Chapter 1388

The people watching the operation above were surprised at this moment.

They learned the power of Chen Cang from Sabrina.

However, they did not expect such a big gap!

The president of Presbyterian Hospital and these directors looked at several people brought by Chen Cang and were surprised to see their ordinary expressions!

Could it be that... They are also excellent, and they have already seen the clue!?

Thinking of this, they don't worry about being fake.

Has China's cardiac surgery developed to this point?

Too arrogant!

Of course, they certainly don't know that they are calm because Chen Cang does anything, and they won't be too surprised.

Even if this patient is dead, Chen cangsheng is dead, flesh and bones, they will nod lightly!

As Chen's twelve disciples, they should be at least forced!

Well, it may be the eleven disciples now. After all, Liu Quan has been driven back to the country. Can I say something else when I go back.

The operation continues!

It's high energy time!

Repair of tetralogy of Fallot with non-stop heart!

At this time, the operation has been carried out for more than half an hour.

The key to intracardiac repair surgery is to protect the right ventricle. After all, the patient has pulmonary artery abnormalities. Once the right ventricle is damaged, it can only increase the risk of surgery with abnormal pulmonary artery development!

At this time, the advantage of Chen Cang's large incision was exposed again: full exposure is very important for ventricular septal repair.

With the gentle jump of the heart, Mareen is now very flattering. He placed two retractors on the front edge of the aortic valve and ventricular septum respectively. After traction respectively, the full picture of ventricular septal defect was exposed!

Even the aorta and mitral valve can be seen clearly!

Such an excellent surgical vision is conducive to accurate surgical operation and also makes up for the adverse impact of Chen Cang's non-stop heart beat.

"What patch?" Mareen asked kindly.

Chen Cang: "PTFE patch!"

Marin nodded in haste, which made Ssha Buter Lena make complaints about Tucao.

Seeing this, Xu Ziming decided to teach Sabrina a word after the operation: "lick the dog!"

Yes, comrade Mareen has been more and more down-to-earth on the road of fanchencang at this time!

Chen Cang's trimming patch has become a part of the performance of the operation.

Everyone stared at Professor Chen.

Chen Cang stared at the septum.

After a while, the patch in his hand quickly began to trim.

Before long, the trimmed patch appeared in Chen Cang's hands, which was slightly smaller than the ventricular septal defect.

Xu Ziming is about to hand over the needle clamp. Mareen has handed the needle clamp and gasket to Chen Cang.

Look at everyone's face!

The repair of ventricular septum belongs to the suture of dangerous area and requires a gasket, but this will make the needle holder less flexible when the heart is not beating.

Thinking of this, Chen Cang said directly, "no gasket."

This made several people suddenly stunned.

"Is this... Dangerous?" Sabrina couldn't help reminding.

Chen Cang also knows that it is dangerous, but sometimes, only one can be considered. If you choose a gasket, you have to give up flexibility, but if you don't choose a gasket, there is a certain risk.

Chen Cang nodded: "I'll be careful."

He didn't say much, and he doesn't need to say much now.

Mattress suture itself is more difficult than continuous suture. At this time, with the heart jumping, the sharp needle in front of the needle forceps in Chen Cang's hand emits cold light, which is frightening!

In fact, many times, surgery will encounter iatrogenic injuries, some are inevitable and some can be avoided.

Under the gaze of dozens of eyes at the scene, Chen Cang took a deep breath!

In the hand, the 4-0 polyester thread double headed small curved needle is like having a soul. One end is sewed through the root of the septal valve from the ventricle to the atrial surface, carefully transferred to the adjacent muscle of the aortic valve ring to sew a needle, and the other end is sewed through the root of the septal valve with a needle pitch of 2 ~ 3mm.

"Is this... Transfer needle?"

"That's right!"

At this time, there were many more onlookers. After the operation in the operating room, many doctors came out one after another. When they came up to see Chen Cang's suture technique, they immediately marveled!

"And it's a heart beating transfer needle!"

"That's Professor Chen cangchen!"

For a moment, the people around were filled with emotion.

After the completion of Chen Cang's first transfer needle.

The second transfer needle is transferred from the septal valve to the sinus ventricular septum. One end is sewn at the root of the septal valve and the other end is sewn on the right ventricular surface of the ventricular septum. The needle enters and exits vertically at the edge of the defect. The needle enters 5mm from the lower edge of the defect, the needle exits about 0.5mm from the lower edge, the needle depth is 1mm and the needle distance is 2mm.

This set of sutures directly calmed all the people watching the operation!

What is precision?

This is precision!

Sabrina felt her breathing quicken.

Chen Cang is more and more like a person in front of him.

With such precision, even the machine can't do it? How did he do it?

However, Chen Cang did not stop his operation.

Two mattress sutures were made again on the right ventricular surface between the first transfer needle and the conus * * muscle to stabilize the edge.

Then, close to the first needle, five mattress sutures were performed on the muscles adjacent to the aortic valve ring.

The third transfer needle is to sew a needle on the muscle adjacent to the aortic valve ring, then pass through the supraventricular ridge from back to front, and then pass the needle through the edge of the patch, push down the patch and ligate.

Such an exquisite three needle transfer suture with a slight overlap of layers can not only prevent the generation of residual ventricular septal defect, but also make the repair more stable.

Let the patch and the myocardium sew together skillfully!

Under the condition of non-stop heart beat, it is very difficult to cooperate with mattress suture.

The whole set of operation is classic!

Everyone watching is excited!

In the eyes of these professional doctors, nothing is more classic than this operation.

Such an operation is definitely the box office champion in everyone's eyes, and Chen Cang is a well deserved film emperor.

The suture of such a dangerous area that affects people's hearts was completed with the efforts of Chen Cang.

In fact, every step of Chen Cang is also startling step by step. At this time, his back is already sweating.

This scene was seen by the people watching the operation from above.

Such high-precision surgery is very tiring.

However, Chen Cang directly started the widening of the right ventricular outflow tract patch.

That's the second step of the operation!

Compared with the first film, Chen Cang's pressure is much lighter.

However, looking at the obvious malformation with linked blood vessels, what Chen Cang needs to do is to select and establish a new right ventricular outflow tract patch.

In Chen Cang's eyes, complex pipelines also began to become orderly.

How to choose seems to be easier at this moment.

Chen Cang was relieved.

Finally, I won't be so tired.

In fact, Chen Cang can't stand this kind of high-intensity surgery.