In order to ensure that Song Hanhui would not eat snacks secretly again, the nurse emptied all the snacks in the bedside table and told Song Hanhui to strictly abide by the fasting and drinking times and never eat anything secretly again, nor drink a sip of water.
.
In the evening, Lao Song's wife Yao Xiurong went back to the Sanbo Hotel to rest, and Lao Song stayed with her son, so the arduous task fell on Lao Song's shoulders.
It was fine during the day, but I was most afraid that I might not catch it if I was not careful at night. After the nurse cleaned up the snacks, Lao Song carefully searched again. Under the pillow, in the quilt, the inside of the pillow and quilt could not be opened. Lao Song also touched it with his hands.
, I even looked under the bed several times before I felt relieved.
Song Hanhui was also embarrassed, and repeatedly promised that he would not steal food again, but the promise was of no use. Without strict supervision, he could relax his mind at any time and make the same mistake again.
The little fat man had just finished his pledge, when the muscular man in the next bed found a piece of chocolate in the cabinet under the sink in the bathroom.
This left Lao Song speechless. He had no choice but to prepare to stare at him all night long.
"That's what I hid last time, I forgot to take it out." The little fat man defended with a red face.
Of course, it is very difficult to live without snacks, even if it is only a short day.
After an uneventful night, Song Hanhui woke up at six o'clock, tossing and turning in bed. His mind was full of snacks, but he tried to hold it back.
This obsession with snacks once made the doctor in charge think that he had diabetes. The three symptoms of diabetes are polyphagia, polydipsia and polyurination. Polyphagia is very suitable for a fat person, but the blood sugar tested before surgery was normal.
, even the increased glucose tolerance test found no problems.
"Dad, I'm hungry!" the little fat man said in a pitiful tone.
"Just bear with it when you're hungry!" Lao Song comforted his son.
Lao Song was about to take a belt to tie up his son's belly. At this time, the nurse came over and hung a bottle of liquid for the little fat man. Lao Song asked, this bottle of liquid is a medicine to protect the stomach and make acid, so that he will not feel any pain on an empty stomach.
Hungry.
We persisted until seven o'clock, when the nurse began to measure vital signs before surgery, and the little fat man finally waited for the surgery.
"He had a standard Fontan procedure."
Academician Wang reminded,
---
The poor little fat man, while he was lying on the operating table preparing for anesthesia, kept asking when he could eat after the operation.
It seems that for him, surgery is not a big deal, but what he can eat is the top priority.
This reminded Dr. Liang of his own childhood memories. It seems that people who can gain weight have one thing in common - that is, they must have a good appetite. No wonder gastric surgery to lose weight is now popular.
Fatty Liang was worried about his obesity for a time, and even asked his classmates to contact the best doctor for "gastric incision" surgery to accurately solve the problem with surgery. However, Fatty later continued to exercise and finally lost weight, and then gave up the idea of surgery.
.
Dr. Liang told Song Hanhui that he could eat 6-8 hours after the operation. Song Hanhui closed his eyes with satisfaction: "Let's do the surgery!"
"How long will the operation take?"
It was also the first time for Fatty Liang to see the professor perform this kind of surgery, so he could not make an accurate judgment on the time of the surgery. However, Yang Ping was not in the operating room at this time and might have left temporarily.
Next to them, Li Zehui, Academician Wang, Director Chen, and Director Xin looked at each other in confusion. Based on past experience, they did not dare to judge Yang Ping's operation time because it would be very different from the usual operation speed.
"It usually takes more than twenty hours, I don't know about Professor Yang---" Professor Chen can only provide an ordinary time as a reference.
Fatty Liang said without hesitation: "I understand."
It usually takes twenty hours. A conservative estimate is that the professor's operation time should be about five or six hours, so that the fat man can have a reference for planning the dosage of anesthetic drugs and anesthesia time.
After anesthesia is done, the body position is set, and the sheets are disinfected and spread regularly. Everyone follows the normal steps and takes it easy.
Academician Wang found that in the operating room here, no matter what kind of surgery they were doing, their expressions were always so plain and they always had a normal heart, as if everyone was used to all kinds of surgeries.
The anesthetist is always carefree, with his legs crossed in his cropped trousers, and the traveling nurse is able to arrange the operating room in an orderly manner while chatting. The whole team seems very casual, but in fact the cooperation is extremely tacit.
This time Academician Wang and Professor Chen did not go on stage, they were just observing from the audience, with Song Zimo and Xu Zhiliang as assistants.
