Back in 2002 as a doctor

"Zhou Congwen mentioned that it will be performed in a hybrid operating room. I guess that coronary artery bypass surgery may not use a conventional operation, but a surgical operation + interventional operation model. You do both sides, do you have any ideas?"

"Director Han, to be honest, I can't think of Professor Zhou Congwen Zhou's true thoughts." Director Jiang said frankly, "Professor Zhou's surgery standard is too high, whether it is surgery or interventional surgery, I can't match it."

"Think about it simply." Director Han said, "I saw Professor Zhou's expression after the operation today was a bit strange, so I didn't dare to ask more questions.

Ordinarily, the successful rescue of the second uterus after liver transplantation is a very awesome thing. After it is done...even if it is not hype, it will not be like Professor Zhou. "

Zhang You listened in a daze, feeling at a loss in his heart.Did Zhou Congwen go to the second uterus after liver transplantation again?He can do everything!

"Looking at Professor Zhou's expression, I thought the operation had failed."

"Yeah, I thought so too at the time." Director Jiang said.

"So I didn't ask in detail, I'll ask you first, and then I'll see what I can do to help. Help is just a way of saying, in fact, relying on the two big mountains of Huang Lao and Professor Zhou to take advantage of it. "

Director Jiang's mind was quick, and he laughed when Director Han said that.

Director Han has reached the red line time. Although he has a deep background and a seasoned personality, he is also very strong against the opponent who is competing for the vice president.

Do something, so that the people behind him can speak for him.

And Zhou Congwen sent up the World Surgery Competition at this time, it would be strange if Director Han was not tempted.

"It's reasonable to take advantage of it. After all, Professor Zhou is now relying on the platform of the Second Hospital of our Medical University. It's not to grab his position as a surgeon, nor to grab his name, and Professor Zhou also said that we can put our name on it."

"Since that's the case, it's too polite to be an outsider. But I don't know what Professor Zhou is going to do now, and I can't help if I want to."

"I'll think about it." Director Jiang pondered.

"By the way, I remembered something!" Zhang You said suddenly.

Chapter 0766 system task rewards issued by the boss

"Director Zhang, what do you remember? Has Professor Zhou had any surgery?" Director Jiang also asked.

"I'm not sure, because I haven't seen it before." Zhang Youdao, "I heard Xiao Zhou...Professor Zhou told a gossip. It is said that once the patient's blood clotting mechanism was not working, and he was forced to have an operation because of the emergency rescue."

"The skin edge of the open chest and the sawed sternum are dripping blood all the time, like a water curtain hole." Zhang You described it according to Zhou Congwen's description, almost every word was correct.

"..."

"..."

Director Han and Director Jiang felt cold hands and feet when they thought of that situation.

The worst fear of being a doctor is to encounter a similar situation.

If you don't go to power, you will die 90.00%; if you go to power, [-]% of you will die at [-]%.

Cardiothoracic surgery, or bypass, blood coagulation is not good, can the anastomotic blood vessels work?The patient must not bleed to death 1 day after the operation?

"Professor Zhou said that the surgery was performed in a hybrid operating room."

Director Han's eyes lit up when he heard the words "hybrid operating room". He had already thought about how to do the surgery.

"After the bridge was completed... Director Jiang also knew that the blood clotting mechanism was not good enough to ooze blood everywhere. Anyway, I would not dare to close my chest if I changed it. It is said that Huang Lao and Director Deng Mingdeng worked together, and the blood vessel in the bridge was damaged. stand."

"Is that okay?" Director Jiang asked in astonishment.

"Well, I doubt it too. But that's what Professor Zhou said..." Zhang You crossed his index fingers on his chin, trying to recall what Zhou Congwen said that day.

In fact, there is no need to try hard to remember, because as a director of cardiac surgery, he has encountered such a difficult operation before, but the ending was very sad.

What Zhou Congwen said has always been in his heart, and Zhang You is just trying to make himself appear calm with his big teeth bared.

"If Professor Zhou said to perform surgery on a hybrid operating table, I wonder if it is necessary to perform the surgery together with bridges and stents."

