Chapter 1390： : This style of 1 knife!

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This time, Chen Cang made up his mind!

It doesn't matter whether it's a king or something.

You have to find ways to complete this operation!

Nor is it because of the 20 million, mainly for children.

Well, yes!

It stands to reason that tetralogy of Fallot is the most common congenital heart disease.

The so-called tetralogy is actually mainly four kinds of deformities:

Rightward stride caused by widening of aortic root, pulmonary artery stenosis, ventricular septal defect and right ventricular hypertrophy.

The first three items are primary lesions and have important diagnostic significance.

The right ventricular hypertrophy is a secondary change, which is the result of the above deformity.

However, although the small patient at this time is not old, but the disease is not light, these few directly contracted, not to mention, the key is to increase the abnormal development of the pulmonary artery.

As a result, the patient's surgical difficulty directly increases a lot.

In fact, private ordering of this kind of thing is most suitable for diseases. The same kind of disease, manifested in different people, really has various manifestations.

Li Baoshan, He Zhiqian, Xu Ziming and Meng Xi followed Chen Cang.

Director Xu is more conscious and has found a suitable position to stand up, ready to act as a "second trader" and get Chen Cang equipment.

Chen Cang glanced at other people and said: "Let's take a look at the operation. This operation... is still very valuable for research. After going back, I will summarize it."

The preparation before the operation is over, and after the anesthesia is administered, the operation is officially started.

The method used in routine surgery is deep hypothermia to stop the circulation, but it is definitely not available to the patient. Not only that, after the extracorporeal circulation, the heart can not stand the toss of the cardioplegia.

Chen Cang resolutely expanded his front chest.

Then directly saw the sternum and cut off the thymus.

The family on the stage could not bear to look directly.

Levi's wife turned directly over her eyes.

Old Kurt watched the operation seriously.

He can't understand surgery, but he can understand people, and through the eyes of everyone, old Kurt can judge a lot of information.

At this moment, Old Kurt looked at everyone, including Sabrina, and he clearly saw the other's eyes hesitant and uneasy.

but! This mood has improved a lot since Chen Cang arrived.

Only Chen Cang's eyes, old Kurt can't see through!

Chen Cang's eyes were very clean and calm.

This is also the oldest Kurt's greatest confidence.

Chen Cang easily cut the happy bag, kept the extra pericardial tablets, and left it to Ren: "I will use the patch for a while and rinse with normal saline."

Renn nodded and set about working.

After establishment of cardiopulmonary bypass.

Chen Cang said to the three people: "There are four steps, the first is the heart incision, and then the first is to repair the heart, and repair the ventricular septal defect.

Then patch the right ventricular outflow tract!

Third, reconstruction of the valved duct from the right ventricle to the pulmonary artery.

Finally, the treatment of merged deformities. "

Chen Cang's thinking was very clear. Everyone around him had originally looked at this awful heart like a mess, and after Chen Cang's story, it began to become clear.

They are not mediocre, it is naturally not possible for ordinary people to get to this position.

After Chen Cang told about the patient, he picked up the scalpel and began to make an incision in the heart!

This is the first step, but it is also the most important step.

I saw that the structure of the heart was constantly adjusted in his eyes, forming invisible lines.

Finally, he found a suitable position.

Take the scalpel and make a longitudinal incision from the proximal end of the pulmonary trunk to the right ventricle. When the incision passes through the annulus of the pulmonary artery, the pulmonary valve should be fully exposed!

This kind of incision has changed Chen Cang's previous small incision, and the opening is wide enough!

But carefully avoided all coronary vessels, the entire incision is large, but the amount of bleeding is very small.

The entire incision presents an inverted "t" shape.

After Chen Cang opened the incision, the entire heart cavity was completely brightened.

This surprised everyone, not knowing why Chen Cang did it.

However, Chen Cang did not explain much, but continued to attack.

Cut at the junction of two or three leaflets.

At this step, Chen Cang was very difficult to handle, and his heart was still beating. When Chen Cang tried his best to keep the valve leaflets intact, he opened the valve leaflets.

However, at this time, Chen Cang did not stop, but cut the valve leaflet along the annulus to the incision of the pulmonary artery!

This scene directly makes everyone who observes the operation have a tight eyebrow, and can't even understand Chen Cang's operation!

At this moment, when Chen Cang took over the needle holding pliers, Sabrina suddenly realized!

Her eyes flashed, looking at the somewhat irregular heart cut by Chen Cang, and she was immediately excited!

did not expect!

It was really unexpected.

It turns out that Chen Cang did this!

Ren at the side was puzzled when he saw the expression of his old partner.

Sabrina couldn't help saying, "Professor Chen's heart-cutting has really benefited me a lot!"

Everyone looked at Sabrina, puzzled.

And Sabrina directly said: "Look, if here, what is the result of the intermittent suture of the opened valve margin and the adjacent pulmonary artery incision edge?"

Everyone looked at Sabrina's gestures.

See more and more familiar!

The more you look, the more surprises!

After a moment.

Mond Alpha wakes up like a dream: "This can reduce postoperative pulmonary valve insufficiency!"

In a word, wake everyone up.

Unexpectedly, Professor Chen's random heart cut was so amazing.

For a time, everyone was amazed.

However, Chen Cang was still unmoved, and then exposed the ventricle fully to prepare for heart repair. After hearing the words of everyone, he smiled faintly and said, "Is there any?"

In a word, stabilize everyone around the operation!

and also?

Chen Cang saw a few people like this, so it was not mysterious.

"Don't you think that extending the incision up to the bifurcation of the pulmonary artery on both sides, and cutting the opening of one or both pulmonary arteries can effectively prevent the narrowing of the pulmonary artery opening?"

Everyone looked around and saw Chen Cang's incision extending along the heart to the intersection of the pulmonary artery, and suddenly realized.

One by one half a day did not respond!

Sabrina did not speak for a long time. After a moment, she smiled bitterly.

This is too powerful, right?

It takes more knowledge of the heart to do this!

After the patient's heart deformity at this time, a lot of changes have taken place.

Originally everyone was still curious why Chen Cang would open such a big mouth. UU reading

Now it seems……

Still not enough vision!

Sometimes, the height is not enough, and the scenery may be different.

Chen Cang's style just now was enough to crush everyone present, including Sabrina herself!

Thinking of this, Sabrina glanced at Chen Cang, only to feel that the young man's eyes were like Gu Jing.

Unfathomable, but unsurprising!

...

ps: Thank you for the 100,000 rewards for "shakes and more sesame seeds", becoming the 74th leader of this book, plus 3 more chapters.

At present... 103 chapters of debt, um, 51 chapters are paid back...

There are 3 chapters in the evening.