Chapter 1832： Field crushing

Feel? Dr. Rainer has vaguely touched the erratic vocabulary that Dr. Charles said in recent years.

But specifically how to do it, he still does not know.

"With sterile gloves, it will affect the judgment of the surgeon. Each pair of sterile gloves has a different feel. So I said that sterile gloves are the biggest part of the surgery."

Dr. Rainer remembered that Dr. Charles did say this.

At that time, I thought that the teacher was joking. I didn't expect it to be true.

"But the aseptic environment must be guaranteed, so the initial stage of the operation is the key to the surgeon's familiarity with the patient's anatomy and clear hand." Dr. Charles continued to talk slowly.

In his view, this operation in front of him is bound to be a great success.

Looking at this kind of surgery, the flawless process is really a pleasure, and Dr. Charles is somewhat addicted to it.

Only in addition to the surgeons on the operating table and the operating table, no one can understand the realm of the hand, and life is sometimes lonely.

"Every person's body tissue has unique elasticity and resilience. When it comes to blunt dissociation, it is the best time for the surgeon to establish communication with a unique body organization." Dr. Charles said: "And this kind of communication, It will let the surgeon clearly face the feel of the organ. As long as the communication method is established, the feeling is clear, and many complications and mistakes will never appear."

"Look, Dr. Zheng's strength and angle of the needle tip at the time of anastomosis are the choices made by the information that was previously felt by the blood vessels." Dr. Charles said cheerfully: "Perfect, not a trace. Look at this. Unparalleled surgery brings an inexplicable enjoyment."

Lena is speechless.

Everything that Dr. Charles said, he just sly realized that it seems to be the case. But if he is to be used in clinical surgery, there is no 3-5 years of running-in that can't be done at all.

And after 3-5 years, I am already old. Although the experience will be more abundant, it has passed the peak period of surgery.

Some movements, the body has not allowed yourself to complete flawlessly.

Dr. Rainer has some regrets.

But it is 3-5 years, it may not be realized after 5 years, and it will take a new 5 years.

It has nothing to do with diligence. To reach this realm, what is needed is talent.

"After establishing this connection, the hand is placed in the position of the brachiocephalic artery, and it is known how much strength should be used for the anastomosis. Of course, this method of anastomosis should be based on almost perfect flawless microsurgery."

"Perfect match, Rainer, this surgery has reached the level of my peak period, and even overflow. After you remember to copy the whole process back, take a look at it."

"Although your age is no longer able to reach this level, it is good for your level of surgery."

Lena looked at the surgical image silently. In the process of the teacher's explanation of the "feel", Dr. Charles had a few sentences of time, and the surgeon had completed the anastomosis of the brachiocephalic artery.

After all three head and arm vessels have been anastomosed, full flow perfusion is initiated.

The proximal end of the four-branch artificial blood vessel trunk was anastomosed to the distal end of the original ascending aorta artificial blood vessel. After exhausting, Zheng Ren opened the ascending aorta.

After the mixed blood venous oxygen saturation reached 9o% or more, the patient began to slowly rewarm and the heart automatically re-jumped.

At this time, a row of digital perfusion time 11omin appeared on the screen, blocking 95min, and the selective cerebral perfusion time of deep hypothermic circulatory arrest was 84min.

perfect!

Innocent!

Dr. Rainer looked at these similar figures and he couldn’t help but feel awkward.

If you do your own surgery, these numbers are basically doubled. Doubling is not critical, and the infusion time and the blocking time will never differ so much.

The small gap in time represents a steady and fast operation of the surgeon.

Is this all the change brought by the "feel"? Dr. Rainer looked at the surgery silently.

The surgeon should have finished the operation, but when he sees the end of the hypothermic cardiopulmonary bypass, after the heart has jumped, another image appears on the screen.

The interventional guidewire enters the blood vessel, walks through the anastomosis section, and begins angiography.

At the same time, the field is still clean, only a small amount of blood seeps out, but there is no trace of contrast.

This is the final confirmation.

Generally, after the nose surgery, no interventional surgery is used to confirm the bleeding. The behavior of the surgeon is not recognized by Dr. Rainer.

If the guide wire hits the anastomosis segment, it may cause an unpredictable change in the anastomosis.

"Lena, this is an area I have never met." Dr. Charles suddenly said.

"Teacher, I don't think it is necessary here," Dr. Lena said reluctantly.

"No, you will continue to read it." Dr. Charles has already guessed the idea of ​​Zheng Ren. He said with a smile, "For the surgical procedure, the surgeon made a bold change, which is based on his anatomy. And a thorough understanding of the patient's condition."

"What is he going to do?"

"You must have forgotten what the young man used to win the Nobel Prize recommendation."

"..." Lena was speechless.

Is it possible to get the Nobel Prize recommendation by interventional surgery Is it necessary to demonstrate the interventional procedure in this large operation?

This should be a very irresponsible act, but why is the teacher still so expected?

Suddenly, an idea appeared in Linna’s mind.

Two years ago, the patient underwent coronary artery bypass grafting and ascending aortic valve replacement. The blood vessels replaced today have also undergone certain changes under the influence of the horse syndrome.

This is a terrible thing about congenital diseases, and the blood vessels transplanted in will also be imaged, especially the location of the coronary artery bridge established by the internal mammary artery.

Looking at the film before surgery, image analysis, Rainer believes that the patient's coronary artery is a little problem, but it is not worth noting.

In the case of a torn aorta as a background, nothing is worth noting.

And the ambition of the surgeon is so big? What is he going to do? Is it...

Rainer’s guess soon became a reality.

Interventional stent surgery.

Coronary artery... Ascending aorta... descending aorta...

Each of the blood vessels that may have tears is covered with a membrane stent, and there is no gap between the stent and the stent, which is perfect and calm.

"He went to the interventional surgery?" Dr. Lena asked awkwardly.

"Yeah." Dr. Charles finally changed his position. It took too long and the body was somewhat uncomfortable. "Ma Fang syndrome can cause pathological changes in the aortic membrane, or use a stent to solve it better."

Dr. Lena couldn’t vomit in the chest.

If the surgery itself is still hopeful to reach the level of the surgeon, then the current interventional surgery...

I can't do it myself.

This is the crushing of the field!

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