Auto chess in the operating room

Chapter 305 The World's First Cox Maze IV Surgery

After Tang Lou completed the video consultation, he quit the video, and Ma Shuya began to arrange for the bed doctor to start various examinations according to Tang Lou's guess.

"Dr. Tang, thank you."

Mashuya sent a thank you message.

Tang Lou thought for a while, and it happened that Ma Shuya was in Zijingang Hospital, so he asked, "Doctor Ma, do you know Professor Liu Juzi from your hospital's Department of Cardiovascular Medicine? I intend to come to your hospital for further study in the future. During the operation, I met Professor Lin from the Huashan Hospital affiliated to Aurora University in Shanghai, and he introduced Professor Liu to me, saying that she still has a doctoral candidate, and said he would recommend it to me."

After Tang Lou finished sending the WeChat message, after a while, a WeChat message came over: "I know, of course I know! You forgot the head of our department, Professor Liu Pingguo? Professor Liu Juzi is Professor Liu Pingguo's sister. As for Well, that Professor Lin from Huashan Hospital is Professor Liu Pingguo's best friend and Professor Liu Juzi's admirer, but it's a pity that he can't ask for it."

The fire of gossip was burning on Ma Shuya, and soon another WeChat message came: "Do you know why Professor Lin changed his name to Lin Kuzhi later? Because Professor Liu Juzi is in Hangzhou, and he is in Shanghai. One is in the south, the other is in the north, the so-called South Orange and North Trifoliate Trifoliate, but I can’t get it if I ask for it, and I feel bitter.”

Seeing this message from Ma Shuya, Tang Lou was also a little surprised, no wonder Liu Juzi's name was so familiar, but he didn't expect Professor Lin Kuzhi to be a seed of infatuation.

"In this case, let me ask Professor Liu Pingguo for you. Let him also talk to you, but speaking of it, Professor Liu actually prefers you to be his doctoral student."

Ma Shuya sent another WeChat message.

"Thank you so much. If it works, I will treat you to a big meal when I arrive at Zijingang Hospital."

Tang Lou is still very eager to be able to enter Professor Liu Juzi's school, so it is very desirable to have another introduction from Professor Liu Pingguo.

"It's easy to do. From then on, I will be your senior sister. A giggling expression."

After chatting with Ma Shuya for a few more words, Tang Lou began to carry out daily work.

While Tang Lou was concentrating on researching a case, Director Qian Gang walked in and waved to Wu Changlin and Tang Lou.

"Doctor Wu, Doctor Tang, come here. Just now, the department sent a patient with atrial fibrillation from a lower-level hospital. Come here and join us."

"okay."

Wu Changlin and Tang Lou naturally got up immediately and followed Qian Gang to the ward.

Soon the three of them arrived at the hospital bed. The patient was an old aunt in her sixties, lying on the bed in some discomfort.

Director Qian started the inspection himself, while Wu Changlin and Tang Lou took notes and assisted.

After all, it wasn't long before Tang Lou came to the Department of Cardiovascular Medicine. Director Qian was still worried about handing over a case of atrial fibrillation to Tang Lou.

While doing the examination, Director Qian explained to Tang Lou and Wu Changlin: "Atrial fibrillation is the most common arrhythmia clinically, and it increases with age. The latest research shows that the prevalence of atrial fibrillation in the population is The incidence rate is 0.4-1.0%, and currently about 3350 million people worldwide suffer from atrial fibrillation, and with the development of the global aging trend, the incidence of atrial fibrillation will continue to rise."

Speaking of this, Director Qian glanced at Tang Lou meaningfully. After all, more and more large hospitals now no longer only train surgeons who can only do surgery, but focus on the development route of both surgery and scientific research. To achieve better development, one must not only be able to operate, but also understand theory and publish papers, especially the director of a hospital in the provincial capital, which one is not in charge of scientific research projects of high-ranking officials, and the research funding is even more scary.

Director Qian naturally had high hopes for Tang Lou, and later sent him to Zijingang Hospital for further training, also training in this direction.

