Chapter 828: Fundamental! (You can make a big deal for the leader 3)(1/2)
Chen Cang's words greatly inspired everyone present!
yes!
At this time, what is the way out?
Face the difficulties and just do it!
For some reason, when washing hands this time, everyone exerted surprisingly hard, hoping to brush off the skin with a brush!
Well, surgical hand washing is actually very troublesome. If you brush the brush on the flesh, it hurts so much!
At least for the little girls with tender skin, this is several times more painful than scrubbing!
Don't ask me why I know.
Immediately afterwards, Zhou He began to prepare, endotracheal intubation, and intravenous combined fentanyl anesthesia!
...
The anesthesia was successful!
Zhou He glanced at Chen Cang with encouragement: "Come on!"
At this time, Chen Cang began to establish extracorporeal circulation to assist in transfusion.
The purpose of this is very simple, which is to empty the blood in the heart to open the heart in a while.
Everyone was deeply moved when they saw the heart that was constantly jumping!
A surgery will be completed later in this situation.
Everyone was a little nervous and nervous.
Not to mention anything else, even opening the heart will become very difficult now.
Because when the heart beats, the coronary artery flows through, and the coronary artery is accidentally cut through the surgery, which is a very disappointing thing.
Chen Cang turned around and took the scalpel!
Looking at the young heart that was pounding and leaping, I was about to be happy. What should I do if I was a little worried?
...
...
At this time, in the large office outside, a group of people gathered together to watch the operation video.
After Wu Tongfu saw that the operation was started and the artificial extracorporeal circulation machine was flowing, he immediately frowned!
Aren't you not using an extracorporeal circulation machine?
Yesterday, Xu Ziming reported the surgical plan personally, and he recognized the surgical plan very much!
But now why did Chen Cang suddenly change his plan!
At this moment, Wu Tongfu thought for a moment and understood!
It may be because the patient's heart cannot tolerate it in such a situation...
An extracorporeal circulation machine must be established.
And this solution at this time... seems to be more clever!
Not bad!
This kid has a really strong adaptability.
Wu Tongfu suddenly felt a little more appreciative in his heart, and he was getting better and better.
However, in this case, the difficulty of the operation will be on the surgeon.
Wu Tongfu is even more looking forward to Chen Cang's performance.
...
...
Chen Cang held the scalpel and hesitated for a moment.
If we follow the previous surgical plan, Chen Cang must choose to go through the longitudinal incision from the back of the room groove to enter the left atrium, so that the operation will basically not affect too much.
But now it’s different, there is nothing in the heart, and it’s directly incision from the right atrium!
From 2 cm above the atrioventricular groove, Chen Cang followed the jump of his heart and directly cut the right chamber into one mouthful, extending outward along the atrioventricular groove.
Everyone can clearly see the picture entering the right room!
Then, Chen Cang cut the oval fossa lengthwise and expanded up and down!
The whole process is impartial, as if the heart is just an obedient child, unscathed!
At this time, everyone saw the mitral valve!
Chen Cang needed to trim the mitral valve under the beating of his heart, but at this time, it was a relatively precise surgery moment!
After all, these mitral valves are not as casually cut as you think. They cannot be too many or too few, and they are well preserved and trimmed out the calcified ones.
The whole process must be meticulous!
Attentively!
slow!
However, everyone watched Chen Cang take the scissors and tweezers, and his operation was as fierce as a tiger!
Xu Ziming, who was so scared that he suddenly shivered!
Before he could speak, Chen Cang had already spoken.
"Give me the patch."
Everyone was stunned!
Is this repaired?
How long has it been used, and can you be more serious?
If the posterior wall of the left ventricle is damaged, it will be a big problem. Moreover, if the chondrome and the muscles are retained during the flap replacement surgery... you should first avoid hindering the movement of the artificial valve leaflets and the impaction of the flap orifice due to the retained tissue, right?
Not to be repaired properly?
After measuring the patch, get it?
But... Chen Cang is too fast, right?
And...will this be a bit sloppy?
Xu Ziming swallowed and decided to persuade Chen Cang: "Xiao Chen... are you... too fast?"
Chen Cang did not look up, but instead lowered his head and held a 2-0 double-headed nylon thread with support pad for intermittent mattress-style sewing...
After hearing Xu Ziming's voice, a voice came from under the mask: "Oh...this, Jifu!"
In one sentence, everyone in the room was a little stunned.
Kind of a cat?
What is a casino?
Several directors looked at each other, full of doubts.
The young nurse beside her whispered: "It's the basic operation!"
Everyone was stunned and speechless!
Chen Cang continued: "The operation time should not be too long. Although the heart does not stop, in this case, the heart cycle will be restored in a while. I am afraid that the heart will be unacceptable, so after quick repair, I still need to deal with the left atrium!"
When everyone heard Chen Cang's words, they were slightly stunned. So that's it!
But...to deal with the left atrium?
How to deal with it?
At this time, everyone looked at the left atrium with concern.
The left heart seemed to be able to understand Chen Cang's words, and he jumped unyieldingly: What do you care about me? Why do you deal with me?
Xu Ziming couldn't help asking, "What should I do?"
Chen Cang: "Take him."
Left atrium: Bang bang bang...
The entire patch repair process requires very detailed.
The mitral valve is a hub structure with extremely strong mobility, which requires that it be very subtle during the repair and suture process.
Carefully remove the broken chords, too long thread tips, etc. to avoid getting stuck in the valve!
Before and after the artificial valve is sutured, flush repeatedly and carefully examine the ventricular cavity to prevent artificial valve dysfunction caused by the remaining broken tendon cerclage valve.
For the same reason, after sending the petals and knots, you cannot leave too long threads when cutting off the remaining threads.
Therefore, all this must be handled with care.
To be continued...