Doctor Started a Plug-in

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Accompanied by Chen Cang.

All the medical staff have entered preparations.

“Deep vein catheterization is complete!”

“Monitor is finished!”

“The blood is ready!”

……

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

Zhou He is quite good at anesthesia for Cardiovascular surgery, and has a good grasp of the Patient. If it is not because of the department’s struggle, it may have been the director of the original Hospital.

Come here, Wu Tongfu personally invited, is also a candidate for the Department of Anesthesiology.

Patient maintains a lateral lying position and needs to expose the entire side of the heart and make an arc-shaped incision up to one meter!

Because there are many branches of the thoracic and abdominal arteries to be replaced, the intercostal arteries of the spinal cord, the bilateral renal arteries, the abdominal cavity, the superior and inferior mesenteric arteries, and the bilateral common iliac arteries are made at least 6 anastomosis!

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

Start from the 3rd rib position of the left midaxillary line and bypass the anterior chest area, down to the center of the serious sternum, straight down the position of the navel, and then to the anterior superior iliac spine.

The length of the entire incision looks terrible!

Moreover, the most important thing is that the Patient has no time to do accurate inspection methods such as CT, MR, X-ray, blood vessels and other imaging.

With echocardiography, electrocardiogram and x-ray examination alone, it is very difficult to complete the surgery accurately.

Zhou He unable to bear asked: “Doctor Chen, do you want to do hypothermic cardiopulmonary bypass?”

This question has become the first question currently facing everyone!

Do you use cryogenic cardiopulmonary bypass technology?

If used, it means that complications of cardiopulmonary bypass including bleeding, brain and lung complications greatly increase the mortality of patients after surgery.

However, the partial thoracoabdominal aortic replacement surgery performed in some heart centers is traumatized, takes a long time, and consumes a lot of blood!

If it is performed with extracorporeal circulation assistance and deep hypothermic circulatory arrest, it can effectively reduce the risk of surgery and ensure the stable operation of the surgery.

The first contradiction stumped everyone.

Chen Cang handed the crossed marker to Ge Huai, hook the head: “Using room temperature extracorporeal circulation technology, segmentation is blocked during the operation!”

Zhou He was nodded and immediately began to prepare.

He doesn’t need to doubt Chen Cang’s technology. In this war, Chen Cang is the only handsome!

Even if the emperor is in the battlefield, he can only watch the coach line up as a “mascot”!

Wu Tongfu didn’t say a word from beginning to end, and looked at Chen Cang when he made everything clear.

Everyone knows that once the room temperature off-pump technique is performed, the survival probability of Patient will increase a little, but the pressure of Doctor Chief Surgeon will increase by a geometric multiple.

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

This requires Doctor Chief Surgeon to have sufficient ability!

Zhou He did not doubt Chen Cang, at least he will not doubt it now.

Li Baoshan and Xu Ziming stopped talking.

Finally clenched his fists and decided to fight!

that’s it……

The moment Chen Cang took over the scalpel also meant that the operation officially started!

The incision is very long, and it does not need to be exposed all at once. It needs to be done gradually according to the surgical stage.

However, Patient is an exception. The operation must first perform an end-to-side iliac artery anastomosis, so as to ensure that when the area of ​​ascending aortic surgery is operated for a while, avoid ischemic necrosis caused by blood blockage in areas such as kidneys and abdominal organs .

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

Actively do all rescue measures!

10000 Patient ascending aorta was ruptured in one operation, which can be stopped in time.

The end-to-side anastomosis of bilateral iliac artery artificial blood vessels is the 1st Step of the operation!

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

But again, in this way, the operation time needs to be precisely controlled, and the time for matching blood vessels and artificial blood vessels 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, separating forceps, scalpels, spatulas, etc. to Ge Huai.

“Help me get it.”

After finishing talking, Chen Cang took the lead in wearing a scalpel.

The surrounding doctors looked at Chen Cang holding so many things a bit at a loss, what was it for?

Even the device nurse feels a little blushed. Does this distrust yourself?

However, when the operation began, everyone realized that Dr. Chen might really need someone who can quickly deliver his equipment anytime, anywhere.

After Xu Ziming separated the aortic dissection area.

A dissection aneurysm up to 7 cm long appeared in front of everyone’s eyes, Chen took a deep breath.

“Block!”

After finishing talking, quickly start to clean up the aorta and start to clean up the tumor cavity.

The whole process is fast and precise!

At this time, Chen Cang continuously changed the device in Ge Huai’s hands.

After a while, the probe, the tweezers, the separating forceps, and the spatula.

Even Wu Tongfu was blinded by Chen Cang’s operation!

This… a bit isn’t this too ridiculous?

But Li Baoshan was shocked when he looked at it.

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

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

It looks very simple, even troublesome!

However, in this way, it can undoubtedly effectively clean up, and even better protect the inner membrane of blood vessels.

Li Baoshan cautiously cooperated, and Xu Ziming stared straight at Chen Cang’s each step operation.

Dare not to have the slightest slack.

At this time, the instrument nurse was also stunned.

Because she found that Dr. Chen didn’t look down on him, but because he needed to change instruments quickly at any time.

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

Otherwise, it is simply not enough to maintain his operation.

Ge Huai is very engaged at this time!

I originally thought that Chen Cang called himself to let him take the equipment because he did not look at or humiliate himself.

Now it seems that this is not the case!

Compared to the people around him, Ge Huai found… It seems that he can only do such a job.

Moreover, his angle can even see Chen Cang’s operation.

Think carefully, it is actually Chen Cang helping himself!

For a time, Ge Huai also had 100 empathy.

However, he did not dare to think about it, since Chen Cang helped him so much, he had to do his own job well!

Pass the equipment!