Chapter 497 Advanced Improvement! Trilayer Technique!

"Finally..."

Xu Qiu exhaled deeply.

After dozens of attempts, he finally found a way to improve it!

The improvement made by the system is actually similar to the guidewire guidance, which is more technical.

And Xu Qiu, on this basis, has greatly improved the effect of the operation by increasing the difficulty!

There is an almost unsolvable problem in the clinical elephant trunk stent surgery, thrombosis!

Once this surgery is adopted, a blind bag will inevitably form between the elephant trunk blood vessels and the wall of the dissecting tumor, which will greatly increase the probability of embolism.

At the same time, long artificial blood vessels will also cause obstruction of key intercostal arteries, leading to hemiplegia.

However, during the operation, the length of the blood vessel must be guaranteed. The longer the blood vessel, the more convenient it is to operate.

On the contrary, the longer the blood vessel, the higher the probability of thrombotic events.

So these two contradictory goals have become the problem of elephant trunk stent surgery.

If you want to be simple, you have to pay the higher incidence of complications such as thrombosis and obstruction in patients;

If you want to reduce the incidence of complications, you have to increase the difficulty.

Xu Qiu took a new approach and perfectly coordinated the two.

"Double-folded three-layer elephant trunk technology"

This is the name given by Xu Qiu.

In short, it is to fold the artificial blood vessel continuously into two or three layers of elephant trunks.

Of course, it is easy to say, but the actual operation is still difficult.

The first fold during the operation is seven centimeters away from the end.

The second fold back needs to be five centimeters beyond the proximal end.

Then suture and fix it at two centimeters away from the proximal end and the second fold to prevent blood from entering the folded blind bag.

Two folds, three layers of elephant trunks, and data accurate to centimeters are the best solutions obtained by Xu Qiu after repeated attempts!

"Not only that.

In traditional elephant trunk stent surgery, the artificial blood vessels at the distal end will float in the blood flow, and may be twisted or wrinkled, which will cause a pressure difference in the blood vessels, thereby causing secondary damage to the endothelium.

But after the improvement of the two-layer three-layer stent, the difficulty of the operation has not been reduced much. In fact, because of the additional folding step, the experience and skills of the surgeon are required to be higher.

But!

If you can master it proficiently, this technology can actually save a lot of operation time, and at a very low cost, it greatly reduces the probability of thrombosis and obstruction!

In short,

This is a technology with a high threshold for beginners,

but after proper use and thorough understanding, it can save time and effort!

Just when Xu Qiu was about to take the new improved method to find Joseph and others, he just opened the door and saw a large group of people waiting outside.

In addition to Wang Shengde, Director Xiao and others, Joseph, Noah and others were also there.

"Teacher! "

Shi Lian called out softly beside him, "You usually come out to eat at this time, so they are all waiting, wanting to see your condition..."

"Oh."

That's it.

"Xu Qiu, you still need to rest more. You just finished the operation and are researching things. Young people should pay attention to moderation!" Wang Shengde came up and said with concern.

He now hopes that Xu Qiu will live well.

Linyi already has so many technologies. Just eating the operations that have been developed and created, it is enough for Linyi to impact the top hospitals in 20 years.

"Dean, what do you want to talk to me about?" Xu Qiu didn't like small talk and said directly.

Without waiting for Wang Shengde to speak, Director Liao trotted up: "Doctor Xu, your colon replacement bladder operation is our urology operation, right?"

Xu Qiu didn't think so much, and nodded directly: "Yes, didn't you go on stage with me to replace the bladder."

"Look, what did I say! "Director Liao's face suddenly broke into a smile.

Xu Qiu had already spoken, and no matter what others said, it would be useless!

Director Xiao and Director Chang's faces changed.

"Doctor Xu, it's not a problem with the operation. Which department do you plan to give the colon replacement bladder surgery to?" Director Xiao and the other person hurried forward.

Xu Qiu glanced at the three people who were on edge, and then looked at Dean Wang who was sandwiched in the middle with a helpless look on his face, and immediately understood what happened.

"You're right, all three departments can carry out the surgery." Xu Qiu nodded.

Director Xiao: "See, what I said, Doctor Xu is fair and strict!"

Director Chang said excitedly: "In theory, colon replacement must be given priority. We have done a lot of colon cancer resections in the anorectal department. Basically, we can see one every few days. It's like a fish in water to do colon transplantation and replacement."

Xu Qiu shook his head: "That's not the case. Colon replacement bladder, not only colon transplantation is important, but also bladder reconstruction, urethral diversion, etc., are all indispensable. "

He was a little hesitant for a moment.

For small blood vessel replacement and palm and finger regeneration in Linhai, Xu Qiu didn't need to hesitate, and could tell which department it belonged to at a glance.

But it's hard to say whether the colon replaces the bladder at the moment.

Three departments are indispensable.

But, if you want to say which department it belongs to, there will always be a few steps that the department is not good at or even does not carry out.

The anorectal department will not reconstruct the bladder.

Although the gastroenterology department is theoretically the prototype of the colon replacing the esophagus, but... no one in the gastroenterology department of Linyi can perform this operation.

As for urology, from the perspective of disease, it must be classified as urology. However, colon resection and transplantation, as well as decanalization, etc., are all done by the anorectal department, and the doctors in urology are really unfamiliar with them.

"Cross-department surgery is still troublesome, so I will do less in the future..." Xu Qiu had a headache.

At this time, Wang Ping also got the news and rushed over in a hurry.

"If you ask me, don't give it to the emergency department!" As soon as he arrived, he spoke vigorously.

The three directors, including Wang Shengde, looked over at the same time and shouted, "Why are you joining in the fun?"

Wang Ping: ...

How can this be called joining in the fun?

Everyone wants it, and it's hard to give it to anyone, so let's not do it!

If you can't make everyone happy, then make everyone unhappy.

Giving it to the emergency department, wouldn't it solve the problem perfectly?

If it was before, Wang Ping really didn't have the face to grab this thing.

But it's different now.

In terms of the doctor's strength alone, the comprehensive level of the doctors in the emergency department of Linyi is the highest, whether it is medical skills or diagnostic ability, they are all top in the hospital.

Under Xu Qiu's influence, Yunmei, Wang Fan and others have made great progress.

Not to mention that geniuses such as Yang Yuen and Jiang Mai have joined.

It can be said that the top group of people in the entire Linyi are gathered in the emergency department!

The emergency department can do the surgeries that other departments can do.

The emergency department can still do the surgeries that other departments can't do.

If the emergency department can't do it, Xu Qiu can do it!

If it was just because the doctors in the emergency department were stronger, Wang Ping wouldn't have come to grab the surgery.

What made him even more angry was another thing!