Aisha's heart has been completely detached and is now held in Yang Ping's hand. Yang Ping is preparing to cut open the heart and correct the internal structure of the heart, which is to repair the internal structure of the engine.
At this time, Maninstein lost no time in giving this shot a close-up. Brian was so frightened that sweat broke out on his forehead. He had never seen such a scene before. The heart of a living person was held in his palm, and this heart was his.
My precious granddaughter’s.
"How is it? Can you see clearly?" Maninstein asked beside him.
Brian, who was still in shock, felt that there must be a grudge between him and Maninstein, otherwise why would this family seem to stimulate him from time to time.
"Why isn't the heart beating?" Brian wiped the sweat from his forehead.
Manstein said slowly: "This is an isolated heart, and the cardioplegia solution has been injected before it was isolated. Professor Yang artificially stopped the heart, and then Aisha's body relied on extracorporeal circulation to provide blood. Soon, Yang
The professor will open the heart and perform surgery inside to correct the internal deformities and return it to normal."
The heart was just held in his hand, and Brian, who was not a doctor, looked very frightened.
"Everything is under control, right?" Brian asked fearfully.
Maninstein said uncertainly: "It's hard to say whether the operation must be done regardless of whether it can be controlled or not."
Brian turned to look at Maninstein, who was staring intently at the surgery on the screen.
The next work is very detailed technical work, such as the repair of ventricular septal defects and atrial septal defects inside the heart, the correction of various outlet malformations, and the correction of large blood vessel malformations. Brian has no experience as a surgeon, so of course he cannot understand it, but
He knew the danger and difficulty of this step, so he kept an eye on it the whole time and didn't dare to let up even half a step.
Maybe Brian had never been so nervous in his life. His nerves were always tense, as if they might break at any time, and his heart kept beating wildly in his chest, hitting his ribs violently.
From the corner of Maninstein's eyes, he noticed that Brian was restless. He knew that he could not continue like this. If this continued, Brian would explain here. The fingers in his hand controlled the remote control to restore the picture from a close-up to a normal picture.
Ordinary pictures do not have as strong a visual impact as close-ups.
The young doctors sitting in the back observing the operation had nothing to say when they saw the big boss in front holding the remote control and adjusting the picture from time to time. After all, the big boss was a Nobel Prize winner and a good friend of Professor Yang. If it were anyone else, everyone would
If you mess around like this while observing a surgery, everyone will attack you in a group, and it’s not strange to curse you with swear words.
Zhang Lin usually likes to quarrel with people. Whenever a foreigner comes to study, he doesn't dare to quarrel with him. But now, Zhang Lin doesn't dare to quarrel with Maninstein. He really doesn't dare to quarrel with him, because Maninstein's level of quarrel with others is better than that of others.
He was taller. Maninstein often criticized academic bigwigs in Europe and the United States. Those he criticized never had the courage to talk back. Old Man was just so arrogant. Zhang Lin was considered a world-class master who could criticize others.
Even Teacher Zhang didn't dare to go up and say a word, and the others naturally didn't dare to say a word, allowing this big boss to control the screen.
Now that the screen has returned to the default size and the surgical field of view is fully displayed on the screen, everyone is relieved and can finally watch the surgery normally without having to look at the close-up of the heart taking up the entire screen.
The demonstration classroom is located outside the operating room and is a non-sterile area, so there is no need to implement the sterile system and the management is relatively relaxed. Doctors often cannot eat at normal times due to surgery, so they can drink something while observing the surgery.
It's okay to eat something, as long as it doesn't go too far and make the demonstration classroom dirty, the head nurse doesn't have time to take care of it.
Zhang Lin and Xiao Wu brought a glass of juice to each of the two bosses, and then some biscuits and pastries on a plate, allowing the two bosses to observe the surgery. Of course, the two teachers also had their own little abacus, their own "Surgery"
"The Theory of Retracting" is being prepared for publication, and if Maninstein was invited to help write a preface, this book can be considered to be of international scope.
"Teacher Zhang, thank you, you are so enthusiastic." Maninstein had a good impression of Zhang Lin.
Zhang Lin and Xiao Wu sat down next to him. Zhang Lin pointed at the picture on the screen and said, "You're welcome. Look, the retractor used in this surgery was designed by us."
