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Chapter 341: First in China, One and a Half Ventricular Correction

In the consultation room, Director Huang and Deputy Director Qian had already arrived. After Chief Zhong entered, he directly handed the prepared information to Director Huang. At the same time, he started to turn on the projector and reported the general condition of the patient to Director Huang and Deputy Director Qian.

After finishing speaking, Chief Zhong sat down and listened quietly to the opinions of Director Huang and Deputy Director Qian. After all, he could no longer get a word in with such a complex disease.

Director Huang looked at Deputy Director Qian and was ready to listen to his opinion first: "Director Qian, what do you think?"

Deputy Director Qian took the information and looked at it carefully before saying slowly: "Speaking of which, this patient's condition is very clear. The traditional surgical treatment method is also very simple, which is to correct intracardiac malformations.

It’s just that after this traditional surgery, the right ventricle still acts as a blood pump for the systemic circulation and cannot bear the pressure load of the systemic circulation, and it cannot last long after the operation. All we can say is to extend the life of the patients as much as possible.”

After hearing what Deputy Director Qian said, Director Huang and Chief Zhong were silent for a while. Indeed, so far, there is still no effective and stable method for this disease. The only thing that can be done is to prolong the patient's survival time as much as possible.

.

"Speaking of which, I have seen Dean Tang perform single-ventricle correction before, that is, the patient loses the right ventricle that supports pulmonary circulation. However, after such treatment, the patient's circulatory system pattern is similar to the characteristics of reptilian arteries. Although

Life was saved, but there were many short- and long-term postoperative complications, and cardiac function and quality of life were unsatisfactory."

Director Huang also took over Deputy Director Qian's words and said with some helplessness, knowing that there are many complications in surgery, but it is already the best plan so far. Medicine is like this. To take a small step forward, sometimes a doctor is needed.

Verify it with every life.

"Then perform single ventricle correction?"

Deputy Director Qian sighed and had no other choice.

Director Huang looked at the information again, frowned, thought for a while, but had no clue. He suddenly looked up at Tanglou and asked casually: "Doctor Tang, do you have any ideas?"

"Yes, Doctor Tang, I think you seemed to be thinking about this just now?"

Chief Zhong also looked at Tanglou. For some reason, he had some expectations in his heart.

Tanglou didn't speak. He took a marker pen on the table, stood up, turned over a piece of information in his hand, and then began to draw on the white paper on the back.

Seeing Tanglou's strokes, several doctors were a little confused, but they didn't interrupt and looked at Tanglou's strokes quietly.

After a while, a heart appeared on it. Tanglou began to draw the anatomical structure very carefully, and then an aorta appeared on the paper. It must be said that Tanglou's painting skills are very good, especially for the heart.

The anatomy is well understood.

Tang Lou drew the aorta and left ventricle on paper, and then built a tunnel on top.

Looking at the scene of the tenement building, Director Huang's eyesight was so amazing that he blurted out: "Rastelli technique?"

Deputy Director Qian on the side also suddenly realized, but he didn't understand why the Tanglou painted this.

Tang Lou did not respond and continued to sketch on the white paper. Since this surgical plan was very complicated and some detailed operations were difficult to describe in detail, Tang Lou simply presented the entire surgical plan in the form of diagrams.

Show it.

"The blood atrium of the inferior vena cava...which is...the pericardial piece leading to the right ventricle..."

Looking at Tanglou's diagram, Director Huang already had a beating heart in his mind, which was being corrected continuously under Tanglou's operation.

Soon, Tanglou accurately drew a superior vena cava on the paper, and then completed the right artery very neatly and connected it.

"This is..."

When Director Huang was shocked by Tanglou's creative thinking, Tanglou directly connected the last link with a pen, then picked up the entire picture and used a small magnet to attract it to the whiteboard.

He moved the entire small whiteboard over and said calmly: "This is my improved plan for this surgery. I call it the 'one and a half' ventricular correction surgery."

Director Huang and Deputy Director Qian both looked at the hand-drawn diagram of the surgical plan in Tanglou in shock and began to think.

Chief Zhong, on the other hand, licked his lips and didn't see anything. However, it didn't stop him from being excited for no reason. He said first: "It's amazing, Doctor Tang! But, what does this technique mean?"