"Professor Zhou said so, but is there really such a practice?"

"do not know."

The three of them were chatting, but they ignored the boss's serving of food.

But no matter how much he talked about it, he couldn't figure out what kind of technique Zhou Congwen was going to do.

For people in the Second Hospital of Medical University, Zhou Congwen is indeed too high-end, as high as several floors, so high that he can't even imagine it.

……

……

Imperial Capital, 912, in Huang Lao's office.

Holding the thermos cup, Deng Ming sat obediently opposite Mr. Huang, listening to the boss's words.

"Deng Ming, guess what Zhou Congwen is going to do."

"Boss, my first thought was that he would use thoracoscopy." Deng Ming replied honestly, "But there are many technical details that I can't solve. I have been thinking about it after communicating with him."

"The possibility of thoracoscopy is unlikely." Huang Lao said decisively, "Laparoscopy has its advantages, but also its problems. Although Zhou Congwen said so at the annual meeting, in fact, thoracoscopy can only complete most of the operations. , but not all of them can be done with laparoscopy.”

"Then what does he want to do?"

"Didn't Zhou Congwen talk about small incisions? Small incisions."

"Small incision?" Deng Ming looked at his boss suspiciously, "Doctor Kolessov from the former Soviet Union successfully performed the operation of bypassing LIMA and LAD through the left anterolateral chest incision without extracorporeal circulation. The requirements are too high, coupled with the restriction of blood vessels, no one has done it for a long time.”

"It's more difficult to take the internal mammary artery, but it seems to be okay." Huang Lao's deformed fingers lightly tapped on the desk, "There are several devices that can be used for small incisions in the drawings that you sent to Pang Kezhuang a while ago." Inside minimally invasive bypass surgery.”

"Suspended internal mammary artery retractor system?" Deng Ming asked.

"Yes." Huang Lao said, "The current bypass surgery is basically the same. If you want to innovate, this is the only choice."

"if……"

"If it were me, I would choose a small incision, and then use the suspended internal mammary artery retractor system to harvest the internal mammary artery. Then take the great saphenous vein as a vein graft..."

Deng Ming looked at the boss suspiciously. This is a relatively common surgical procedure, even with small incisions and a suspended internal mammary artery retraction system, it is not enough.

"Is the vein graft easy to block, and the vascular condition of the elderly is relatively poor, so it is better not to take the radial artery. There is a trade-off between the two, and the vein graft is still used, and the drug is washed out during the operation. stand."

Deng Ming's hand holding the thermos cup tightened suddenly.

Such a complicated surgical procedure... It's not that he hasn't thought about it, but he hasn't done it before.

After all, there was no reliable drug-eluting stent before this, and the significance of ordinary stents is not great.

Just like the small incision surgery, doctors studied it in the 60s, and many doctors promoted it.

But their efforts were in vain.

At that time, there were no corresponding conditions, and everything needed the right time, place and people.

Did the boss and Zhou Congwen think of going together again? !Deng Ming held the thermos cup tightly with both hands and looked at his boss.

"Ask." Huang Lao Youyou said, "I'm sure I can't guess it myself, I need Zhou Congwen to say it."

Deng Ming quickly took out his mobile phone and called Zhou Congwen.

"Xiao Zhou, the boss has something to ask for you." Deng Ming said.

"Director Deng, the boss is looking for me, wait a moment, I removed the [-]x lens."

Zhou Congwen's voice came.

"Doing exercises?" Huang Lao asked gently.

"Boss, I'm grinding eggs at home after get off work." Zhou Congwen said, "What do you want from me?"

"Have you decided on the operation method?" Elder Huang asked.

"OK, one-stop coronary artery bypass surgery + stent implantation under a small incision."

Deng Ming was taken aback.

Sure enough, the boss and Zhou Congwen thought about going together again.

"Is there any difficulty?" Elder Huang asked.

"No." Zhou Congwen replied affirmatively, "The small incision assisted interventional stent surgery, and the postoperative effect should be good. Coupled with a series of treatments such as drug assistance and anticoagulation..."

