More than 4 hours later, Yang Ping completed the last stitch on the heart and began to restart the heart.
The camera on the operating light was facing the heart, which was lying quietly in the chest. Everyone was watching this young heart, not knowing whether it could beat again.
Academician Wang also stared at the screen without blinking. Although the cardiac arrest did not last more than 4 hours, Academician Wang was still very nervous.
This little heart has gone through three surgeries and is riddled with holes. This surgery required about 3,000 stitches. There was a possibility of heart failure at any time before the surgery. Now after more than 3 hours of cardiac arrest, I don’t know if it can survive.
No one can guarantee that it will not jump again.
When he usually performs surgeries by himself, Academician Wang has never been so uneasy as he was today.
Professor Cao, Director Xin, Director Chen and other doctors all stared at the quiet heart on the screen, wondering if it could still beat.
After pulling out the extracorporeal circulation tube, for a moment, the heart began to beat loudly.
The experts and doctors in the classroom cheered.
Academician Wang turned around excitedly and held Director Xin's hand: "It jumped, it jumped."
Beating means freshness of life.
Director Xin nodded excitedly, and Director Chen clenched his fists tightly. Mai Zijing was his patient. He had performed three operations on Mai Zijing. The last one was really powerless, so he recommended Yang Ping.
Although the operation has not been completed yet, the fact that the heart can beat again means that the biggest hurdle has been overcome.
Director Xiang Changjun of the Thoracic Surgery Department of Sanbo Hospital has just rushed over after finishing Corey's surgery. The surgery is nearing completion.
Moreover, there was no room for him in the demonstration classroom. It was crowded with graduate students, trainees and interns, and no one paid any attention to him. This awkward situation gave Director Xiang a headache. After turning around a few times, he found that there was no room for him at all.
I couldn't squeeze in, and I didn't want to shamelessly squeeze in, so I just walked around the door a few times and didn't see anything.
I heard that heart surgeries are being done here, so Director Han also took time to come over for a walk. Although he is still the director of the Department of Orthopedics, the actual work is completely left to Tan Boyun. He basically takes a back seat and works with Dean Xia when he has nothing to do.
strategic management.
In the past, Yang Ping only focused on the field of orthopedics, and Director Han could still participate. Now that Yang Ping is taking the path of global development, he can no longer participate. However, as long as there are difficult surgeries here, he will come to join in the fun.
Professor Zhang Zongshun has made it clear that it is best for him to observe less of this "roller coaster" type of surgery. He is too old to have fun with young people.
Director Han punched twice at the door and said helplessly to the director: "Why don't you go in?"
Director Xiang shook his head: "Look, how can you squeeze this watertight thing?"
Director Han looked inside and said, "Whatever, just squeeze in as hard as you can. No matter where you get."
Director Xiang still shook his head. After all, he was also the head of the department. It would be inappropriate to crowd in students because he couldn't do this.
Director Han saw that he didn't move, so he couldn't persuade him. However, Director Han felt that there was nothing wrong with this. Didn't Gao Yuan often do this? He shamelessly squeezed in and was scolded by students several times, but there was nothing wrong with it.
Next, is the final hemostasis step. Because extracorporeal circulation requires the use of some anticoagulant drugs, Mai Zijing's coagulation function is very poor and his bleeding tendency is much stronger than that of normal people. Therefore, after the blood circulation of the cardiovascular system is restored, the original suturing
There may be blood leaking from the place where there was no bleeding before. Now there may be bleeding.
Song Zimo's vascular forceps clamped a ball of gauze to compress the bleeding area at any time to stop the bleeding, creating time for Yang Ping's bipolar electrocoagulation.
Yang Ping held the vascular clamp in his left hand and the bipolar electrocoagulation in his right hand, and began to perform hemostasis operations. Bleeding is generally divided into oozing, gushing and spurting. Bleeding from capillaries or tiny arteries and veins is manifested as oozing, while slightly
Bleeding from large, small veins appears as gushing blood, while bleeding from small arteries or larger arteries appears as jet.
The order of treating bleeding is first to deal with spurting blood, then to deal with gushing blood, and finally to deal with oozing blood.
Therefore, once the blood circulation is established, Yang Ping and Song Zimo keep a close eye on the place where blood may spurt out. When it just spurts out or has not yet formed a spurt, Song Zimo presses the gauze up and then pulls away instantly.
In the short gap, before the blood vessels had time to spurt out blood, Yang Ping's double-click electrocoagulation directly clamped the broken ends of the blood vessels, and used electrocoagulation to carbonize and occlude the broken ends of the blood vessels, thus stopping the bleeding.
