In the operating room, Tang Lou quickly started the operation.

Under pulmonary artery puncture pressure measurement, the patient's pulmonary artery pressure was 25 mm Hg, consistent with bilateral bidirectional Green's surgery.

Under the guidance of Tang Lou, the anesthesiologist performed provincial anesthesia on the patient and ligated the azygos vein.

At first, Chief Zhong was a little worried, but once Tanglou started the operation, his calmness and calmness made him feel at ease.

Listening to Tanglou's intensive and confident instructions, there is a magical power that will make the cooperating medical staff full of confidence.

"2 mg heparin... one aid helps block both superior vena cavae respectively..."

"okay."

Chief Zhong was not dissatisfied at all because his rank was higher than that of Tang Lou, and he carried out Tang Lou's instructions very seriously.

Moreover, Chief Zhong clearly felt that Tang Lou was really more skilled in understanding and operating this surgery than Professor Liu and Director Huang.

"Dr. Tang, how did you learn at such a young age? Not only are you good at surgery, you are also such a genius in drug research and development."

The more contact he had with Tang Lou, the more Chief Zhong admired Tang Lou.

After making all preparations, Tanglou officially began to improve the BlalockTaussig shunt.

"Scalpel..."

The surgical route chosen by Tang Lou was from the fourth intercostal incision on the right chest into the chest. I saw Tang Lou’s incision and the size of the incision.

Chief Zhong, who was on the side, was very frightened. He repeatedly tried to persuade him not to be careless: "Dr. Tang, can the incision be larger? With such a field of vision, can the next operation really be carried out?"

Under the super surgical field, Tanglou certainly did not need the conventional size, so he ignored Chief Zhong and directly started to dissociate the subclavian artery.

Under Tanglou's operation, the recurrent laryngeal nerve and vagus nerve were avoided very accurately.

Watching Chief Zhong, he didn't even dare to take a breath.

"It turns out that this is how the boss performed the surgery. It's too extreme!"

Several times, Chief Zhong felt that Tanglou was about to damage the nerve, but he decisively and quickly cut across the edge of the nerve, cleanly and neatly.

Director Huang, who was beside the operating table, was also sweating on his head. However, he did not dare to interrupt at this step.

I can only pray in my heart that nothing will happen.

Soon, Tanglou began to free the pulmonary artery again.

"pliers..."

Tang Lou continued to issue instructions and began to clamp the subclavian artery.

Chief Zhong assisted attentively. Seeing Tang Lou's neat operation, he was amazed again. Dr. Tang's hands were really so stable.

However, Chief Zhong thought again that it was not good to be too steady. Just like his own hands were shaking, when using the ancestral craftsmanship, a sudden shaking would still be mysterious.

"Hehe~"

"Artificial blood vessels..."

When he heard that Tanglou was choosing to shunt blood vessels, Director Huang stepped forward directly. After all, this was the key point of the entire operation, and he was afraid that Tanglou was inexperienced.

If this step is not handled well, patients may develop other complications after modified Blalock-Taussig shunt surgery, such as pulmonary edema, artificial vessel embolism, etc.

Therefore, patients should choose appropriate shunt vessels during surgery to improve the patient's postoperative efficacy.

Currently, there are two main types of shunt blood vessels used clinically: artificial blood vessels and allogeneic blood vessels.

Among them, allogeneic blood vessels are made of special materials and have greater elasticity. Patients are prone to excessive shunt volume after surgery, which increases the incidence of pulmonary edema.

Therefore, Director Huang still agrees with Tanglou's choice of artificial blood vessels. However, artificial blood vessels also have their own shortcomings, that is, the anastomosis must be carefully selected during the operation and it must be successful within two or three times. Moreover,

During the operation, it is necessary to appropriately trim the artificial blood vessel according to the specific patient's condition and experience, so that the patient can have appropriate tightness.

This is also the key to the success of this operation. This step requires extremely high experience and on-the-spot reaction of the surgeon. It is also the watershed between experts and ordinary doctors.

Chief Zhong did not dare to perform the surgery just because he did not have the confidence to take this step.

Director Huang stood aside, closely watching the operation of Tanglou, and immediately called a halt if it was not ideal.

Chief Zhong watched the operation of Tanglou very seriously and prepared to learn the techniques.

"Scissors..."

After hearing Tanglou's instructions, the equipment nurse obediently cooperated and provided.

After Tanglou took the scissors, he started pruning.

"So fast? Tanglou, you!"

At first, Director Huang thought that Tang Lou would take a look at him, compare it first, and then prune it after careful consideration. Unexpectedly, Tang Lou got the scissors and cut them off with a swift and resolute stroke.

I saw that the end of the artificial blood vessel anastomosis with the clavicular artery was cut into a 43° bevel, and was inserted directly without any inspection.

"7-0 prolene thread...needle holding pliers..."

Tanglou did not pause at all, and directly started the end-to-side anastomosis with the subclavian artery.

Director Huang was on one side and took a deep breath. He couldn't calm down for a long time. When did this operation become so simple?

Once, it was successful!

You can't go in casually and prepare yourself mentally, it's too rude!

It’s so frustrating that even Dean Tang Xianhu can’t do it so concisely and efficiently.

Director Huang suddenly felt as if he was getting old, and even his back was a little hunched. This feeling was still felt one night when he was thirty-five years old, and he felt a sense of powerlessness and fear towards his wife.

When I was young, I hated my aunt so much. At that moment, Director Huang longed for her to protect her body.

"Alas~"

It is said that men suddenly mature at a certain moment, and at the same time, at a certain night, they look depressed, no longer high-spirited, and suddenly age.

While Director Huang was depressed, Tanglou had already started to make a corresponding pulmonary artery incision on the upper edge of the blood vessel, and anastomosed the other end of the artificial blood vessel end-to-side to the pulmonary artery.

Thanks to the three-star suturing technique, the fit of Tanglou is naturally perfect.

Looking at the anastomosis, it was textbook-level. The artificial blood vessel was in a tension-free state and there was no leakage at all.

"Amazing."

Although Chief Zhong is not able to perform surgery, he still has good eyesight and has seen good ones, so he knows that Tanglou's operation is better than the best!

"Bioprotein glue..."

Tanglou Feng Danyun calmly continued to issue instructions, not realizing at all that he had completed a very difficult step.

"First help loosen the pulmonary artery clamp...and then loosen the subclavian artery clamp..."

Under Tanglou's instructions, Chief Zhong carried out the operation very cooperatively.

After a while, I felt a continuous fine tremor coming from the pulmonary artery anastomosis.

"How about it?"

Director Huang on the side was even more nervous than Tanglou. He quickly asked Chief Zhong about his sense of touch. After ninety-nine bows, all he was missing was a shiver.

Chief Zhong said excitedly: "Director Huang, I feel the continuous fine tremors, which are textbook-level tremors!"

"Sa O2 has also started to rise!"

The nurse on the side is also reporting the patient's vital signs.
Chapter completed!