Doctor's Life Simulator

Chapter 348 Overwhelmed by the guests, the operation was a complete success (with more updates on Qixi Festival)

"Is this really something that can be done by just watching the video a few times?"

"Maybe, this is the real genius."

A chief physician of Xiehe Hospital said with emotion, but when he said such words, he felt absurd. After all, he was the director of Xiehe Hospital. I have never seen one like Qin Lang.

If Qin Lang is a genius like this, then what are they?
If they are already geniuses, then what is Qin Lang?
Products, fine products!

"Look down."

On the other side, the chief physician of the Affiliated Hospital of Yenching University simply became patient and began to observe quietly.

"It's still Dean Zhong's vicious eyes that found such a good seedling."

"After Director Qin's surgery, I want it from Union Medical College Hospital."

The department director of Xiehe Hospital said very domineeringly.

Hearing what the director of Xiehe said, the chief physicians on the other side were a little bit annoyed, but they really didn't have the confidence to rob people.

After all, very few young people can refuse the invitation from Union Medical College Hospital.

In the operating room, Qin Lang has already started the next step, with clear and precise instructions: "Heparin. Intubation"

"Immediately, Director Qin."

Facing the high rhythm of the Qin corridor, the equipment nurses were a little out of breath. After all, everyone has always been very cautious in performing such difficult operations, and a certain amount of breathing time will be reserved between steps to ensure that the time of operation can be guaranteed. , have sufficient concentration.

She has never encountered a madness like Qin Lang who seems to have never had an operation in her life.

"Director Qin, the patient's systemic heparinization has been completed, and the aorta, superior vena cava, and right femoral vein have been intubated."

"This is too confident. Have you noticed Director Qin's small details, in order to prevent air intake in the right atrium, he did not go through the intubation."

"Yeah, this guy's experience seems to be no different from that of an old doctor who has studied for decades. You see, he relies on those two fingers to control the wire out of the body, so dexterously!"

Unknowingly, these experts have been convinced by Qin Lang's technology, and even discovered a lot of dexterity and unique handling of the details.

"Look, Director Qin is going to start the cuff occlusion of the superior and inferior vena cava now!"

"This is a difficult point!"

"Pyroplasty Scalpel Hemostatic Forceps."

On the screen, Qin Lang was already performing difficult operations calmly.

"In addition to blocking the position and speed of blocking, this operation is more important to control the perfusion of cardioplegia in the aortic root, which requires experience and rhythm."

A chief physician of Xiehe Hospital lamented that even if he came, he had to confirm it before he dared to act.

However, what he didn't expect was that Qin Lang didn't think too much at all. He quickly completed the block like a reckless man, and then poured cardioplegia. Ventricular groove lateral resection of bilateral ventricles.

"Crazy, crazy! Is this really not afraid of making mistakes, removing both ventricles one after another, oh my god!"

Even academician Zhong in the operating room had a thumping heart and became nervous, but the matter had come to this point, and it was too late to stop it.

"Qin Lang, slow down and be steady."

After all, Academician Zhong still couldn't hold back, said something, and then asked worriedly:
"Pay attention to keeping the atrioventricular ring and part of the ventricular muscle intact, cut off the mitral and tricuspid valve tissue, suture the coronary sinus, and cut off the aorta and pulmonary artery from above the semilunar valve"

Qin Lang didn't respond, but just quietly performed his own operations, and then perfectly displayed what Academician Zhong ordered. Some small operations were handled more appropriately according to the instantaneous situation of the incision during the operation. .

"Suture Needle Holder."

Qin Lang didn't turn his head back, and stretched out his hand. The equipment nurse hurriedly presented the equipment that Qin Lang made. He was shocked in his heart at this moment. The level of this young doctor was really too high.

At an age like her in her thirties, experience and physical strength are inherent. When various skills are the most mature, it is very easy to deal with those old directors and old men. It is not a problem to delay three, but it is completely unbearable. Qin The high frequency and fierceness of the corridor, I can only take advantage of some small gaps to take a few quick breaths and recover my strength.

