Chapter 300 The Brave and Fearless (4/4 Order 3000 Plus More)

Chapter 300 The Brave and Fearless

After changing his clothes, Professor Rudolf Wagner came to the operating room outside the operating room.

Through the leaded glass, the professor saw that the patient's position was very strange. Before he looked carefully, a short woman asked, "Who are you?"

Director Xia of the Department of Gastroenterology saw Professor Rudolf Wagner walk in, completely confused about the situation.

"Director Xia, he is Professor Rudolf Wagner from the University of Heidelberg in Germany." Xie Yiren assisted Zheng Ren last night and performed a lot of operations. Knowing the background of the professor, he introduced him.

"..." Director Xia was dumbfounded. When did the hospital have a German professor visit? Based on the conduct of the hospital, if German experts and professors come to visit and exchange ideas, the publicity will be overwhelmed early.

Could it be fake?

She looked at Professor Rudolf Wagner suspiciously.

"I'm here to see Zheng, beautiful lady." Professor Rudolf Wagner explained in blunt Chinese.

"Looking for Dr. Zheng? What are you doing?" Director Xia asked subconsciously.

"Zheng, has a pair of hands of God." Professor Rudolf Wagner explained: "I wanted to find him to set up a research group for new techniques, but Zheng refused me."

Director Xia is sweating profusely...

Her first reaction was that this guy, who looked like a foreign expert, was a liar who was with Zheng Ren.

But when I thought about it again, it was pointless to lie to myself.

Is it true?

She was puzzled.

"Professor, your major is..." Director Xia asked.

"Intervention." Professor Rudolf Wagner said, "TIPS operation, I started to try it 20 years ago, and I have completed more than 300 cases of TIPS operation so far, and I am the doctor who has performed the most operations in the world. one."

This number is very dazzling, the professor knows.

Globally, it is rare for an interventional doctor to perform more than 100 TIPS operations, and he is far ahead, having performed more than 300 cases.

The gap in experience, others cannot catch up.

Especially for TIPS surgery, which requires experience and luck... Speaking of luck, Professor Rudolf Wagner was a little frustrated.

He wanted to improve on this luck-based surgery many years ago, but couldn't.

Perhaps this is God's test for mankind, or maybe it is. The professor always uses this reason to comfort himself.

Director Xia's eyes lit up when he heard Professor Rudolf Wagner's words.

If...if what the professor said is true, then there is hope for my classmates.

To be honest, Director Xia didn't think Zheng Ren, a young doctor, could complete TIPS surgery, especially emergency surgery.

If you can, the odds are appallingly low.

There is a huge difference between emergency and non-emergency surgery, hematemesis and intractable ascites.

In general chronic TIPS surgery, the patient lies supine and local anesthesia is performed on the neck. If the patient feels pain during the puncture, a dose of pethidine will do the trick.

For emergency TIPS surgery, the patient is vomiting blood, and the supine position must not be used. Otherwise, if the patient vomits blood and aspiration occurs, it will be fatal.

Therefore, the patient can only adopt the awkward surgical position of the side lying position...

Professor Rudolf Wagner was also surprised to discover this after observing the situation in the operating room.

Zheng's courage is simply too great!

This is a TIPS operation, as long as there is a slight error, it is enough to cause the operation to fail.

The first time he did it, he would use such an awkward position.

Professor Rudolf Wagner seemed to have seen Zheng Ren's depression after the failed operation.

Let me save you, Eastern boy.

The professor thought a little proudly.

In the operating room, jugular vein puncture and catheterization have been completed, and there is no difficulty in these operations.

Then came the highlight. Professor Rudolf Wagner folded his arms and focused on the screen.

The puncture needle is built in, and the speed becomes very slow due to the patient's continuous vomiting and twitching, so it is very cautious. Obviously, the difficulty of this kind of emergency surgery is far more than that of general chronic surgery.

At the same time, in Xinglin Garden, the live broadcast room went crazy.

Emergency TIPS surgery to stop bleeding! This is the most difficult operation performed by the surgeon since the live broadcast room started.

Some people don't understand the difficulty of TIPS surgery, but most of them understand after the explanations by general surgeons and interventional surgeons who are already extremely excited.

The procedure is not clear, but portal azygos devascularization is a classic technique in textbooks, and everyone has learned it when they were in school.

[The performer is really going against the sky! 】

[Emergency department, side view, actually needing TIPS surgery... If it weren't for the fact that every operation by the surgeon is successful, I would definitely judge the operation as a failure earlier. 】

[Wait for the news of the success of the operation, boy. I have a hunch that the magician will go from one victory to the next, without accident. 】

[By the way, the postoperative complications of TIPS surgery are very troublesome. A few days ago, I just received a patient after TIPS. He still had hepatic encephalopathy intermittently 3 months after the operation. 】

[No way, if you don't do it, you will die. Do you want to do it or not? 】

[Now there is a prize quiz. Guess how many punctures the operator must fail to succeed? 】

Many doctors don't understand the meaning of how many punctures, because this is too professional, as long as they are not general surgery or interventional doctors, they will not be able to come into contact with this extremely difficult operation.

In China, the hospitals that can perform this kind of surgery are at least provincial capital cities.

Or invite experts and professors to run the flying knife, and if one or two successful cases are done, it is enough for the hospital to brag about it for a year.

Although meaningless, the hospital still enjoys it.

This is also a feature.

【20 times! 】

[I think the surgeon will fail. I saw the patient's body moving on the screen, probably vomiting blood. 】

[Speaking of sideways, how does it develop...]

[The machine can rotate, but the rotation angle will increase the difficulty of the patient's surgery. Now I have begun to sympathize with the surgeon, even in this situation, I still have to work hard to complete the operation. 】

[I think 10 times is about the same. Last time our hospital asked a professor from the Imperial Capital to do it, the puncture was successful after 10 times. 】

[That's good luck. A few years ago, we also invited a well-known professor from Shanghai to perform the TIPS operation. After 30 failed attempts, I estimate that the patient's liver was punctured, and the puncture of the portal vein and hepatic vein was not completed. 】

Soon, everyone showed the difficulty of the operation to the fullest based on their own personal experience and experiences.

Many doctors have been daunted by the TIPS operation after hearing the descriptions from their colleagues.

This is not an operation, it is simply Yan Luo who wants to heal the life.

The operation requires luck, dozens of punctures, severe liver damage, and a high probability of hepatic encephalopathy after surgery.

No matter which point, it gives doctors enough reasons to give up surgery.

If you don't do it, the patient's life or death has nothing to do with me.

If it is done, if the patient dies, or if the hepatic encephalopathy is more serious, there is a high probability of medical disputes.

This... the performer is really brave and fearless.