medical road high rise

Chapter 419 Aortic Reconstruction Surgery ([-])
Chapter 421 Aortic Reconstruction Surgery ([-])
"It's time to start."

In the operating room, Dr. Zhihe looked at Qin Feng.

Qin Feng nodded and looked at the patient who was gradually falling into anesthesia. He thought about the anatomical structure of the aorta and how to avoid the occurrence of major bleeding.

Unlike tumor resection, aortic reconstruction involves more things than tumor resection because there are too many hidden arteries hidden around the aorta, and one accident can cause massive bleeding.

Qin Feng first placed the patient in the supine position and placed sterile drapes on the patient's bilateral groin area and abdomen.

For this operation, Qin Feng chose interventional surgery, so not many people are needed for the operation, and Qin Feng is more likely to complete it alone.

The micro-puncture needle is used to complete the percutaneous puncture under the guidance of Doppler ultrasound, which can hit the nail on the head.

Qin Feng observed for a while, selected the area with the smallest plaque, entered the common femoral artery below the inguinal ligament, and inserted a 4F sheath.

"Perform a fluoroscopic examination." Qin Feng said.

Dr. Zhihe quickly operated the instrument, and after finding that the position was correct, Qin Feng continued the operation, exchanging 4F for 6F, and at the same time placed two arteriotomy and closure devices respectively.

Seeing Qin Feng's operation, Dr. Zhihe was a little confused.

"Qin Sang, why don't you choose to enter directly from the femoral artery?"

"The femoral blood vessels are too thin, and some operations are difficult to operate, so prepare in advance." Qin Feng explained.

Doctor Zhihe nodded in understanding.

After establishing the channel, Qin Feng introduced the super-smooth guidewire and catheter, and at the same time performed heparinized anticoagulation on the patient.

As the hard guide wire was sent into the aortic arch, Qin Feng quickly introduced the pigtail catheter for aortic angiography. Qin Feng chose the left anterior oblique position, which is more conducive to the application of intravascular ultrasound in the proximal and distal anchoring areas. Determine the distance between the ostium of the left subclavian artery and the aneurysm or dissection.

After determining the size of the anchoring zone, Qin Feng cut off the aorta of the patient's left arm and transplanted it for replacement.

For the reconstruction of the aorta, it is better to use autologous arteries, but if artificial blood vessels are used, antibody rejection may occur.

After doing this, the operation was declared complete. Qin Feng pulled out the guide wire and sheath, and tightened the suture.

Yamano Yua held a corner of the equipment table and looked at Qin Feng in disbelief.

This operation was completely performed by Qin Feng. From the insertion to the removal of the instruments, Yamano Yua was completely incapable of handling it.

You must know that Yamano Yua has undergone surgeries by many doctors. This is the first time that she feels that she has no effect at all. She even wonders whether she has been working as a device nurse for so many years in vain.

As for Dr. Zhihe, he has already laid down. As a good student, wouldn't it be better to lie down and study hard?If he goes to help himself, it might become Qin Feng's flaw.

"Professor Zhihe, are there any other surgeries?" Qin Feng asked, twisting his neck.

It's just that Doctor Zhihe is still in a state of shock. Qin Feng's vascular revascularization surgery, let alone Tokyo Hospital, may not find a few comparable doctors in the entire Sakura Country, and even the younger generation has none.

He was completely overwhelmed by Qin Feng, people in the country of cherry blossoms will always obey the strong.

"Professor Zhihe."

"Now, there is no operation today, only this one is arranged." Doctor Zhihe said.

"Then I'll get off work straight away, no problem." Qin Feng said.

Now Qin Feng has a soft spot for going straight to get off work, this kind of paid vacation feels really cool.

"Okay, but you should prepare well tomorrow and attend a seminar with me tomorrow." Dr. Zhihe said.

"Seminar?" Qin Feng asked doubtfully.

"Yes, it's a seminar about cases." Dr. Zhihe said.

Qin Feng understood. It should be the same as a consultation, but the scale might be a bit larger.

Dr. Zhihe watched Qin Feng leave with a smile on his face.

In tomorrow's seminar, the seat he arranged for Qin Feng is next to him.

The first position belongs to the Chief of Surgery, the two opposite positions in the second row belong to Dr. Shiwa and Dr. Hatano, and next to Dr. Shiwa is the third row, which represents status.

In fact, Dr. Zhihe has been suppressed by Dr. Boye in the past two years. Dr. Boye's second surgery department has been overwhelming the first surgery department.

Because in addition to her beauty, Dr. Hatano also studied abroad and became one of the ministers at the age of 28. One can imagine what a genius she is.

Dr. Zhihe was 40 years old and was completely incomparable with Dr. Hatano. He decided to use Qin Feng to compare with Dr. Hatano.

Qin Feng did not take Qu Ping and Shen Yue off work together this time, because the two of them still wanted to stay in the hospital longer and learn more.

After eating the ramen, Qin Feng went back to the hotel to chat with Lu Shan on the phone, and then called Director Zhao to report his safety.

The next day, a case seminar at the Department of Surgery of Tokyo Hospital was held.

Qin Feng sat directly next to him according to Dr. Zhihe's arrangement, and the medical staff also sat down one after another.

The case seminars are attended by all the medical staff of the Department of Surgery, except for the left-behind staff.

This is also a very important learning opportunity for the advanced students, but the advanced students are all very far back. Only Qin Feng sits in the front row and looks down on the others.

Those trainees said it was unrealistic not to be jealous, and all of them looked at Qin Feng.

Minister Nobi glanced at Qin Feng. He knew all the surgeries Qin Feng had performed during this period, but he didn't expect Qin Feng to be so capable.

It stands to reason that Qin Feng has this kind of technology, so he shouldn't come to further study. Tokyo Hospital basically has nothing to teach Qin Feng.

Dr. Bo Ye sat facing each other, looking at Qin Feng with aggressive eyes.

"Hey, Professor Zhihe has changed his lover. Are you trying to impress other foreign doctors again?"

"At least I have a favorite to replace, but Professor Hatano, you don't seem to have a doctor who can compete with my favorite." Dr. Shiwa counterattacked.

Dr. Hatano's face turned ugly. Dr. Zhihe was telling the truth. Indeed, no doctor under her could compare with Qin Feng, not even herself.

Originally, the Second Department of Surgery was steadily suppressing the First Department of Surgery, but after Qin Feng joined the First Department of Surgery, this trend was completely changed and became comparable. In some surgeries, the Second Department of Surgery was even suppressed by the Second Department of Surgery. .

Dr. Hatano had some regrets. She had only thought that trainees from Switzerland would be better than doctors from Asian countries, but she didn't expect that a monster doctor like Qin Feng would appear in China, which directly disrupted all her plans.

(End of this chapter)