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This operation came from the director, not even the Assistant Director.

The first reason is that the age of eight is not so strong, and the Eight Diagrams Heart is not so strong. Which one of the directors of Peking University Affiliated Hospital does not know a few small stars?

At this point, I wouldn’t be curious for a long time like baring fangs and brandishing claws like youngster.

2 Coming is also excellent technology!

Director Zhang Xuan glanced at Yao Lekang, somewhat helpless. He actually wanted to follow Director Xiao’s surgery. After all, Xiao Zhehai, as the top blood vessel surgeon in China, could learn a lot.

Being able to perform assisted surgery on Xiao Zhehai can have some inspiration and improvement for them.

This operation will not allow them to watch the operation video. If it is not to prevent future operations, the camera of the Operation Theatre will not be opened.

Therefore, this operation, they did not have the opportunity to flip back and forth to watch the video.

In fact, Xiao Zhehai is also very helpless. You must know that he is more curious than others.

Chen Cang’s abdominal aortic endarterectomy made Xiao Zhehai feel itchy at this time.

After anesthesia, an abdominal incision began to be established.

This time, the range of incision selection is relatively large, and it is convenient for 2 surgeries to participate together!

Before the operation started, Xiao Zhehai glanced at everyone and said, “Everyone be more careful!”

At this time, everyone wears double gloves and a mask on their faces.

Although many people think that double-layer gloves are useless and affect the flexibility of surgery, this is not the case. Studies have shown that the probability of injury from double-layer gloves is only 20% of single-layer gloves.

Because whether it is a scalpel, a Suture needle… these sharps are very sharp, and they will be cut if they are not careful.

Perhaps the role of double-layer gloves is to strengthen everyone’s psychological and security awareness.

Chen Cang is Chief Surgeon, he is responsible for the laparotomy, and the opposite Yao Lekang assists him.

As soon as the so-called expert makes a shot, he will know whether there is!

There is no fixed opening for this operation.

Doctor Chief Surgeon needs to make his own judgment based on the results of the impact.

This is Chief Surgeon’s first test!

However, because of the existence of the 4-dimensional model diagram, Chen Cang can now say that he is very familiar with the abdominal cavity of the Patient!

How to choose a suitable surgical incision becomes particularly important.

as everyone knows The larger the opening, the harder it is to recover and the greater the risk of infection.

At this time, Chen Cang stopped from the 12th left rib tip to the midline of 5-7cm below the navel!

This incision is far from ordinary large blood vessels replacement surgery.

Can this work?

For a time, everyone looked at Chen Cang’s eyes full of doubts.

However, when Chen Cang incised the external oblique, internal oblique and transverse abdominal muscles layer by layer to reveal the peritoneum, and then began to free the intestine layer by layer, the two large blood vessels were clearly exposed soon!

“Towing hook!”

“All-round pull hook!”

When the omnidirectional pull hook separates the tissue, the operative field is exposed instantly!

Compared with conventional openings, such an opening not only increases the two sides of the surgical field and operation space, but also effectively uses the contraction of the skin of the abdomen to reduce the wounds on the abdomen.

This operation, just at first, let all directors shine!

But if you think about it carefully, everyone can’t bear to sigh, after all, it is the big guy in the field of General Surgery.

When the big blood vessels were exposed, Chen Cang and Xiao Zhehai glanced at each other, nodded, and said, “Start surgery!”

In a limited space, 2 hand speeds must be carried out, one at a time and one at a time!

This is extremely demanding for the two Chief Surgeon doctors!

At the same time, the assistant director also has very precise requirements.

And Yao Lekang was full of curiosity and expectation for Chen Cang’s operation!

He wanted to see how Chen Cang’s so-called exfoliation surgery was handled!

How to deal with this 8 cm long blood vessel tumor?

Because of the limited time, Chen Cang and Xiao Zhehai dared not delay.

When Chen Cang cautiously free the abdominal aorta and the 2 lateral common iliac artery, external iliac artery and internal iliac artery!

The whole process is very fine, which is 2 to 3 cm beyond the lesion.

Moreover, at the same time, the recommended middle artery and the corresponding lumbar artery must be freed and controlled.

And at the same time, hemostasis needs to be carried out at the same time as Xiao Zhehai to coordinate the work of the two.

The operation starts 6 minutes!

Xiao Zhehai and Chen Cang said at the same time: “Successful separation! Prepare Hemostatic Forceps!”

The doctor who assisted Xiao Zhehai was stunned!

They didn’t expect Chen Cang so fast!

Xiao Zhehai’s “fast” is the industry’s top, he once created aortic arch replacement surgery took only 18 minutes.

didn’t expect Chen Cang is not inferior to Xiao Zhehai!

However, the shock in Yao Lekang and Zhang Xuan who helped Chen Cang’s operation was even more intense!

Because they know, actually… Chen Cang was actually faster than Xiao Zhehai just now!

Because Chen Cang has cleaned and separated the surrounding tissues after treatment, making blood vessels operation more convenient!

This moment shocked the two of them!

So fast!

If Tao Mi and Xia Gaofeng or others familiar with Chen Cang were present, they might say lightly: “Basics”!

After all, our President Chen is notoriously “fast”!

Here, Chen Cang felt the pulsation of the huge aortic dissection blood vessel tumor with his hand, and his heart began to feel, which was convenient for surgical incision of blood vessels in a while.

However, at the same time, the situation of the big blood vessels has also entered Chen Cang’s mind!

[Abdominal aortic dissection pseudoaneurysm: lv88, lord stage, infection of pale pallidum causes damage to the intima of blood vessel wall, resulting in the destruction of aorta intima and the formation of a pseudoaneurysm. 】

8Level 8 Lord monster!

It is quite satisfactory.

After all, Chen Cang is the big brother that 9Level 9 conjoined babies have seen. This kind of 8Level 8 lord is naturally fearless.

At this time, Hemostatic Forceps is in place!

Chen Cang turned to a scalpel and began his next operation: aneurysm bisection!

Chen Cang held the electric knife and cautiously cut the adventitia and tunica media along the median line. At this time, the upper end just stopped at the junction of the tumor and the normal artery, and then the knife was changed into a horizontal incision to make it T-shaped. !

In this way, the transverse incision accounts for about 40% of the circumferential diameter, which is the best treatment diameter!

At this time, the tumor needs to be cleaned with a knife handle cautiously, and the peeling plane can be between the middle and the intima.

Because here, there are organic thrombi and other substances that adhere to the intima. Once these things enter the blood circulation, it is troublesome.

“Probe!”

“Scraper!”

“Natural saline!”

“attract!”

At this time, Yao Lekang carried out various actions with Chen Cang’s instructions.

At this moment Yao Lekang suddenly discovered one thing!

He can’t keep up with Chen Cang’s rhythm…


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