Chapter 303: I understand the truth, so I still don’t know how! (Second update, please subscribe!)

"Ang, I listen to you."

Yin Yu, who was wearing sterile clothes, squinted her eyes and smiled, while casually waving her hand towards Lu Cheng. The meaning was probably that now that you are the boss, you can make the decision.

I have no choice but to listen to you. You actually told me where the blood clots were removed, but we are still confused.

Believe it or not, Lu Cheng was able to remove the blood clot every time.

If you want to believe it, every time Lu Cheng said the location of the thrombectomy was so tricky, how could anyone believe it? How did you get in from such a difficult angle?

You won't be a tricky brother, just change your name to mean.

Lu Cheng did it as soon as he said it. Anyway, he had already made some preparations, that is, if a professional asked him to explain how to perform the thrombectomy he was doing now, he was not afraid at all.

And since Yin Yu didn't have any opinions, Lu Cheng felt that there was no need to pretend to ask the opinions of the spectators, the second assistant and the third assistant.

Even if you want to show off, just do it neatly, just be straightforward, and then ask the second and third assistants, that would be heartbreaking.

Killing someone can't hurt your heart, let alone now?

Lu Cheng just wanted to get the surgery done!

The arterial arch deep to the flexor tendon, composed of the terminal branch of the radial artery and the deep palmar branch of the ulnar artery, is called the deep palmar arch! The blood mainly comes from the radial artery. The deep palmar arch is very thin and is located slightly closer to the palm than the superficial palmar arch.

proximal end.

This is an anatomical position. When performing thrombectomy, the thrombus is usually removed along the blood flow. So this time Lu Cheng had to return to the radial artery, and then from the terminal end of the radial artery,

Reach the palm-deep bow position.

If you want to enter through the ulnar artery, it is not impossible, but it is more difficult, and the connection between the ulnar artery and the deep palmar arch is narrower.

All surgical choices are made to make the surgery easier, and we will not choose more complicated and difficult actions just to pursue high difficulty!

Lu Cheng did not hesitate and quickly reached the location of the ulnar artery at the pisiform bone.

This is the intersection of the deep palmar arch and the superficial palmar arch. However, the angle between the superficial palmar arch and the ulnar artery is very smooth, while the angle between the deep palmar arch and the ulnar artery is more tricky and far apart, so it needs to be adjusted very carefully.

The direction of the catheter.

This is not an easy task. It can be said to be the most difficult part of this surgery.

So even though Lu Cheng could see it with the naked eye, he was still a little nervous at the moment. He sent it forward several times, but was unable to get the distal end of the catheter to the angle of the deep arch of the palm, but to the beginning of the shallow arch of the palm.

Beginning.

Then pull back and start again.

This action was seen by Yin Yu and the others, and they finally breathed a sigh of relief!

Let me just say, you, Lu Cheng, also encountered difficulties and made mistakes sometimes, and the palm-deep bow was not so easy to advance.

You guys were so casual in entering the anterior and posterior interosseous arteries before. Now you have finally encountered a problem, right?

Then I'll be relieved!

Although I can’t either!

I know you are a pervert, Lu Cheng, but there is an upper limit to perversion, which is at least within the understandable range. If everything is achieved overnight, it would be really nonsense.

After all, even if you try a few times and can accomplish something that is impossible for others, it also means that you made a mistake, which makes people feel a little more comfortable.

I went back and forth almost four times.

Yin Yu saw Lu Cheng's hand relax, and the look in Lu Cheng's eyes seemed to indicate that she had entered the place Lu Cheng wanted to go.

Then Lu Cheng continued to exert force toward the far end!

Is this the time?

Is it really here?

Yin Yu's heart was full of doubts, and he kept thinking about how Lu Cheng completed these operations. But now, he still couldn't see the reason. However, there were too many arterial branches in his arm, so he planned to wait a while.

Ask again.

Because later Lu Cheng would have to remove the emboli from the pudendal artery from the femoral artery.

The distance between the pudendal artery and the femoral artery is very close. Although the angle is a bit large, the femoral artery lumen is relatively large, so there is more room for operation. At this time, ask about the skills, and then apply it yourself.

That's the best way to learn.

If you try to learn the Hell Difficulty as soon as you get started, you are just setting yourself up for trouble.

Lu Cheng reached the palm of the deep bow and soon pulled the bolt back. It was still a long length.

And after this, Yin Yu directly called the assistant to come up and start suturing the blood vessels, and said: "Xiao Lu, you have worked hard. You should rest for a while and leave such a small matter as suturing the blood vessels to them."

