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662 The tacit understanding of the grandfather(1/2)

“The change in the surgical procedure is like I said.”

After Huang Lao talked about the surgical procedure, he looked at the many doctors below in a spirited manner.

Director Zhang Chunfang and Director Zhang from the 912 Circulatory Internal Medicine were stunned. Mr. Huang made a subversive change to the classic breast sh surgery, but everything was reasonable and concise.

like……

like……

like……

What Mr. Huang said is right.

But the huge doubts and cognitive gap hit Zhang Chunfang and Director Zhang's head like a big hammer, and blood splattered everywhere.

How is this possible?

If it is as simple as Mr. Huang said, why have the relevant clinicians around the world not found a way to improve it for so many years since Dr. Colbo invented this procedure?

However, Director Zhang Chunfang could not do it if he wanted to deny Mr. Huang's technique.

Mr. Huang used the most simple language to tell his improved surgical procedure, which was reasonable and could not be questioned at all.

Why is this the case?

In the briefing classroom, except for Zhou Congwen, only Deng Ming held a thermos cup in his hand and could still keep calm.

Because Deng Ming had heard his boss talk about similar ideas, and also saw his boss's rough "operative" process.

There must be problems, for example, if the boss needs to use a point-of-one guidewire to pass through the mesh of the two layers of bare shelves in the coronary blood vessels, the technical level required must be extremely high.

If the boss was ten years younger, Deng Ming would not doubt whether the boss could do it.

But now the boss is almost eighty, and he is about to celebrate his 80th birthday, and he is already standing on the threshold of his 80th year.

The elderly man used a point-of-18 guide wire to penetrate two intertwined brackets...

Is this a fool possible?

"I call this technology double-pair kiss squeezing, which is referred to as DK-breast sh squeezing."

Old Huang glanced at the person below and said lightly.

"I have studied the newly developed drug-eluting stent, which is still challenging for interventional treatment of bifurcation lesions."

"The ultimate success rate of classic C-clamp sh technology for kiss dilation is relatively low, and the incidence of related complications such as intrastent thrombosis and restenosis of the edge branch vessels is relatively high.

On the basis of classic C-melting technology, DK-melting sh technology has proposed some improvements to solve the limitations of residual stenosis in classic C-melting sh technology.

Improved?

Zhang Chunfang was stunned.

This is a subversion, not an improvement. If you really want to say improvement, the drug-eluting stent is the method of improvement.

But Mr. Huang humbly said that his technique was just a kind of improvement, which was the old man’s humble word.

"DK-mellow sh technology uses the first balloon expansion to push away the squeezed stent closed to the edge branch opening, and ensures the full expansion of the edge branch opening mesh.

It facilitates the balloon to pass through the side branch opening and the guidewire to enter the side branch smoothly from the main support stent mesh when the final kiss is met."

"I used some simulation methods to test the DK-breast sh styling and thought it was already quite complete. Please see if you have any shortcomings."

Mr. Huang asked calmly.

shortcoming……

Deng Ming held the thermos in his hand, lowered his head and took a sip of water.

But his lips did not leave the thermos, as if he wanted to eat the thermos into his stomach.

I was drinking water and had no time to speak. Deng Ming clearly expressed his attitude.

Director Zhang Chunfang and other deputy directors of 912, and the professors in the group were also silent.

In a short period of time, they were unable to digest Huang Lao's surgical procedure, let alone improve it.

Shen Lang is the relaxing person.

He couldn't understand at all, but he sat with the top doctors in the country. Seeing them looking confused, he was not better than him, Shen Lang found it particularly interesting.

Although this is not baptism of time, no matter who says what you say in the future, no matter who you say it, everyone will be shocked.

Therefore, the fire of Shen Lang's gossip is burning, not missing even a single detail.

Seeing that no one was talking, Mr. Huang's eyes fell on Zhou Congwen.

"Zhou Congwen, say a few words." Huang Laodao.

"Then I'll say a few simple words." Zhou Congwen stood up, with a rare solemn expression.

He understands very well how much pressure and suffering a new technique will face from research to forming.