This surgery involves many aspects. Academician Wang feels that an assistant who can work better with Yang Ping should be put on stage instead of himself who is already very old. Academician Wang understands that as a surgeon, old age is a huge disadvantage, which means that no matter whether it is
The reaction speed of the brain and the sensitivity of the hands have both decreased, which will only delay the operation.
Since Academician Wang took the initiative to be in the audience, Professor Chen had no reason to come on stage again. He also followed Academician Wang on the stage.
Because during the few days he stayed at Sanbo Hospital, Professor Chen had seen the operations of Song Zimo and Xu Zhiliang. Compared with them, Professor Chen had to classify himself as "old" even though he was only in his forties.
The surgical abilities of these two young men are really strong, especially Song Zimo's basic surgical skills and proficiency in anatomy, as if he has undergone some kind of special training.
As expected, Yang Ping and his team had a much better understanding of each other, and within a few chats, the operation had already begun.
This kind of surgery is a huge undertaking, so Yang Ping chose the most open mid-sternal approach, using a thoracotomy to open the chest. In the wide surgical field, both lungs and the pericardium on the right side of the chest were exposed.
"I've had three surgeries before, so there must be adhesions and blurred anatomy, so be careful!"
Academician Wang kindly reminded that adhesions are the mortal enemy of surgeons.
The pericardium is the coat of the heart, which wraps the heart. Yang Ping adjusted the direction of the electric knife in his hand. As a wisp of light smoke drifted into the straw, and after a sizzling sound, the pericardium was opened, completely opened at once.
A little burning smell from the electric knife leaked out, and you could smell the smell through the mask.
This chapter is not over, please click on the next page to continue reading! Academician Wang’s experience seems to be of little help to Yang Ping. Even if there are adhesions, the electric knife will be merciless in cutting, and will not worry about gains and losses, but get it right in one go. But it
It's just right, the pericardium has just been cut and it stays on the surface of the epicardium.
The electric knife uses thermal effects to cut, and its damage has a certain range. If it is not grasped accurately, it can easily cause unnecessary secondary damage.
Therefore, when using an electric knife for cutting, you must be familiar with the damage range of the electric knife. The thermal damage range of the electric knife decreases with distance and is also related to the type of target tissue. Few people can use an electric knife for precise cutting.
, because it is not a precision cutting tool at all, and the cheapest precision cutting tool is an ordinary sharp knife, and the high-end one is a laser knife.
Using a rough tool like the electric knife, Yang Ping was able to cut the pericardium without damaging the epicardium. This shows that the electric knife has reached a certain level.
After opening the pericardium, Yang Ping replaced the electric knife with an ordinary sharp knife, because the defects of the electric knife may cause serious consequences in the following operations.
The beating of the heart relies on a series of electrophysiological support, and the "wires" responsible for the conduction of electrical signals - conductive bundles, are buried inside the myocardium and cannot be seen by the naked eye. If these conductive bundles are accidentally cut off when incising the myocardium,
, will lead to conduction block, and the consequences of conduction block will affect the beating of the heart. Without the conduction of electrical signals, the myocardium cannot contract, and naturally it will not be able to beat.
At this time, in order to allow the heart to beat, a permanent pacemaker can only be installed.
That is to say, the heart loses the ability to beat on its own and must rely on the help of a pacemaker. It will need the help of a pacemaker throughout its life.
If it is a heart with normal anatomy, experienced doctors can rely on normal anatomy knowledge to make a rough judgment on the direction of the conduction beam and try to avoid the conduction beam.
But this is a malformed heart, and it has been operated on three times. After the three operations, the great blood vessels were transposed, so knowledge of normal anatomy is of little use.
In order to avoid the conductive beam as much as possible, Yang Ping used a more refined sharp knife to perform incision and separation.
Sharp separation is the most precise separation method, and a sharp knife is the best tool for sharp separation. Precision means that it needs to be sharp, and sharpness may be difficult to control.
Therefore, using sharp knives in dangerous areas requires superb surgical skills.
Originally, the laser knife was more accurate than the sharp knife, but the laser knife also had thermal damage, although it was very weak, which Yang Ping could not tolerate. Even weak thermal damage could theoretically damage the conductive beam.
The sharp knife in Yang Ping's hand gently opened the epicardium of the heart, and the myocardium was exposed from the opened epicardium. The situation inside was very complicated. The heart and great blood vessels were originally malformed. After three surgeries, the various positions and relationships now exist.
Already complicated.
Academician Lian Wang himself frowned when he saw the heart on the screen. It was very tricky and made people feel numb.
All the original surgeries must be dismantled and eight structures must be reconstructed. Any cardiac surgeon would be afraid of such an operation and would not know how to proceed.
"He did a standard Fontan procedure!"
Academician Wang gave a timely reminder.
