Doctor of Healing

Chapter 598 Unsolvable Problems (Leader shyn307 plus more × 4)

Only 2 doctors were needed for the interventional operation, but 3 people stood up for this operation. Director Li Mingli from the First Affiliated Hospital became the background, standing on the stage and handing instruments to Lin Jiuze and Ji Xiang.

Lin Jiu began the operation. His technique was extremely skilled, puncturing, inserting the vascular sheath, and starting superselection.

The popliteal artery was near the popliteal fossa, and angiography showed a thrombus about 4 cm long.

The headache is that the popliteal artery is densely covered with arteriosclerotic plaques of different sizes, which exist on the vessel wall like hidden reefs, and become one of the taboos for thrombectomy.

Lin Jiuze's hands were very steady. Once he decided to operate, he did not hesitate at all. The embolectomy catheter smoothly penetrated the embolus that had just formed for a few hours and came under the thrombus.

Open the parabola, the lower section expands, and Lin Jiu pulls it out slightly.

He didn't use any force, but stared at the screen without blinking.

On the screen, after the embolectomy umbrella is opened, it touches the wall of the blood vessel, and less than one millimeter down is a plaque of arteriosclerosis.

Surgery cannot be done by force. Once brute force is used, there is a high probability of problems. This is the most basic common sense.

The operation that had been going smoothly began to pause here, and Lin Jiu hesitated.

"The next step is to place a tube." Ling Tian said with certainty, "Boss, what exactly is Lin Jiu thinking?"

"I don't know." Qin Chu said softly, he stared at the screen intently to see what Lin Jiuze was going to do.

Although the photographer is not a professional doctor, the angle he gave was a bit problematic, but Qin Chu and Ling Tian's professional skills cannot be stopped.

Such a large atherosclerotic plaque was just under the embolectomy umbrella. Lin Jiuze's operation was extremely professional. The embolectomy umbrella was only a few tenths of a millimeter away from the plaque, which can be said to be quite impressive.

so what!

Does he dare to pull out the parachute?

As long as he moves, the umbrella will pull the plaque along with it, and the plaque will affect the artery wall.

Either if you don’t use force, the thrombus cannot be removed; or if you use force, the popliteal artery will be torn in a few seconds, requiring surgery to save the stage.

Did he lose his head?
Qin Chu's face became more and more ugly. It was an extremely simple matter, but Lin Jiu just scolded Ji Xiang in the ward. He insisted on being troublesome.

It's good now, it's hard to get off the tiger.

"Strange." Ling Tian mused while resting his chin.

No matter how they thought about it, Qin Chu and Ling Tian couldn't figure out the reason why Lin Jiuze insisted on doing this operation.

He had clearly declined the operation.

On the screen, Ji Xiang lowered his head slightly, communicating with Lin Jiuze.

I have seen this scene in the previous episodes, but the person Ji Xiang communicated with at that time is now standing aside as an equipment nurse.

The figures of Lin Jiuze and Ji Xiang in front of the operating table were motionless, and there was no sound in the program, not even the comments in the comment room.

Quiet, not like a variety show at all.

At this moment, it was more like a surgical video played at an academic conference. The doctors in front of the screen held their breath and imagined what to do next.

Boston Scientific's thrombus removal catheter was approved by the FDA in 21 years, and no one in China has performed a similar operation yet.

But the principle of thrombectomy is very simple and can be understood at a glance.

The problem is hardening of the arteries with plaque.

Ji Xiang and Lin Jiuze communicated for more than ten seconds, and Lin Jiuze seemed to be hesitating, but time waited for no one.Every minute of delay can lead to a change in the outcome of the operation.

"What are they talking about?" Director Liu asked suspiciously.

In fact, he already had the answer in his heart - copy the conversation between Ji Xiang and Director Li Mingli before, and then Ji Xiang will complete the operation.

But this time the situation is very different.

Since the advent of the thrombectomy catheter, surgeons from many world-renowned hospitals, including Massachusetts General Hospital, have worked hard to find out the problems and improve them, and it is what it is today.

Lin Jiuze was among these practitioners.

As for Ji Xiang, Director Liu even suspected that this was the first time Ji Xiang had seen a thrombectomy catheter.

What can he suggest?
"Old Bai, I don't understand." Director Liu said in a deep voice.

"I didn't understand either." Director Bai said.

"..." Boss Ding Xiangding was taken aback, "You two, haven't you always been optimistic about Jixiang? Now it is obvious that we have encountered a problem, and Jixiang wants to solve it. What can't be understood?"

Director Liu smiled wryly.

Ding Xiang is a layman, so he thinks it's no problem.

But any doctor or surgeon would not say such a thing as long as they drink a few taels of peanuts.

"Drink and drink." Ding Xiang raised his glass, "You two are worrying too much. Didn't Director Liu call Ji Xiang just now? There's nothing wrong there, so don't worry."

"The key is that the operation cannot be successful."

Director Bai didn't move, Director Liu raised his glass and touched Boss Ding.

"What if Dr. Jixiang knows magic?"

"Oh?" Director Liu took a sip of wine, looked at Ding Xiang with a smile, "Men before the age of 40 only know one kind of fire magic."

"Ah!" Ding Xiang was taken aback, subconsciously showing yearning.

"Prostatitis." Director Liu said with a smile, "Well, inflammatory magic is also of the fire attribute."

"Cut." Ding Xiang said contemptuously, "I've got nothing to do with my staff, so I'm going bald."

After making a few jokes, Ji Xiang and Lin Jiu moved slightly in the screen.

Lin Jiu moved half a step upwards, leaving half of the operator's operating area to Ji Xiang.

Sure enough, I guessed right!

Sure enough, Ji Xiang wants to get started!

Moreover, Jixiang obtained the consent of Lin Jiuze, and there seemed to be no contradiction between the two.

How did he convince Lin Jiuze? !
This question appeared in Director Liu and Director Bai's minds.

There was no time to complain that the program team omitted the most critical steps, or that this group of "trash" was not recorded at all, Director Bai and Director Liu focused on watching the operation.

Ji Xiang asked Director Li for two micro guide wires, which were inserted along the vascular sheath.

"Won't the guide wire get knotted in the blood vessel?" Director Liu was dumbfounded.

"do not know."

With the operation so far, even Director Bai didn't know what to do next.Ji Xiang's level and concepts have surpassed Director Bai's cognition, and even Director Bai guessed that Ji Xiang's understanding of surgery and diseases has surpassed this era.

The camera is aimed at the screen opposite the operator. Ji Xiang has been stepping on the wire, and the two micro guide wires are slowly moving forward in the blood vessel.

The walking speed of the micro guide wire was a little slow, not as fast as when Lin Jiuze put down the guide wire before, Ji Xiang took every step very hard.

When the micro-guide wire came to the thrombus, the two micro-guide wires seemed not to go well after penetrating through the thrombus, as if they were tied in a knot.

"..." Director Liu's palms were sweating as he watched.

If it is knotted, it will be troublesome. It is better to surgically cut the blood vessel and remove the thrombus.

This is not the key point, the main thing is that with Director Liu's clinical level, he has not understood what Ji Xiang wants to do after watching a surgery.

"Knotted..."

"No, no."

(End of this chapter)