Auto chess in the operating room

Chapter 402 The much-anticipated finale surgery

Under the introduction of Professor Jiang, the first surgical demonstration began, and it was a chief physician of the 301 People's Liberation Army Hospital in Imperial Capital.

It is a tricuspid atresia surgery.

The so-called tricuspid atresia, also known as the tricuspid valve and the absence of the tricuspid valve orifice, is a deformity in which there is no direct communication between the right atrium and the right ventricle.

Tricuspid atresia is a cyanotic congenital heart disease, accounting for 1-5% of congenital heart diseases.It ranks third in cyanotic congenital heart disease after tetralogy of Fallot and dislocation of great arteries.

The main pathological changes are tricuspid atresia, patent foramen ovale or atrial septal defect, mitral valve and left ventricular hypertrophy, right ventricular hypoplasia.

From 1955 to 1958, Carlon, Meshakin and Glenn et al conducted arterial experiments, and then Meshakin and Glenn successively applied superior vena cava and pulmonary artery shunt for patients with tricuspid atresia, which was later called Glenn shunt.

And this demonstration operation is to perform a two-way pulmonary artery shunt.

The director of the People's Liberation Army Hospital adopted the surgical plan of the right atrium-pulmonary artery connection.

On the screen, there is an operation that has been recorded long ago. After the preoperative preparations, the dissociation of the common pulmonary artery and the left and right arteries began.

The chief physician is obviously very experienced, especially in the pericardial patch anastomosis, in order to prevent postoperative traction, a very narrow anastomosis was used during the anastomosis.

"Amazing anastomosis."

In the venue, watching the operation of the director of the People's Liberation Army Hospital, they were all full of praise.

"Look, when director Huang placed the extravalvular catheter between the right atrium and the pulmonary artery, he applied a patch to close the atrial septal defect through the incision of the right atrium, which solved the compression of the outer catheter very accurately. It's amazing."

In the venue, all the doctors are naturally knowledgeable people, and they are full of admiration for Director Huang's operation.

"The next step is the right atrium-right ventricular outflow tract anastomosis. Director Huang actually adopted a gate-shaped incision. The atrial wall was turned to the right ventricular outflow tract incision, which coincided with the lower edge of the incision. The anterior wall was covered with a pericardial patch. This The operation is really skilled.”

In the venue, all the doctors, especially those young doctors, really opened their eyes.

"As expected of a surgery demonstration at the Huaguo Heart Congress, this technique is really refreshing!"

"The superior vena cava was severed again, and the distal end of the superior vena cava was anastomosed with the right pulmonary artery. Director Huang's anastomotic technique is really amazing. Look at the evenness of the wiring and knotting, it's amazing!"

Seeing Director Huang's basic skills, many young doctors are envious.

In the venue, several doctors from Zijingang Hospital were yawning, especially Tang Xianhu and Liu Juzi, who didn't pay attention at all.

Not far away, several physicians of Imperial Capital 301 Hospital naturally noticed the reaction of Zijingang Hospital, and several chief physicians were a little dissatisfied.

However, after all, it was at the venue, so I was embarrassed to say anything, but I was still a little upset in my heart.

After all, as far as they knew, Zijingang Hospital didn't even have the qualifications to be selected for the surgery demonstration at this conference. Tang Xianhu and Liu Juzi were too arrogant.

It seems that Director Huang's operating skills are completely ignored.

"Jiangxia province, these Jiangxia provinces who can't afford it, how can they compare with the chief physician of our Imperial Hospital. I think it may be that Dean Tang and the others are a little ashamed and embarrassed to admit it. They can only pretend that nothing happened. In fact, they are panicked. Get a batch."

A chief physician at the 301 Hospital of the Imperial City analyzed, after all, in the eyes of the hospital in the Imperial City, Hangzhou is just a countryside.

Just like many programmers who went to Ali from the imperial capital, they don't like Hangzhou very much, and complain that Hangzhou is not as good as the devil's capital and the imperial capital.

On the screen, Director Huang continued his operation, and soon entered the anastomosis of the proximal end and the common pulmonary artery. Due to the difficulty and length of the operation, at this point, Director Huang took a short rest to wait until his mental state and physical strength After entering the best, the final operation begins.

For this, many doctors admire it very much. After all, controlling the rhythm of surgery is a sign of a mature doctor.

In Zijingang, the Second Hospital of Harbin Medical University, and the auditorium of Xiehe Hospital, many doctors yawned.

Even a few doctors frowned, this speed is really a little slow, after all, they have seen doctors who don't need to be trimmed at all.

Another three hours later, Director Huang completed his operation.

In the video, it is obvious that Director Huang is very satisfied with his operation.

"Postoperative cardiopulmonary function testing, early maintenance of right atrial pressure > 2.0kPa (15mmHg), blood and plasma should be maintained if not maintained. Low cardiac output syndrome, application of dopamine, isoproterenol or sodium nitroprusside, etc. Drugs. Fresh blood, platelets, and fibrinogen should be applied in a timely manner when there is a lot of bleeding in the early postoperative period. Postoperative right atrial pressure increases, and lymphatic fluid flow restriction can cause increased drainage. Diuretics and/or digitalis can be used. After anticoagulation for 2~3 months"

Director Huang is very professional and experienced. After the postoperative doctor's order, he walked to the changing room.

In the venue, many doctors applauded to express their respect. It has to be said that Director Huang's operation is still very good, and his understanding of the operation is even different from ordinary people.

And amidst the applause of the doctors, Professor Jiang appeared again and introduced the second demo operation, which was a heart stent operation performed by the chief physician from Fuwai Hospital.

Seeing the difficulty of this operation, the doctors in the venue were very excited and looking forward to it.

"Heart stent surgery is a new technology developed in the past 20 years to improve coronary heart disease caused by myocardial insufficiency and blockage of cardiac arteries. There are not many hospitals in the country that can maturely carry out this kind of surgery."

"Professor Li's operation is really exciting."

"That's right, heart stent surgery, a metal stent is placed into the diseased coronary artery to support its wall to keep the blood flow in the lumen unblocked. Among them, the operation and technical requirements for the main surgeon are very high, especially for stents. The control is very detailed, and its difficulty is a little weaker than that of a heart transplant.”

In the venue, all the doctors were also emotional, obviously highly respecting this operation.

"Although heart stent surgery is not very complicated, the risk of surgery is indeed very high, especially if the patient is a patient with coronary heart disease, and the surgical site is a blood vessel in the heart. The stent is very likely to block or will soon block the blood vessel."

In the meeting place, some senior chief physicians explained to their subordinate physicians.

"Moreover, putting in the stent and propping it up does not mean that this blood vessel or this part will not be narrowed or blocked again."

The operation that can be selected for the Huaguo Heart Conference naturally has its merits. Director Li's operation has benefited many doctors a lot.

"Speaking of which, these few demonstration surgeries are already so powerful, I don't know how the final finale surgeries will be. I'm really looking forward to it."

In the venue, many doctors were looking forward to it. After all, in principle, the mysterious finale operation must be more powerful than these ordinary demonstration operations, although these operations are already within the reach of ordinary surgeons. The ceiling is up.

The more powerful the first three operations were, the more the doctors looked forward to the finale operation of this conference.

Finally, after four hours, Professor Jiang announced the progress of the meeting again, and the last one, which is also the finale demonstration surgery of this meeting, began!
(End of this chapter)