Sleepless Doctor

Latest website: Wu Mian's hands are twisting the guide wire, and every joint of his wrist and fingers keeps adjusting the direction slightly. Generally speaking, this is the case for interventional surgery. Through finger movements, the guide wire is "lived" and walks in the blood vessels for super selection.

It's just that two hands operate one guide wire. No one will operate two guide wires at the same time like Teacher Wu, still in the same blood vessel. Do not! There are three, and Chu Zhixi in the operating room is also operating the valve clamp with a mechanical arm.

A cold air rose from Gao Boxiang's heel, as if someone was blowing a breath on his heel, the cold air snaked straight up and rushed all the way to the back of Gao Boxiang's head.

Gao Boxiang had goose bumps all over his body, and he was able to see Mr. Wu's god-level operation for himself, and he didn't boil it in vain all day and night! It doesn't matter whether it is successful or unsuccessful, and seeing Teacher Wu's weird thinking is definitely worth the price.

Raising his head, Gao Baixiang saw two guide wires walking in the blood vessel, super-selection.

Either side by side, or staggered back and forth. On the screen, it looks like two snakes, they have their own intelligence, no matter how winding their blood vessels are, they don't seem to be confused at all.

Super selection, success, progress... Gao Boxiang has done more than 5,000 interventional operations, but he has never seen such an image.

Is this an interventional surgery?

Suddenly, the two guide wires entered the abdominal aorta after passing through the external iliac artery, and the rugged and narrow path suddenly became clear. Then it should be the thoracic aorta. It seems that it should be difficult to pass through the aortic arch... Gao Baixiang thought to himself.

"Director Gao, don't be stunned." Wu Mian's voice came.

"Uh……"

"Stabilize the guide wire and hold it with both hands. I must not let the force of the guide wire fall back to affect my operation." Wu Mian said briefly.

Gao Boxiang immediately understood that he had just made a mistake because of his stupefaction.

Although he was only an assistant, Mr. Wu operated the two guide wires with both hands. This was already an extreme operation. He could only take care of the front, not the back.

The guide wire itself is very long. After superselectively enters the blood vessel, there is also a section of the "tail" that falls behind. If you can't hold the guide wire by yourself, it will cause countless changes in the previous operation.

Gao Baixiang knew clearly in his heart that it was not that Teacher Wu could not really solve this problem, but that his own presence would make the operation more stable and the probability of mistakes lower. Why not do this.

Although Teacher Wu didn't scold himself like those bad-tempered surgeons, Gao Baixiang understood that he was wrong.

"Teacher Wu, don't worry." He didn't explain too much, holding two guide wires in both hands, and his right hand behind, like an assistant delivering bullets from a heavy machine gun, holding it firmly to counteract the downward force. .

The two guide wires continued to move forward, and the curved aortic arch had many openings, but the guide wires did not make any mistakes, they just moved forward along the road.

The aortic arch is arc-shaped. Generally, when passing here, you need to "leverage" the blood vessel wall to change direction after hitting the wall. However, Gao Baixiang did not see the two guide wires touch the blood vessel wall even once, directly following the curved aortic arch into the descending aorta.

Gao Baixiang understands the benefits of this-avoiding the guide wire from touching the blood vessels and causing the atherosclerotic plaque to fall off. It's just that he can't figure out how Mr. Wu operates it at all, why the guide wire has an arc out of thin air.

But this question was deeply buried by Gao Boxiang, he didn't dare to think about it. How does the guide wire bend without hitting the wall? Is it all based on micromanipulation?

Although it's just surgical training, it doesn't matter if it fails, and it's not really operating on the patient. But Gao Boxiang didn't think so. He was very curious about what Teacher Wu would do next.

Moreover, in this level of surgery, I was too idiotic, even if Teacher Wu didn't scold myself, I would feel sorry for myself.

It's as disgusting as the picture of Shanghe on the Qingming Festival was dotted with ink and turned into a picture of Shanghe on the Qingming Festival.

The guide wire entered the left ventricle, and Wu Mian stopped the movement and said, "Girl, I will prop up the mitral valve, and you should clamp it with the mitral valve clamp. The movement must be steady, accurate, and fast."

After a few seconds of silence on the intercom, Chu Zhixi hesitated and said, "I will try."

"Girl, you are a very good neurosurgeon, just treat it as a microsurgery." Wu Mian said.

"Yeah!" Listening to Wu Mian's words, Chu Zhixi's confidence is obviously much stronger.

Although Gao Boxiang understood Wu Mian's words, he still didn't know what he wanted to do. Using two soft guide wires to prop up the mitral valve... or operating in the turbulent blood flow of the heart is beyond his knowledge of things.

The mitral valve is attached to the left fibrous atrioventricular ring and is a tissue structure formed by the folds of the endocardium.

It has two valves. The valve located on the anterior medial side is called the anterior cusp valve. The larger, often called large valve, is the demarcation mark of the left ventricular inflow and outflow tract.

The posterior cusp is the posterior valve, which is smaller and often called the small valve. The valve is triangular in shape with the tip facing the left ventricular cavity.

The bottom edges of the two valves are often fused with each other, and there are many chordae tendineae connected to the ** at the cusps, edges and ventricular surfaces. When the ventricle contracts, the mitral valve closes the atrioventricular orifice tightly, preventing blood from flowing back into the left atrium.

The cause of mitral valve regurgitation is stiffening, shortening, deformation, adhesion and fusion, and chordal fusion and shortening of the valve leaflets.

Like the muscles of the elderly, there is no "mental head" and no strength. The mitral valve hangs toward the ventricular cavity, and there is no way to close this door as blood is pumped from the left atrium into the left ventricle.

Gao Baixiang understood that what Wu Mian had to do was to hold the gate with two sticks...

But a hard stick can do this, but no one seems to be able to hold the gate with two ropes.

"I'm driving." Wu Mian said softly, and then on the opposite screen, a guide wire raised his head slightly and pressed it against the root of the anterior cusp chordae.

I also didn't see how Mr. Wu used force~www.wuxiaspot.com~ or couldn't use force at all, but Gao Baixiang felt that the anterior valve slightly moved. The magnitude is not large, and it may be an illusion caused by afterimages.

With the mitral valve faintly paused, another guide wire abuts the tip of the anterior valve within millimeters.

Almost at the same time, the mitral valve clip opened and was inserted into the force-supported anterior valve.

The guide wire that supports the tip of the anterior cusp is inserted and then left with the mitral valve jacket.

But the problem appeared. The supporting force disappeared, but the mitral valve clamp did not completely follow up in the first time. Chu Zhixi's operation was a little slower, and the anterior valve immediately slipped out from the position of the clamp mouth.

The first attempt, failed.

"Don't worry, you're doing well." Wu Mian pressed the intercom and said gently, "It's definitely fine to try again, don't worry."

"Yeah." Chu Zhixi was emotionally stable, without a trace.