Maninstein looked at it and said: "Oh---"
I was just paying attention to the operation and did not pay attention to the auxiliary retractor on the side. I have never seen this retractor before and its appearance is very novel.
"This retractor is good." Maninstein praised.
Zhang Lin is still quite thick-skinned: "This is the world's original retractor, the best in the world for heart surgery. It kills all existing retractors instantly. What we have now is not just a retractor, but an internationally leading system."
Surgical retractor technique.”
Maninstein kept nodding, and then his eyes still stayed on the high-definition screen. He was not very interested in retracting the hook for the time being. Out of gratitude for the juice and pastries, he still nodded in approval.
This heart surgery was indeed difficult to perform, and there were too many areas that required exploration and correction. Yang Ping advanced step by step, taking his time, and Song Zimo, as his assistant, always cooperated tacitly.
Transposing the heart is equivalent to a heart transplant operation. As long as the blood vessels are anastomosed, most of the work is completed. In addition to the heart displacement, this operation also requires detailed correction of various deformities. Therefore, this
Each step in the operation is a highly difficult heart operation if taken individually.
The goal of orthopedic surgery is function. Deformity in a certain part of the heart causes functional impairment. Normal heart function can be achieved through orthopedics. Therefore, not only must the orthopedics be in place, but also all factors must be taken into consideration, and one cannot neglect one and the other.
After all surgical targets were fully exposed, Yang Ping carefully explored the sternum, diaphragm, abdominal wall muscles and pericardial defects. These were very consistent with the preoperative assessment. The defects were very serious. Without digital human VR technology for preoperative assessment, only
Relying on the evaluation of CT and MRI images, it is difficult to achieve accurate preoperative evaluation for this kind of surgery, which also increases the difficulty of the operation. In addition, the patient is already six years old and has missed the best age for surgery.
This chapter is not finished yet. Please click on the next page to continue reading the exciting content! If the preoperative assessment of this kind of surgery is insufficient, it is easy to panic during the operation. You can only do it step by step. In this way, the entire operation process is very passive and it is easy to cause intraoperative complications.
Accident or serious postoperative complications.
All surgical steps are like a precise clock. The gears interact with each other. If one step is not done well, the effect of other steps will be affected. There are several major steps in the entire operation---right ventricular double outlet correction of left lower pulmonary artery reconstruction + atrial septal defect
Repair + ventricular septal defect repair, lower sternal cleft repair + diaphragm defect repair + umbilical hernia repair, etc., each step must be completely in place.
After assessing the defect, Yang Ping began to evaluate the malformation of the heart itself, including the malformation of the internal structure of the heart and the great blood vessels. The preoperative assessment has already learned that there are defects in both the ventricular septum and the atrial septum. Now it is necessary to directly open the heart and repair the malformation from the inside.
Evaluate and then fix them one by one.
Yang Ping's surgery was performed so steadily without any ripples, which sometimes made the assistants feel bored, but they knew that this boredom was very precious.
No matter what kind of operation, even if it results in twists and turns and a narrow escape in the hands of others, it is always stable here in Yang Ping, as if this is not a difficult and high-risk operation, but just a simple small operation. So for
It is easy for observers of surgery, especially newcomers, to be misled. It is easy to gain blind confidence during the observation and think that this surgery cannot be the same. It is too simple.
Song Zimo and Xu Zhiliang both made this mistake in their early days, and unknowingly acquired a kind of light and blind confidence. Therefore, after gaining experience, they were cautious about every operation performed by Yang Ping, and they had a conversion formula in their own minds.
, the evaluation of the difficulty of the operation obtained during the observation is then multiplied by a correction coefficient, so that it can be regarded as the real difficulty of the operation.
Over in the demonstration classroom, as the operation proceeds step by step, Brian, who was originally worried, has calmed down a lot, because after observing for a period of time, even though he has no surgical experience, he can intuitively feel that this operation is very stable and very satisfying.
rest assured.
The remote control in Maninstein's hand gradually lost its original effect. No matter how they zoomed in on the picture, no matter how close the camera was, even if they let Brian see the cut heart and see Yang Ping repairing the defective chamber in the heart.
Between the compartment and the interventricular compartment, Brian no longer had the roller coaster feeling he had before.
If a person has a strong, confident and stable aura, he can reassure the panicked people around him, and the surgery can also reveal an aura from the picture. This unique aura can make people watching the surgery feel at ease.
