"..." Professor Zhang was stunned. He looked at the operating area. The heart had not been opened yet, and extracorporeal circulation had just been completed. Does this mean the operation is almost completed
Who is the director looking for? Will he perform heart surgery
Professor Zhang screamed in his heart and looked at Director Mao pitifully.
"Take a good look at the surgery." Director Mao said calmly without comment.
Professor Zhang had no choice but to undergo surgery.
A sharp lancet was slapped into the surgeon's hand, and Professor Zhang felt strange. From the look of the blade, it didn't look like the disposable blades I was familiar with.
What's this
Looking sideways at the instrument table, the nurse didn't recognize it. There was a box on the instrument table, opened in all directions, occupying almost half of the instrument table.
This is…
He also knows the goods. The larger the opening area of this kind of box, the more high-end, sophisticated, expensive and easy-to-use it is.
And the box in front of me seemed to be able to transform like a Gundam, with its expansion reaching an outrageous level.
Not only that, there are surgical instruments of different styles placed on every plane. Even common items such as knife handles and hemostatic forceps have different classifications. Professor Zhang is confused, what are these
"Director Mao, who is writing the operation records here?" Zheng Ren suddenly raised his head and asked.
Mao Chi glanced at Professor Zhang and felt unhappy when he saw him looking at the equipment box in a daze.
Look at your ignorant look! Mao Chi thought to himself, completely forgetting that he had a normal look when he saw this set of surgical instruments for the first time.
"Xiao Zhang!" Mao Chi said in a deep voice.
"Ah?" Professor Zhang replied in a daze.
"Boss Zheng, Xiao Zhang, write the operation record." Mao Chi said.
"Oh. Teacher Zhang, that's it." Zheng Ren said very politely: "During the operation, it was found that the displaced stent was located in the right atrium, about 10 cm long, with one end going down along the inferior vena cava, and the other end embedded in the interatrial septal fossa oval. Above, the interatrial septum is worn and almost perforated at the insertion site, with no obvious thrombus attached.”
Zheng Ren dictated, but his hands were not slow at all and began to separate the large shelf located in the right atrium and embedded in the upper chamber of the fossa ovale.
Mao Chi could see the surgical area and sighed inwardly, no wonder he couldn't remove it with interventional surgery. The big frame is already embedded inside. If he pulls it violently, his heart will definitely be broken.
He knows that surgery is very simple now. But when there was still a chance to intervene to remove the big frame, any doctor would try a few more times.
The interatrial septum is frayed and the inlay is almost perforated.
Seeing the changes in his right chamber, Mao Chi felt a chill in his heart.
Fortunately, I made a quick decision and called Boss Zheng directly to ask him to come to Taiwan's rescue. Fortunately, Boss Zheng came early and stopped his risky attempt.
The wall of the right atrium is worn like this. If you try again, even if you only try once, the heart may rupture and the patient will die directly on the operating table.
so close!
Mao Chi was startled for a moment and secretly rejoiced.
Boss Zheng is still reliable, this thought kept echoing in his mind.
Soon, Zheng Ren carefully took out the stent and repaired the heart with a pericardial patch. The repair suturing is a bit awkward because it has to avoid the bioelectrical conduction bundle branches of the heart.
It doesn't matter if you don't avoid it, but there will always be little troubles of one kind or another after surgery. The patient's quality of life after surgery will decrease by about 3 percentage points.
Professor Zhang almost cried when he looked at the big shelf he took out.
For this thing, I almost fell into the bottomless abyss.
Fortunately, it was taken out. Now the patient's condition is stable and the supraventricular velocity has gradually slowed down. This should be all right.
Professor Zhang prayed in his heart that nothing would happen.
Inferior vena cava was cannulated to restore inferior vena cava blood flow and establish extracorporeal circulation. 2-0 sliding suture "8" suture is inserted into the interatrial septum for reinforcement, and the tricuspid valve closure is detected. 4-0 sliding suture is used to suture the right atrial incision.
The operation was carried out quickly. In less than 10 minutes, the incision in the right atrium had been sutured. Zheng Ren began to remove the extracorporeal circulation and Lao He reduced the dosage of medicine.
"Boss, I suggest you don't let the patient wake up and send him to the ICU for one night," Su Yundao said.
"Huh?" Zheng Ren was stunned for a moment, then realized that this is an international hospital, not 912.
They don't even have a heart. The patient comes down and is extubated directly. If any accident occurs, there is no way to deal with it.
"Lao He, do as Su Yun said." Zheng Ren said.
"Oh, okay!" Lao He immediately resumed the pumped dose of the drug without hesitation.
"Boss Zheng, there should be no problem with the operation." Mao Zhi was a little worried.
"There must be no problem with the operation, but I'm worried that there is something wrong with the care on this side." Zheng Ren said.
"Boss, it's me who's worried, okay? You just didn't think of it at all." Su Yun corrected Zheng Ren's wrong statement.
"Well, Su Yun is worried that his technical level is not enough." Zheng Ren said in a different way.
But...it seems too awkward to speak like this.
Professor Zhang felt that these two young doctors were biased against international hospitals and believed that the technical strength here was insufficient.
But... they are here to save Taiwan, what can I say
Don't even dare to fart.
You can say whatever you want. The heart surgery will be over in less than an hour, and people have the right to look down upon her.
Let’s not talk about private hospitals like International Hospital, let’s talk about 912. Who can complete a heart surgery within an hour with extracorporeal circulation beating continuously
Thinking of this, Professor Zhang suddenly remembered that when he was suturing the heart and repairing the right atrium, he didn't seem to have used a cardiac fixator...
Without a heart fixator, how can we achieve perfect suturing under the strong beating of the heart
He looked at the surgeon blankly and asked subconsciously: "Boss Zheng, why don't you use a cardiac fixator?"
"You don't have one here," Zheng Ren said.
"If I don't say that I can't come out to rescue the patient casually in the future, my level is a little bit low, so I will be thrown on the platform today. There is not even a cardiac fixator, private hospitals... It seems that foreign private hospitals have everything they want." Su Yun talked to Zheng Ren while talking to him. I rinsed my mediastinum, took a look at the ECG monitor, and said casually.
Professor Zhang was speechless.
How dare you perform a beating heart surgery without a heart fixator!
Is this really justified
No wonder Director Mao said at the beginning that he wanted to find Boss Zheng to rescue Taiwan. It turned out that he was very capable.
"The boss's heart rate has dropped, and his supraventricular velocity has disappeared." Su Yun said.
"Yeah." Zheng Ren had already sensed this from the beating of his heart.
Without foreign body stimulation, it is natural for supraventricular tachycardia to disappear. If it doesn't disappear, then we should take a closer look at what's going on.
"It's more satisfying to do cardiothoracic surgery." Su Yun began to close the sternum, thread the wire, and fix it. This surgery is similar to orthopedic surgery, rough and heroic.
"By the way, have you told UMass that you want them to do a thyroid B-ultrasound on the patient?"