Auto chess in the operating room

Chapter 349 Highlights of Live Ventricular Correction
In the observation room, Director Qian Gang looked at the patient's information, signaled for synchronous video recording, and at the same time began to explain to several doctors in his department.

Turning around, I saw many doctors from other departments. One of them, a female doctor, felt Qian Gang's gaze and smiled: "Director Qian, we heard that Dr. Tang is conducting surgical demonstrations here. Come and observe and learn."

"Bah, you are just greedy for Dr. Tang's high-frequency movements and standard postures."

Another female doctor directly exposed, wiped her saliva, and looked at Tang Lou intently.

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"Director Qian, let's see if Dr. Tang's basic skills are as solid as the legend says."

Another intern was waiting with great anticipation for the operation of Tang Lou.

Director Qian didn't speak, and continued to look to the other side.

"Crack click click."

Several young nurses looked up solemnly, and while eating, they looked at death as if they were at home: "Director Qian, we are always prepared, the sisters in front can't stand it anymore, we are on the wheel, even if it is a wheel war, we must resist Doctor Tang's horror stamina."

The corner of Director Qian Gang's mouth twitched, and he suddenly regretted letting Tang Lou do a protracted battle. Tang Lou's blood must be fine, but he was a little worried about his physical strength.

Qian Gang quickly took a sip of tea with only wolfberry seeds and ginseng seeds but no water, and then professionally introduced:

"According to the hemodynamic study, total vena cava/pulmonary artery anastomosis with extracardiac catheter for this patient consumes the least energy and is the best surgical choice. Therefore, Dr. Tang will demonstrate this operation for us next."

Listening to Director Qian's introduction, the doctors in the Department of Cardiovascular Medicine looked at it seriously. After all, this operation is the most common and routine operation today.

They also wanted to know what was different about this classic technique.

The preparation before the operation was no different from other operations. After Chen Wenhao completed the anesthesia, Tang Lou started the operation.

"First aid, confirm extracorporeal circulation and cardiac arrest."

The command came from the tenement house.

"Confirmed."

"Elbow cannula. Scalpel"

Hearing Tang Lou's order, in the observation room, a resident doctor asked with some confusion: "Why is this elbow intubation used?"

Director Qian Gang explained immediately: "Elbow intubation is used with superior and inferior vena cava cannulation."

Sure enough, the next moment, the first assistant completed the corresponding intubation.

Tanglou immediately started to cut off the pulmonary artery and fully free the pulmonary artery.

Seeing Tang Lou's rapid operation, several intern doctors were a little dazed, the speed was so fast, it was over before they could see it clearly.

Everyone's face was flushed, it was so embarrassing.

A few rookies looked at Director Qian in confusion and asked for help.

Qian Gang was angry and funny at the same time. Seeing that these guys came in not a few days later than Tang Lou, they couldn't even understand Tang Lou's operation.

It's better to lose goods than goods, and to die than people.

Originally, the purpose of this observation was to allow these doctors to memorize these surgeries more deeply, so Qian Gang explained very patiently: "You see, after Dr. Tang completed the pulmonary artery severing, he began to free the pulmonary artery, including the distal end and the left and right pulmonary arteries. Next, he transected the superior vena cava at the junction with the right atrium.”

Hearing Director Qian's splitting of actions, these little doctors realized that Dr. Tang had completed so many operations in such a short few seconds.

"Director Qian, it's so fast, can you recognize it clearly? Oh, Dr. Tang is performing an end-to-side anastomosis between the distal end and the right pulmonary artery again. I wish there was a pause button."

An attending physician, who had a relatively deep understanding of this operation, asked with some doubts.

Qian Gang was also at a loss for words for a while. When a normal doctor performs this step, he will always spend a little time to distinguish the blood vessels and design the cut-off point. How can it be like Tang Lou who doesn't need to think about it and just cuts across the board.

It’s no wonder they can’t understand it. This feeling is like a math teacher lecturing on it. At the beginning, I can understand it, but I lost my mind a little in the middle, looked at the girl I love, and woke up again. Haven't kept up.