Director Qian continued teaching very meticulously: "Atrial fibrillation mainly has the following hazards in clinical practice: 1. The rapid and extremely irregular ventricular rate causes patients to have many discomfort symptoms such as palpitations, chest tightness, dizziness, and fatigue; 2. Atrial fibrillation During fibrillation, the atrium loses systolic function, and the hemodynamics is abnormal, resulting in different degrees of heart failure; 3. Blood stagnation in the atrium increases the risk of thrombosis and thromboembolism. Once atrial fibrillation occurs and heart failure, stroke, heart failure Complications such as organ or limb arterial embolism, severe amputation and other complications will have a great impact on the patient's quality of life and activity tolerance, and will significantly increase the patient's hospitalization rate and medical expenses. Therefore, early detection, clear diagnosis and active treatment of new house Vibration is very necessary."

After hearing Director Qian's words, Wu Changlin and Tang Lou also looked solemn. Many diseases in the Department of Cardiovascular Medicine are very difficult.

Director Qian was quite satisfied with the modest attitude of Tang Lou and Wu Changlin, and continued:
"The treatment of new atrial fibrillation combined with structural heart is mainly surgery, and its development has experienced left atrial isolation, atrioventricular node catheter ablation, corridor surgery, maze surgery, etc. Since Cox pioneered and developed the maze surgery, atrial fibrillation Surgical treatment has made great progress, and through continuous improvement, it has developed from maze type I to the current maze type III."

"Maze III surgery is also known as the "gold standard" for the treatment of atrial fibrillation. However, due to its large trauma, complicated operation and long operation time, there are actually not as many institutions and hospitals in China as imagined. Its safety and The effectiveness still needs to be further confirmed, and this time our department will try to perform the Maze III operation, and you can also take this opportunity to learn and accumulate experience. Of course, the strength of our department alone is not enough for this operation, so I have Contact Zijingang Cardiovascular Medicine experts for joint consultation."

After Director Qian finished speaking, Wu Changlin was filled with anticipation and a little excited. It was very rare to be able to participate in a difficult operation in cooperation with Zijingang Cardiovascular Medicine Department.

And Tang Lou also glanced at the patient habitually, and made a diagnosis:

[Patient: Li Xiulan, female, 63
Symptoms: rapid and extremely irregular ventricular rate, palpitations, chest tightness, dizziness, fatigue.
Diagnosis: Atrial fibrillation with valvular heart disease.

Special suggestion: In the conventional COX maze type III operation, the traditional cutting and suturing has a very large safety hazard. It is suggested that the host improve it and propose the world's first Cox maze IV operation. 】

[Ding, new mission, improved technique.Based on the Cox maze III procedure, a new energy source is used to replace the traditional "cut and suture" to form a specific ablation line on the atrium, thereby achieving the purpose of eliminating atrial fibrillation and reestablishing sinus rhythm, making the operation easy and And can achieve the same effect as Cox maze III surgery.Mission reward: 3 gold coins, the card library is refreshed once. 】

While meditating in Tanglou, Director Qian had already completed the preliminary work, and the next step was to wait. The experts from Hangzhou Bauhinia Port Hospital confirmed the time for remote consultation.

"Doctor Tang, Doctor Wu, come here first today. If you have time, you can also study the Cox Maze III surgery by yourself. Afterwards, you can come up with new ideas in the consultation with Hangzhou experts."

Director Qian said something casually. Of course, the main thing is to make these two little guys prepare for the consultation later, at least be able to understand the terminology spoken by the experts, so as not to be too embarrassing.

As for giving advice, he didn't expect too much. After all, it was a joint consultation, but it was actually Hangzhou experts guiding them to formulate the best surgical plan.

"Okay, Director Qian, when we go back, we must prepare well."

Wu Changlin assured, and secretly thought in his heart that he must not be held back during the joint consultation.

However, Tang Lou also began to consider the design improvement plan. Since the balance of gold coins was only 16 gold coins, Tang Lou first exchanged and upgraded the Cox maze operation (two stars, 6), and countless pictures and case experiences poured into Tang Lou's mind.

Soon, a very mature left atrium ablation circuit appeared in Tang Lou's mind!
(End of this chapter)