Doctor Started a Plug-in

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Does the perfect blood vessel of Perfection Level fit perfectly?

Chen Cang looked at his Suture and began to ask himself such a question!

What is perfect?

Perfection is a threshold reached using current methods.

However, current methods are inherently limited.

Both the surgical technique and the surgical plan have room for improvement and improvement.

This is a process that requires continuous research and improvement.

Perfect is still the case, even more how Master Level.

Chen Cang’s aortic dissection surgery and total aortic arch replacement are both Master Level.

It takes a long distance to achieve breakthrough to perfection.

“Line 4.”

“Natural saline rinse!”

“Clamp!”

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The operation is continuing.

Facing the repair of the intercostal artery, Chen Cang began to calm down and observe carefully, the third rib… the fourth rib…

Chen Cang suddenly asked Xu Ziming: “Does the intercostal artery have a big difference in the time limit for blood supply to the spinal cord?”

Xu Ziming nodded: “Well, according to the 2009 version of the guideline, it can be completed within 60 minutes, but later research found that in fact, around 45 minutes, the spinal nerve tissue ischemic and hypoxic reactions have begun to appear, although there is no intuitive Performance, but there are some problems with the post-fix!”

Chen Cang looked at such complicated intercostal arteries: “How long is the best time?”

He Chao from the side blurted out: “Ruijin Hospital Professor Wu can complete the repair of all intercostal arteries in 35 minutes! That’s… my Teacher.”

Xu Ziming nodded: “Well, indeed, Professor Wu Nan has extensive experience with Marfan syndrome and has long been devoted to it. It is also a continuous practice for the repair of intercostal arteries.”

After Chen Cang heard it, nodded!

More than 20 arteries, 30 minutes!

All time is counted in, a blood vessel only takes one and a half minutes, and this also needs to include handling thread knots, needle insertion… and so on!

The most important treatment of intercostal blood vessels also involves the problem of an intercostal nerve to avoid injury.

It’s a lot more troublesome than big blood vessels in the chest.

Chen Cang holds the abrasive tool for a limit of thirty-forty seconds, but how long does it take to put it in this situation?

Chen Cang decided to find some time to practice.

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After the operation started, Anaesthetist Zhou He has been monitoring the patient’s Lifeform sign because of the long operation time, it is necessary to choose appropriate brain protection.

In fact, if the Patient does not have Marfan syndrome, it is only an acute type 鈪?aortic dissection, and it can only perform ascending aortic replacement or half-bow replacement.

However, under Marfan syndrome, the originally damaged ascending aorta and aortic arch have changed the fibrous layer, if not controlled, it must be a problem!

The use of full-bow replacement surgery is definitely good, or the use of the common “elephant surgery” is also very effective!

But this actually has very high requirements for both Patient and Chief Surgeon Doctor.

It is not only required that Doctor Chief Surgeon be skilled, but also that the patient’s overall condition is good, so that the stable operation can be carried out smoothly.

Tian Zhengkai, who was born as an athlete, is very good, and Chen Cang is also skilled enough, so this time, full bow replacement surgery is actually the best choice!

The ascending aorta is processed!

Patient lifeform sign is completely normal, ready for full arch replacement surgery!

Chen Cang took a breath and said, “Cool down!”

Low temperature, circulatory arrest, and retrograde perfusion of the superior vena cava are effective brain protection strategies!

Everyone is busy!

“How many degrees Celsius?” Zhou He looked at Chen Cang and asked directly.

“Adjust to 20 degrees Celsius!” Chen Cang said decisively!

Zhou He was shocked!

Low temperature and stop circulation are directly related.

The lower the temperature, the longer the allowable time to stop the cycle. At 15~18 degrees Celsius, it can be maintained for 60-80 minutes!

In this way, the operable time becomes ample.

When the temperature is high, the time is limited, but…Patient damage may be slightly smaller.

But again, if you have enough time, the Patient may need some price!

Why is medicine difficult?

Because the time we fight for is actually given by the Patient, and the time of the Patient is devoured by the Grim Reaper!

Every time we consume one minute more, the disease damages one minute, the grim reaper devours a bit!

This is a tug-of-war, and the chips are the time.

Whoever grabs the Patient first will win!

Perhaps in this brief moment, this feeling of competing with death for time will become more apparent!

And Chen Cang chose 20 degrees Celsius, the requirements for doctors have been increased suddenly, because the operable time has become shorter, but also, the damage of the Patient has also become smaller.

Zhou He gave Chen Cang a firm look, nodded!

And Xu Ziming and He Chao also have emotions: Chen Cang, this is Chen Cang!

He Chao even looked forward and excited.

When the temperature is lowered to anal temperature of 20鈩? stop circulation or add retrograde infusion of superior vena cava at the same time!

Chen Cang began to separate the aortic arch!

Tense atmosphere!

The feeling of low temperature in my hand!

Anxious time!

The sound of di di di from the monitor!

The breaths of several doctors became clearer.

All signs indicate that this is a difficult operation.

Free distal aortic arch is a precision operation.

The vagus and recurrent laryngeal nerves should be carefully identified, and the nerves should be dissociated before placing the belt for traction. Special care should be taken to prevent damage to the recurrent laryngeal nerves when the distal end of the free lower arch is free.

Chen Cang, a smart and stable blesser, was careful to avoid danger.

It took less than 8 minutes to successfully separate!

Xu Ziming and He Chao looked at each other and were full of surprises.

Such a fast and accurate free aortic arch saves too much time for the replacement surgery in a while.

The seemingly ordinary operation is full of details and invisible technology.

However, for experienced Xu Ziming, it is also an opportunity to learn and exercise.

He Chao got excited.

Chen Cang’s free time is no worse than his Teacher.

Immediately thereafter, Chen Cang lowered the separation forceps and began to trim the aortic arch!

Then select the appropriate artificial blood vessels and use 4-0 polypropylene thread to suture the aortic opening first.

In this process, Chen Cang spent less time. As the champion of the Department of Cardiothoracic Surgery skill competition and the Blood Vessel Suture competition, Chen Cang had little pressure to deal with these things.

Then, at the beginning of the Suture, the bow contains 3 branches of the blood vessel opening, the branches and directions of these all are blood vessels. Suture needs to prevent blood leakage.

Here is the aorta, and the blood pressure is very high. If there is a crack and so on in 10000, this is a potential disaster for the Patient!

Therefore, the coincidence of artificial blood vessels and blood vessels is the key to surgery!

Not only to be fast!

And keep it secret!

The tone of the entire operation is like this!