Auto chess in the operating room

Chapter 339 Extreme Operation, Tianxiu
In the operating room, Tang Lou quickly started the operation.

The patient's pulmonary artery pressure was <25 mm Hg under pulmonary artery puncture manometry, eligible for bilateral bidirectional Greene's procedure.

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

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

Listening to Tang Lou's intensive and sure instructions, there is a magical power that will fill the cooperating medical staff with confidence.

"2 mg heparin-assisted occlusion of the double superior vena cava separately"

"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, Zhong Zhizhi obviously felt that Tang Lou's understanding and operation of this operation was really more proficient than Professor Liu and Director Huang.

"Doctor Tang, how did he learn at such a young age? Not only is he good at surgery, but he is also a genius in drug 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 approach chosen by Tang Lou is to enter the chest through the incision in the 4th intercostal space of the right chest. See Tang Lou's incision and the size of the incision.

Zhong Zhizhi, who was at the side, was terrified, and tried to persuade him again and again, not to be careless: "Doctor Tang, can the incision be made larger, so that this kind of vision can really carry out the next operation?"

Under the super surgical field, of course, Tang Lou does not need the conventional size. He ignored Zhong's indications and directly started to mobilize the subclavian artery.

Under Tang Lou's operation, the recurrent laryngeal nerve and vagus nerve were avoided very precisely.

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

"It turns out that the boss did the surgery like this, and it's too extreme!"

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

Director Huang, who was standing beside the operating table, was also sweating coldly, but he didn't dare to interrupt at this point.

I can only pray in my heart, and nothing will happen.

Soon, Tanglou began to free the pulmonary artery again.

"pliers."

Tang Lou continued to give orders and began to clamp the subclavian artery.

Zhong Zhizhi seriously assisted at the side, seeing Tang Lou's agile operation, he was amazed again, Dr. Tang's hands are really too stable.

However, Zhong Zhizhi thought again, too stable is not good, just like his own hand trembling, when using ancestral handicrafts, a sudden trembling is also infinitely 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, other complications may occur in patients after modified Blalock-Taussig shunt, such as: pulmonary edema, artificial vascular embolism, etc.

Therefore, patients should choose appropriate shunt vessels during surgery to improve postoperative curative effect.

At present, there are mainly two kinds of shunt vessels used clinically, namely: artificial blood vessels and allogeneic blood vessels.

Among them, the allograft blood vessel has a special material and greater elasticity, and the shunt flow is too large after the operation, which increases the incidence of pulmonary edema.

Therefore, director Huang still approves of Tang Lou's choice of artificial blood vessels, but artificial blood vessels also have his flaws, that is, the selection of anastomosis must be careful during the operation, and it should be successful within two or three times. During the operation, it is necessary to properly trim the artificial blood vessel according to the specific patient's condition and experience, so that the patient is moderately tight.

This is also the key to the success of this operation. This step requires extremely high experience and on-the-spot response from the chief surgeon, and it is also a watershed between experts and ordinary doctors.

Zhong Zhizhi did not dare to take the lead because he did not have the confidence to take this step.

Director Huang stood aside, watching Tang Lou's operation closely, and immediately stopped if it was not satisfactory.

Zhong Zhizhi, on the other hand, watched Tang Lou's operations very seriously, preparing to learn the techniques.

"Scissors"

Hearing Tang Lou's order, the equipment nurse obediently cooperated to provide it.

After Tanglou took the scissors, he started pruning.

"So fast? Tang Lou, you!"

At first, Director Huang thought that Tang Lou would take a look at him, compare it first, and then trim it after careful consideration. Unexpectedly, when Tang Lou got the scissors, he cut it with a sharp and resolute knife.

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

"7-0 prolene thread. Needle holder."

Tang Lou didn't stop at all, and directly started the end-to-side anastomosis with the subclavian artery.

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

Once, it succeeded once!
You can't go in after a while, prepare people mentally, it's too rude!

It's crazy, 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 bowed a little. This feeling was still on a night when he was 35 years old, and he felt a sense of powerlessness and fear for his wife.

How much he hated his aunt when he was young, at that moment, director Huang longed for his aunt's body care.

"Ah~"

It is said that a man suddenly matures at a certain moment, and at the same time, at a certain night, he looks slumped, no longer high-spirited, and suddenly becomes old.

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.

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

Looking at the anastomosis, the artificial blood vessel is at the textbook level, and the artificial blood vessel is in a state of no tension, and there is no leakage at all.

"Amazing."

Although Zhong Zhizhi can't be the chief surgeon, he still has good eyesight and has seen good ones, so he knows that Tang Lou's operations are better than good ones!

"Biological Protein Glue"

Tang Lou continued to give instructions calmly, without the slightest awareness of completing a super difficult step.

"Assist in releasing the occlusion of the pulmonary artery and then loosen the subclavian artery occlusion clamp"

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

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

"How about it?"

Director Huang on the side was even more nervous than Tang Lou, so he hurriedly asked Zhong Zhizhi about his sense of touch, and he was only shivering after 99 prayers.

Zhong Zhizhi said excitedly: "Director Huang, I feel it. The continuous fine tremors are textbook-level tremors!"

"Sa O2 is also starting to rise!"

The nurse on the side also reported the patient's vital signs.

Hearing this, Director Huang smiled, and these feedbacks meant that the operation was successful.

(End of this chapter)