Gently push the mucosa at the bottom of the saddle to about 0.5 cm to the right, do not exceed this limit, otherwise it will touch the blood vessels."

At this time, Ruan Bin used the computer equipment of the information platform to remotely mark the key points in the operation and problems that need to be prevented with voice and marking pens. Every guidance detail is clearly presented in Kong Yungan's surgical field without delay, assisting him and the surgical team in the on-site operation.

Sure enough, Kong Yungan clearly saw Ruan Bin's big hand using a marking pen to accurately mark the mucosa position at the bottom of the three-dimensional model saddle. He just needed to follow the precise operation Ruan Bin told.

As a major surgery expert, Kong Yungan has absolutely no problem with this precise manipulation!

When the other party pushed the mucosa apart, the three-dimensional image of the patient's saddle bottom presented by the entire mixed reality was presented in front of Ruan Bin. He said: "The distance between the anterior nasal spine and the anterior wall of the sphenoid sinus in adults is about (60±5.8)mm, and the distance to the bottom of the butterfly sinus is (71.3±3.7)mm; the average shortest distance between the opening of the sphenoid sinus to the bottom of the saddle is 16.2 mm, and the average thickness of the anterior wall of the sphenoid sinus is only 0.4 mm. Children's anterior wall is thinner! Using a sphenoid sinus grinding drill to open the saddle bottom will pass through the anterior wall of the sphenoid sinus, and the anterior wall will have a thickness of 0.4 mm. If you are not careful, you will break the anterior wall. Can you do it?"

"Uh, no!" Kong Yun was embarrassed.

"I knew you couldn't, so I asked you to open the bottom of the saddle from another place!" Ruan Bin said lightly.

Kong Yungan: "..."

Did this kid do it on purpose?

"The opening of the sphenoid sinus is often used as the starting point for biting the anterior wall of the sphenoid sinus, and the opening of the sphenoid sinus is the uppermost boundary of the bone window of the sphenoid sinus. During the operation, the operation of expanding the bone window should avoid biting upward, otherwise it is very easy to enter the anterior fossa and cause cerebrospinal fluid rhinoplastic fluid, and repair is very difficult. However, this is obviously not suitable for children's surgery."

"You get in here!" Ruan Bin started marking the front edge of the middle turbinate, "You cut the septal mucosa into the septal nodules and make a 1.5cm incision longitudinally!"

Under the guidance of this kind of "step-by-step" operation, Kong Yungan went smoothly.

The surgical steps for midline positioning were soon reached.

For transnasal butterfly approach operation, maintaining the midline operation is very important. During the anterior wall of the sphenoid sinus, damage to the lateral wall of the sphenoid sinus should be avoided.

"The center line is here!" Ruan Bin continued to mark it in the three-dimensional image.

"Okay!" According to Ruan Bin's command, Kong Yungan used a proppant to expose the surgical field to find the butterfly ridge at the root of the bone nasal septum. The part is relatively fixed, and the positioning mark of the midline is connected between the two.

The midline is confirmed, and it is not easy to damage the internal carotid artery due to direction deviation during the operation.

Two hours later, the operation was finally over. Although Kong Yungan performed this operation on a child for the first time, it was inevitable that he would be a bit bumpy, but fortunately Ruan Bin corrected it in time and was successfully completed.

The operation was very successful!

The tumor was removed very cleanly!

This time, the "Space-time and space surgical guidance collaboration" was a successful end.

"Ruan Bin, thank you. When you come to Beijing, you must come to see me. I will introduce my niece to you! My niece is 1.77 meters tall and is still a professional female model. She is only 22 years old this year!" When the operation was completed, Kong Yungan thanked Ruan Bin.

"Professional female model? 177 height?" Ruan Bin swallowed after hearing this. However, when he thought that the model was in a deep circle, he shook his head and refused, "Ahem, you don't need to introduce your niece, just treat me to a big meal."

“…”

…………

On the way back.

"Well, Dean, is there anyone with remote consultation like me? " Ruan Bin rubbed his hands and asked.

"Yes, of course there is! If he, Old Confucius, don't pay the consultation fee, I will not agree!" Vice President Lin laughed.

"By the way, next month is the day for the attending doctor to apply for the exam. You have to use snacks to read books and write questions! Take off the name of an inpatient doctor as neatly early and become the attending doctor! Once you get that certificate, I will sign a contract with you immediately and the hospital will hire you as the attending doctor in the emergency department!" Vice President Lin said with a smile.

"I know, I will work hard." Ruan Bin nodded.

He signed up some time ago and waited for the next month's exam. He met the conditions for applying for the attending physician, obtained a bachelor's degree, worked as a doctor for 4 years, and had relevant practicing physician certificates.

It's just that I haven't read the book, it's true!

Now that he has krypton money, he has absolutely rich clinical experience in his mind.

If you encounter any problems you don’t know when you are doing the questions, you can just krypton money and get started. I believe he can answer them in minutes.

Anyway, it won’t cost much money to get started.

Besides, he has controlled dozens of surgeries now, and most of the general surgery operations are almost the same as krypton gold, and there is only a part of the fourth-level surgery and there is no krypton gold.

…………

The next day, Ruan Bin was taken to the interview by Vice President Lin again. The interview was about the first case of neuroendoscopic transnasal butterfly surgery in China.

After an interview, Ruan Bin probably will be in the newspaper again!

Soon, the First Affiliated Hospital of the Magic City guided the operation report of the Beijing Pediatrics Research Institute soon became news on the Beijing and Magic City.

At the same time, the operation process was also placed on the surgery website, which immediately attracted the attention of many doctors!

"I didn't expect that in just these days, the second case of transnasal butterfly surgery under neuroendoscopic was introduced, and it was the guidance of the First Affiliated Hospital of the Magic City! So if we encounter such a difficult operation in the future, we can also ask for help from the First Affiliated Hospital of the Magic City?" The director of a pediatric department of a hospital in a certain city radiated his eyes after looking at it.

"After seeing this second operation, there is no doubt that the neuroendoscopic transnasal butterfly surgery created by Dr. Ruan in our country is very mature! At least it seems that the tumor can be removed almost completely without causing too much trauma!"

"The First Affiliated Hospital of the Magic City has been very popular in the past one or two months. New or improved surgery will be born every few days!"

"The most terrifying thing is that it is from the same doctor!"

"It is said that it is the first young emergency doctor in China to create the first pre-hospital reboa?"

"It seems to be..."

...

Professor Chen Chengquan, who was far away in Jianxi Hospital, was slightly surprised after seeing this report about Ruan Bin: "Didn't this kid expect that he is so talented?"

When he went to the First Affiliated Hospital of the Magic City for laparoscopic pancreatic duodenectomy, he was amazed at Ruan Bin's "nano" operation skills.

At the beginning, he just thought that the other party might have a bad basic skills. After all, there are still many such people in China. Domestic surgeons are all famous for operating "technicians".

But surgical improvement and innovation are indeed weak.

"This Ruan Bin is a bit talented!" Mobile phone users please browse and read, and a better reading experience comes from Ai.com.
Chapter completed!