Chen Cang''s words greatly inspired everyone present!
Yes!
At this time, what is the retreat?
Meet the difficulties and finish it!
I don''t know why, this time when I washed my hands, everyone worked surprisingly hard and wanted to brush off the skin with a brush!
Well, actually, washing hands in surgery is very troublesome. The brush, brush on the meat, doesn''t hurt!
At least for the little girls with delicate skin and tender meat, it hurts several times more than taking a bath!
Don''t ask me why I know.
Then, Zhou he began to prepare for endotracheal intubation and intravenous fentanyl anesthesia!
……
Anesthesia successful!
Zhou he looked at Chen Cang with encouragement: "come on!"
At this time, Chen Cang began to establish cardiopulmonary bypass to assist bypass.
The purpose of this is very simple. It is to empty the blood of the heart and open the heart later.
Seeing the beating heart, everyone was filled with emotion!
In this case, we will complete an operation later.
Everyone is a little nervous and nervous.
Without saying anything else, even opening the heart will become very difficult now.
Because when the heart beats, the coronary artery flows through, and the operation accidentally cuts the coronary artery. This is a very street thing.
Chen Cang turned and took the scalpel!
Looking at the beating young heart, I''m going to be happy soon. What if I''m a little worried?
……
……
At this time, in the big office outside, a group of people gathered to watch the operation video.
Wu Tongfu frowned when he saw that the artificial cardiopulmonary bypass machine was established at the beginning of the operation!
Don''t you need an cardiopulmonary bypass machine?
Xu Ziming personally reported the operation plan yesterday. He recognized the operation plan very much!
But now why did Chen Cang suddenly change his plan!
At this time, Wu Tongfu thought a little and understood!
Maybe it''s because the patient''s heart can''t tolerate it under such circumstances
An extracorporeal circulation machine must be established.
At this time, such a scheme... Seems to be more ingenious!
Good, good!
The boy''s adaptability is really strong.
Wu Tongfu immediately appreciated more and more. He was really getting better and better.
However, in this way, the difficulty of the operation is all on the surgeon.
Wu Tongfu looked forward to Chen Cang''s performance even more.
……
……
Chen Cang held the scalpel and hesitated.
If according to the previous operation plan, Chen Cang must choose to enter the left atrium through a longitudinal incision behind the atrial sulcus, so that the operation will not affect too much.
But now it''s different. There''s nothing in the heart. Cut directly from the right atrium!
From 2cm above the atrioventricular sulcus, Chen Cang cut the right atrium directly and extended outward and downward along the atrioventricular sulcus.
You can clearly see the picture of entering the right room!
Subsequently, Chen Cang cut the oval fossa vertically and expanded up and down!
The whole process is impartial. It seems that the heart is an obedient child, unharmed!
At this time, everyone saw the mitral valve!
Chen Cang needs to trim the mitral valve under the beating of the heart, but at this time, it is also a more precise operation time!
After all, these mitral valves are not cut as you think. They can''t be too much or too little, and they are well preserved and trimmed to remove calcification.
The whole process must be fine!
care!
Slow down!
However, the crowd watched Chen Cang take the scissors and tweezers, and the operation was as fierce as a tiger!
Xu Ziming, who was scared to one side, immediately trembled!
Before he could speak, Chen Cang had already spoken.
"Give me the patch."
Everyone was stunned!
Is this the end of the repair?
How long has it taken? Can you be serious.
If the posterior wall of the left ventricle is damaged, it will be troublesome. Moreover, if the tendon and * * muscle are preserved during valve replacement... You should first avoid hindering the movement of the artificial valve leaflet and impaction of the valve orifice due to the retained tissue?
Not good repair?
Measure the patch before you get it?
But... Chen Cang, is it too fast?
And... Is it a little hasty?
Xu Ziming swallowed his saliva and decided to persuade Chen Cang: "Xiao Chen... Are you... Too fast?"
Instead of looking up, Chen Cang lowered his head and held 2-0 double headed needle nylon thread with support pad for intermittent mattress suture
After hearing Xu Ziming''s voice, a long voice came out under the mask: "Oh... This, jicao!"
In a word, the people in the room said something stupid.
Fuck?
What is basic exercise?
Several directors looked at each other, full of doubts.
The little nurse whispered: "it''s the basic operation!"
Everyone was stunned and speechless!
Chen Cang continued: "the operation time should not be too long. Although there is no cardiac arrest, in this case, the heart circulation is restored in a moment. I''m afraid the heart has an unsuitable process, so after rapid repair, I still need to deal with the left atrium!"
Hearing Chen Cang''s words, they were slightly stunned. I see!
But... Deal with the left atrium?
How to deal with it?
At this time, everyone took a worried look at the left atrium.
The left atrium seemed to understand Chen Cang''s words and jumped for a while: what''s the matter with me? What are you doing with me?
Xu Ziming couldn''t help asking, "how to deal with it?"
Chen Cang: "cut him."
Left atrium: Bang Bang
The whole patch repair process needs to be very fine.
Mitral valve is a pivotal structure with strong mobility, which requires very subtle repair and suture.
Carefully cut off the broken tendon, long thread, etc. to avoid clamping the flap!
Before and after prosthetic valve suture, flush repeatedly and carefully check the ventricular cavity to prevent prosthetic valve dysfunction caused by left ruptured chordae tendineae stuck valve.
For the same reason, after the valve feeding and knotting, when cutting off the remaining thread, it is not allowed to leave too long thread ends.
Therefore, all this must be handled carefully.
This time, Chen Cang was not careless!
His hands are as flexible as playing the piano, constantly repairing the excess, then stitching, and then repairing
All of these operations are new and surging!
In Chen Cang''s hand, the mitral valve is really like a work of art. It needs to carve out a perfect angle and structure!
Indeed, the human body is really a work of art, which needs careful carving and has a lot of influence!
Chen Cang found that the more he used his eyes, the better he felt.
After all, the repaired mitral valve, the structure, the opening... It''s better than the original one.
The excess thread, tendon and valve can be clearly displayed, making the mitral valve very clear!
The next step is to check the opening and closing function of the artificial valve.
The crowd looked at the mitral valve after artificial repair like the original one and looked forward to it!
For a time, everyone focused!
At this time, normal saline is introduced into it, which is immediately accompanied by heart beat, mitral valve closure... Relaxation
Very flexible!
There is no Caton at all, which seems to be little different from the normal mitral valve.
For a time, people looked at Chen Cang with a little more respect!
Maybe... Is this really basic?
With the heart beating constantly, we can quickly build redundant patches and then repair them. We all know how difficult the whole process is.
But in Chen Cang''s eyes, maybe it''s really just basic exercises
Too strong!
It''s too fast!
It''s too stable!
……
……
PS: Thank you for the 10000 reward of "Fire Dance Chifeng", thank you.