With Chen Cang's order.

All the medical staff entered the preparations for the war.

"The deep vein cannulation is completed!"

"The monitor is finished!"

"The blood is ready!"

...

The anesthesiologist is not the director of the Department of Anesthesiology, but Zhou He!

Zhou He is quite good at anesthesia of cardiovascular surgery and has a good grasp of patients. If it weren't for the struggle of the department, he might have been the director in the original hospital.

When I came here, Wu Tongfu personally invited me and was also a candidate for the Department of Anesthesiology.

The patient needs to keep his side lying, expose the entire side of the heart and make an arc-shaped incision up to one meter long!

Because there are many branches of the thoracic and abdominal artery to be replaced, it provides at least six anastomotic mouths for the intercostal artery of the spinal cord, bilateral renal artery, abdominal trunk, superior and inferior mesenteric artery, and bilateral common iliac artery!

After Chen Cang drew the line, the wound almost split a person.

Start around the anterior chest area from the third rib on the left mid-axillary line, and go down to the center of the sternum, straight down to the navel position, and then to the anterior superior iliac spine.

The length of the entire cutout looks very ferocious!

Moreover, the most important thing is that patients do not have time to do precise examination methods such as ct, mr, x-ray, and angiography.

It is very difficult to complete the operation accurately based on echocardiography and electrocardiogram and x-ray examination alone.

Zhou He couldn't help asking: "Doctor Chen, do you want to have a low temperature extracorporeal circulation?"

This question has become the first question facing everyone!

Is low-temperature extracorporeal circulation technology used?

If used, it means that complications of extracorporeal circulation include bleeding, brain and pulmonary complications greatly increase postoperative mortality.

However, the total thoracic and abdominal aorta replacement surgery performed in some heart centers is extremely trauma, takes a long time, and uses a lot of blood!

If performed with extracorporeal circulation assistance and deep and low temperature stop circulation, it can effectively reduce the risk of surgery and ensure the stable operation.

The first contradiction stumped everyone.

Chen Cang handed the marked marking pen to Ge Huai and shook his head: "Use the normal temperature non-extracorporeal circulation technology, block it in segments during the operation!"

Zhou He nodded and immediately started to prepare.

He doesn't need to doubt Chen Cang's skills. In this war, Chen Cang is the only handsome man!

Even if the emperor comes to the battlefield in person, he can only watch the commander deploy troops as a "mascot"!

Wu Tongfu didn't say a word from beginning to end, and it was clear that everything was up to Chen Cang.

As we all know, once the room temperature non-extracorporeal circulation technology is performed, the patient's survival chance will increase a little, but the pressure of the surgeon will increase by a geometric multiple.

Especially when dealing with thoracic aortic replacement surgery, the beating of the heart and the progress of circulation will become an obstacle to the surgery.

This requires the surgeon to have sufficient abilities!

Zhou He has never doubted Chen Cang, at least he will not doubt it now.

But Li Baoshan and Xu Ziming wanted to speak but stopped.

Finally, I clenched my fists and decided to fight!

that's all……

The moment Chen Cang took the scalpel also means that the operation officially began!

The incision is very long and does not need to be exposed at once. It needs to be carried out gradually according to the surgical stage.

However, patients are an exception. The surgery must first undergo anastomosis of the end-side of the iliac artery, so as to ensure that during the area of ​​the ascending aortic surgery, ischemia and necrosis caused by blocking blood due to the kidneys, abdominal organs and other areas.

In this case, the large blood vessels in the chest must be processed, so the operation may require a large-scale operation to fully expose all the thoracic and abdominal aorta.

Actively take all rescue measures!

In case of rupture of the patient's ascending aorta during the operation, it can be stopped in time.

Bilateral iliac artery artificial end-side anastomosis becomes the first step in the surgery!

Unlike simple abdominal aortic replacement, it is necessary to first establish a retrograde blood perfusion pathway of descending thoracic aorta, artificial blood vessels, and left iliac artery to ensure the blood supply to other organs when anastomosis of the intercostal artery, abdominal artery and lower limb artery.

But in this way, it is necessary to accurately control the surgical time, and the time for vascular and artificial blood vessels to coincide is very limited.

With the help of Li Baoshan, the abdominal tissue forceps controlled the surrounding surgical field, and Xu Ziming exposed the location of the aortic aneurysm and began to separate the surrounding abdominal omentum layer by layer.

At this time, Chen Cang handed over a series of instruments such as probes, separation forceps, scalpels, and spatulas to Ge Huai.

"Take it for me."

After saying that, Chen Cang took the lead in getting a scalpel.

The doctors around him were a little confused when they saw Chen Cang holding so many things. What are they doing?

Even the equipment nurse felt a little blushed. Is this not trusting myself?

However, after the operation began, everyone realized that Dr. Chen might really need someone who can quickly hand him the equipment at any time and anywhere.

After Xu Ziming separated the area of ​​the aortic dissection.

A dissection aneurysm that was seven or eight centimeters long appeared in front of everyone, and Chen took a deep breath.

"Block!"

After saying that, I quickly began to clear the aorta and began to clean the tumor cavity.

The whole process is fast and accurate!

At this time, Chen Cang kept changing the equipment in Ge Huai's hands.

Probes, tweezers, separation of forceps, and scraper.

Even Wu Tongfu was confused by Chen Cang's actions!

Is this a little too exaggerated?

But when Li Baoshan looked at it, he was a little shocked.

Because he found that Chen Cang's choice seemed to be the best choice.

He can always put things cleaned up and use the most suitable equipment to complete.

It looks simple and even troublesome!

However, in this way, the cleaning can undoubtedly be effectively completed and even better protected the endometrium of the blood vessels.

Li Baoshan cooperated carefully, while Xu Ziming stared at Chen Cang's every step of his operation with his eyes fixed on him.

I dare not relax at all.

The equipment nurse was also stunned at this time.

Because she discovered that Dr. Chen was not looking down on him, but because he needed to quickly change the equipment at any time.

Even...she felt that what Dr. Chen needed was a specialized equipment nurse.

Otherwise, it would not be enough to maintain his operation.

But Ge Huai was very involved at this time!

I originally thought that Chen Cang called him to take the equipment because he looked down on or humiliated him.

Now it seems that this is not the case!

Compared to the people around him, Ge Huai found that... it seemed that he could only do such a job.

Moreover, he could even see Chen Cang's operation from his angle.

If you think about it carefully, it was Chen Cang who was helping him!

For a moment, Ge Huai was also mixed with emotion.

However, he didn't dare to think too much. Since Chen Cang helped him so much, he had to do his job well!
Chapter completed!