"If there is no problem with the blood supply here, it means that this operation is truly successful. You have completed an operation that is basically impossible and successfully saved a limb that can only be saved in theory."

Lu Cheng also nodded.

Although he doesn't need a lot of force to remove the thrombus, it still consumes a lot of energy and requires a lot of fine operations. Moreover, it is impossible to just complete the operation and then continue to perform thrombus removal of the pudendal artery.

The operation must be carried out step by step. Although doing the operation directly can save time, if it is reworked midway, it will increase the clamping time of the femoral artery itself and lengthen the gap at the distal end of the femoral artery.

Blood time, how do you calculate this time?

Should I suture it up and then make a new incision?

Free?

So some time can be saved, but some time cannot be saved at all.

Yin Yu herself also got off the stage, and then spoke to Lu Cheng in a very gentle tone: "Xiao Lu, today I finally opened my eyes to reality. I saw your surgery video before, and I thought I

I’m watching a synthesized blockbuster. It always feels a little unreal.”

"But this surgery really impressed me. It's all your fault that this patient's hand was saved!" Yin Yu was not stingy in his praise.

Lu Cheng replied: "Mr. Yin, everyone has contributed. If you hadn't opened the incision in advance, this operation would not be so fast or so good."

"Stop using these far-fetched reasons. If you really say that, we will really be embarrassed."

Seeing that Lu Cheng still wanted to explain, Yin Yu changed the topic directly: "We won't mention this anymore. How much credit you have done is obvious to us professionals. It doesn't mean that it doesn't exist if you don't admit it.

Yes, it’s not like we just admit it if you want to brag.”

"But Xiao Lu, I have a heartfelt request. It is in our operating room. In fact, there is video recording equipment. It can record our daily teaching surgeries. This time's surgery is also recorded, so

I hope you will allow us to save your surgery as an instructional video."

"Of course, if you don't agree, I will ask someone to turn off the recorded video immediately. I will also delete the video just now, but I still very sincerely hope that you can leave this video to us. We

It’s okay to discuss the price.”

When he heard that Yin Yu said that they could talk about money, Lu Chengyi was moved, because he was very short of money at this time, and Yin Yu even used money to seduce him, could he control it?

But?

Teaching in a teaching hospital is a bit inappropriate if we really have to discuss money on the table: "Teacher Yin, what you said is ridiculous. You can record the operation process, but I hope you can

Just don't spread it outside, so as not to cause any accidents."

After hearing this, Yin Yu immediately patted her chest and assured: "That's definitely no problem. It's just that, Xiao Lu, I still have to ask more about how to understand the rumor you mentioned."

"Actually, I have received many requests from colleagues in hospitals, hoping to sell your teaching videos to them for viewing. If you are willing to sell these surgical videos as teaching videos, the fee

, which is still quite a lot.”

"This money is so clean that I can't even buy it anywhere else. Do you think this would be appropriate?"

"Of course, we can hide your personal information according to your wishes. It's no problem."

Yin Yu was wearing sterile surgical clothes and sterile gloves. The sterile area of ​​her body was from the shoulders down to the waist up, so it was no problem to pat her chest.

Lu Cheng frowned slightly. He hadn't considered this issue yet, so he didn't know what to choose. So just to be on the safe side, Lu Cheng said: "Teacher Yin, can the surgery I perform be used as a teaching job?"

I don’t know what the material is. How about this? I’ll think about it again.”

Lu Cheng still plans to ask his masters first and listen to their opinions before making a decision. Whether it is Min Hong or Li Dongshan, they are all experienced in teaching and have also held offline training classes.

, so they must have some experience.

Otherwise, if you take advantage of yourself for some immediate gain, then the gain outweighs the loss.

"Of course, you can think about it slowly. The main reason is that I still don't want to be labeled as a selfish person. You know, you may not know how shocking the thrombectomy you performed is. Just take the next one.

Let’s do the surgery. Professor Gu from Ruijin Hospital told me about it, and I have to ask him to come and observe it.”

"Now this operation is your private property and no one else knows about it." Yin Yu said cheerfully.

He was sure that this operation existed, and he would not tell Gu Zhang about it.

Even among hospitals affiliated with the same university, there is healthy competition. Even if there are study resources, I have to satisfy my own people first and then give you the rest. Of course, if you happen to meet me, then I will not

I'm sorry but too selfish to let you see it.

But if you don’t know, I won’t call you.

That's the thing.

We won't invite you to study, but we won't stop you from studying either. The scale is also relatively well controlled.
To be continued...