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Chapter 87 But strength does not allow it!

(Thanks to [Li Daxia’s Song] for the reward of one thousand coins, thanks to [Fengwu Xuanshang, Fang] for the reward of one thousand coins!)

Preoperative conversation, signature, speed surgery!

In the operating room.

The preoperative examination has been cured long ago.

The uterine artery ruptures and bleeding!

If the bleeding can be successfully stopped, the uterus can be preserved. If the bleeding cannot be stopped, the uterus can only be opened and removed to stop the bleeding!

The operation has begun.

Director Qian used seler technology to intubate one side of the femoral artery and indwell the artery sheath. He chose a 5F cobra cannula for the contralateral common iliac artery and performed DSA angiography of the contralateral iliac artery.

While observing the opening and uterine artery of the contralateral internal iliac artery, he told Ruan Bin: "Whether it is uterine artery interventional embolization or other types of vascular interventional surgery, it is difficult to say, it is simple and simple! Overall, most interventional surgery is relatively simple and convenient!"

"But intravascular interventional treatment requires high precision surgical techniques, such as the displacement of the guide wire, to achieve the feeling of resistance encountered when the guide wire is subjected to force and move in the blood vessel, you need to have a good feel!"

"A brief summary, you need accurate positioning experience, familiarity with arterial blood vessel distribution, and your delicate operation! If you can grasp these points well, vascular interventional surgery is actually easy to do." Director Qian said as he further sent the catheter into the internal iliac artery.

"Yes." Ruan Bin nodded. He saw that Director Qian was very accurate in his operation, and he would hardly waste any time.

"Have you ever had vascular interventional surgery simulation training before?" Director Qian suddenly asked.

"I was fortunate to train when I was studying in a city hospital last year!" Ruan Bin said. This time he really didn't lie. When he was studying in a city hospital last year, the emergency department of that hospital happened to carry out simple training and teaching activities for vascular intervention surgery. So he was also fortunate to participate in the training for a week.

It is mainly practiced on a set of vascular interventional surgical instrument motion control system. The system of this machine can send the displacement signal of the interventional surgical instrument guidewire to the upper computer, accurately describe the displacement of the virtual guidewire in the upper computer software system, and realize synchronous motion. At the same time, the design of the guidewire force feedback device can simulate the resistance encountered by the guidewire when moving in the blood vessel, provide a good feel, and achieve the purpose of real medical training.

But at that time he was a rookie and had a week of tricks on the machine, but in the end he was just a waste of time!

That is, the key is to participate and be lazy by the way.

"It's not bad, this opportunity is very precious, it will be of great help to you in the future clinical vascular interventional surgery." Director Qian smiled.

A few minutes later, Director Qian successfully stopped bleeding at the largest rupture of the patient's uterine artery. In fact, it was to find the rupture of the blood vessel and release the drug for arterial embolization. Once the embolization is blocked, it is equivalent to successfully stop bleeding.

At this time, Ruan Bin looked at the system and indeed entered the uterine artery intervention embolization surgery!

"After watching this operation, how much do you think you have understood?" Director Qian looked at Ruan Bin with interest. He knew that Ruan Bin was very strong in laparoscopy. A cholecystectomy for a pregnant woman only takes 19 minutes. Even he couldn't do it so quickly!

Moreover, laparoscopy and vascular interventional surgery have some similarities. He thought in his mind that since Ruan Bin has such superb talent in laparoscopy, he might have a good understanding after seeing this surgery. If he could understand 10% or 20%, he felt that Ruan Bin was definitely a malleable talent!

"Dingdong...temporary show-off mission: Do a vascular interventional surgery! The mission success rewards [Gastric Jejunal Anastomosis] world-class!"

"Damn it! This temporary task is rewarded with a lot!" Ruan Bin was slightly shocked. Although [Gastric Jenion Anastomosis] is only a secondary surgery, the system rewards are world-class, which is equivalent to tens of thousands of yuan.

And he found that this was the first time the system rewarded surgical skills. It turned out that the reward was not just points! He suddenly looked forward to the future system reward. Maybe there were more unexpected rewards that he would expect.

"But I can't do this task! There's no chance now." Ruan Bin suddenly felt speechless when he thought of this. Not to mention whether the superior doctor would give him a job, he might not have encountered a second interventional surgery today!

However, he still replied: "Director, I think the difficulty of this uterine intervention is not very high. The main thing is to control the precise operation. I think I can do it now!"

The reason why he answered like this was to let Director Qian know that his brother was very talented, and he might have the chance to have such an operation in the future.

Originally, Director Qian thought Ruan Bin would understand a little bit, or even said that he had no big clues. But he didn't expect that this kid would brag like this!

"You can do it? This is not a game! Although you have received similar teaching training before, you have seen me with an operation. But you have never done it at all. How can you be sure that you can do this kind of operation? Ruan Bin, sometimes conceit is a double-edged sword! Also, bragging is also a bad habit. I like you to change it in the future." Director Qian said with a hint of dissatisfaction. He felt that Ruan Bin had had several cholecystectomy procedures for pregnant women in the late pregnancy before, and he was complacent when he broke the hospital record, which made him feel a little drifty now!

"Director, I really didn't lie! I am really sure that this kind of interventional surgery can be performed. Of course, you need to be here to provide guidance by the director." Ruan Bin said sincerely. He doesn't want to brag, but his strength does not allow it!

"Are you sure?" Director Qian frowned slightly. To be honest, Ruan Bin is talented, otherwise the bile laparoscopic cystectomy would be so powerful. Generally, surgery requires accumulation, experience, and number of cases. However, there are also some geniuses who can make up for it through talent to skip this accumulation process!

And he didn't seem to be joking when he saw Ruan Bin like this!

"real!"

"Okay, this surgery has two arterial bleeding. One of them is very damaged and I have successfully stopped the bleeding. The other part is just a small hole, and the amount of bleeding is very small. Since you say you can go to you, come and try to stop the bleeding in this place?" Director Qian said in a deep voice.

He is very clear that medical education attaches great importance to practical operations, and without clinical practice, qualified doctors cannot be cultivated. One of the bottlenecks in the cultivation of modern medical talents is that students are forced to stay away from operating exercises in real clinical environments, especially intravascular interventional treatment, which requires high accuracy surgical techniques.

So sooner or later, every surgeon will have to go through this step!

Since Ruan Bin is confident, the other party has also been trained in vascular interventional surgery and has seen himself perform this surgery before, why not let him try another hemostatic point?

Because the bleeding point is very small and almost does not affect the patient's life, he said it and asked Ruan Bin to give it a try!
Chapter completed!
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