Of course, my beloved girl has never had sex in this life.

Qian Gang coughed lightly: "Doctor Tang, is that an ordinary person? Afterwards, when the video comes down, you go back and watch it at 0.5x speed. In the future, when you do it yourself, you still have to be fully prepared, and you can't learn from Doctor Tang. This kind of operation."

"Oh."

The attending hospital sighed regretfully.

In less than a minute, Tang Lou completed a textbook-level end-to-side anastomosis, and then began to perform an end-to-end anastomosis of the distal pulmonary artery and the proximal superior vena cava.

Seeing Tang Lou's one-handed operation, everyone in the observation room fell silent, and it was only when Tang Lou was completed that they began to admire.

Qian Gang also said: "Except for our Department of Cardiovascular Medicine, the doctors here today are not in vain. You can take a look at how Dr. Tang handles various details, especially in various anastomoses. He can always find the best way to suture any part, and you have to constantly understand these details."

Hearing Director Qian Gang's teachings, these young doctors also took it seriously. Dr. Tang's surgery, every part, is at the textbook level, especially the handling of this kind of details, which is very delicate and ironic.

"Expanded polytetrafluoroethylene artificial blood vessel. Scissors"

While everyone in the observation room was feeling emotional, Tang Lou had already entered the next critical step without stopping.

Qian Gang directly compared gestures, signaled everyone to be quiet, and reminded: "This operation is also the essence of this operation. You must first pay attention to Dr. Tang's selection of materials, using segmented expanded polytetrafluoroethylene artificial blood vessels. Secondly, you Let's see what Dr. Tang will do next."

"It is! My God!"

In the observation room, these little doctors all exclaimed. Dr. Tang directly started to build this section of artificial blood vessel with scissors. Tang Lou was on the operating table, and began to improve the surgical equipment according to local conditions!
Directly, Tang Lou cut the artificial blood vessel longitudinally, and then sutured between the opening of the superior and inferior vena cava in the right atrium and the right wall of the right atrium to form a tubular channel composed of half of the artificial blood vessel and the other half of the right atrium wall to connect The inferior vena cava opens and separates from the right atrium and right ventricle.

Seeing Dr. Tang's operation, several attending physicians were dumbfounded.

This kind of operation, how should I put it, for example, is that the craftsman bought a celadon bowl, then broke it, and then reassembled it piece by piece with kintsugi, and completed the celadon bowl after kintsuki, directly The price has skyrocketed a hundred times, and the artistic atmosphere has also increased a hundred times in appearance.

Tanglou now cuts the artificial blood vessels and then recombines them with the corresponding veins to form a tubular channel in the right atrium wall of ordinary artificial blood vessels.

With this exquisite channel, the blood flow of the inferior vena cava enters the pulmonary artery through the anastomosis between the proximal end of the superior vena cava and the pulmonary artery through this channel, perfectly achieving the purpose of correction.

"Hey, what is Dr. Tang doing here?"

On the screen, Tang Lou took a micro-drill from the equipment nurse and made a small hole with a diameter of 3mm in this artificial blood vessel.

Director Qian Gang was stunned for a while before he figured out the idea, and said with some excitement: "Everyone remember this small hole. Because such a tubular channel has been rebuilt, although the problem of blood flow into the pulmonary artery has been solved, Problem, but after surgery, there may be excessive pressure in the vena cava system, so Dr. Tang set up a small port here."

It's like there is often a small hole on the lid of the pot bought at home, just to provide an outlet for the entire pot to decompress when the steam pressure is too high.

After hearing Director Qian Gang's explanation, all the doctors were trembling. Doctor Tang's technique was too detailed.

"It really was a worthwhile trip, I learned a lot."

"Doctor Tang, Niu Boyi (broken sound)!"

At the end of this operation, Director Qian Gang saw Tang Lou's ability to handle it with ease, and suddenly had a bold idea, why not take this opportunity to send all the intractable diseases in the department.

After this village, there is no such shop.

Qian Gang directly sent a WeChat message to the resident doctor who arranged the case.

(End of this chapter)