MTL - Doctor’s Life Simulator-Chapter 261 Symposium on Young Surgeons of Chinese Medical Association
The Perclose Vascular Stapler is a very advanced suture system that completely eliminates the traditional incision and suture method.
The whole operation steps can be divided into several steps: positioning, injection, needle drawing, closing and locking.
This vascular stapler is suitable for 5-8Fr, which is about 1.67-2.67mm sheath, so it is very suitable for this aortic suture performed by Qinlang.
For this part of the operation, the observation room, the general surgery conference room, all the doctors are very novel.
One by one, their horizons were widened. If it wasn't for Professor Shen Xi's endorsement, he would not have dared to let Qin Lang attack like this.
Under the auspices of Qin Lang, the anesthesiologist performed local infiltration anesthesia on the patient. Since the Perclose vascular stapler does not have a J-shaped guide wire, Qin Lang wisely chose to use the J-shaped guide wire in the puncture catheter sheath assembly.
The entire Perclose Vascular Stapler is like a large syringe, consisting of a needle handle, a foot controller, a marking cavity, and a quick scissors mouth.
The head is a long delivery rod, with feet and connecting wires on the head. Qin Lang put it into the blood vessel while everyone was watching, and pulled out the guide wire. After that, the metal part of the joystick was gently squirted out into the blood.
After this step is completed, a very critical positioning is entered. After reaching the appropriate position, the suture wings are opened, the suture system is gently withdrawn until there is resistance, and the blood flow of the marker tube stops.
The next operation is very simple, but it requires a lot of actual combat experience to adjust the strength. For this, Qin Lang is of course holding the handle.
Qin Lang kept the joystick at 45° with his left hand, pressed the needle handle with his right hand and made close contact with the shoulder of the stapler. After pressing the needle bolt, the blood vessels were sutured, and the tension was maintained for about 10s.
The entire vascular suture system is automatically sutured, and what Qin Lang has to do is to wait, then start to pull out the needle, stabilize the operation lever with his left hand, slowly pull out the needle plug with his right hand, and straighten the suture. To two slender needles, cut the sutures.
After the suture is placed, the side hole of the Perclose joystick is fed into the guide wire again, the suture is replaced, and the positioning is performed again. The same operation is performed, but the angle is changed.
After all this is done, it is time to close the knot and withdraw the stapler until the white guide wire exit emerges on the surface of the skin.
Through the field of vision, the directors were able to see clearly two stitches, a longer blue stitch and a shorter white stitch at the end.
Everyone looked at Qin Lang in disbelief, performing this unprecedented amazing operation.
"This is simply a landmark new aortic suture method!"
"With this Perclose Vascular Suture System, the suture of the aortic vessels, which previously required great risk, was easily achieved."
"In addition to this, the traditional way of groin incision is safely avoided."
Director Tong Jinshan looked at Qin Lang and Professor Shen Xi in the operating room with respect on his face.
Han Hu and Zhou Heng were also stunned. Of course they knew about the Perclose vascular stapler, but it was the first time that it was used in the surgical repair of aortic aneurysms, especially Qin Lang's pioneering dual vascular stapler. application.
"Professor Shen, who usually does not make a sound, is alone in the tumor prevention and treatment center, conducting various experiments. I didn't expect that today is just his student. When he made a move, it was an eye-opener for me. It's really ashamed. ."
Before Zhou Heng, he still wanted to learn the traditional thoracoabdominal aortic aneurysm repair with Professor Shen Xi. Who would have thought that the other party had already achieved crushing on another track.
"It seems that after today, starting from this academic activity, Zhejiang Province will realize the promotion of this new technique!"
As the organizer, Tong Jinshan, of course, has a bright face. This academic exchange activity, just the brand-new technique shown by Professor Shen and Qin Lang, has lived up to expectations and is enough to become a good story.
After completing the operation, Qin Lang and Professor Shen Xi also washed their hands and cleaned up and returned to the directors.
Seeing that Professor Shenxi came out with Qin Lang, the directors also gathered around, with admiration on their faces, and congratulations in their words.