There is no need to say too much, just this sentence is enough, so that Yang Ping will know exactly how the operation was performed, which parts were operated on after the operation, what treatment was performed, and what the current condition may be.
In fact, the extracorporeal circulation team of Sanbo Hospital did not have much experience before, because there were relatively few cardiac surgeries, but since Yangping started cardiac surgery, they have taken on more and more jobs, and they are all high-quality jobs, so they have accumulated experience
More and more abundant.
Feeding is the only way for any doctor to grow.
Soon, the extracorporeal circulation was turned on and the heart was stopped.
"I'm going to start dismantling the original surgery!" Yang Ping told his assistants to prepare them mentally.
---
Family waiting area in the operating room.
Song Hanhui's mother Yao Xiurong was restless, always walking around, and sometimes she would lower her head to wipe the tears from the corners of her eyes.
But Lao Song is more nervous. His attitude is completely opposite to that of his wife. He is actually sitting in the family waiting area humming and shaking his head, as if he is not worried at all.
At this time, a normal parent would be as anxious as an ant on a hot pot, restless and uneasy.
Because the child may not be able to get off the operating table.
"Why aren't you in a hurry?"
Yao Xiurong was very dissatisfied with Lao Song's "bad" attitude, but there was nothing he could do about it. He was like this every time, no matter what urgent matter he encountered.
"What's the use of being anxious? Just worry about your heart disease and it will be cured? What kind of things can be solved by being anxious? Isn't there a doctor inside? We can just wait." On the contrary, Lao Song felt that his wife was a little futile and anxious. There was no use in worrying.
Sometimes it's not helpful.
"Then you can't hum."
Yao Xiurong complained that she was in a state of confusion. Lao Song was just humming here, as if the person doing the surgery was not his son.
Lao Song said disdainfully: "I don't hum, but I cry all over the place. That's what makes me a qualified father? What's the use of me being anxious? Whether the operation is successful or not has nothing to do with whether I am anxious or not. Instead, I have to stay calm.
Do you understand? If I hadn’t calmed down, would my son have found such a good doctor now? That relative of yours said that going to Korea for surgery can cure the disease, but you kept urging me all day long, and I refused. You also said that I was afraid of spending money.
You don’t have to think about it. How many high-level doctors can there be in a country as big as South Korea? Even if there are, how many operations can they do in a year? Breast augmentation, butt augmentation, and heart surgery? Can they do it? I don’t want to scold you.
, causing trouble all day long, it’s not because I have the strategic determination, I keep looking for Professor Wang from Fuwai, how can I have the chance to come here for surgery.”
"This is not called humming. This is called strategic concentration. Do you understand?"
"Are you still proud?"
Yao Xiurong is not easy to scold, because everything Lao Song said makes sense.
This chapter is not over, please click on the next page to continue reading! It was indeed like this at that time. A relative suggested that they send their children to South Korea for surgery, saying that the medical level there was much higher than that in China. At that time, Yao Xiurong was anxious and desperately urged Lao Song to hurry up.
I took my children to South Korea, but they also went there. The Korean doctor suggested an operation as soon as possible, but Lao Song firmly disagreed. Coming to South Korea was just to fulfill his wife's wish, and he didn't have to worry about it every day. He still believed in the quality of Chinese doctors.
So Lao Song asked how many such surgeries are performed in South Korea every year, and they hesitated.
Later, Lao Song ignored his wife's cries and resolutely refused to have surgery in South Korea. After returning, Lao Song tried to stop his wife's mouth. When he inquired about it, he found that Korean doctors had never done a few cases of congenital heart disease. It was so dangerous!
"In the past, when we were buying a house in Shanghai, what did our relatives say? What kind of house should we buy in Shanghai? It is so expensive and a waste of money. It is better to save money and earn interest, then retire and return to my hometown to buy a house for retirement. I am not under pressure.
I bought a house with a loan, and after so many years of repaying the mortgage, do you think how much the house has gone up now? This is called strategic vision. Don’t act blindly all day long. You must have strategic determination and strategic vision. You, just listen to me on everything. You
My husband has a pretty good head." Lao Song pointed to his round head.
"Honey, don't be anxious, don't get confused, you know? Now everything is left to the doctor. We will wait patiently. Whether it works or not is not up to us. Just be quiet for a while, you know?"
Old Song crossed his legs again and started humming.
"Can I stop being so anxious? How about I knock on the door and ask? How about you call Professor Wang and ask about the situation inside?" Yao Xiurong asked worriedly.
Lao Songxun said: "You are causing trouble. We have only been in here for a long time. We are waiting quietly now and cooperate with the doctor at any time. It is time to sign and sign. Do you understand?"