After the spurting blood is subdued, it is much easier to deal with the gushing and oozing blood. These bleeding points are treated in the same way. It is nothing more than finding the bleeding point, accurately pressing the double-click electrocoagulation to clamp the broken end of the blood vessel, and performing electrocoagulation.
For some larger blood vessels, electrocoagulation cannot stop the bleeding and can only be ligated with silk threads. This situation is almost rare because these blood vessels have already been ligated at the beginning of the operation.
The scene of hemostasis is also very entertaining. Song Zimo cooperates very well. The gauze presses against the tiny red dots. Yang Ping's bipolar electrocoagulation accurately clamps the broken ends of the tiny blood vessels. As wisps of green smoke float into the straw, the red dots appear.
Points are destroyed before spreading.
The movements were so fast and so precise that not a single red dot spread into a patch of blood. They were all eliminated before spreading, and the chest remained clean.
There was no blood leakage in all the anastomotic parts of the heart, including the anastomosis between the two large blood vessels.
Academician Wang stared at the screen and took a breath. How could this be possible? After the sutures were completed, the anastomotic parts did not need to be filled to stop bleeding.
Based on his more than 40 years of experience, this is impossible. In the past, even if it was not such a difficult case, it would take them three to four hours to stop the bleeding. Now, it takes less than an hour to stop the bleeding, and the entire surgical field is covered.
It's so clean, it doesn't look like heart surgery at all.
Academician Wang has seen almost all top experts at home and abroad perform surgeries to stop the bleeding. He himself has more than 40 years of experience in cardiac surgery. He has never seen such precise and fast hemostasis.
This chapter is not over yet, please click on the next page to continue reading! Those oozing red dots had no chance to spread and were quickly eliminated. Even some small dots at the back only barely spread into a small piece, not at all.
form a climate.
Now Academician Wang finally understands why even the world's top experts like Li Zehui respect him as his mentor, and why Xin Weicong respects him so much. He is a unique genius who has never been seen in thousands of years.
And at such a young age, he has a bright future. If the cardiac surgery department in Fuwai can have such young people, it will directly rank first in the world.
"Weicong!" Academician Wang stroked his hair to calm himself down.
"Is there any way to introduce Professor Yang to Fuwai? Let's give him a ward." After Academician Wang finished speaking, he found that it was inappropriate to say this in such a public place. Fortunately, everyone was focused on surgery and no one listened to him.
As soon as he said this, Professor Wang remembered that Yang Ping was the author of 13 CNS articles, so he changed his mind and said, "Make him the chief director."
Professor Xin turned around and glanced at the classroom, then said, "We will discuss this later."
Academician Wang also realized that it was inappropriate to discuss this topic at this time and he just blurted it out in a hurry.
The level of surgery performed by young people is unparalleled in the world today. If it can be introduced to Fuwai, Fuwai will be the top of the pyramid in the future. No other hospital can match it in surgery. Almost all heart surgeries, no matter how difficult, are performed.
No matter how high the risk is, you can try it.
After hemostasis was completed, to be on the safe side, Yang Ping waited for half an hour. No bleeding points were found before he decided to close his chest.
Compared with the surgical incision of nearly half a meter in the median sternotomy, the two left intercostal incisions, one is only more than ten centimeters, and the two together are only more than twenty centimeters, which appear to be much less invasive, and enter from the intercostal space.
There is no need to split the sternum, and the trauma to the patient is much less.
After flushing the chest cavity, placing a drainage tube, and then closing the chest, the operation ended without any suspense.
"Don't you need to postpone the closing of the breast?" Director Chen, who had been silent for the whole time, suddenly asked.
Academician Wang said: "This is because I have absolute confidence in every stitch I sew."
This kind of case is so complicated, and there are so many stitches on the heart. Even the experienced surgeon Wang, who is the surgeon, would not dare to close the chest at the first stage. He would definitely postpone the chest closure to prevent massive intrathoracic bleeding and provide effective rescue. Observation
Only after a certain period of time is it safe, do you dare to close your chest.
The crossed-out broadcast symbol on the screen returned to normal at some point, and some sounds came from inside.
"Send it to CCU for a few days for observation, ask the ward to send the next one, and do the next one immediately after lunch."
"Who cares about the bed?"
"Doctor Qi."
"Ask him to send the patient to the CCU. The focus of postoperative observation will be on blood pressure and heart rhythm. If the blood pressure drops, he will notify me as soon as possible. Similarly, if the heart stops, rescue him on the spot and notify us."
