Could it be that he has seen a ghost? Professor Zhang looked around in a daze. Boss Zheng, Director Li, and Professor Yang were concentrating on the surgery.
Su Yun!
This is... It was only then that he saw Su Yun's right hand reaching into the surgical area, pressing on the patient's diaphragm, and moving rapidly at a frequency of nearly two times per second.
The frequency is extremely fast, causing a squeezing waveform in the heart through the diaphragm, and external force is used to help the patient resume mechanical blood pumping.
How did he do that!
Professor Zhang was stunned.
In liver transplantation, it is not uncommon to press the heart through the diaphragm. As an academic pioneer, although Professor Zhang does not perform liver transplantation, he still knows some relevant common sense.
However, the several transdiaphragmatic cardiac compressions he had seen were all performed by the surgeon. After the patient gets through the blood pressure shock after the portal vein is opened, sinus rhythm will return to sinus rhythm on its own after 3-5 minutes. After that, the surgery continued.
If it doesn't work, the chest needs to be opened and heart compressions started under direct vision.
But Boss Zheng continued the operation. He brought a Zeiss microscope and sutured the blood vessels stitch by stitch, as if he didn't even notice that the patient's heart... had stopped beating!
This combination made Professor Zhang want to cry.
I really want to cry.
As a doctor, who doesn’t dream of joining a team that works well together, each performing its duties, trusting and respecting each other? There is no intrigue and all focus is on healing.
Of course, this is just a dream.
But I saw this scene on Boss Zheng’s team.
Professor Zhang felt goosebumps all over his body, but the feeling of blood rushing to his heart was fleeting.
Su Yun, the young man who was once known as the rising star of cardiothoracic surgery in the imperial capital, showed what kind of skills!
When pressing the diaphragm, the force must be sufficient, otherwise the heart will not feel enough force and the ECG monitoring waveform will not show a squeeze waveform.
But he did this without affecting the operation!
It's absolutely terrible.
Professor Zhang's whole body was filled with ice. He had never even thought of this method, let alone seeing it before.
"Epinephrine, 1 mg, intravenously." Su Yun said.
Lao He picked up an epinephrine that had been drawn into a syringe, opened the three-way connection, and injected it into the blood vessel.
"Come again!"
"Come again!"
Invasive arterial pressure monitoring systolic blood pressure slowly rises to 60mmHg under the action of transdiaphragmatic cardiac compression and drugs such as epinephrine and dopamine.
Is this enough? Professor Zhang found it a little scary.
He looked at Su Yun like he was watching a horror movie,
Although he is bitter and mean,
Although he is proud of his talent,
But they do have the ability!
It does not affect the operation, shortens the anhepatic period, and can perform cardiac compressions. Professor Zhang objectively judged that he would definitely not be able to do it.
But the more precise the operation, the more difficult it is. This is an axiom.
No matter how easy it looks, it's all in disguise. Use countless efforts just to make people look relaxed.
Su Yun only lasted 2 minutes and 23 seconds doing this kind of heart compression, and then he felt a little tired.
"Boss, hurry up!" On the operating table, Su Yun rarely cursed.
"It's almost time, hold on a little longer." Zheng Ren said, "Old Fan will definitely be here longer than you."
"How can it be the same?" Su Yun said angrily.
Even though he was talking, there was no delay whether it was heart compression or blood vessel anastomosis.
"Adrenaline, give it another shot."
Zheng Ren finished anastomosing the next blood vessel and said in a deep voice.
2 minutes and 44 seconds…
2 minutes and 52 seconds…
3 minutes and 15 seconds…
Professor Zhang's days are like years.
But what was more painful than him was Director Li and Professor Yang from the Department of Hepatobiliary Surgery standing on the operating table.
Boss Zheng's hand speed is so fast, it's like flying.
But fast is fast, but fast and stable.
The left hepatic vein was sutured with 4-0 prolene suture, and the anterior wall of the inferior vena cava was cut along the common trunk of the middle and right hepatic veins to match the width of the suprahepatic and inferior vena cava of the donor, and was sutured with continuous eversion with 4-0 prolene suture. The donor and recipient portal veins were sutured continuously and everted with 6-0 prolene sutures.
However, Director Li and Professor Yang were not distressed because they could not keep up with Boss Zheng's pace.
The two of them stood opposite Boss Zheng. Director Li could not help at all except pulling the hook, so he could only stand stupidly.
Although the prolene thread looks a bit thick under the microscope, Boss Zheng chose micro-suturing.
Director Li didn't dare to move, for fear that his kind help would end up tearing his blood vessels.
Except for Su Yunzai's continuous heart compressions, the operating table was... very quiet.
3 minutes and 52 seconds.
"Okay." Zheng Ren put the hemostatic forceps and needle holder on the side of the patient's leg and said softly.
"It's so slow." Su Yun said contemptuously.
"..." Everyone in the viewing platform did not understand Su Yun's words. This old talk was too harsh.
If this is still slow, what is faster
"I have no choice but to do it to this extent." Zheng Ren seemed a little embarrassed, and he took a deep breath and said, "When my technical level improves again, it may be faster."
“…”
Everyone began to curse secretly in their hearts.
Boss Zheng, you are still thinking about technological advancement, are you preparing to break through the sky
At this time, Su Yun's frequency also gradually slowed down.
2′23″ later, the ECG slowly returned to sinus rhythm, and the invasive arterial blood pressure monitoring showed that the systolic blood pressure returned to above 90 mmHg.
The dangerous period is over.
Zheng Ren was not in a hurry when he reached this point. Instead, he continued to use 7-0 prolene suture to continuously suture the donor's proper hepatic artery end-to-end, and used 6-0 PDS suture to suture the donor-recipient continuously on the posterior wall and intermittently on the anterior wall. Common bile duct.
Professor Zhang tried hard to recall the entire process of heart compression, and it seemed that his boss mentioned Lao Fan.
Su Yun's technique had already amazed him. From what Boss Zheng said, Lao Fan's skills seemed to be superior to Su Yun's.
Is there a doctor named Fan in the Imperial Cardiothoracic Surgery Department
There is one in Xiehe, but it seems that he was still hospitalized the year before last. There is also an associate professor named Fan at East Oncology, but I can only say that his quality is good, but I cannot say that he is really amazing.
"Boss Zheng, who is Lao Fan you are talking about?" Professor Zhang asked confidently when he saw that the most dangerous period of liver failure had been passed after the operation.
"Old Fan?" Zheng Ren said casually and immediately stopped talking.
He was suturing with a microscope, and even the trembling of his body muscles had to be controlled. Otherwise, if the blood vessel wall moves under the microscope, it will be like riding a roller coaster.
It won't affect the surgery, but it will affect my mood.
"Lao Fan, I'm a security guard at the community hospital." Su Yun took his right hand out of the patient's abdominal cavity and looked up at Professor Zhang.
“…”
“…”
In the operating room, except for the people in the medical team... Lin Yuan in the medical team didn't know about this either.
A security guard is actually proficient in such advanced heart compression techniques? !
What the hell!
After hearing this, Professor Zhang felt sad in his heart.