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Chapter 306 Ablation circuit scheme of Tanglou

Soon Tang Lou and Wu Changlin returned to the office. Wu Changlin began to search for relevant videos and learned about the Cox Maze III technique with great interest.

Wu Changlin studied for a while, then looked at the Tanglou beside him. What surprised him was that the Tanglou did not open the relevant video to study, but instead drew something unknown on the paper.

Wu Changlin touched his chin and looked at his videos more carefully, thinking that although he was not very talented, he could still surpass Tanglou through hard work. The so-called stupid bird flew first.

After studying for a while, Wu Changlin began to study the details of the Cox Maze III technique, especially how to design the main means of "cutting and sewing".

At this time, Tang Lou looked at Wu Changlin and asked, "Doctor Wu, do you have a heart model over there that you can study for me?"

"Heart model?"

Wu Changlin suddenly realized that Tang Lou was trying to design incisions and sutures on the model: "Dr. Tang, are you trying to simulate the incision and suture design of the Cox Maze III surgery?"

Tanglou thought about it and decided that he was still trying to improve the ablation line, and instead of using traditional incisions and sutures, he would use Medtronic bipolar radiofrequency forceps and monopolar pens to complete the right atrial ablation line, right atrial ablation line, so

It's different from the regular Cox Maze III technique. I couldn't explain it directly to Wu Changlin, so I could only say perfunctorily: "That's not true, I just have a little idea, just give it a try."

After Wu Changlin heard this, he also became interested: "There are some. I'll get one. By the way, when did you secretly learn the Cox Maze III technique?"

Tanglou said half-seriously: "Just when you were looking at it, I also looked at it again. Mainly because you were too focused and didn't notice it."

Wu Changlin opened his mouth slightly, feeling a bit shocked. Will he be able to read it once?

Wu Changlin quickly brought over a model that was twice the size of a real heart. The equipment and equipment in the First City Hospital were of very high quality. Tanglou took it in his hands and looked at it, and found that the anatomical structure of the heart was very clear and detailed.

"Dr. Tang, are you trying to design a plan for cutting and suturing the left atrium and right atrium?"

Wu Changlin watched with great curiosity. After all, Tanglou had a good reputation. He also wanted to know how far this young man, who had just transferred from general surgery, could do it after watching the Cox Maze III surgery.

Tanglou did not admit or deny it. He picked up two markers, one red and one blue, and started drawing on the heart model. He was very focused and soon became immersed in it. It was as if he was actually performing an operation on the operating table.

Tanglou held two pens in his hands, the simulated bipolar radio frequency forceps and the single-stage pen, and started to draw on the heart model.

Soon it appeared on the right atrium, two circles with double red lines, a small opening with a single blue line, which looked like a sword from a distance, and finally, at the very edge, a circle that looked like a flower was drawn.

Line type.

Looking at the ghostly symbols drawn by Tanglou, Wu Changlin was suddenly confused. Although he was not proficient in this surgery, he still had basic judgments, and he looked at the lines drawn by Tanglou very carefully several times.

It has nothing to do with the cutting and sewing scheme at all.

"This is too amateurish. There are no incisions and sutures designed like this."

Wu Changlin muttered in his heart, and the more he looked at it, the more outrageous he felt about Tanglou.

"What's this for?"

I saw Tanglou starting to draw on the left atrium again, and the movement of holding the pen was very weird, as if he was holding an unknown instrument. Looking at the symbols on the model, Wu Changlin became more and more puzzled.

The faces are all squeezed together: "This looks like a pig's nose shape, hey, two more blue lines are added, these are the same thing!"

Wu Changlin watched for a while and completely lost interest in the performance art in Tanglou.

"I just said, look at it, how can you master such a difficult surgery? It's okay for people from the general surgery department to do some basic surgeries, but when it comes to this kind of professional heart surgery, it's like being blind, and the departments are separated by mountains."

Wu Changlin still sat back in front of his computer obediently, started to watch his video, and kept nodding: "This is the orthodox Cox Maze III technique, what the hell is that in Tanglou! It seems that Director Qian and the others are also the same

Overestimating the level of tenement buildings.”

After Wu Changlin watched the surgery video again, Tanglou had also completed the design of the ablation lines for the left atrium and right atrium. However, because Tanglou used red and blue pens instead of radiofrequency ablation, it seemed very strange and the first of its kind.

It is an improved technique, so it is very difficult to understand. In the eyes of ordinary people, it is just a series of strange red and blue symbols.

If the top experts in the field of Cox Maze III technique were to look at it, they would be able to see Tanglou’s ingenious thinking:

Since the ablation line on the right atrium incision and the left side of the right atrial appendage cannot reach the tricuspid annulus due to the bipolar ablation forceps, a monopolar radiofrequency pen is used for "supplementary ablation" for the ablation here, so that the radiofrequency line here can reach the tricuspid annulus.

at.

The ablation of the left atrium isthmus cannot reach the mitral annulus, so a monopolar radiofrequency pen is also used here to perform "supplementary ablation" to make the ablation line reach the mitral annulus. At the same time, the heart is turned upward and applied to the epicardium.

The monopolar pen extends the mitral isthmus ablation line and fully ablate the coronary sinus…

Tanglou looked at the ablation line again, put the heart model on the table with satisfaction, and looked at Wu Changlin: "Dr. Wu, I want to go to the laboratory. If Director Qian starts a consultation later, you can call me.

one time."

Wu Changlin nodded, looked at the heart model on the table in the tenement building, and shook his head: "The brain circuit of a genius is really different from that of ordinary people. What are you doing in the laboratory if you are not here to sharpen your guns and research techniques?"

After a while, Director Qian came to the office and walked over: "Dr. Wu, Dr. Tang, follow me to the consultation room. I have already contacted the two chief doctors of the Department of Cardiovascular Medicine at Zijingang Hospital. I will be here soon."

Start remote consultation. Hey, where is the Tanglou?"

Qian just walked in and saw that the seats in the tenement building were empty.

Wu Changlin stood up immediately: "Oh, Dr. Tang said that he has something to go to the laboratory to verify. How about I call him?"

Qian Gang thought for a while: "You first go to the consultation room to set up the venue and test the signal source. I will go to the laboratory to find him."

Director Qian also wanted to know what Tanglou was doing. Before leaving, he accidentally glanced at the heart model on the table in Tanglou and saw some strange red and blue lines, but he didn't pay much attention to it.

However, this picture did leave an impression in his mind.

Soon, Director Qian came to the supporting laboratory of the Department of Cardiovascular Medicine of the First City Hospital, and saw Tang Lou tinkering with a set of Medtronic bipolar radiofrequency forceps and monopolar pens, which were introduced to the department not long ago.

The equipment was not promoted and practical.

Seeing Tanglou being so curious about the new equipment, Director Qian also smiled. After all, he was still a young man in his thirties, and he was really playful.

Director Qian coughed lightly: "Tanglou, stop playing around and follow me to the consultation room. Experts from Hangzhou have agreed to guide us and design a surgical plan for the patient together."

When Tanglou heard Director Qian's call, he stood up immediately. Anyway, he had already tested it. The set of radio frequency forceps and single-stage pens in the laboratory for trial use were suitable for the Cox Maze IV surgery he proposed.

Soon Tanglou followed Director Qian to the consultation room, and Wu Changlin had already debugged the signal source. Soon, through the screen, a cross-hospital consultation officially kicked off!
Chapter completed!
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