"Professor, should we consider setting up a cardiac surgical intensive care unit in the future?"
"Now that there are more and more cardiac surgery patients, we are considering this matter."
"Li Guodong! Inform the ward to send the next surgery. We will divide into two groups and take turns to eat."
Then the screen turned off and there was no more sound coming from inside.
They don't even have a cardiac surgery intensive care unit, but they dare to do this kind of surgery. It's really brave for a skilled person. Now Academician Wang no longer questions Yang Ping's work attitude, because it's not that Yang Ping's work attitude is bad, nor is he lacking in skills.
The level of responsibility is indeed too high. He does not need to allocate too much energy and time to this kind of patient.
"How is it?" Director Xin Weicong asked with a smile.
Academician Wang gave a thumbs up: "If I hadn't seen it with my own eyes, no matter what you say, I wouldn't believe it."
Professor Xin said: "So I asked you to come and take a look. Anyone who has not witnessed it with his own eyes cannot believe that heart surgery can be done so well. I was the same at that time. I didn't believe it at all. His previous major was orthopedics, and he only performed it in the past year or so."
Heart surgery, talent cannot be explained."
Academician Wang couldn't help but sigh: "My forty years of surgical training are far behind his level. This young man's familiarity with anatomy is beyond my imagination. Whether it is normal anatomy or pathological anatomy, he is already familiar with it. He must have already known it by heart."
I have dissected many cadavers and many hearts."
"The adhesions in the heart were just exposed. He was not afraid. He seemed confident. The sharp knife was very fast. He opened the adhesions in three strokes, cut the pericardium, and exposed the heart." Director Xin has also paid attention to this point.
"If we were to do this surgery, it would take at least four or five hours to reveal this step." Academician Wang was very pragmatic.
At this time, several graduate students and graduate students came in carrying boxes and began to distribute lunch boxes to everyone. Because it was almost two o'clock at this time, it was past lunch time. According to the order of seats, from front to back, row by row
Send, whether you are an expert or a student, each person will receive a lunch box and a bottle of mineral water.
"Everyone is hungry, hurry up and eat. Let me tell you, the box lunch of General Surgery is very precious and hard to eat. This is my first time." Professor Cao picked up a box lunch and handed it to Academician Wang.
Academician Wang couldn't understand Professor Cao's words: "Why is this lunch box so precious?"
Professor Cao said with a smile: "With the speed of Professor Yang's operation, there is no chance to observe the operation until you have to eat the box lunch in a hurry. Today is special. It took five hours to eat in the box lunch. Do you think it is precious or not? I
This is my first time eating it when I come to Sanbo Hospital."
It turned out that this was the meaning. Academician Wang opened the lunch box and started to eat it. It seemed that the rice was really delicious because of its preciousness.
In the entire conference room, everyone was eating box lunches. Some were sitting and eating, some were standing, and some were squatting on the floor.
A few students made a garbage bag and spread it out on the ground. Everyone gathered around, and from time to time they "clinked glasses" with mineral water, and ate their lunch boxes in a banquet atmosphere.
Anyway, this is a demonstration classroom, so there is no need to be particular. After eating, you just wipe your mouth and throw the garbage into the big trash can.
At this time, Yang Ping, Song Zimo, Xu Zhiliang and other surgical members also came to the demonstration classroom, picked up their lunch boxes and started eating.
Yang Ping came to Academician Wang with a lunch box and greeted him. Everyone gave up their seats to Yang Ping. Yang Ping asked everyone to sit. Song Zimo moved a plastic stool for Yang Ping to sit next to Academician Wang.
"Please forgive me for having a simple lunch for lunch." Yang Ping said politely.
Academician Wang disagreed: "I have already heard that this simple meal of yours is not simple, it is very precious, and ordinary people cannot eat it. I was lucky enough to eat this precious box lunch when I came to Sanbo Hospital for the first time."
"Professor Yang, if you let me see your surgery once, I will starve myself for three days. It is so good and fast. I can't find any good words to describe it."
The surgeon was very particular about eating quickly and wolfed down all the lunch boxes. Academician Wang also had a good appetite and ate all the lunch boxes.
The operation over there was still under anesthesia, so Yang Ping chatted with Academician Wang for a while. It was not easy for an old senior to come here.
"We'll talk after you finish your work. Don't worry about me while you're busy with your work." Academician Wang was very generous.
"Teacher Wang, can I get you a cup of tea?" Xin Weicong stood up.
Academician Wang waved his hand: "I will do it myself, I will do it myself--"
PS: I’m too busy today, so I’m posting so much for the time being. I’ll try to post more tomorrow.
