"Cardioplegia... scalpel... hemostatic forceps..."

On the screen, Tanglou was already performing difficult operations calmly.

"In addition to the blocking position and blocking speed, this operation is more importantly about the perfusion of cardioplegia in the aortic root. It requires a lot of experience and rhythm."

A chief physician from Union Hospital lamented that even if he came, he would need to confirm before he dared to take action.

However, what he didn't expect was that Tanglou didn't think too much at all. He completed the blockade quickly like a reckless man, and then injected the cardioplegia solution. After a few seconds, he started to abort the blood from the right heart.

Resection of both ventricles on the ventricular side of the ventricular groove.

"Crazy, crazy! This...are you really not afraid of making mistakes? Removing both ventricles one after another, my God!"

Even Academician Zhong in the operating room felt his heart pounding and became nervous, but it was already at this point and it was too late to stop it.

"Tanglou, please slow down and be steady."

After all, Academician Zhong couldn't hold back and said something, and then he gave instructions worriedly: "Pay attention to keeping the atrioventricular annulus and part of the ventricular muscles intact, cut off the bicuspid and tricuspid valve tissue, suture the coronary sinus, and cut it off above the semilunar valve.

Aorta and pulmonary artery..."

Tanglou did not respond, but quietly carried out his own operations. Then, he perfectly displayed what Academician Zhong ordered. There were some small operations, and they were handled more appropriately according to the instantaneous situation of the incision during the operation.

.

"Sutures...needle-holding forceps..."

Tanglou didn't even look back, he stretched out his hand, and the equipment nurse hurriedly handed over the equipment designed by Tanglou. He was deeply shocked at this moment. The level of this young doctor was really too high.

At an age like her in her thirties, when her experience, physical strength, and various skills were at their most mature, she could have easily dealt with those old directors and old men.

Due to the high frequency and fierceness of the sound, I could only take advantage of some small gaps to take a few breaths and regain my strength.

"Doctor Tang, what is this?"

"I understand. Since there is still a patent foramen ovale, he chose to suture them together and ligate the left atrial appendage simultaneously. It was such a smart reaction."

Next, Tanglou inserted a pressure measuring tube into the left atrium through the right upper pulmonary vein, and then began to cut out the suture ring of the left atrium.

"This... Director Huang, what do you think?"

"How else can you watch it? Kneel down and watch it. In this operation, the suture rings are trimmed according to actual conditions. No one would dare to try this unless he is a master."

"Awesome..."

The surgery was only a little over halfway through, but these chief doctors were already completely convinced and had learned a lot of little tricks.

"4-0 prolene suture... lined with felt strips..."

Tanglou had completely entered the state, and before he knew it, he had also performed many of the surgeon's operations.

It made Academician Zhong on the side not good either if he called for a stop or not.

"This brat. That's all, that's all."

Academician Zhong simply moved his position. Tang Lou's body honestly occupied the position of the surgeon and began to continuously suture the left atrial tissue.

"Have good suturing skills, especially in such fragile areas, fast, even and stable suturing is particularly important."

"Then what is Dr. Tang's operation of lining the outer hand with felt strips?"

"Don't you understand this? Because the patient's condition is not very good, Dr. Tang added this step to prevent bleeding or air intake."

"I see. I didn't expect Dr. Tang to be so calm and thoughtful during the operation."

"Yes, have you noticed that Dr. Tang has quietly arrived at the position of the surgeon, while Academician Zhong has not issued an order for a long time."

"Really, doesn't that mean that Dr. Tang is not only qualified to be an assistant, but can even try to perform artificial heart transplantation!"

After several directors discovered the truth, they were once again shocked by Tanglou's ability to comprehend.

"The next step is to insert the artificial heart. You see Dr. Tang, who starts cutting out the artificial blood vessel and uses 4-0 prolene sutures to anastomose the pulmonary artery first and then the aorta."

"The level of this vascular anastomosis is really amazing, it's almost textbook level."

After completing this step, it is time to connect the sensing electrodes and artificial heart leads to the internal controller.

"Tanglou, in this step, the left atrium is first connected to the connecting ring, then the aorta is connected to the connecting ring, and then the pulmonary artery is connected to the connecting ring. The right atrium is not connected yet..."

At this point, Academician Zhong finally started to give guidance, and even he was a little envious of Tanglou's almost blind exercises.

After all, under the super magic field, the operating space required by Tanglou is far less than that of ordinary people.

After seeing Tanglou complete this step, Academician Zhong was also excited. When he arrived here, he had already explained that two-thirds of the entire operation had been completed, and most of the high-risk key points had been successfully passed.

.

"Saline...pliers..."

Normal doctors would take a break at this point to calm down, but Tanglou had no intention of stopping.

"Doctor Tang, are you sure you want to take a rest and replenish your energy?"

Academician Zhong asked with concern. So far, Tanglou's performance has far exceeded his expectations. Therefore, he also hopes that Tanglou can start well and end well, and not fall short of success.

"It's okay, Academician Zhong, this doesn't make any sense to me at all."

Tang Lou rarely said something that had nothing to do with surgical instructions.

Hearing that the tenement house was still in such high spirits, the nurse on the side felt her legs weak. The young man just didn't know how to control himself! I was exhausted.

Tanglou continued with the next step, injecting normal saline through the inlet of the right ventricle of the artificial heart to expel the gas, opening the superior vena cava blocking band and temporarily clamping the superior vena cava drainage tube to fill the right atrium with blood, connecting the right atrial connecting ring, and removing the superior vena cava.

Vena cava cannulation.

The movements are very coherent and the operation is particularly skillful.

All the directors in the observation room were stunned.

“Beautiful, so smooth!”

In the operating room, Tanglou began to drive the artificial heart again, and simultaneously discharged the residual gas through the exhaust pipes on the aorta and pulmonary artery artificial blood vessels.

"Clamp..."

Since the material of the artificial heart is transparent, it is possible to observe whether there is gas inside. Tanglou quickly completed the full exhaust of the right ventricle, and then very smartly clamped the exhaust channel of the pulmonary artery artificial blood vessel.

Continue to drive the artificial heart, open the exhaust pipe of the aortic artificial blood vessel, and fully discharge the gas from the left ventricle.

Maintaining 60 times/min, after 2 minutes, Tanglou has completed most of the operations.

"Full exhaustion is completed, the artificial heart works normally, and the pressure in the left and right atria is normal..."

Tang Lou directly assumed the role of chief surgeon and first assistant, and at the same time issued instructions: "Prepare protamine, neutralize heparin..."

"Sterile plastic bags..."

After hearing Tanglou's instructions, the chief physician in the observation room was stunned. What kind of operation is this?

Soon Tanglou gave them the answer.

"It turns out that external electric energy can also be wrapped in a sterile plastic bag and transmitted to the coil through induction... Amazing!"

Ten minutes later, Tang Lou removed the diseased heart, anastomosed the patient's aorta and artificial heart, and stopped the extracorporeal circulation.

"After being sent to the intensive care unit, closely observe the arterial pressure, central venous pressure, ventilator-assisted ventilation, and pay attention to the balance of water and electrolytes."

"Closely monitor chest drainage."

"Use antibiotics to prevent infection."

"Routine anticoagulation therapy."

Tanglou had completely let himself go and gave the doctor's orders directly, then turned around and went to the changing room. Academician Zhong followed him in a daze for a few steps before he realized what he was doing.

"I'm the chief surgeon! That's my line!"

Academician Zhong smiled bitterly and looked back at the operating table:
Chapter completed!