Chapter 1831： The true meaning of surgery

After opening the aorta, the intima tears of the intima of the aortic arch were seen.

The intima of the 3 arms of the head arm was peeled off to form a true and false cavity. The intima of the arch descending side was transversely torn by 2/3, and the diameter of the false lumen; most of the intima collapsed at the opening of the true cavity, and the diameter was about; "Fuguier!" Zheng Ren shouted.

"Well," Professor Rudolf Wagner answered. "Do you start now?"

"Prepare, wait a minute."

After that, Zheng Ren reached out and took a blood vessel with a membrane stent in his hand.

Bracket: 28mmx1oomm, the length is still suitable.

Zheng Ren inserted and released the stent graft artificial blood vessel from the true cavity to fully expand the stent.

Subsequently, the left subclavian artery was cut off from the initial part, and the proximal end of the descending aorta was cut at the opening to cut off the proximal suture margin of the covered stent graft, and the adventitia and intima of the proximal aorta of the descending aorta were The vascular suture of the stent graft was used for intermittent suture fixation.

Using the 3-opro1ene line to connect four branches of 3omm diameter artificial blood vessels with the descending aorta of the descending aorta with the artificial blood of the stent graft

The suture is used for end-to-end anastomosis.

The spare arterial infusion tube is connected with one side branch of the four-branch artificial blood vessel, and the blood is slowly injected into the descending aorta, and the four branches of the artificial blood vessel are blocked at the proximal end of the lateral branch, and the descending aorta starts to supply blood.

The perfusion flow rate was 2 om1/(kgmin).

The 5-opro1ene line end-to-end the left subclavian artery, the left common carotid artery, and the proximal end of the innominate artery incision with the corresponding branches of the four-branch artificial blood vessel.

One hour and 22 minutes after the start of the operation, the anastomosis of the aortic arch proceeded in an orderly manner.

......

......

At this time, in the observation room on the second floor, Dr. Charles sat in a chair and looked at the image on the big screen.

"Dr., is the surgery going well?" Rudy was a little panicked.

The operation was quite smooth, but the more it was, the more panicked he was.

Benta11 surgery, will it be so smooth?

The surgical field is clean and clear, and every step is methodical. The surgeon is not like human beings.

Although things are moving in the right direction, Rudy is more and more scared.

And it is said that the heart has stopped before surgery, there will be no brain death.

"It’s still a perfect surgery, it’s like a machine,” Dr. Charles said.

His English has an accent, but it does not hinder his communication with Rudy.

"Dr., you can see the surgery..." Rudy cautiously asked, things have already come out of their own expectations, like a wild dog that is out of the stiff, going farther and farther on the road that cannot be estimated.

When he returned from Dr. Charles, he realized that the surgery had begun. Because of the increased tearing of the brachiocephalic artery and sudden cardiac arrest, the condition has not been delayed.

After knowing this news, Rudy almost didn't faint.

In fact, he did not believe in Zheng Ren. Because of the arrival of Dr. Charles, Rudy only put the trust on the side of Zheng Ren.

"You don't have to." Dr. Charles said: "I haven't had surgery for many years, the peak of surgery, it's just been. The picture you see now is the pinnacle of surgery today."

"..." Rudy stunned.

Dr. Rainer clenched his fists and stood behind Dr. Charles, a little angry.

But it is just anger, and the surgery in the picture, he can't pick out a problem.

If you are on the operating table, you can only do it to this extent.

Of course, this is just Dr. Rainer’s own idea. In his heart, Dr. Rainer is sure that he can't reach the level of the surgeon.

From the beginning of the free, until the block, the extracorporeal circulation, the aortic arch is cut, each step is clean, simple and clear.

The operation is done very quickly, but it is not a simple hand. Although it's fast, it's not chaotic. Every step has an eye. It's like... Dr. Rainer knows that it's like taking the most serious attitude to do this operation, and the degree is faster.

Although he was not convinced, he could not refute it.

The anastomosis is obviously a microsurgical anastomosis. The needles are not large, and there are no tears or suspected tears in the blood vessels and the outer membrane.

Each time an anastomosis is completed, the obstruction forceps are moved to the proximal end of the four-branch artificial blood vessel anastomosis branch, so that each of the anastomotic blood vessels is supplied with blood in time.

The position of each move is standard, as it is measured with a ruler.

Is this the peak? Lena is a little embarrassed.

If she judges that the dead patient has been rescued, Rainer knows that her self-confidence will suffer an unprecedented blow.

"Lena, vascular anastomosis has always been your weakness, I think you can learn a lot from this operation." Dr. Charles suddenly said.

Dr. Rainer is silent.

Although he knew that this was the truth of the matter, he still refused to admit that his surgery was worse than that of the yellow-skinned young man.

If you are facing your own teacher, Dr. Charles, Rainer can still think that the teacher has not operated, even if the previous level is higher, but what is the point?

But even this vain haze brought Dr. Lena's almost unlimited pressure so he accepted the invitation from Cleveland and left the Mayo Clinic.

This behavior also indirectly led the Cleveland Clinic to the Mayo Clinic in the field of cardiac surgery.

But this operation in front of us is another concept.

The surgeon is younger than himself, and the surgeon has climbed to such an altitude in an era when experience should have been accumulated. After that? What kind of surgeon he will become.

Lena was a little embarrassed, and he felt like he had just graduated, watching Dr. Charles doing the surgery.

Infinite admiration and admiration in my heart.

But he quickly became awake and told himself that the person who performed the surgery was the younger surgeon.

The pressure that Young brought to Lena was far from the pressure that Dr. Charles gave him.

Because the surgeon is younger, his limits are not just here. Because the surgeon is younger, he will have to rule the field of cardiothoracic surgery for many years.

At the thought of this, Rainer felt that her heart had begun to hurt.

Haven't waited to get out of Dr. Charles's haze, and are you covered by another layer of thicker, never able to get rid of?

"Lena, you remember I told you that a good surgeon can do cross-disciplinary surgery?" Dr. Charles asked as he looked at the surgery.

"Teacher, I remember." Lena's answer, the hand clenching the fists did not know when it had been released.

"That's why." Dr. Charles looked at the image on the screen and said: "The purpose of the operation is simple and clear. As long as you understand the anatomy, there is no surgery that can't be done. But these are rooted in a touch."

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