medical road high rise

Chapter 222 Successful Surgery
A Will Eternal Chapter 222
"Could it be that the cardioplegia fluid you poured is for the purpose of stopping the heart at this moment?" Zhao Qi suddenly reacted.

Qin Feng nodded.

Zhao Qi took a deep breath. Before, he thought that Qin Feng's cardioplegia solution was to cool down the myocardium, so as to ensure the stability of the blood vessels around the myocardium and avoid large fluctuations.

But I didn't expect Qin Feng to be so courageous that he wanted to stop the heart directly.

It's not that the heart cannot be stopped, but it cannot be stopped for a long time, which means that once the heart stops, Qin Feng's operation time cannot exceed 5 minutes without extracorporeal circulation.

Zhao Qi was not surprised that he completed the most critical step of heart bypass surgery in 5 minutes.

Looking at Qin Feng again, Qin Feng was also looking at him.

"Clean up the blood, what do you see me doing? I'm still waiting." Qin Feng said.

Zhao Qi quickly lowered his head and began to clean the blood on the blood vessels, while Qin Feng kept observing the surgical field, waiting for the blood to be cleared up, Qin Feng ordered Lu Shan to perform cardiac arrest.

Taking out the vascular bridge in the heparin solution, Qin Feng first cut it into a slope, just like cutting vegetables into a knife, to facilitate the anastomosis.

There may be gaps invisible to the naked eye on straight faces, but not on beveled faces.

Qin Feng was concentrating on the distal anastomosis of the vascular bridge, Zhao Qi was holding a hemostat to help Qin Feng provide a good surgical field, and Lu Shan was controlling the blood circulation of the blood vessels.

After completing the anastomosis of the distal end of the vascular bridge with a coronary artery, Zhao Qi breathed a sigh of relief, thinking that Qin Feng was going to stop and restore the patient's heartbeat, and when he was looking for the proximal coronary artery, Qin Feng suddenly spoke.

"Scalpel."

"Needle pliers."

……

Listening to the surgical instruments popping out of Qin Feng's mouth, Zhao Qi couldn't help but glance at Qin Feng.

"Are you crazy? You want to do a sequential sequential anastomosis in minutes?"

To know the sequential anastomosis, it is to complete the anastomosis of two or more coronary arteries at the same time. This anastomosis method is a bit obvious, which can shorten the operation time and improve the patency rate of the vascular bridge.

But the disadvantage is also obvious, that is, the coronary artery itself is a very thin blood vessel, and the difficulty of suturing is inherently high.

Generally, one coronary artery needs to be repeated many times to ensure that there will be no omissions.

But Qin Feng is going to anastomose all the coronary arteries directly and coherently, and then perform a bridge, which will be completed within a few minutes.

"Brother Qin, I understand how you feel now, but once there is a problem with the sequential anastomosis bridge, it will have an impact on the myocardium, and it will also have a great impact on the patient's heart recovery. It may even cause blockage, leading to damage to the heart function. "

"I know, I'm going to continue the operation." Qin Feng didn't explain too much.

Qin Feng understands these things. It is very difficult to match a single root, and it is a test for the doctor's skills and physical strength to match multiple threads at the same time.

Just like playing basketball, it may not feel much to let you run 1000 meters at ordinary times, but to let you run 1000 meters in basketball confrontation, it is completely two kinds of consumption, the latter takes less time and consumes more energy.

It's just that Qin Feng chose the sequential anastomosis for a reason, that is to shorten the time as much as possible, and at the same time save the materials for the bridge, so that the vascular bridge can be used to the maximum extent and the cost of the operation can be reduced.

The reason why I don't explain is because there is not enough time, and talking too much is easy to waste time.

The sequential method originally required Qin Feng to concentrate on processing it, instead of performing surgery while chatting distractedly.

After 3 minutes, Qin Feng let out a long breath.

"The coronary anastomosis is completed, and the aorta is opened."

Zhao Qi quickly removed the clip and began to induce the heart to resume beating.

This is also the most important thing after the anastomosis is done.

Fortunately, the time was maintained within 6 minutes, and the patient's heart recovered quickly. When the heart was beating again, Qin Feng used an aortic punch to make an incision, and continuously sutured the incision of the vascular bridge and the aorta.

With the last stitch falling, Qin Feng emptied; the air in the isolated cavity was finally tightened and ligated to complete the final anastomosis.

Qin Feng observed the blood circulation and found that the blood vessel bridge was smooth and there was no problem.

"I declare that the operation was successful!"

Zhao Qi was the first to applaud, and Lin Xue and Lu Shan also smiled. This operation was a new challenge for the three of them, and it was also the easiest and most difficult operation they had participated in so far.

Apart from Lu Shan, Zhao Qi and Lin Xue have participated in similar difficult operations, but the atmosphere in the operating room is far less stable than Qin Feng.

Everyone is anxious, for fear that if there is a problem with any link, the chief surgeon will also have a fiery temper, and everyone who will keep urging them will be scolded and scolded if they make a slight mistake.

Moreover, some operations of the heart bypass surgery performed by Qin Feng are unconventional, such as sequential anastomosis.

Due to the small size of the coronary arteries, most surgeons would perform single-branch anastomosis on the coronary artery during the operation, but Qin Feng directly multi-branched, and it was still under the condition of cardiac arrest.

With multiple branches, if there is a slight error in one branch and the requirements are not met, the operation will fail.

But, Qin Feng succeeded.

Qin Feng handed over the final stitching work to Zhao Qi, which can be regarded as a test for Zhao Qi.

The suture after heart bypass is the suture of the heart, and the level requirements for the surgeon are quite high.

Zhao Qi also lived up to Qin Feng's expectations and successfully completed the stitching, but the stitching was not very beautiful.

There is no way to do this. The incision of heart bypass surgery is relatively large, and there will be a large scar after suturing. It is also difficult to look beautiful.

The lights outside the operating room went out, and Qin Feng and others pushed the door out.

The patient's wife stood up the moment the lights in the operating room went out, looking at the door of the operating room with absent-minded eyes.

Qin Feng and others walked out, and the patient's wife hurried forward to ask about her husband's situation.

"Don't worry, the operation was a success." Qin Feng took off his mask and smiled.

The patient's wife fell limply to the ground, covered her mouth, tried her best to suppress her crying, and said in a hoarse voice: "Doctor, thank you, thank you so much."

As he said that, he wanted Qin Feng and others to kowtow.

Qin Feng and Zhao Qi hurriedly grabbed the two arms of the patient's wife from left to right, and pulled her up.

"That's what we as doctors are supposed to do."

After explaining the situation to the patient's wife, Qin Feng asked Lin Xue and Zhao Qi to push the patient to the ward.

At the same time, remind Lin Xue.

"After returning to the ward, observe the depth of the patient's endotracheal intubation."

This endotracheal intubation is an intubation performed by Qin Feng after the patient's operation, in order to avoid the patient's lung failure.

(End of this chapter)