1831 The true meaning of surgery (leader shyn3074)
After opening the aorta, a fragmented tear of the endometrium of the aortic arch was seen.
The endometrium at the opening of the veins of the 3 cephalic arm is peeled off to form a true and false cavity, and the inner membrane in the descending arch has been torn horizontally for more than 2/3, and the diameter of the false cavity is 30.
Most of the inner membrane at the opening of the true cavity collapses, with a diameter of about 20.
"Fugui'er!" Zheng Ren shouted.
"Yeah." Professor Rudolf Wagner replied, "Come now?"
"Prepare, wait a moment."
After saying that, Zheng Ren reached out and slapped an artificial blood vessel with a membrane stent in his hand.
Bracket: 28x100, the length is quite appropriate.
Zheng Ren inserted and released the artificial blood vessels of the coated stent from the true cavity to fully unfold the stent.
The left subclavian artery was then cut off from the starting part, and the artificial proximal suture edge of the artificial vascular proximal stent was cut at its opening at the beginning part of the descending aorta, and the outer and inner membranes of the proximal aorta and the artificial vascular suture edge of the coated stent were intermittently sutured and fixed.
Use 3-0 prolene line to connect artificial blood vessels with four branch diameter 30 of datasopentervasur with proximal edge of descending aorta together with the coated stent.
The tube suture edge is end-to-end.
Connect the spare arterial perfusion tube to one side branch of the four-branch artificial blood vessel, slowly inject blood into the descending aorta, blocking the four-branch artificial blood vessels at the proximal end of the side branch, and the descending aorta begins to supply blood.
The perfusion flow rate is 20l/(kg·n).
The 5-0 prolene line ends the left subclavian artery, left common carotid artery, and nameless artery incision with the corresponding branches of the four-branch artificial blood vessels.
The operation began for 1 hour and 22 minutes, and the anastomosis of the aortic arch was carried out in an orderly manner.
...
...
At this time, in the observation room on the second floor, Dr. Charles was sitting on a chair, staring at the images on the big screen.
"Doctor, is the operation going well?" Rudy felt a little panicked.
The operation went very smoothly, but the more this happened, the more panicked he felt.
Will the entall surgery be so smooth?
The surgery is clean and clear, and every step is orderly. The surgeon's technique is not as skillful as a human.
Although things are moving in a good direction, Rudy is becoming more and more frightened the more she looks.
Moreover, it is said that the heart has stopped beating before the operation, so there will be no brain death.
"The operation is still perfect, and it is as precise as a machine," said Dr. Charles.
His English has an accent, but it does not prevent his communication with Rudy.
"Doctor, you can see that the surgery can..." Rudy asked carefully. Things had exceeded her expectations, and she was walking further and further along the incomprehensible road like a wild dog that had been rid of a stagnant.
When he came back from Dr. Charles, he realized that the operation had begun. Because the brachial artery torn worsened and cardiac arrest was caused, the condition could no longer be delayed.
After learning the news, Rudy almost fainted.
In fact, he didn't believe in Zheng Ren either. Because of Dr. Charles' arrival, Rudy suppressed his trust on Zheng Ren's side.
"No need to go on," said Dr. Charles. "I haven't had surgery for many years. The peak of surgery is just the scene you see now. The picture you see is the peak of surgery now."
"..." Rudy was stunned.
Dr. Reiner clenched his fists and stood behind Dr. Charles' side, a little angry.
But it was just anger. He couldn't find any problems with the surgery process in the picture.
If I were on the operating table, I guess I could only do this.
Of course, this is just Dr. Reiner's own thoughts. Deep inside him, Dr. Reiner is sure that he is not at the level of a surgeon.
From the initial freeing to the blockade, external circulation is established, and the aortic arch is incised, each step is clean, simple and bright.
The operation was done very quickly, but it was not just a speed of hand speed. Although it was fast, it was not messy. Every step was straight and had a sharp eye, just like... Dr. Reiner knew that it was like he was doing the operation with the most serious attitude, and the speed was twice as fast as possible.
Although he was not convinced, he could not refute it.
The anastomosis is obviously a microsurgery. The needle eye is not big, there is no trace of tearing or suspected tearing in the blood vessels and outer membrane.
Each anastomosis is completed, the blocking forceps are moved to the proximal end of the four-branched artificial vascular anastomosis branch, so that each anastomized vascular supply timely.
Each movement position is very standard, as if measured with a ruler.
Is this the peak? Reiner was a little dazed.
If the patient whom he judged was dead was rescued, Reiner knew that his confidence would be hit unprecedentedly.
"Reiner, vascular anastomosis has always been your weakness. I think you can learn a lot from this surgery." Dr. Charles said suddenly.
Dr. Reiner was silent.
Although he knew the truth of this, he was still unwilling to admit that his surgery was worse than that of the yellow-skinned young man.
If he was facing his own teacher, Dr. Charles, Reiner could still think that the teacher would no longer have surgery. Even if he had a higher level in the past, what's the point?
But even this haze of nothingness brought Dr. Reiner almost unlimited pressure.
That's why he accepted Cleveland's invitation and left the Mayo Clinic.
This behavior also indirectly led to the Cleveland Clinic ranking above Mayo Clinic in the field of cardiac surgery.
But the operation in front of me is another concept.
The savant is younger than himself. In an era when experience should have been accumulated, the savant has already reached such a height. What kind of savant will he become?
Reiner was a little dazed. He felt as if he had just graduated and was watching Dr. Charles undergoing surgery.
Unlimited admiration and admiration in my heart.
But he quickly woke up and told himself that the person who had the surgery was the younger surgeon.
The pressure brought by youth to Reiner was far greater than that of Dr. Charles.
Because the surgeon is younger, his limit is not just here. Because the surgeon is younger, he will rule the field of cardiothoracic surgery for many years.
When Reiner thought of this, he felt that his heart had started to hurt.
Before I could get out of Dr. Charles' haze, was I shrouded in another layer of thicker haze that I could never get rid of?
"Renner, do you remember what I told you about a good surgeon having interdisciplinary surgery?" Dr. Charles asked while watching the surgery.
"Teacher, I remember." Reiner replied in a daze, his hand clenched with his fists at some point had already let go.
Chapter completed!