Back in 2002 as a doctor

It was too clear, and because of this, Zhang You became more and more confused after listening to the three technical details.

Didn't it mean that the surgery was created by Mr. Huang? How could Zhou Congwen know so many details of the surgery.

Details, these two words, one word are very simple, but if you really understand it, you need at least thousands of operations.

Chapter 0679 the essence

Ordinarily, the DK-crush technique was researched by Huang Lao with great concentration, and this is the first time it has appeared in front of the world.

This new technique appeared for the first time, so there must be countless imperfections.

For example, the crush technique, after countless revisions, the Reverse Crush technique, the Step Crush technique, the Mini Crush technique, and finally the classic crush technique.

Among them, countless doctors have painstakingly researched and polished it, and it took shape little by little.

And Zhou Congwen, who was standing on the podium, described all the technical details perfectly, and Zhang You couldn't find any faults in a short while.

Even if he subconsciously listened with the idea of ​​picking faults, he couldn't find any problems in Zhou Congwen's words.

This is... impossible!

The more Zhang You listened, the more confused he became, and the more clearly Zhou Congwen spoke, the more confused he became.

It wasn't that he couldn't understand Zhou Congwen's technical details, but that the details were so detailed and thorough that Zhang You felt a sense of being eliminated by the world, and a feeling of powerlessness in the face of geniuses.

Could it be that the provincial capital is too closed, so that I haven't opened my eyes to see the world, and has been abandoned by the rapidly developing academic world?Or he was too weak to be vulnerable in front of Zhou Congwen.

Zhang You looked around in a trance, he was good at observing, especially people's hearts.

From the facial expressions of other people, Zhang You can tell that not only he has this kind of thought, but other people also think the same way.

Questioning is an instinct that academia must have.

But even if hundreds of professional doctors listened to Zhou Congwen's words with doubts at the same time, they still couldn't find out the problem.

No one even asked.

What Zhou Congwen said was detailed enough that a medical student with a little medical knowledge would be able to understand it as long as his brain is not very strong.

Confusingly simple and clear.

"The fourth point - the first time the guide wire is inserted into the branch, there are some things to pay attention to when entering from the proximal mesh.

The side branch guide wire was improvised in vivo to form a "U loop" at the end and sent into the deep part of the main branch vessel, and then the guide wire was retracted to the upper 1/3 of the opening of the side branch stent, where the wire side and ensure that the guide wire is in the lumen of the side branch stent. "

"Here, the U-loop is very important. Maybe people didn't notice this when watching the operation. Now we watch the recording and broadcasting of the operation."

"Hey, the person who recorded the surgery missed my shaping process. The U loop is at this angle. After entering the patient's blood vessel, it will follow..."

Uh, a thunder fell on Zhang You's head.

What a technical detail!

That's it for the technical details! !

The person who recorded the operation did not observe it, and did not appear in the video. Everyone thought that Zhou Congwen was a little distracted at the time, playing with the guide wire casually.

But who would have thought that there is an unexpected technical detail here.

If you think you understand the operation, just go back and watch it over and over again, and then perform the operation, you will definitely get stuck at this step.

U loop, who the hell would notice that.

The guide wire at point [-] is deformed a little bit, if it is not paused and zoomed in, no one will see it.

The air in the Great Hall was getting weirder.

Deng Ming sat next to Mr. Huang holding a thermos cup, feeling ashamed in his heart.

"Boss, I didn't see the U-loop."

"Zhou Congwen is good." Mr. Huang said in a low voice, "During the first surgery, I didn't remind him, so he did this. Deng Ming, you still don't do much interventional surgery."

"..." Deng Ming held the thermos cup and looked helplessly at Zhou Congwen who was standing on the stage in high spirits.

It can't be said that he is high-spirited, Zhou Congwen doesn't care about this, and he also knows that the boss doesn't care.

Instill all the technical details into the circulatory doctor present here, regardless of whether he is from 912, whether he is domestic or foreign, and learn to go back and do the operation immediately.

The boss thinks so, and so does Zhou Congwen.

Alas, Deng Ming began to feel a little envious of him being a born mentor and apprentice.

In front of Zhou Congwen, he and his boss seemed to be strangers, and Deng Ming felt a little awkward.

"This is very important. I can't explain it in detail because it involves hemodynamics." After Zhou Congwen explained, he smiled slightly, "It needs to be summarized repeatedly in practice. After all, everyone's surgical habits are different. The angles will also be slightly different, what I’m talking about here is a rough idea.”

"Next, let's talk about the fifth point - the first balloon kiss."

"The expansion balloon of the side branch stent withdrawn before the bifurcation is sent into the side branch stent along the guide wire re-entering the side branch stent.

The pre-embedded balloon located at the distal end of the main branch vessel was retracted so that its proximal landmark reached the proximal end of the side branch stent and was flush with the side branch balloon, and then the first balloon kissing was performed. "

"Notice!"

Zhou Congwen raised the volume, and his voice echoed in the hall like an echo in the valley.

Some doctors are still immersed in the last technical details, unable to extricate themselves.

They were woken up by Zhou Congwen.

"The detail here is that the two balloons are flush and aligned with the vessel bifurcation 'iliac', which is equivalent to the multilateral area where the bifurcation vessels meet. Sequential high-pressure expansion is performed first, and there is a decompression gap during the period, followed by sequential kissing expansion."

"There are a few more things to pay attention to when choosing the decompression gap. First..."

"The sixth point - the main branch is placed into a stent.