"Zhou Congwen, how are you going to remove the internal mammary artery? Normally speaking, the small incision will cause some small problems in the angle of the operation, which is difficult and has a high chance of failure." Huang Lao interrupted Zhou Congwen and asked.

"..."

Zhou Congwen was taken aback.

"A few days ago, I gave Xiaobie the blueprints I designed in the early years. One of them is a device for removing the internal mammary artery through a small incision. Don't you know? I thought you knew, so I thought of it."

"Is it a suspended internal mammary artery retractor system? Really?" Zhou Congwen asked tentatively.

"Yes." Huang Lao said, "I went to Panggezhuang to take a look yesterday. A sample has been made in the laboratory. You can try it when Deng Ming passes by. If you don't understand anything, feel free to let me know." Call up."

"..."

"Forget it, there are a few other pieces of equipment, I'd better go with them, or you'll have to figure out how to use them."

Chapter 0767 system task rewards issued by the boss

After hearing what the boss said, Zhou Congwen fell into a complex emotion and couldn't extricate himself.

Are the system task rewards issued by the boss?

It turned out to be the boss!

What does he have to do with the system?

In the previous life, there was no Liu Xiaobie, nor Pang Kezhuang's laboratory, and the boss never showed any signs of having anything to do with the system.

After learning from the boss, Zhou Congwen benefited a lot, and the system also took the opportunity to issue many tasks to learn new techniques.

But Zhou Congwen can be sure that the boss has nothing to do with the system.

This time Zhou Congwen thought about it, but he didn't expect that the reward after completing the system task would be awarded from Panggezhuang's laboratory.

That's really weird, is this also part of the law of cause and effect?

Zhou Congwen rarely continued to grind eggs after hanging up the phone, and used boring training to maintain his feel and stability.

He sat silently on the sofa, lit a white ganoderma lucidum, and watched the smoke curling up in a daze.

It is really miraculous after being reborn. Although the system will always look like it is dying, it seems to have made great progress in function.

Is this the legendary law of karma?Zhou Congwen knew that his IQ was not enough, so he must not be able to figure it out.

Looking at the system panel in the upper right corner of his field of vision, Zhou Congwen felt that rebirth was really an interesting thing.

The rewards sent by this little guy in the system actually come from reality!Instead of exchanging in the system mall by yourself like in the previous life.

Zhou Congwen never thought of this anyway.

But it doesn't matter, it's a good thing for him to have customized equipment, and the operation should be easier.

The video of the competition is not in a hurry, it will be two or three months later, and for the selection, the boss is probably one of the judges, so he shouldn't ignore the facts and make himself suffer.

After doing it step by step, Zhou Congwen thought about it, with a smile on his face.

I hope that after the long-term main task is completed, the little guy in the system will have a big change.

I don't know if the mysterious concepts such as luck value and skill points will be realized.

That night, Zhou Congwen couldn't sleep because of his thoughts.

All kinds of weird thoughts tossed and turned in Zhou Congwen's mind, and Zhou Congwen tasted the bitter fruit of insomnia.

After tossing until midnight, he decided not to sleep, and got up to go to the hospital to have a look.

For Zhou Congwen, the hospital is a place that makes him feel peaceful and at ease.

When he was the busiest in his last life, Zhou Congwen used to go to the bath every night after the operation to take a bath, and then fall asleep listening to the noise of soap operas on TV under a quilt in the bathing lounge.

The noise was similar to the voices of patients and their family members in the corridors of the hospital departments. Zhou Congwen couldn't sleep if he didn't listen.

If it was quiet, it would give Zhou Congwen a feeling that the dawn here is quiet, and he doesn't know when an emergency will come from the sky.

It's not that I have delusions of being persecuted, but just a habit.

Going to see the patient, one's emotions should be stabilized, Zhou Congwen thought so.

Put on your clothes, open the door and walk out of the villa.

With the cold wind blowing on his face in the twelfth lunar month, Zhou Congwen thought of a stalk in the future.

As far as cold is concerned, it is said that winter in the south is a magical attack, and winter in the north is a physical attack.