenly understood that Tanglou had no intention of jumping out and pointing out that he actually thought of this plan before Director Qian Gang. It was obvious that his plan was more complete and mature.

Wu Changlin suddenly felt a little moved. It wasn't that he didn't want to, it was because Tanglou didn't care at all. He was so indifferent to fame and fortune.

Also, with a genius like him, how can he care about such a little fame.

This kind of plan that Director Qian Gang came up with together with experts from Zijingang is nothing more than a "ghost painting" that Tanglou casually sketched out for fun after casually watching the video.

Soon, with Director Huang’s profound skills, the ablation line design was gradually improved.
Chapter completed!