Director Huang and Deputy Director Qian also seemed to understand. After all, this surgery in Tanglou is a hybrid of Rastelli + Semi-Mustard + Bidirectional Glenn surgery, three conventional surgeries.

It is normal for several doctors to be confused. After all, it is the first improved surgery in the country provided by the system. Tanglou’s straight and beautiful index finger clicked on the drawing.

He explained in a clear tone: "This "one-and-a-half" ventricle correction surgery has three significant advantages compared with traditional single ventricle correction surgery. First, the half-Mustard surgery can reduce intra-atrial sutures and help reduce the risk of heart failure.

Late complications of intraatrial plate obstruction during Mustard surgery, such as sinus node dysfunction, pulmonary vein obstruction, etc.”

After hearing Tang Louyi's explanation, Director Huang couldn't help but nod his head: "Yes, pulmonary vein obstruction is a common and frequent complication of traditional correction, and it is also a pain point that has always been insurmountable."

Tang Lou continued: "Second, for patients with pulmonary artery-right ventricular external pipeline connection, the semi-Mustard/bidirectional Glenn operation reduces the blood flow through the right ventricular-pulmonary artery external pipeline and can extend the service life of the external pipeline."

After hearing Tanglou's detailed explanation, Director Huang and Deputy Director Qian looked at each other. Both of them were shocked. This Tanglou really has a broad mind and unconstrained ideas. By combining two unrelated surgeries

The combination produced unexpected effects.

It directly and fundamentally solves the biggest shortcomings of conventional surgery.

At this time, Tang Lou added one last point: "The semi-Mustard surgery is simpler than the traditional Mustard surgery. Especially for diseases with complex cardiac anatomy, it greatly improves the success rate of the surgery and reduces postoperative complications."

Director Huang stood up and walked to the small whiteboard. He looked at the diagram of Tanglou carefully. After Tanglou's explanation, he looked at it again and saw that he could become the director of Zijingang. Of course, he has a very high level of understanding.

I quickly figured out the mystery behind it. The more I understood, the more I admired the ingenuity of this technique.

Director Huang clapped his hands: "It's done!"

"Tanglou, how did you come up with this technique? Did you learn it from Dean Tang?"

Director Huang asked very excitedly.

"Oh, I happened to be studying corrective surgery recently, so I suddenly had an idea and thought of such a "one and a half ventricle" corrective surgery."

Anyway, now, the entire Zijingang Medical College knows that he is a gifted doctor, and Tanglou is no longer modest.

"I started it myself again."

Deputy Director Qian and Chief Zhong were standing aside, looking at the tenement building without knowing what to say.

Sure enough, people are different.

"Tanglou, how come you have such a big brain? It's too powerful. Okay, let's do the surgery according to this plan."

Director Huang put his hands on Tanglou's shoulders and was very excited. This was the first surgical procedure in the country. It was another huge leap forward in the treatment of corrective transposition of the great arteries. Director Huang had already thought about the impact of the surgery video once it was released.

What a sensation, what a long face!

"Chief Zhong, you go arrange the patient's pre-operative signature. Deputy Director Qian and I will perform this brand-new operation. Remember to videotape the entire process and upload it directly to the medical forum after completion."

Director Huang directly issued the order. Although this surgery was thought up by Tang Lou, it was improved by a combination of centralized conventional surgeries, so Director Huang was able to handle it. It was not just to grab credit, Director Huang was afraid that Tang Lou would overturn the situation when he was too young.

, so the pressure of such a difficult and responsible operation is still borne by him.

After all, Tanglou is now the treasure of the entire department, and nothing unexpected can happen.

"Director Huang, actually I..."

Of course Tanglou wanted to be the surgeon, but Director Huang ruthlessly refused.

"Director Huang, you are trying to burn bridges by crossing the river!"

Tanglou wants to cry but has no tears.

Three hours later, while I was studying cases in the office in Tanglou, bored, Director Huang and others returned to the office, chatting and laughing.

The operation was very successful, and the video of the operation was uploaded to the medical forum by Dr. Zhong immediately.

Looking at the three satisfied people, Tanglou was so greedy.

"Hey, it turns out that being too good is also a worry!"

...

...
Chapter completed!
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