"Professor Shen, today's brand new abdominal aortic aneurysm stent-graft endovascular isolation and Perclose vascular suture technology are really amazing."
"Been taught a lesson!"
In particular, Director Zhou Heng, who was still high-spirited before, really sighed to himself in front of Professor Shen Xi.
Wang Heng looked at Qin Lang with envy, and admired his talent, and at the same time envied his opportunity. After all, meeting such a famous teacher would be able to avoid many detours.
Han Hu also looked at Shen Xi in disbelief:
"Professor Shen, you really hid it so deeply. I didn't expect that such cutting-edge advanced technology has already begun to spread and flourish."
After everyone praised Professor Shen, they put their ideas on Qin Lang:
"Director Tong, speaking, this year's Young Surgeon Symposium of the Chinese Medical Association will be held soon. Moreover, today's symposium is hosted by me in Hangzhou. I think, this time we have Zijingang First Hospital. It is possible to send out a combination of big and small kings and kings. This year, I can really show the style of our Zijingang No. 1 hospital in front of these elite young doctors in the magic capital and imperial capital. "
Han Hu was the first to make a proposal, and he was naturally referring to Wang Heng and Qin Lang.
"Speaking of which, the annual Symposium on Young Surgeons of the Chinese Medical Association also invited Associate Professor Liao Yan of the Surgery Branch of the Chinese Medical Association to preside over the meeting."
"Yes, Professor Liao, as the director of the Department of Oncology Surgery of the Imperial Union Medical College Hospital and the assistant of Academician Wu Jizong, the President of Imperial Union Medical University, he still has great strength and personal prestige in the field of surgery in my country, and Academician Wu even regards him as an associate academician. cultivated."
"Hopefully, this time, when Professor Liao comes to our Hangzhou city, he can leave a deep and good impression on our Zijingang First Hospital."
Hearing what everyone said, Liao Yan, Wu Jizong, and Professor Shen Xi also had a different kind of brilliance in their eyes. No wonder my brother, he is also going to Zhejiang Province at this time, and he should have come to Hangzhou with Liao Yan.
However, as academician Wu Jizong, there is a high probability that he will not participate in this Symposium on Young Surgeons of the Chinese Medical Association. After all, these young doctors are not enough, and Academician Wu's time is very precious.
When several directors of Zijingang First Hospital were discussing internally, Zhou Heng on the side couldn't stand it any longer:
"Director Han, Director Tong, although Qin Lang is currently a graduate student under the name of Professor Shen~www.novelbuddy.com~, but his personnel relationship is in our city's first hospital, even if he wants to participate in this Chinese Medical Association Surgery Youth Academic Seminar Yes, it should also represent the first hospital of my city."
When Director Zhou Heng spoke, he was a little lacking in confidence. After all, over the years, the First Hospital of Hecheng City has not seen any young doctors who can participate in such high-level seminars.
Han Hu and Tong Jinshan were at a loss for words about Zhou Heng's fight. After all, Qin Lang was actually a doctor from the First Hospital of Hecheng City.
Thinking about it like this, I suddenly felt that it was a pity, how could a good seedling like Qin Lang live in the first courtyard of Hecheng City.
Several people discussed the Symposium on Young Surgeons of the Chinese Medical Association, and they thought of a fatal problem:
"Qin Lang, you have published several papers before. Are there any top journals? If you don't have any results, it will be difficult for you to enter the Zhejiang Medical Association Branch. If you do not join the Medical Association Branch, you are not eligible to participate in this seminar."
After all, there is a requirement to participate in this kind of seminar as a guest speaker, that is, the physician publishes papers in top journals, and at the same time joins any provincial branch of the medical society in the field of surgery.
This is also the reality that the medical field is very fucked. Many things, in addition to clinical technology, also require hard indicators in scientific research. The directors are worried because Qin Lang looks too young.
Obviously, Qin Lang has enough surgical skills and clinical capabilities, but it would be a pity if he could not participate in the conference because of insufficient scientific research indicators.
