Auto chess in the operating room

Chapter 306 Tanglou's Ablation Route Plan

Soon Tang Lou and Wu Changlin returned to the office, and Wu Changlin began to search for related videos, learning about the Cox Maze III technique with relish.

Wu Changlin studied for a while, and then looked at the Tang Lou on the side. To his surprise, Tang Lou didn't open the relevant video to study, but instead drew something on the paper.

Wu Changlin touched his chin, and watched his video more attentively, thinking that although he is not very talented, he can still surpass Tang Lou through hard work, the so-called stupid bird flies first.

After studying for a while, Wu Changlin began to study the details of the Cox Maze III procedure, especially how to design the main means of "cutting and sewing".

At this time, Tang Lou looked at Wu Changlin and asked, "Doctor Wu, do you have a heart model over there, you can study it for me."

"Heart model?"

Wu Changlin immediately realized that Tang Lou was going to try to design the incision and suture on the model: "Doctor Tang, are you trying to simulate the incision and suture design of the Cox Maze III operation?"

Tang Lou thought about it, and he was still trying to improve the ablation line, and instead of using traditional incision and stitching, he would use Medtronic bipolar RF forceps and a monopolar pen to complete the right atrium ablation line, right atrium ablation line, so It's different from the conventional Cox Maze III technique, and I couldn't explain it directly to Wu Changlin, so I could only say perfunctorily: "That's not true, it's just a little idea, just try it out."

After Wu Changlin heard this, he also became interested: "There are some, I'll get one. By the way, when did you secretly learn the Cox Maze III technique?"

Tang Lou half-truthfully said: "When you were watching it just now, I also watched it again. The main reason is that you were too focused and didn't notice it."

Wu Changlin opened his mouth slightly, he was a little bit shocked, just read it once?

Wu Changlin quickly brought over a model that was twice the size of a real human heart. The equipment and equipment of the First City Hospital were of very high quality. Tang Lou took it into his hands and looked at it, and found that the anatomical structure of the heart was very clear and detailed.

"Doctor Tang, are you trying to design a cut-and-sew plan for the left atrium and right atrium?"

Wu Changlin watched with great curiosity. After all, Tanglou had a good reputation. He also wanted to know how far this young man, who had just transferred from general surgery, could do it after watching the Cox Maze III surgery.

Tang Lou neither admitted nor denied it. He picked up two marker pens, one red and one blue, and drew on the heart model. He was very focused and soon immersed in it.It is as if the operation is really performed on the operating table.

Holding two pens in Tang Lou's hand, he began to draw on the heart model by simulating a bipolar RF forceps and a single-stage pen.

Soon there appeared on the right atrium, two circles with double red lines, a small opening with a single blue line, which looked like a sword from a distance, and finally at the very edge, a flower that looked like a flower was drawn line type.

Looking at the ghostly symbols drawn by Tang Lou, Wu Changlin was suddenly confused. Although he was not proficient in this surgery, he still had basic judgments. Moreover, he looked at the lines drawn by Tang Lou very carefully several times. It has nothing to do with the cut and sew scheme.

"This is too amateurish. How can there be incisions and sutures designed like this."

Wu Changlin muttered in his heart, the more he looked at it, the more he felt that Tang Lou was outrageous.

"What is this for?"

I saw that Tang Lou began to draw again in the left atrium, and the movement of holding the pen was very strange, as if holding an unknown instrument. Looking at the symbols on the model, Wu Changlin became more and more puzzled. All the faces are crowded together: "This looks like a pig's nose shape, hey, two more blue lines have been added, what's the matter!"

Wu Changlin watched it for a while, and completely lost interest in Tang Lou's performance art.

"I just said, how could it be possible to master such a difficult operation after reading it once. Those who come from the general surgery department can do some basic operations, but when it comes to this kind of professional heart surgery, they are still blind. The departments are separated by mountains."

Wu Changlin sat back in front of his computer honestly, began to watch his video, and kept nodding his head: "This is the orthodox Cox Maze III technique, what is that Tanglou! It seems that Director Qian and the others are also Overestimated the level of tenement buildings."

After Wu Changlin watched the surgery video again, Tanglou had also completed the design of the ablation lines for the left atrium and right atrium. However, because Tanglou used red and blue pens instead of radiofrequency ablation, it seemed very strange and the first of its kind. The improved technique is very difficult to understand. In the eyes of ordinary people, it is just a series of strange red and blue symbols.

If the top experts in the field of Cox Maze III technique were to look at it, they would be able to see Tanglou’s ingenious thinking:
Since the right atrial incision and the ablation line on the left side of the right atrial appendage cannot reach the tricuspid annulus due to bipolar ablation forceps, the ablation here is performed with a monopolar radio frequency pen for "supplementary ablation" so that the radio frequency line here reaches the tricuspid annulus place.

The ablation of the left atrial isthmus cannot reach the mitral annulus, so a monopolar radiofrequency pen is also used here for "supplementary ablation" to make the ablation line reach the mitral annulus.At the same time, turn the heart up, apply a monopolar pen on the epicardium to extend the ablation line of the mitral valve isthmus and fully ablate the coronary sinus...

Tanglou looked at the ablation line again, put the heart model on the table with satisfaction, and looked at Wu Changlin: "Doctor Wu, I want to go to the laboratory. If Director Qian starts a consultation later, you can call me one time."

Wu Changlin nodded, then glanced at the heart model on Tanglou's table, and shook his head: "The brain circuit of a genius is really different from that of ordinary people. Why do you go to the laboratory if you don't study spells here and grind your guns?"

After a while, Director Qian came to the office and walked over: "Doctor Wu, Doctor Tang, follow me to the consultation room. I have already contacted the two chief physicians of the Cardiovascular Department of Zijingang Hospital. Start remote consultation. Hey, where is Tanglou?"

Qian just walked in and saw that the seats in Tanglou were empty.

Wu Changlin immediately stood up: "Oh, Dr. Tang said that he has something to test in the laboratory, or I'll call him."

Qian Gang thought for a while: "You go to the consultation room to set up the venue first, check the signal source, and I will go to the laboratory to find him."

Director Qian also wanted to know what Tang Lou was doing. Before leaving, he accidentally glanced at the heart model on Tang Lou's table and saw some strange red and blue lines, but he didn't pay much attention to it.

However, this picture left a little impression in his mind.

Soon, Director Qian came to the supporting laboratory of the Department of Cardiovascular Medicine of the First Municipal Hospital, and saw Tang Lou tinkering with a set of Medtronic bipolar radio frequency forceps and monopolar pens, which were introduced by the department not long ago. equipment, and did not promote practicality.

Seeing that Tang Lou was so curious about the new equipment, Director Qian also smiled. After all, he is still a young man in his thirties, so he is really playful.

Director Qian coughed lightly: "Tang Lou, stop playing and go to the consultation room with me. The experts in Hangzhou have agreed to guide us and design the surgical plan for the patient together."

Hearing Director Qian's call, Tang Lou got up immediately. Anyway, he had already tested it. The radio frequency forceps and single-level pen used in the laboratory were suitable for the Cox maze IV surgery he proposed.

Soon Tang Lou followed Director Qian to the consultation room, and Wu Changlin had already adjusted the signal source. Soon, through the screen, a cross-hospital consultation officially kicked off!

Seeing the two directors on the opposite screen, Tang Lou was also slightly surprised, it was them!

(End of this chapter)