Except for Qiao Yuanchun, the two assistants have already seen the hand-drawn explanations provided by Zhao Yuan.
They already know Zhao Yuan's overall thinking. Next, they only need to follow Zhao Yuan's thinking and cooperate in key links to ensure that there are no mistakes.
Having no contact with Zhao Yuan, the second and third assistants still felt unsure.
I don’t know if the young genius Qiao Yuanchun hired from Baiyun is really that magical!
"Is it imaging?" Qiao Yuanchun asked softly.
Zhao Yuan shook his head, "No need! Imaging will delay time."
Qiao Yuanchun has not yet reacted.
Zhao Yuan has already begun operations.
General anesthesia and endotracheal intubation;
The right axillary artery was punctured and catheterized;
Hypothermic cardiopulmonary bypass…
The puncture was performed without any sloppiness and the arterial sheath was quickly placed...
In the blink of an eye, everything was completed.
The second and third assistants remained silent.
From these few steps, we can see how good Zhao Yuandi is.
No wonder it is so highly praised by Qiao Yuanchun, it is so fast.
However, Zhao originally planned to perform the interventional surgery blindly without angiography.
They lamented Zhao Yuan's courage and were worried about the uncertainty.
Aortic dissection is a serious condition, but if you master the skills and methods, it is actually very simple to treat with surgery.
However, today's condition is different, combined with pulmonary artery dissection.
Zhao Yuan sawed open the sternum in the blink of an eye, opened the pericardium cleanly, and clamped the pda and ascending aorta.
The amount of bleeding is very small and the surgical field is very clear.
Aortic dissection invades the pulmonary artery through the underlying ductus arteriosus.
The ascending aorta is enlarged.
Dissection is seen in the pulmonary trunk!
Everyone's breathing almost stopped.
Qiao Yuanchun didn't have much to do, most of the work was done by Zhao Yuan.
He paid attention to the operation time, which was half an hour shorter than expected.
Aortic dissection is so dangerous!
Taking half an hour away means that the disease will cause less harm to the patient.
Help patients survive the surgery safely and increase their leverage.
At this moment, no one questioned Zhao Yuan anymore.
Everyone is an expert.
Just relying on Zhao Yuan's successful blind exercise without imaging is enough to conquer everyone.
Zhao Yuan focused on the operation.
The brain is running at high speed, and the operations on the hands are extremely delicate!
A "mitral valvuloplasty" was performed on the right atrial septal incision and the pda was ligated.
Then, sew the inner and outer layers of the pulmonary artery;
Closure of false channels in pulmonary artery dissection.
Re-resection and dissection of the intimal valve and aortic valve;
Suture the valved catheter to the aortic annulus.
Finally, a large enough opening is opened on the valved catheter to anastomose with the left and right coronary arteries...
Every step of the operation is very detailed.
Qiao Yuanchun was excited and her eyes widened, not missing any details!
He had never done any similar surgery and frantically drew nutrients from Zhao Yuan's operations.
Zhao Yuan secretly rejoiced.
The patient's condition is relatively good. If it were delayed for another half hour, I'm afraid there would be nothing I could do.
Can an operation be successful?
The doctor's decisive role is too minor.
If Qiao Yuanchun had asked Zhao Yuan beforehand, what was the success rate of the operation?
He could only tell Qiao Yuanchun that it was about 70%.
Although for Qiao Yuanchun, this success rate is very high, for Zhao Yuan, who pursues a 90% success rate, it is already very low.
Any surgery involves luck.
Bet on whether the operation goes smoothly and whether the physical signs are stable.
It is even more important to bet on whether the patient has a strong sense of survival.
The surgery went quite smoothly.
Enter the second stage in an orderly manner.
Insert the stent joint.
Zhao Yuan started a series of dazzling operations again.
He loosened the aortic clamp.
At the same time, the branch vessels of the aortic arch are clamped.
Subsequently, cerebral perfusion is performed to maintain the stability of cerebral blood vessels.
Then open the aortic arch longitudinally.
According to the aortic arch 5mm, transect the left subclavian artery...
There are case documents to follow for these operations.
Most people can only talk on paper.
It is extremely difficult to do it smoothly.
After Zhao Yuan saw the patient information, he began to strategize.
Everything is in the design idea.
Amid many surprised looks, Zhao Yuan successfully implanted the stent.
The bracket was modified by myself and is very easy to use.
The three assistants all breathed a sigh of relief.
The most important part has been completed.
At this point in the operation, the progress bar has reached two-thirds.
The final step is to suture the blood vessels.
There is obviously no difficulty for the three director-level assistants.
"Leave the rest of the work to us!" Qiao Yuanchun took the initiative to take over the work, with a more relaxed tone.
Zhao Yuan walked off the operating table, his legs a little swaying. He looked at the time and saw that he had been standing for more than six hours.
Because I am highly focused and emotionally excited, time passes very quickly.
If it were a normal surgeon, the operation would definitely take ten hours.
Qiao Yuanchun and the other three chief doctors came up with their trump cards in the subsequent suturing process.
Every surgeon has his own little pride.
Especially when a junior shows his superhuman talent in front of him, he will inevitably feel unwilling to admit defeat.
The three men, who together were almost 150 years old, were immersed in suturing and looked particularly strange.
Time passes minute by minute.
Finally the most critical time has come.
Check whether the operation was successful.
The only criterion is whether the heart can beat again.
Rewarming of the human body;
cardiac exhaust;
Loosen the vascular clamp...
Stable!
Stable!
As the blood flow is restored, the heart beats rhythmically!
Zhao Yuan came to the operating position again and covered the surgical area with the remaining aortic tissue.
A cabrol fistula is created between the artificial blood vessel and the right atrium.
Qiao Yuanchun was responsible for removing and suturing the redundant branches of the artificial aortic arch.
Zhao Yuan ordered the anesthesiologist, "Isolate the cardiopulmonary extracorporeal circulation!"
The anesthesiologist nodded and started operating.
Not a single mistake, not a single flaw.
This surgery for aortic dissection combined with pulmonary artery dissection finally came to an end after nine hours.
"marvelous!"
"too strong!"
"Dr. Zhao is so amazing!"
"The future life is to be feared!"
Praise, admire, appreciate...
A mixture of emotions.
All kinds of sounds are endless!
Qiao Yuanchun hugged Zhao Yuan hard.
For Zhao Yuan to be the chief surgeon, he needs to withstand tremendous pressure.
Zhao Yuan lived up to his expectations, and indeed completed the operation at a very high level, defeated the disease, and saved the patient.
At the same time, he also conquered Qiao Yuanchun and the other two chief doctors.
The two chief doctors also stepped forward to shake hands with Zhao Yuan.
Although the expression was simple, Zhao Yuan could feel their heartfelt appreciation.
Qiao Yuanchun walked out of the operating room, suddenly remembered something, and slapped his forehead hard.
Qiao Yuanchun was so involved in the operation that she forgot that her senior brother should have arrived in Yunnan Province at this moment.
Qiao Yuanchun found her cell phone and found that there were missed calls, so she quickly called back.
"Brother, where are you?"
"I met your student Wu Ying. She said that the patient was critically ill last night and the surgery was performed ahead of schedule. How is the progress?"
"Yes, it went very well. Now we will see the postoperative reaction."
"Then my trip was in vain?"
Qiao Yuanchun burst into laughter, "It's not a waste of time! The surgery is very classic. When you come, we can review it and discuss it!"