After the first balloon kissing is completed, other devices are withdrawn, only the main branch guide wire is kept, the main branch stent is sent in and expanded and released, the side branch balloon is withdrawn, and the main branch guide wire is kept.

The other withdrawn guide wire is also rewired to the side branch with the "U loop" technique, that is, the guide wire is lowered to the branch for the second time. "

"..."

"The seventh point, the final balloon kissing: send two non-compliant balloons along the two guide wires respectively.

Because the non-compliant balloon was used during the first kiss, it was reshaped for the final kiss.

If it is difficult for the compliant balloon to pass through the side branches during the operation, do not push it forcibly to avoid damage to the stent.

At this time, a small balloon can be selected to pre-dilate the mesh of the main branch stent, and then try to use a non-compliant balloon to pass the side branch.In the end, when the balloon kisses, the high-pressure expansion is also performed sequentially, and then the sequential kissing expansion is performed. "

"..."

"No. 15 points."

"..."

"No. 20 o'clock."

As Zhou Congwen narrated more and more details, the doctors in the audience showed a dazed expression.

Not everyone has the memory of watching monuments on horseback.

If someone else is giving a lecture, the doctors in the audience can corroborate each other based on their own clinical experience, just listen to the general idea.

After all, no matter who is giving a lecture, there is a lot of moisture.

But Zhou Congwen was not. He told everyone what to do, as if he was afraid that he would not be full.

Can……

Almost all of the doctors nearly choked to death.

It's too dry, it's all the essence, but who can remember so much in just a few 10 minutes, remembering every word.

Chapter 0680

"Basically, there are so many details."

After 16′22″, Zhou Congwen said with a smile, “Do you understand? "

The audience was silent.

Facing a brand new technique, who dares to say that he understands it?

What if the young man standing on the stage really regarded himself as a teacher and took a few random questions, what if he couldn't answer them.

"It's okay." Zhou Congwen smiled slightly, "I will write the technical points in a document and print them out, and doctors who want them can go to the sponsor to get them."

"Wow~"

There was a lot of noise from the audience.

And this good thing? !

This is simply pie in the sky.

"All that needs to be said has been said. Next, let's complete the last operation according to the meeting procedure." After Zhou Congwen finished speaking, he bowed slightly and walked off the podium.

"Boss." Zhou Congwen returned to Huang Lao's side, bending deeply, the smile on his face was no longer an expression, but an expression of true feelings, sincerity and sincerity, with a hint of reverence in it.

"Zhou Congwen, you are very good. There are some things I didn't expect." Mr. Huang admitted frankly.

"Hey." Zhou Congwen plated his flat head.

It is really a wonderful feeling to watch the boss take out the DK-crush technique and assist the boss to successfully complete the appearance of this operation in the world.

Surprised everyone?

Neither Zhou Congwen nor his own boss needed it.

The technical climb to the level of Huang Lao and Zhou Congwen is more of a battle between oneself and oneself. If you want to be brave and diligent, you must maintain a clean and pure heart.

This is what Zhou Congwen realized after the boss of the previous life passed away.

The boss is the curtain between Zhou Congwen and death.He and death seem to be watching through something, without feeling anything.

The boss stood between Zhou Congwen and death. Zhou Congwen would not face these things until Huang Lao passed away. Otherwise, the death he saw would be very abstract. Even if he is a doctor, he faces all kinds of death every day.

The closest person will affect Zhou Congwen's outlook on life and death. (Note)

After looking down on life and death, there was a little sadness and remembrance in his heart. At this moment, he faced the boss directly, and told him all the new technologies he had been pondering for many years and the evolution of the DK-crush technique after the boss passed away. This feeling made Zhou Congwen very happy.

Boss loves this.

This is what you like.

Hope the boss is satisfied.

"Mr. Huang."

A blunt Chinese phrase interrupted Zhou Congwen's immersive experience, and he frowned slightly, a little unhappy.

"Dr. Miyamoto, long time no see." Huang Lao sat on his seat, looked at Dr. Miyamoto and smiled.

"Mr. Huang, I didn't expect you to have research and breakthroughs in the field of cardiac intervention." Dr. Miyamoto put his hands on his legs, bowed at ninety degrees like a robot, and said in a deep voice.

"It's not a breakthrough to talk about a little bit of experience with the doctors. There must be something wrong with the new surgical method. Let's brainstorm." Huang Lao said lightly.

"You are too modest, a role model for my generation." Dr. Miyamoto said seriously.

"polite."

"Mr. Huang, may I invite you to...operate together?" Dr. Miyamoto asked.

Before Mr. Huang could speak, Zhou Congwen took half a step forward, standing between Mr. Huang and Dr. Miyamoto.

"Dr. Miyamoto, if you want to try it yourself, I can take you to do it."

I... take... you... to do...

Zhou Congwen's words were like a thunderbolt, blowing up all the people around him.

Dr. Miyamoto, a top doctor at Japan's Juntendo Hospital, Zhou Congwen actually wants to teach surgery? !

Director Xue was slightly annoyed, and stared at Zhou Congwen.But before he could speak, Mr. Huang said flatly, "Zhou Congwen is good, let him take you to do it."

"..." Director Xue looked at his teacher, Dr. Miyamoto, who bowed respectfully, without a single rebuttal, and couldn't help being stunned.

"I'm old, and I've reached the limit of an operation. Shen Lang." Huang Lao waved at Shen Lang.

Shen Lang ran up behind Huang Lao, and put his hands on Huang Lao's temples.

"That's it, Zhou Congwen, let me see your independent operation level." Huang Lao said leisurely with his eyes closed.