But before Domingo Paul could finish his thoughts about the surgeon, the puncture needle, as if blessed by "magic", ignored the rapid blood flow in the heart and directly penetrated the opposite side of the enlarged left ventricle.
When the puncture was successful, Domingo Paul's eyes almost fell out.
How does the surgeon do this by controlling the "soft" puncture needle
At the same time, in another surgical field, the surgeon quickly fixed the thread on the puncture needle. An anchor was attached to the outside of the left ventricle, and he used hemostats to clamp the wire.
Soon, the same operation began for the second time.
Just like last time, the surgeon who performed the interventional surgery was as calm and indifferent as a machine. He didn't even have a trace of emotion and completed the puncture accurately.
Domingo Paul even believed that the synchronization rate of the two punctures was so high that even the time was almost synchronized.
Regardless of the surgical level, the puncture technique and the surgeon's subtle manipulation of the puncture needle to overcome the influence of blood flow during left ventricular pulsation are enough to shock people.
The more advanced doctors are and the more they understand the anatomy and fluid dynamics of the heart, the more shocked they will be.
Four wires were connected after a few minutes, and the interventricular septum and the outside of the left ventricle were each fixed with anchors.
Soon, several hands appeared in the fields on both sides.
The operation finally slowed down, and a hemostatic forceps appeared in the surgical field.
The surgeon seemed to be dissatisfied with the hand pulling the suture, and brandished the hemostatic forceps to tap on the radial process of the other hand.
At this point in the surgery, Domingo Paul already understood the surgeon's intention.
Sutures are used to pull the hypertrophied left ventricle and external force is used to reduce the left ventricular cavity to achieve the purpose of Battista surgery.
But is it really possible
Domingo Paulo was a little confused.
The patient is now in a state of advanced dilated cardiomyopathy, with soft and weak left ventricular pulses. But even so, you have to be careful when suturing your heart. If you are not careful, the suture will be "torn"!
The surgeon in the live surgery room needs to use sutures to traverse the left ventricle and use the pulling force of the sutures to narrow the left ventricular cavity.
The sutures are under tremendous pressure and can easily break.
Even for sutures made of special materials, how much force should be used to tie the knot is a delicate job.
The surgeon is probably struggling with this. He wants the four sutures to tighten the left ventricular myocardium at the same time, so that the force can be evenly distributed among the four sutures.
The idea is beautiful, and Domingo Paul knows that it involves very deep and complex physics and mathematical calculations.
Intuitively, Domingo Paulo didn't think the surgery would be successful.
The surgeon tapped both hands, and then he stood on the opposite side and tightened the sutures in a weird posture.
In the thoracic surgery field, a pair of deft hands began to tie knots. The power seemed a bit strong to Domingo Paul, and he felt that this section would definitely break.
In the interventional imaging field, the four sutures were so tight that they could break at any time.
Whimsical! Performing such an operation is simply a joke.
Domingo Paul sneered.
He has tied hundreds of thousands of knots in his life and knows all sizes of sutures by heart. Moreover, he is good at Battista surgery and has a good understanding of the pulsating power of the left ventricle.
The surgeon wants to use sutures to shrink the left ventricle. This idea is weird, but it can be achieved. Domingo Paulo does not deny this. In the surgery just now, the surgeon has used superb interventional surgery skills to show the whole process to the world.
But!
Even if there is a breakthrough in materials science, even if the knotting force can be just right, even if... all the details are perfect, how can the surgeon guarantee the strength of the heart's contraction
If the cardiac ejection fraction is insufficient after surgery, the surgery will be in vain.
Regarding this point, doctors in Brazil who have studied Batista's surgery have been studying it for a long time. Every cut of the myocardium that is removed has its own explanation.
Shape, size, angle, everything must be carefully calculated.
The magician is too naive, how can he study the brand-new magic technique clearly in a short period of time. Domingo Paul does not think the operation will be successful. Perhaps this "attempt" will be a Waterloo battle for the surgeon.
While Domingo Paulo sneered, the four sutures were knotted one by one.
In the interventional field, the guide wire and catheter have been withdrawn, and the operation is over.
However, the surgical field did not move. It was obvious that the surgeon was observing the effect of the operation. The sneer on the corner of Domingo Paulo's mouth became thicker and thicker, and maybe the sutures would break in the next second.
I'm really looking forward to it. What will the surgeon do after the suture breaks? Will this live broadcast room be closed in the future
Admit that the operation failed and end it there, or open the chest and perform the Batista operation
Domingo Paul did not doubt that the surgeon could complete the Battista operation, but the patient's condition was so severe that even he himself was unwilling to take on such a terminal patient.
This patient is so lucky to be able to survive until now. Anyone with slightly worse physical fitness would probably have died of heart failure long ago.
He picked up the coffee cup and despised the surgeon in the live broadcast room. Is the short 22-minute procedure just to show his stupidity
However, the next second, with his lips on the coffee cup, Domingo Paulo seemed to be trapped by the immobilization method, and his next move disappeared directly.
The sneer instantly solidified into ice, and Domingo Paul's eyes widened as he looked at the image of the beating heart in the surgical field.
The heart beats so powerfully! The four sutures pull the heart, shrink the hypertrophic chamber of the left ventricle, and restore the normal physiological anatomical structure.
Not broken!
Not broken! !
Not broken! ! !
Watching the beating of his heart, Domingo Paulo had calculated the left ventricular ejection fraction in his mind. This is his area of expertise. He doesn't even need cardiac ultrasound. He can roughly calculate the ejection fraction just by looking at the images and doing mental arithmetic.
The ejection fraction is greater than 50% and has returned to normal levels.
This unscientific!
Domingo Paulo stared at the screen of the interventional surgery. He saw that the hypertrophic chamber of the left ventricle had shrunk a lot, the pulse was strong and powerful, and the ejection fraction definitely exceeded the lower limit of 50% of normal people.
At this point, the operation was declared a success, the surgical field went dark, and the final picture was of the four sutures showing elasticity increasing the contraction of the heart.
The live broadcast room was closed, leaving only countless barrages flying on the screen.
Impossible... Domingo Paul thought to himself.
I had just become the king of Battista surgery, but I didn’t expect that before the patient was discharged from the hospital, Battista surgery had already been eliminated!
The coffee flowed down the corner of his mouth. Domingo Paulo seemed to have Alzheimer's disease, letting the coffee drip onto his clothes and pants.