Chapter 583 Put the Elephant in the Refrigerator, a Few Steps
"I think it's just luck," says a tenured Mayo Clinic professor.
Indeed, this is the common thought of all present.
The luck of the surgeon is really good! So good to envy! !
Over the years, the Mayo Clinic has been researching new techniques for TIPS surgery.
The new surgical method of placing a portal catheter as a marker and then finding a puncture point from the hepatic vein was the first to be carried out by the Mayo Clinic.
After the application of the new surgical method, the process of blind TIPS surgery has been improved to a considerable extent.
After all, there is a special catheter in the portal vein as a marker, and there is a target.
In the past, blind piercing had a particularly high failure rate, and one could only rely on the operator's rich experience and luck.
With markers, the success rate has increased a lot, and has been reduced from an average of 20 stitches for successful blind piercing to 4-5 stitches.
Although it is impossible to achieve 100% successful one-needle puncture due to the diameter and blood flow factors of the special marked catheter, it is an extremely important milestone in the development of TIPS surgery.
The Mayo Clinic cannot guarantee the success of one needle puncture, nor can it guarantee the success of five needles.
But the surgeon in the video was so confident that he succeeded with one shot!
This is completely unacceptable to the doctors at the Mayo Clinic.
Good luck, that seems to be the only way to judge.
"Is there anything else?" Another doctor asked with a serious face.
One surgery can't explain anything, you need to watch more surgery videos.
"Let me ask." Wu Chunchun stood up and went out with his mobile phone.
...
...
Dean Qi stood in the operating room, chatting with Professor Liu without saying a word.
Suddenly the phone rang, he picked it up to look, frowned, and walked out of the operating room.
"Old Wu, what's the matter?" Dean Qi asked.
"Is there any video of the surgery?" asked the other side.
"Today it seems to be 8 or 9. There must be more." Dean Qi heard a hint of anxiety and impatience in Wu Chunchun's tone, and couldn't help but feel secretly refreshed.
Especially when I thought of the group of students in the United States who were in the class reunion, they looked arrogant. This Wu Chuntian, working at the Mayo Clinic, lifted his jaw to the sky.
Last year, I wanted to send a few people to the Mayo Clinic to study through his channel, but he was perfunctory.
I didn't expect him to have today!
"Old Qi, please send me the video again." Wu Chunchun said.
"Hehe." Dean Qi smiled steadily, with a deep meaning.
"Old Qi, this is a big deal, not a joke." Wu Chunchun said.
"Video recording of the operation process requires full communication with the patient's family, and a part of the hospital's fee reduction. Otherwise, there may be trouble in the future." Dean Qi said.
But he didn't want to be too embarrassing on that side, and said immediately: "But since you said it, Old Wu, I will definitely do it."
"Hard work, hard work." Wu Chunchun seldom opened his mouth to ask for help, and was a little at a loss.
"It's okay. There are definitely not many patients who can record surgery videos. You also know that the country is still very conservative." Dean Qi said slowly.
Wu Chunchun was so anxious that he was going crazy, he really wanted to see if the brand-new TIPS operation could be done 100% in one stitch.
He didn't think that Dean Qi said that on purpose, so he pondered for a while, and said, "I'm doing some work here, and the number of people going abroad mentioned last time has been increased to 4 people, what do you think?"
"That's too far-fetched, isn't it?" Dean Qi achieved his goal and said immediately, "That's it, I'll do the work of the patients' families."
After speaking, he hung up the phone.
Walking back to the operation room with a smile, the director of the office saw that the dean was in a good mood, and just about to come up to flatter him, he was kicked out by Dean Qi to sort out the operation recording.
The third TIPS operation has already begun, and Gao Shaojie's technique is becoming more and more proficient.
He just missed and knocked Gao Shaojie with the hemostatic pliers, and Zheng Ren immediately apologized. Gao Shaojie was in a daze, but his progress was obvious.
Zheng Ren was a little happy in surprise, Lao Gao insisted on getting it, and he mastered the new approach of TIPS surgery in a short time.
Let's take a look at his technique later, and remind him of a few key points. It is estimated that the second-stage operation can also be carried out.
...
In the Mayo Clinic, everyone is watching the video again.
In fact, there is nothing to see, the most is to watch the excitement.
The surgeon... the assistant, how did they find the puncture point? Everyone is still stunned.
There are some descriptions in the journals, but they are not very detailed. What is the process of researching a new surgical method centered on the journals is simply a fantasy.
Soon, the mail was sent again.
Impatiently, Wu Chunchun clicked on the email and downloaded the video.
The Internet speed of the Mayo Clinic is extremely fast, but Wu Chunchun still felt that the download time this time was too long, which was too long for him to bear.
Finally, the download is complete.
Wu Chunchun clicked on the video and watched it quietly.
There was nothing new about the operation. A patient lay down on the operating table, and then the surgeon began to spread the sheets, while the "assistant" stood in front of the film reader and held his chin to read the film.
It seems that the film is Playboy, Dragon Tiger Leopard, no matter how you watch it, you can't get enough of it.
It was no different from the last video, the surgery went well. The only difference is that the hemostat in the assistant's hand was not used this time.
Piercing kits hit the nail on the head, followed by covered stents and retrievable stents.
Simple... even gives a feeling of monotony.
Is this still TIPS surgery? How does it look simpler than cyst puncture under B-ultrasound?
For cyst puncture under B-ultrasound, the cyst cavity should also be flushed with alcohol or substitutes to achieve the purpose of hardening.
The TIPS surgery in the video is just needle insertion, puncture, stent removal, and the operation is over.
Mu Tao suddenly remembered a joke.
It takes a few steps to put an elephant in the refrigerator.
Yes, everyone knows that the steps are so simple, but no one in the world can do it. Of course, there is no such a big refrigerator.
That's why it looks so amazing.
The second surgery video is still simple and clear, and it simply makes many doctors in the Mayo Clinic want to cry.
Simplify the complex, this is the skill.
After the video was played, everyone stared at the computer screen dumbfounded. No one is in the mood to comment, or replay the video at this point.
Really nothing to see.
Even if you read the simplest steps 10,000 times, if you don’t know the principle, you still can’t understand them.
There was silence in the laboratory, the low rustling of the electric current so clearly.
"Boom~" The email sounded, and everyone who was thinking was startled.
Wu Chunchun clicked on the email, opened it, and played the video.
It was still such a boring operation video, as if it was exactly the same as the previous two, simple and plain.
Several videos, the only thing to prove is that this article published in "The New England Journal of Medicine" is correct in thinking, and it has been tested by countless surgeries before.
A brand new operation that overturns the old TIPS operation has appeared!