Chapter 310 The truth is revealed, Tanglou is the original creator
It's just that in the operating room, Tanglou's quick operations had no intention of explaining to the experts on the other side of the screen.
He took the scalpel directly and started to open the chest in the middle.
"Heparin... First aid, prepare to establish extracorporeal circulation..."
Everyone on the screen was stunned when they saw Tang Lou's incision, and then Tang Lou commanded Director Qian Gang so calmly, and the latter's unreasonable cooperation broke their trust in the department.
Cognition of the relationship between superior and subordinate doctors.
For a dignified chief physician to be so cooperative with this young doctor, could he be the son of the director of the First City Hospital?
But before the doctor in the observation room could speculate, Tanglou had already started the next operation.
"Blocking the superior and inferior vena cava..."
Director Qian Gang followed Tanglou's instructions and worked conscientiously on the first aid's work.
"Scalpel..."
Tanglou continued with the next step, making an oblique incision on the right atrium perpendicular to the right atrioventricular groove, with the upper end of the incision 1.5 cm away from the atrioventricular groove, and the lower end of the incision cutting off the terminal ridge.
Seeing Tanglou's operation, Director Huang raised his eyebrows in the observation room and almost applauded Tanglou's precise operation.
"I take back what I said before. Please carefully watch this young doctor's operation, especially the position of the incision. Everyone should also pay attention to cutting off the terminal ridge at the lower end and avoid the sinoatrial node area to avoid causing
Conducting system damage.”
After hearing what Director Huang said, all the doctors also retracted their previous contempt, and their expressions became serious.
Doctors are all about technical skills. Whether it works or not, they will know clearly as soon as they make a move. Tanglou's incision technique, in the observation room, the attending physician and deputy chief physician think that none of them can surpass him.
"It turns out he is a master."
"But, he's too young!"
"I found that I was suddenly very excited and looked forward to it even more than when I saw Director Qian Gang."
...
While the entire observation room was engrossed by Tang Lou's several hard-core operations, Tang Lou began the core improvement and optimization operations of this surgery.
"Medtronic Bipolar Radiofrequency Clamp...Single-Stage Pen..."
Tanglou picked up the bipolar radio frequency clamp with very steady hands. Radio frequency is a high-frequency vibration with a frequency of 150,000 times per second.
The principle is that the human body is a complex structure composed of many organic and inorganic substances. Body fluids contain a large number of dielectrics, such as ions, water, colloidal particles, etc. The human body mainly relies on the movement of ions to conduct current.
Under the action of high-frequency alternating current, the concentration change direction of ions changes back and forth with the direction of the current in positive and negative half cycles. Under high-frequency oscillation, the ions between the two electrodes move rapidly along the direction of the electric power line, gradually changing from a moving state to a vibrating state.
Due to the different sizes, masses, charges and moving speeds of various ions, the ions rub against each other and collide with other particles to produce biothermal effects.
As a result, the friction between them and between them and other molecules and ions in the cell heats up the lesion, causing the water inside and outside the cell to evaporate, dry, shrink and fall off, leading to aseptic necrosis, thereby achieving the purpose of ablation.
"So everyone must not underestimate this step. It will test the surgeon's grasp of the ablation time and ensure that complete transmural damage to the atrial wall is avoided. Moreover, since a large amount of heat is generated during ablation, temperature control is even more important."
As the main designer of this operation, Director Huang certainly has a very deep understanding of these operations, and the more he does, the more he admires the skill of the young doctor on the operating table.
"It's really amazing."
Director Huang couldn't help but sigh.
The attending doctors in the observation room also nodded, not knowing how serious it was!
"The next step is to cool down, block the aorta, and start infusing cold blood cardioplegia..."
While Director Huang was introducing the next step of the operation very confidently and forward-looking, Tanglou's voice also sounded in the operating room:
"Cool down the temperature...block the ascending aorta and infuse HTK solution..."
After hearing Tanglou's instructions, there was an uproar while observing, especially Director Huang who thought his ears had heard it wrong.
Professor Liu Juzi in the middle also opened his eyes slightly and looked at the young doctor on the screen. Of course, Director Huang had reported this improvement plan to her, and she also approved it very much.
But now there is a major deviation in the operating room from the plan set by Director Huang and others in advance.
What the hell is going on?
"Director Qian, what's going on with you? I need an explanation!"
Deputy Director Qian Zheyu observed the situation and asked for Director Huang. He was a little unbelievable that the team from Hecheng City No. 1 Hospital actually changed the plan without their knowledge.
They had never considered the function of the HTK liquid they suddenly used. What if something unexpected happened?
They were not conducting animal experiments, but a real patient. If Director Qian Gang could not give a reasonable explanation, Deputy Director Qian and Director Huang were prepared to stop the operation.
The remote equipment in the operating room was still very smooth. Qian Gang immediately raised his head and looked at the remote display: "Director Huang, Deputy Director Qian, I am blamed for making an own mistake in this matter. In fact, this
In fact, I was not the first to create this procedure. I accidentally got a hint from Dr. Tanglou, and then came up with the concept of using bipolar radiofrequency forceps. In fact, before us, Tanglou had already formulated a more complete and optimized method.
plan."
"As for why HTK liquid is used..."
Director Qian Gang was about to explain when an exclamation came from the other side of the screen.
"Tang Lou, you said Tang Lou was the one who performed the surgery!"
In the observation room, Director Huang and Deputy Director Qian immediately thought of what happened to Ma Shuya's nephew. They were both shocked and inexplicable. It was this young man again.
Professor Liu Juzi also changed his expression. He had heard the name Tanglou a lot recently. Could it be that this surgeon was the doctoral student recommended by Liu Pingguo and Lin Kuzhi?
Professor Liu then looked at the two directors who were surprised: "Why, do you also know the Tanglou doctor from this city's No. 1 Hospital?"
"It's really a coincidence. It was Dr. Tanglou who diagnosed Berry syndrome in the past despite all opinions."
Director Huang said with some numbness.
"this..."
Liu Juzi was also stunned. Once was a coincidence, but if it could happen several times, there was only one possibility, that is, this Tanglou was really a rare genius.
"Have you wronged Lin Kuzhi and my stinky brother?"
Liu Juzi naturally has his own judgment on the level of a doctor. At least from what he has shown so far, Tanglou's surgical level and basic skills are definitely top-notch.
If this surgery was really improved by him and he could keenly diagnose a rare disease like Berry syndrome, it would mean that he is an all-rounder.
He was born to do surgery and engage in scientific research. If such a young man was really willing to be her doctoral student, wouldn't it be a dream? Moreover, I heard that this little guy is also very good-looking.
Chapter completed!