After correcting the intracardiac malformation, Yang Ping sutured the heart and returned the ectopic heart into the chest cavity. Then he corrected the malformation of the great blood vessels and anastomosed the great blood vessels while correcting.
Correcting the malformation of the heart and great blood vessels and returning the heart to its proper position is not enough. The entire bony and soft tissue "armor" that protects the heart needs to be repaired. Otherwise, the heart may fall out again one day.
The sternum is part of the thorax, and the thorax is the bony armor that protects the heart and lungs. Now there is a defect in the sternum. Its repair requires the use of titanium plates. This titanium plate is made using 3D modeling and printing technology.
It replaces the defective sternum and forms a strong protective plate in front of the heart, preventing the heart from herniating through the defective weak part again.
This kind of titanium plate is different from adult titanium plates. Children are in the process of growth and development. Her body is growing taller, and her rib cage, sternum, and heart are all growing. Adults do not have this problem, so there is no need to consider adult titanium plates.
It lengthens with age. However, children's titanium plates need to consider this. As children grow taller, the titanium plates become relatively smaller and cannot have the original protective effect, so the titanium plates must be designed to
It automatically extends as it grows, thus providing reliable protection during her growth and development.
Muscle defects in the diaphragm and abdominal midline are repaired with special biological patches, also to prevent the heart from herniating through these weak points.
Among the people watching the surgery, there was a female intern student who got a bucket of popcorn somewhere and ate it while watching it. It was like watching a movie. In fact, in Sanbo Hospital, watching Yang Ping's surgery live broadcast was more exciting than watching a blockbuster.
, but also to be popular. Doctors who can understand are here to learn knowledge, and doctors who cannot understand are here to join in the fun and feel the atmosphere. After I leave the gate of Sanbo Hospital, I can still say that I often saw Professor Yang Ping's surgeries.
Live broadcast, some people can say that I am half a student of Mr. Yang Ping, because I often observe his surgeries. So sometimes it is one thing whether I can understand it, but more importantly, I must watch it.
If Director Zhao of the Medical Department hadn't banned it, Zhang Lin and Xiao Wu would have saved a house by buying tickets.
Brian has never experienced this kind of scene. You can eat popcorn while watching the surgery. How could you enjoy such a lively and energetic scene in quiet Sweden? Brian pulled Manstein's clothes and pointed at the popcorn he was enjoying.
A girl wants to do the same thing.
Maninstein waved, and Zhang Lin immediately came over. Maninstein said, "Can you help me get the whole thing over?"
What the hell?
Zhang Lin looked up and saw, oh, it turned out to be popcorn. It was so simple. Zhang Lin called the girl's boyfriend over and said, "Do me a favor. Can you get some popcorn for Mr. Brian to experience life in China?"
Brian was drooling as he stared at the girl's popcorn. China is really a magical country. Top experts have set up offices on the first floor of the hospital. Everyone can buy tickets to see the doctor. The tickets are very cheap and it doesn't take long at all.
Appointments are not expensive, and a specialist can see more than a hundred patients a day.
If this kind of world-class surgery were to be performed in Europe or the United States, how could it be so casual? Every aspect would definitely be very formal and tense. How could these interns gather here to watch casually, with some people holding popcorn?
Like watching a movie, this is trampling on the dignity of such a difficult surgery.
The girl turned her head and saw Mr. Bryan looking at her with salivation. She looked at the popcorn in her hand again. This scene was so familiar. When she was eating snacks when she was a child, the children next to her who didn't bring snacks would stare at her like this eagerly.
Hold yourself.
We can't let Nobel Prize winners do this. The old man is quite pitiful. He only has a bucket of popcorn. Are the living conditions abroad so monotonous? Even a bucket of popcorn is a rare thing. Chinese people are quite kind, girl.
He stood up timidly and handed over the popcorn.
Brian was immediately delighted and took the popcorn: "Thank you, thank you, how much do I need to pay?"
"No, I'll give it to you." The girl said in surprise. She thought Mr. Bryan would delay it.
Brian thanked the girl and reached for the popcorn to eat. Maninstein followed suit and grabbed a handful, then leaned back in the chair and continued to observe the operation.
It was really relaxing and comfortable. This was the correct posture for watching the surgery. Brian was very involved.
