Chapter 495 Improved elephant trunk support technique! Clever identification method!

Training the urinary bladder!

The replacement of the new bladder is not done in one step after the operation. The bladder formed after the colon is detubated must be gradually expanded, and the drainage tube will be opened from continuous to regular opening, and finally completely removed.

At that time, the operation is truly completed, and Xun Yu's new bladder can also reach a capacity similar to that of the original bladder.

"We will definitely cooperate with the nursing!" The two family members burst into tears.

...

After the operation, Xu Qiu returned to the office and lay down directly on the office chair.

After several days of hard work, his energy and physical strength were at their limit.

Fortunately, the result was not bad, and he finally won the operation!

And...

Xu Qiu calmed down and focused on the system interface.

S-level evaluation!

"There are also rewards..."

There are two rewards this time.

First, another fragment of the improved elephant trunk stent operation!

After obtaining the two fragments, the system automatically synthesized them, and Xu Qiu's mind also had a somewhat unfamiliar operation, but it was optimized and improved in many ways.

Compared with the previous elephant trunk stent surgery, the improved one obviously has a higher upper limit.

And the most important reward...

"The patient's heartfelt thanks"!

As the reward was delivered, Xu Qiu's fatigue was swept away, and he felt refreshed. At the same time, his abilities were greatly improved.

Diagnostic level, surgical ability, etc., have all ushered in an all-round improvement.

In just a moment, Xu Qiu felt that his control over his body was further enhanced.

If he did another colon replacement surgery, the speed should be able to increase by at least half an hour.

"Let's try the improved elephant trunk stent surgery first..."

Xu Qiu cheered up and entered the practice room in his mind.

Elephant trunk stent surgery, also known as open artificial vascular stent implantation.

Strictly speaking, it is not a complete surgery, but one of the steps in the open-chest treatment of aortic arch and descending aorta diseases, and its role is to maximize the treatment of aortic diseases.

Despite this, its difficulty is not low.

Especially for patients with aortic dissection, inserting the stent into the dissection is an extremely dangerous and technically demanding challenge.

The open aortic arch is known, but how to enter the false lumen through the distal second tear after the stent is inserted, or how to penetrate the dissection to enter the false lumen... It is difficult for interventional doctors to do this even with monitoring guidance, let alone the elephant trunk stent surgery, which is completely unguided and purely based on feeling.

Some interventional doctors have also proposed using bronchoscopes to photograph the tear at the distal end of the aorta and perform surgery under a camera.

But the limitations of this method are too strong.

In short, pick the patient.

If the dissection is too deep and there are too many tears, the bronchoscope will definitely not be useful.

Moreover, the suture position, whether the blood vessels are calcified, and whether the huge bronchoscope will cause secondary damage to the lumen are all issues that cannot be ignored.

However, the high difficulty did not make the elephant trunk stent surgery dusty. Many aortic dissection diseases cannot avoid this technology, such as the SUN surgery, which also puts it in a very important position.

When Xu Qiu improved the SUN surgery, he also tried to optimize the elephant trunk stent surgery.

But he failed.

One reason is that it is too difficult.

Another thing is that the elephant trunk stent surgery mainly relies on the nature of artificial blood vessels. In the final analysis, it is an operation that relies on science and technology. If the scientific and technological strength cannot be improved, the elephant trunk stent surgery will hardly be improved much.

Xu Qiu also thought so before.

However, after obtaining two fragments and the complete version of "Improved Elephant Trunk Stent Surgery", Xu Qiu finally had an idea.

The first problem is the lack of guidance!

Bronchoscopes cannot deal with deep tears, too many lacerations, or how to accurately lock the distal dissection.

"Guide wire..."

As Xu Qiu finished speaking, a thin guide wire appeared in the tray of the simulated operating room.

He recalled the surgical experience in his mind.

The next moment, the guide wire was inserted into the femoral artery, and the guide wire was used as an aid to distinguish between the true and false cavities, and penetrated into the torn aortic dissection.

Dongdong.

Soon, the guide wire seemed to be against something and could not be pushed anymore.

Xu Qiu tried to reverse the direction, but the guide wire remained motionless.

"Found the false lumen!"

The false lumen is the part that is stripped from the aortic intima, a dead space.

The true lumen is the aorta itself. Unless it enters the heart, the guidewire will not feel blocked.

"A guidewire is used to distinguish between the true and false lumens. It is indeed a modified method produced by the system..."

Xu Qiu also realized the difference.

The modified procedure given by the system is more inclined to skills, such as reducing the difficulty, achieving a certain effect in various clever ways, thereby reducing the risk, etc.

And the modified procedure that Xu Qiu perfected by himself in the surgery is more like a show of skill.

There is nothing fancy, it is simply based on the amazing difficulty of the operation, and through incredible details, complications are avoided and the prognosis is improved...

"I can still make some changes!"

After Xu Qiu figured it out, his eyes lit up.

The system gave improvements in skills.

But he can continue to optimize on this basis!

No patient will think that a certain operation has too low risk and too good effect. As a doctor, he naturally has to strive for excellence!

Of course, the advanced improved version may not be suitable for everyone to learn.

If the difficulty is too high, it is destined to not be popularized.

However, Xu Qiu can release two versions, an advanced improved version for internal use, and a system improved version for ordinary doctors...

"I hope it will succeed."

Xu Qiu took a deep breath, and the simulated patient in front of him returned to the initial state, welcoming the next operation.

...

"What's your name, kid?"

Academician Dai came to Xu Qiu's office and saw Shi Lian waiting outside again. He was a little surprised and said, "Why are you here again? Is Xu Qiu doing a new operation again?"

Shi Lian shook his head: "I don't know, but I just saw the teacher thinking with his eyes closed, and I guessed that he should have some new ideas."

As for what it is, no one knows.

Every time Xu Qiu takes out something, it is beyond everyone's expectations.

"Huh?"

At this time, Joseph and others also came.

They heard that Xu Qiu had completed an operation that had never appeared in Daxia, and they all wanted to come to congratulate him and urge the progress of the improved elephant trunk operation.

Unexpectedly, Xu Qiu would stay at home again!

"Could it be?!" Joseph had a bold guess in his mind, and his expression was full of surprise.

Saito Ye shook his head: "Professor, the elephant trunk stent surgery has always been a difficult point in improvement. There has been no progress for so many years. If Dr. Xu wants to complete the improvement, the difficulty should be about the same as coming up with a modified SUN surgery."

"Not so fast."

Others also thought it was unlikely.