There is a saying that the difficulty of surgery is not the skill itself, but the responsibility.
Although medicine’s current understanding of the human body is not comprehensive enough and may only be the tip of the iceberg, most diseases can be solved or alleviate symptoms through surgery.
Even if some problems are encountered during the operation, they can be covered up through corresponding measures. As for the patient's relatives, they do not know what happened during the operation. They only know that the patient successfully left the operating room and was admitted to the intensive care unit.
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As for what exactly happened to the patient, God knows and the earth knows.
For example, in some minor surgeries, the reason why the chief physician dares to let his assistant practice is because he can confidently correct the deficiencies caused by the assistant during the operation.
The reason why heart surgery is so difficult is that after a mistake is made, the patient cannot get off the operating table and cannot cover up the mistake. Therefore, the chief physician has a great responsibility.
The error tolerance rate of cardiac surgery is too low. If you are not careful, the patient will be dead, unlike those low-level surgeries where there is an extra surgical scar.
Of course, the situation Zhao Yuan is encountering now is very special.
The well-known doctor from outside the province who performed the surgery on the patient may not be particularly skilled, but he still has skills in reducing damage.
With so many incisions and more than 300 stitches, the critical point was avoided. This was the patient's luck, and it also reduced the difficulty for Zhao Yuan.
Zhao Yuan advanced the operation step by step according to the previously scheduled operation ideas.
A lot of time was spent on the removal surgery.
However, because of the careful preparation, it went smoothly and the disassembly of the surgery was completed an hour in advance.
There was a lot of discussion in the comment area of the live broadcast room. They knew that this step was crucial and very difficult.
"Zhao Yuan actually removed four surgical buttons at the same time, which is really amazing."
"Being able to remove these buttons means that he is very familiar with these surgeries, knows the methods of surgery, and understands the advantages and disadvantages."
"After the removal operation, the next step is to repair it. I am very curious about the patient's condition. After three operations, the condition became worse and worse."
When the well-known expert from outside the province saw Zhao Yuan removing the last trace of his surgery, he subconsciously closed his eyes and began to recall the scene of the child's surgery.
He opened the child's heart and was confused by the intricate conditions inside.
The heart problem was put second. The various scars left by the previous three surgeons' surgeries created huge obstacles.
He didn't dare touch those areas that had been treated before.
In the end, he could only choose conservative surgery and only repaired the mitral valve problem.
Although mitral valve surgery cannot cure the patient, it can at least allow him to live a few more months.
He felt this was the best strategy.
After the operation, the child's life was indeed extended for several months as expected.
He believed that he had fulfilled his responsibilities.
As for the child's recurrence of the disease later in life, he told the patient's parents that there was nothing he could do.
The patient's parents did not take his advice and took their child to Yanjing.
After the Yanjing experts learned that the child had undergone four surgeries, they immediately responded and advised against further surgeries.
Well-known experts from outside the province did not believe that the child had a chance to survive.
In his opinion, surviving for a few more months was already a miracle.
As for people calling him a quack on the Internet, he feels that those netizens just stand and talk without hurting their backs.
Doctors are not gods and cannot cure all diseases.
However, now his mind has changed.
When Zhao Yuan removed all the surgeries, he clearly realized that he might have made a big mistake.
If I had the ability and patience to undo the surgeries performed by the previous three doctors and then perform a comprehensive repair, perhaps the child's condition would not have become worse.
Immediately, he shook his head and said to himself, "It still doesn't work! There's not enough time."
Generally speaking, heart surgery can only take three hours, and the disassembly operation took two hours. It is impossible to complete a comprehensive repair of the heart within one hour.
Although he saw that this young surgeon was of high standard, he believed that with his many years of experience, this operation would definitely be impossible to succeed.
…
Li Xian and Gao Qian were outside the observation room, their expressions always serious.
"Zhao Yuan has already removed the surgery. Although it saved a lot of time, it still took two hours."
"Yes, the extracorporeal circulation time will definitely exceed six hours."
"Even if it can be repaired, it will take too long and there will be too many variables."
"Zhao Yuan seems to have considered this. He always puts the heart in the body cavity for surgery, which may be able to delay possible heart problems."
"This is an operation that Zhao Yuan uses at his fullest. I hope he can succeed."
…
"Zhao Yuan's surgery has a special feature. No matter what kind of surgery it is, the surgical field is very clear, and he can deserve the title of Tianhua's ace."
"His judgment is accurate and his operation is not sloppy."
"He can also adjust the rhythm of his surgery at any time according to the patient's condition. There are no certain rules. Compared with doctors who can only operate step by step, this is something that many people can't learn in a lifetime."
"However, the extracorporeal circulation has lasted more than three hours. No matter how good the operation is, if it lasts more than three hours, will the risk be greatly increased?"
After all, the extracorporeal circulation machine is a machine and not a heart. It only partially simulates the function of the heart rather than completely replacing it. Therefore, if the operation lasts too long, it will still cause a certain degree of damage to the organ function.
…
Zhao Yuan focused on the separation and solved the problems one by one.
Once the mitral valve is ready, it becomes the tricuspid valve.
Blood vessels also need to be repaired...
He knows he has to race against time.
But the premise is that every step must be down-to-earth.
It's just like a foot race. If you walk very fast, but if you break the rules and get a red card, you will be sent off no matter how fast you walk.
time flies.
All internal structural issues have been resolved.
Then, enter the sewing part.
"Focus!" Zhao Yuan reminded Jiang Jing.
"Well, okay!" Jiang Jing was getting better and better driven by Zhao Yuan's rhythm.
He had a feeling that this operation had benefited him a lot.
My level and realm have obviously improved!
Zhao Yuan's fingers gently squeezed the wound on his heart, his movements gentle, just like treating his lover's red lips.
His strength is stable and even.
The strength is very important. If it is too light, the crack will open; if it is too heavy, it will cause crushing.
When the 1-0 prolin suture penetrates the myocardium, it feels a bit like poking through a window paper. After a slight feeling of obstruction, it will suddenly accelerate.
If you don't control your power well, you can easily lose control.
The needle is gently pulled out before penetrating the intimal layer.
Jiang Jing secretly lamented that this kind of suturing ability was far better than her own, and she needed to practice more.
Move your fingers down to reach another crack, tie the sutures, and close the crack...
In the blink of an eye, Zhao Yuan did the same action more than ten times.
In the eyes of ordinary people, it seems boring, but in Jiang Jing's eyes, it is full of beauty.
Because the movements seem similar, the intensity is different, and the penetration locations are also different.
As for the direct alignment of the cracks, don't be too precise.
