At this time, in the office, Ge Huai and others thought that the operation was over and were about to turn off the TV.


    Suddenly I saw the broadcast picture lit up again!


    When they saw the operation picture, the three immediately looked happy.


    Surprise!


    There is nothing more exciting than seeing an operation.


    If so, then a few more operations.


    When they saw the pericardiotomy in the picture, their eyes shrank!


    Ge Huai couldn''t help saying, "trouble!"


    Another doctor''s colleague nodded again and again: "well, such an adhesive pericardium is really rare. The adhesion is so close and the pericardium is obviously thickened. It''s really difficult to know the depth of such a knife."


    Constrictive pericarditis is most difficult when the pericardium is closely connected to the outside of the heart.


    At this time, if you want to separate, the difficulty coefficient increases too many times.


    At this moment, everyone is staring at Chen Cang.


    Xia Gaofeng was about to speak, but Tao Mi quickly stopped him.


    He saw Chen Cang thinking!


    No way. Not only Chen Cang, but also everyone present didn''t know how to start such an operation.


    More than ten seconds passed!


    Chen Cang continued to act.


    After Chen Cang reached into the blade, he picked it up slightly. This pick immediately felt that his pericardium was loose.


    Chen Cang looked happy!


    Sure enough!


    Because there is a layer of loose connective tissue between the thickened pericardium and adventitia, this is the interface for stripping pericardial adhesion.


    However, if the adhesion is serious, the connective tissue and pericardial adventitia will adhere closely together, which is difficult to find.


    But!


    In any case, the properties of this layer of connective tissue and pericardium and adventitia are different after all. Chen Cang quickly turned around.


    "Pliers, lift it down!"


    Gao Jianxin nodded quickly. He was curious about how Chen Cang found this layer of connective tissue, but Chen Cang had found the outside of his heart at this time. No matter how confused he was, he could only put forward it quickly.


    After Gao Jianxin lifted the pericardial tablet, Chen Cang quickly pressed his left hand gently on the surface of the heart!


    At this time, you can see a beating heart!


    The operation is too fucking difficult!


    After all, the motion of the heart is not so accurate. If you want to remove the adhesion between the heart and pericardium, there is no absolute level and Kung Fu, but there is really a problem!


    Mild coronary artery injury, causing bleeding!


    The most important is myocardial rupture, life-threatening!


    At this moment, the difficulty of surgery increases in proportion!


    At this time, a small piece of pericardium was lifted up, and you can see the adhesion between epicardium and pericardium.


    Too serious!


    And trouble!


    Because of the adhesion of different tightness, we can''t choose a decisive treatment method.


    Chen Cang turned around and said faintly:


    "Peanuts pliers!"


    "Gauze!"


    The nurse quickly handed it over. Chen Cang put his fingers around the gauze, held his breath and dared not move.


    He said to Gao Jianxin, "well, even force, don''t press!"


    Gao Jianxin took a deep breath and dared not move.


    And everyone around is brought into it by the atmosphere at this time.


    Chen Cang made a slight effort with his fingers and carefully untied the loose adhesion.


    One by one!


    One by one!


    It''s good to say that at this time, there was a roadblock immediately!


    After a cord like adhesion appeared, people couldn''t help staring.


    Everyone sighed: Hey... Some of them did this operation.


    This kind of strong adhesion is the manifestation of severe adhesion and calcification. It is very difficult to separate. Blunt separation is basically not feasible, and sharp separation can only be used.


    Chen Cang put down the gauze, picked up the blade and wanted sharp separation.


    But... The adhesion is getting closer and closer. How can it be separated?


    Chen Cang gritted his teeth and changed places!


    Yes, separating the pericardium is easy first and then difficult.


    Moreover, the basic scope of dissection should be determined by the situation of patients during operation.


    Chen Cang, step by step, difficult stripping!


    However, no matter what order, the apical part must be completely stripped, and the left side is where it needs to be close to the left phrenic nerve, but it can not damage the phrenic nerve, let alone the heart.


    hard!


    At this time, Gao Jianxin carefully stared at the monitoring for fear of any problems, because in case of arrhythmia or unstable myocardial discoloration, more plans and measures need to be taken immediately, and the operation was completed this morning!


    The heart, after all, is different from other areas.


    Therefore, the operation of cardiac surgery starts at Level 3, with an average of level 4


    Therefore, the doctors of cardiac surgery are all doctors, with an average of deputy directors.


    The operation is carried out step by step!


    Finally, Chen Cang found the most critical place.


    A calcified lesion embedded in the myocardium. When they saw this moment, they couldn''t help but change their face and look thick!


    This is a big guy!


    Xia Gaofeng couldn''t help saying, "this... Don''t worry about it?"


    Tao MI was also silent. He was not sure whether it needed to be cut.


    But it must have been cut!


    This embedded in the myocardium has caused serious damage, which is not conducive to the function and recovery of the heart.


    But


    It''s too hard to peel off!


    Compared with the risk of stripping, non stripping is a chronic injury, but... The risk is much smaller, which is why Xia Gaofeng said that stripping is not necessary!


    Everyone was a little worried, because the previous separation was an article on the pericardium, and this time it was stripped off the heart.


    And because the adhesion is serious, we can only do sharp points.


    Holding a knife to play on the heart can''t hurt the heart muscle.


    Isn''t it hard for people?


    But!


    This is surgery!


    There is always an uncertain risk in surgery.


    They couldn''t help looking at Chen Cang, but... Everyone didn''t see a trace of panic in Chen Cang''s eyes or face.


    Plain!


    chill!


    Calm down!


    It seems as simple as cutting the appendix.


    The clouds are light and the wind is light, neither flattered nor disgraced, so calm


    In general, the island shape can be reserved and cannot be forcibly removed.


    However, the boundary of dissection is not clear, and there is serious adhesion. Chen Cang must release the bondage of the myocardial surface.


    Now, it''s a dilemma!


    It''s best to enter, but in case of myocardial rupture, it''s dangerous.


    At this time, Chen Cang boldly made an operation.


    This is an attribute of director Tao of Chen cangxue: stability!


    This stability is relatively stable!


    Thinking of this, Chen Cang raised his mouth slightly.


    He said to Gao Jianxin, "it''s done!"


    At this moment, Chen Cang picked up the blade and peanuts pliers in his hand. He held the pliers in his left hand and clamped the pericardium. His right hand followed the beating frequency of the heart and peeled it carefully!


    This scene directly scared people silly.


    Everyone stared at Chen Cang.


    Can there still be such an operation?


    Are you sure you''re not kidding to keep your hands and heart moving the same?


    Xia Gaofeng couldn''t resist: "hold the grass, cow force!"


    Not only he, but everyone around him was stunned by the stripping of calcified lesions separated and embedded in the myocardium by Chen Cang.


    However, no one dares to disturb.


    No one dares to disturb such a fine work. Even Xia Gaofeng quickly raised his hand and covered his mouth.


    He couldn''t help it!


    This one is the last one.


    Once stripped, the operation was successful.


    At this moment, no one doubts Chen Cang.


    Today, he doesn''t use strange and innovative surgery.


    It''s all traditional surgery.


    However, the more traditional things are made, the more powerful they feel.


    PS: Thank you for your reward on the ninth day of Yangchen. Thank you!


    Push a Book: a small fishing boat at the beginning by Pifu in eastern Zhejiang is the author of "return to 80 and be a big man". The new book written after the old book was blocked tells the story of a reborn Island owner farming. Friends who like it can go and have a look. Overhead article, old author.


    Finally, remember, you can see it, but... You have to bring the ticket back... Or you''ll really cry..