At this time in the office, Ge Huai and others thought that the operation was over and were about to turn off the TV.
Suddenly I saw the broadcast picture light up again!
When they saw the operation picture, the three of them immediately looked happy.
Surprise!
There is nothing more exciting than seeing surgery.
If there are, then a few more surgeries.
After seeing the pericardium incision in the picture, the three eyes suddenly shrank!
Ge Huai could not help but said, "Trouble!"
Another doctoral colleague nodded again and again: "Well, the adhesion of the pericardium is really rare. The adhesion is so tight and the pericardium is significantly thickened. It is really difficult to know the depth of this knife.
When the pericardium and the outside of the heart are closely connected, it is the most difficult time for constrictive pericarditis.
At this time, if you want to separate, the difficulty factor has increased too many times.
At this moment, everyone is staring at Chen Cang.
Xia Gao was trying to speak, and Tao Yan quickly stopped.
He saw Chen Cang thinking!
There is no way, not only Chen Cang, but also everyone in their presence did not know how to start when they encountered such an operation.
Ten seconds passed!
Chen Cang continued to act.
After seeing Chen Cang reach into the blade, he slightly picked it, and immediately felt that his pericardium was loose.
Chen Cang looked so happy!
Sure enough!
Because there is a layer of loose connective tissue between the thickened pericardium and the adventitia, here is the interface to fight the peeling of the pericardial adhesions.
However, if the adhesion is severe, this connective tissue and the pericardium will adhere tightly, making it difficult to find.
but!
Regardless of the adhesion, the properties of this layer of connective tissue and pericardium and adventitia are different, and Chen Cang quickly turned around.
"Pliers, lift!"
Gao Jianxin nodded quickly, he was curious how Chen Cang found this layer of connective tissue, but Chen Cang had already found the outside of his heart at this time, and he couldn't help but raise it.
After Gao Jianxin raised the pericardium, Chen Cang quickly pressed his left hand on the surface of the heart!
At this time, everyone can see a beating heart!
It's so **** difficult!
After all, the motion of the heart is not so accurate. If you want to remove the adhesion between the heart and the pericardium, there is no absolute level and effort, but it is really a problem!
Mild coronary artery injury, causing bleeding!
Myocardial rupture can be life-threatening!
At this moment, the difficulty of surgery is increasing proportionately!
At this time, a small piece of the pericardium was lifted up, and you can fully see the adhesion between the epicardium and the pericardium.
Too serious!
And trouble!
Because of the uneven adhesion, a decisive treatment method cannot be selected.
Chen Cang turned and said lightly:
"Peanut Rice Tongs!"
"gauze!"
The nurse quickly handed it over, Chen Cang covered her gauze with her fingers, held her breath, and didn't dare to move.
Speaking to Gao Jianxin: "Took it up, evenly, don't press!"
Gao Jianxin took a deep breath and was afraid to move.
Everyone around was brought into the atmosphere.
Chen Cang pressed his fingers slightly and carefully untied the loose areas.
one by one!
Everywhere!
Fortunately, these sparse ones said that at this moment, a roadblocker appeared immediately!
After a string of adhesions appeared, everyone could not help but stare.
Everyone sighed: Hey ... some of this operation was done.
This kind of strong adhesion is severe adhesion and accompanied by calcification. The separation is very difficult. Blunt separation is basically not feasible. Only sharp separation can be used.
Chen Cang put down the gauze, picked up the blade, and wanted sharp separation.
But ... the adhesion is getting closer and closer, how can it be separated?
Chen Cang gritted his teeth and changed place!
Yes, separating the pericardium is easy.
Moreover, it is necessary to determine the basic range of stripping based on the situation of the patient during the operation.
Chen Cang step by step, difficult to strip!
But no matter what order, the apical part definitely needs to be completely peeled off, and the left side needs to be close to the left phrenic nerve, but it can't damage the phrenic nerve, and it's not afraid to damage the heart.
difficult!
At this time, Gao Jianxin stared at the guard carefully, for fear of any problems, because once arrhythmia or unstable myocardial discoloration occurred, more plans and measures needed to be taken immediately, and the operation was completed this morning!
The heart, after all, is different from other areas.
Therefore, the operations of cardiac surgery are all started at level 3, with an average of level 4 ...
Therefore, the doctors of cardiac surgery also started as doctors and average deputy directors.
Surgery step by step!
Finally, Chen Cang found the most important place.
A calcified lesion embedded in the myocardium. After everyone saw this moment, they could not help but change their expressions, and their expressions suddenly became stronger!
This is a big guy!
Xia Gaofeng could not help but said, "This ... this is okay?"
Tao Yan was also silent, and he was not sure, this need not be cut.
But it must have been cut!
This embedded in the myocardium has caused severe damage and is not conducive to the function and recovery of the heart.
but……
It's too difficult to peel off!
Compared with the risk of peeling, not peeling is a chronic injury, but ... the risk is much smaller, which is why Xia Feng said that peeling is not necessary!
Everyone was a little worried, because the previous separation was a fuss on the pericardium, and at this time it was peeled off from the heart.
And because the adhesion is serious, it can only be sharp.
Holding a knife and scoring on the heart, you can't hurt the heart muscle.
Isn't this difficult for strong men?
but!
This is surgery!
There is always an uncertain risk during surgery.
Everyone couldn't help looking at Chen Cang, but ... no one saw a trace of confusion in Chen Cang's eyes or face.
dull!
calm!
Calm down!
Seems as simple as cutting the appendix.
The clouds are light, the wind is light, and the pets are not astonished.
Generally, in this case, island-shaped reservations can be made, and they cannot be stripped.
However, the boundaries of peeling are unclear and severe adhesions, and Chen Cang must untie the surface of the myocardium.
Now, it's a dilemma!
Progress is the best, but in case of myocardial rupture, this is dangerous.
At this time, Chen Cang made an operation boldly.
This is an attribute of Mr. Tao Cangxue's Tao: stability ~ www.novelhall.com ~ This stability is relatively stable!
Thinking of this, Chen Cang raised his mouth slightly.
Said to Gao Jianxin: "Took it up!"
At this moment ~ www.novelhall.com ~ I saw Chen Cang picking up the blade and peanut pliers at the same time, holding the pliers in his left hand and gripping the pericardium, but the right hand followed the frequency of the beating heart, carefully peeling off!
This scene frightens people directly.
Everyone stared at Chen Cang with wide eyes.
Is there such an operation?
Keeping your hands and heart at the same motion, aren't you sure you're kidding?
Xia Gaofeng never held back: "grass the grass, it's awesome!"
Not only him, everyone around him was stunned by Chen Cang's separation of the calcified lesions embedded in the heart muscle.
However, no one dared to bother.
No one dares to disturb such a delicate work, and even Xia Gao quickly raised his hand to cover his mouth.
He really didn't hold back!
This piece is already the last piece to stick.
Once stripped, the operation was successful.
At this moment, there are still people who doubt Chen Cang.
Today, he does not use strange and innovative surgical methods.
All are traditional surgical procedures.
However, the more traditional things are made, the more powerful they feel.
ps: Thanks to Yang Chen for his rewards the next day, thank you!
Push a book: "Beginning of a Small Fishing Boat" by Zhejiang Dongfu, is the author of "Return to 80 as a Big Brother". The old book is blocked and the new book is written. It tells the story of a rebirth island farmer. I like it. Friends can go and see, overhead text, old author.
Finally, remember, you can see it, but ... the ticket must be brought back ... or I really cried. .