Chapter 2228

According to Domingo Paul, the sun is no longer bright on this day.

He has just become the king of cardiac surgery. Before he can make an uproar in the academic circles and crown himself, he has to meet the challenge of another operator whose level is no less than his.

It's just that Domingo Paul's curiosity outweighs his worry.

In his opinion, interventional surgery is impossible to complete the treatment of dilated cardiomyopathy.

He began to read the video materials left by the operators in the live studio. All kinds of operations were wonderful.

Although the percentage of cardiothoracic surgery is not high, it has been proved that whether the operator in the live operation room is a person or a team, the level is very high.

If Batista's operation is performed, Domingo Paul thinks the other party has the possibility of success. But interventional surgery for advanced dilated cardiomyopathy

Domingo Paul never wanted to know how to do this.

It was getting late. He didn't even have an appetite for dinner. The flame of curiosity in his heart had lit the whole person.

In front of him is a notebook computer, which has been read countless times about patients. The patient's condition is very serious. Domingo Paul reckons that if Batista operation is performed, at least 400g of myocardium should be cut off.

This is a restricted area for surgery, and the mortality rate of 20% has soared to almost 100%.

If he had chosen, he would have refused to perform surgery on the patient. No matter how much money the patient donated to his medical center at home, he will not hesitate to refuse to do this operation with 100% mortality!

After all, no one wants patients who work hard to do surgery not only to prolong their lives, but also to die in a dangerous period after surgery.

What should the operator do in the live operation room? The question hovered in Domingo Paul's mind.

After thinking countless times, he finally judged that this was an impossible technique.

Interventional surgery is used in the heart, mainly to open coronary vessels, block incomplete valve closure, and open narrow valves.

These operations have internal logic. Interventional surgery is a kind of operation that will not bring major trauma.

However, for advanced dilated cardiomyopathy, a large number of dilated and proliferated myocardium should be removed. Logically, interventional surgery is not suitable at all.

He refused all transactional activities and did not go home. Instead, he quietly waited for the beginning of the operation.

With the passage of time, at 21:50, the picture of the live operation room lit up.

The double field appeared in front of Domingo Paul.

According to the previous brief introduction, Domingo Paul knew that the operation was performed by DSA guided interventional surgery combined with small thoracotomy.

The two fields are expected.

Although he thought that interventional surgery could not complete everything Batista's operation could accomplish, he always had a bad hunch in his heart.

Nothing else, just because it's a live operation!

If the operator is not fully sure, who dares to do an operation doomed to "failure" in front of his peers all over the world!

Domingo Paul kicked all his assistants home and left himself in the studio. In the quiet night, he seemed to hear his heartbeat.

With a few minutes to go, Domingo Paul stood up and made a cup of coffee.

Back in front of the computer, a number came into view.

The number of people entering the live studio has exceeded six figures, that is, more than 100000 doctors around the world are watching the operation.

As time approaches, this number is still soaring.

Almost every second, the number is rapidly refreshed, which is the most time Domingo Paul has watched the operation at the same time in his memory.

It seems that everyone is very interested in the new method of interventional surgery.

Domingo Paul watched quietly. For him, it was a reckless challenge to challenge the dignity of his king.

The time finally came to 22 o'clock sharp and the operation began.

The first operation field has not been moved, and the second operation field underwent thoracotomy first.

Small incision on the left chest, about 6cm. The sharp scalpel cuts the skin, and the blood flows out slowly, making the whole picture look more textured. At this moment, Domingo Paul seemed to smell blood.

The scalpel is not standard. Domingo Paul envies every time he sees the curved Lancet.

Such a blade costs $233, and it's not ready to use. This blade needs to be customized.

What a luxurious craftsman, Domingo Paul thought to himself.

As soon as the blood gushed out, the gauze in the assistant's hand fell on it. Dip it in blood, wipe it clean, burn it with electricity and click it a few times. The hemostatic forceps began to passively separate the subcutaneous tissue and muscle.

Just from the open chest, everything is perfect.

Open the pleura, open the operation field, and one lung ventilation has been carried out.

At the same time, the first operation field lit up. While surgically cutting the mediastinum and exposing the heart, a guide wire entered the superior vena cava from the jugular vein, then reached the right atrium and entered the right ventricle through the tricuspid valve.

Domingo Paul, from the operator's point of view, a huge heart appeared in front of him. Because the incision is relatively small, you can't see the whole picture of the heart.

Domingo Paul immediately put himself into the operation process. If he changed himself, he might have started preparing for cardiopulmonary bypass.

At this time, the guide wire in the first operation field has reached the part of the right ventricle near the ventricular septum.

The gaiding tube with J-shaped radian was attached to the ventricular septum. The interventional operator then set a fixed anchor point and began to puncture immediately.

What do they want to do? Domingo Paul was stunned.

On the DSA guided screen, we can clearly see the huge left ventricle beating hard. The puncture needle has passed through the ventricular septum and entered the left ventricular cavity.

Because of dilated cardiomyopathy, the patient's left ventricular cavity is huge.

How childish, thought Domingo Paul.

It seems that the operator wants to penetrate the whole left ventricle with a puncture needle. Domingo Paul has no idea what to do.

But at this step, he judged that the possibility of success was very small.

Because it is necessary to puncture into the J-tube, the puncture needle has strong elasticity, not a straight and hard steel needle.

Although the patient has dilated cardiomyopathy and the ejection fraction decreases, the blood flow rate in the left ventricle is still very fast with the beating of the heart.

Under the impact of high flow velocity, it is absolutely impossible for the puncture needle with toughness to maintain a straight line and reach the position desired by the operator.

Domingo Paul really doesn't know what's going on in his mind!

Although he doesn't understand the meaning of the operator, only from this step, at least establish extracorporeal circulation to stop the heart beat, so that the puncture can be successful.

What the practitioners do is simply too childish!