988 This Pie is Too Large (1/2)
The occluder was inserted into the patient's body via a special long delivery sheath before it expanded, just like a parachute being forced to open inside the heart.
The difference was that the occluder was in the shape of dumbbells, and its waist in the middle could fit perfectly at the defect at the left and right atria. Both sides had disks, and the size was different between occluders, and the surgeon could choose the size. The small left disk was only 0.6 inch or 0.7 inch, while the big disk was 2.0 inches or 2.1 inches.
When such a big foreign body was put into a heart, there would naturally be some potential complications. However, for patients who already had severe symptoms, this was an easier plan.
If no intervention surgery was performed, then the person must receive open-heart surgery and sternal closure. In this way, there would be no foreign body in the thoracic cavity, and the issue of rejection could be exempted, but the side effects of open-heart surgery were more severe than those in intervention surgery.
Meanwhile, the room for error in interventional surgeries was far more severe. A good doctor naturally benefited the patient more, but sometimes, the choice of a doctor may not always be more important than the choice of the occluder. Most of the time, there might be a compatible relationship between the occluder and the patient. Some patients would get better with Occluder A, while some were better with Occluder B…
In this case, the interventional surgery by the Cardiology Department and the surgery in the Department of Cardiovascular Surgery became two different things.
The Department of Cardiovascular Surgery tested the doctor's skills more, while the Cardiology Department allowed the pharmaceutical sales company to show their value.
From a doctor's perspective, Ling Ran preferred the operation method by the Department of Cardiovascular Surgery. Even though he completed the process of using the occluder to block the defect very smoothly, the accumulation of the sense of accomplishment was not much.
Ling Ran sighed lightly, and his fingers gently fiddled with the device twice before he announced the end of the surgery.
It was not fun at all!
Similar to a laparoscopic surgery, the complexity of an interventional surgery was mainly shown in two ways. One, the surgery required a high degree of meticulousness. Two, the differences and similarities between the three-dimensional reality and the two-dimensional image on the screen were slightly bothersome, especially for newbies. They needed to practice their hand-eye coordination again before they could get used to it.
However, it was a piece of cake for Ling Ran to perform a surgery like this. Forget about the fact that his Perfect Level Atrial Septal Defect Closure could already solve the problem, even without it, his other relevant skills were also sufficient for technical support.
The previous cardiac trauma repair had allowed Ling Ran to touch the heart, hence the interventional surgery today was not novel at all.
Ling Ran shook his head slightly.
Doctor Lai looked at Ling Ran warily.
In his eyes, Ling Ran's surgery had been performed really well.
In less than fifteen minutes, the surgery was over. A department director would be able to finish the surgery within this amount of time. Therefore, why did Ling Ran sigh? Why did he shake his head? Was he not happy with the Cardiology Department? Was he not happy with the surgery? Or was he not satisfied with the doctors? The surgery had ended, did he still want to get back at them?
Doctor Lai became more worried the more he thought about it, and he broke out in sweat.
”Should I leave the patient in the Cardiology Department?” Ling Ran deliberately asked.
He came to the Cardiology Department because the hospital beds in the Emergency Medical Center were not enough. Naturally, even if the hospital beds were sufficient, Ling Ran would still be willing to look for extra hospital beds.
Department Director Yuan naturally agreed, and he said, ”Pass the patient to us. We generally prescribe 10 units of heparin for three days, twice a day.”
”Sure.” Ling Ran also did not want to adjust the operation mode in the Cardiology Department. Nursing care was a completely different branch, and it also required accumulation of experience. Meanwhile, Ling Ran had temporarily lost a bit of his interest in the Cardiology Department.
Doctor Lai's eyes continued sparkling brightly.
The calmer Ling Ran was, the more he doubted.
After all, this was a surgery from the Cardiology Department. A domestic occluder cost 20,000 to 30,000 RMB, and the imported one would cost 10,000 RMB more, and an interventional surgery generally only took half an hour to finish.