In the system operating room of the previous life, the simulator who failed the surgery can prove it all.

In the system operating room of the previous life, the skill points that were usually exhausted, and the surgical training time can also prove this.

The boss is talented and actually achieved almost perfect DK-breast sh styling through brain simulation surgery, which is incredible to Zhou Congwen.

Because he understands the difficulty too much.

The boss is mighty!

Zhou Congwen recited a sentence in his heart.

This is not flattery. Zhou Congwen really thinks so.

When Huang Lao saw Zhou Congwen walking to the blackboard, he smiled slightly, "Zhou Congwen, have you remembered the operation?"

"Forgot a part." Zhou Congwen said lightly.

Shen Lang's eyes suddenly lit up. In his opinion, this was not a classic breast sh surgery at all, but the most classic pretense of Mr. Jin Yong.

Zhang Sanfeng asked Zhang Wuji, have you remembered it? Zhang Wuji answered, I forgot some.

Until the end, Zhang Wuji forgot everything and then fought and won it.

It’s a pity that the gossip fire on Shen Lang’s body is burning!

How good it would be to not appear here. It would be to appear in front of the national circulation doctor. At the annual meeting, Mr. Huang asked this question the most reasonable!

pity!

pity!!

pity!!!

"It's good to forget at first. The principle is very simple. Human anatomy changes so you can't be restricted." Huang Lao said lightly.

"Yes." Zhou Congwen nodded and drew anatomical structure diagram of the coronary artery on the blackboard with a pen. "Boss, after you finished speaking, I thought of a few details. I will throw a brick and attract jade. Please take a look at it, Director Zhang."

Huang Lao bent down, bowed his waist with his hands on his back, slowly walked back to his seat and sat down, leaving Zhou Congwen on the stage.

"First, from the perspective of approach, DK-C mammary sh can be completed through the radial artery approach and 6F guide catheter.

However, in complex bifurcation lesions, such as severe calcification and distortion, it is recommended to use 7F or 8F to guide the catheter and femoral artery approach to strengthen support, making the surgery easier to complete.”

"In fact, under actual circumstances, you can encounter abnormal opening angles of the edge branch and cannot be fed into the guide wire. Of course, when the circumferential branch is used as the edge branch, there are few such problems, and they are more common in the diagonal branch."

"If the diagonal branch is large and there is a lesion in the opening, the initial double-stent technology must be considered. However, if the guide wire cannot enter the side branch, any double-stent technology cannot be completed. The most commonly used at this time is the reverse guide wire technology assisted by the dual-cavity microcatheter."

Zhou Congwen stood on the stage, holding a marker in his hand and told his understanding of the details of the DK-breast sh technique on the blackboard.

His expression was focused and serious, as if he was undergoing an operation.

So that's it!

Similar emotions kept popping up in the minds of others in the audience. Although Mr. Huang said it in a simple and easy way, countless technical details could not be understood in a short period of time.

However, Zhou Congwen's explanation focuses on details, which are basically things that the doctors present did not notice.

The words of the father and father are combined together, making them speechless.

Zhou Congwen gave a long explanation. After three hours, he had no place to draw anatomical pictures on the blackboard. When he had no place to write, he put down the marker in his hand.

"That's about it, you see, boss."

"Absolutely." Old Huang looked relieved.

His relief was at two o'clock when his surgery was fine, and Zhou Congwen could only think of so many details after listening to a rough answer.

He is really a talented child.

"Boss, do you want to do two surgeries?" Zhou Congwen stood beside Mr. Huang, bent his body slightly and asked in a low voice.

Old Huang turned his head to look at Director Zhang Chunfang and asked with his eyes.

"Lao Huang, we have similar patients and are customizing T-stents."

Zhang Chunfang said, feeling a little ashamed.

She also did not master the classic breast sh technique. When encountering patients with coronary vascular bifurcation, Zhang Chunfang could only choose the oldest T technique.

The so-called T technology is to use a special "T" stent to solve the problem of stenosis of the main blood vessels and branch blood vessels in one fell swoop.
To be continued...
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