"Director Qin, what is this?"

"Understood. Since there was still a patent foramen ovale, he chose to suture it together and ligate the left atrial appendage at the same time. Such a quick response."

Next, Qin Lang inserted the left atrium pressure measuring tube through the right superior pulmonary vein, and then began to cut the suture ring of the left atrium.

"What do you think of Director Huang?"

"How else can you see it? Just kneel and watch. In this operation, the suture ring is trimmed according to the actual situation. This is not a boss who dares to try."

"Amazing"

The operation was only halfway through, and these chief physicians were completely convinced, and even learned a lot of tricks.

"4-0 prolene suture outer lining felt strip"

Qin Lang has completely entered the state, and unconsciously, he also took away many operations of the main knife.

It's not good for academician Zhong who is on the side to stop, and it's not good not to stop.

"This brat. That's it, that's it."

Academician Zhong simply moved the position, and Qin Lang occupied the position of the chief surgeon honestly, and began to suture the left atrium tissue continuously.

"A good hand suturing technique, especially in such fragile parts, fast, uniform and stable suture is especially important."

"Then Director Qin, what is the operation of this outer felt strip?"

"You don't understand this. Since the patient's condition is not very good, Director Qin added this step to prevent bleeding or air intake."

"So that's the case. I didn't expect Director Qin to be so calm and thoughtful during the operation."

"Yes, have you noticed that Director Qin has silently arrived at the position of chief surgeon, and Academician Zhong has not given orders for a long time."

"Really, doesn't that mean that Director Qin is not only qualified to assist, but can even try artificial heart transplantation as the chief surgeon!"

After several directors discovered the truth, they were once again shocked by Qin Lang's comprehension ability.

"The next step is the implantation of the artificial heart. Look at Director Qin. He began to cut the artificial blood vessel. Using 4-0 prolene sutures, the pulmonary artery was anastomosed first, and then the aortic anastomosis."

"The level of vascular anastomosis is really amazing, it's just at the textbook level."

After completing this step, it is time to enter the connection of the induction electrodes and artificial heart wires with the internal controller.

"Qin Lang, in this step, the left atrium is first connected to the ring, then the aorta is connected to the ring, and then the pulmonary artery is connected to the ring. The right atrium is not connected for now."

At this point, Academician Zhong finally began to guide, and even he was a little envious of Qin Lang's almost blind movements.

After all, under the super field of surgery, Qin Lang needs far less room to operate than ordinary people.

After seeing Qin Lang complete this step, Academician Zhong cheered up a bit. Arriving here, it has already been explained that two-thirds of the entire operation has been completed, and several key points with high risks have passed most of it smoothly. .

"Saline.Pliers"

Normal doctors would take a break at this point to refresh their energy, but Qin Lang had no intention of stopping at all.

"Director Qin, you are sure not to take a rest and replenish your energy."

Academician Zhong asked with concern. So far, Qin Lang's performance has far exceeded his expectations. Therefore, he also hopes that Qin Lang can start well and finish well, and don't fall short.

"It's okay, Academician Zhong, it doesn't make me feel at all."

Qin Lang rarely said something that had nothing to do with the operation order.

Hearing that Qin Lang was still in such high spirits, the equipment nurse's legs softened, and the young man just didn't know how to control himself!I am exhausted.

Qin Lang continued to the next step, injected normal saline through the entrance of the right ventricle of the artificial heart to expel gas, opened the superior vena cava occlusion zone and temporarily clamped the superior vena cava drainage tube to fill the right atrium with blood, connected the right atrium connecting ring, and removed the superior vena cava drainage tube to fill the right atrium with blood. Vena cava cannulation.

The movements are very coherent, and the operation is particularly skillful.

All the directors in the observation room were stunned.

"Beautiful, so smooth!"

In the operating room, Qin Lang started to drive the artificial heart again, and exhausted the residual gas through the exhaust pipes on the aorta and pulmonary artery artificial blood vessels.

"Clamp."

Since the material of the artificial heart is transparent, it is possible to observe whether there is any gas inside. Tang Lou soon completed the full exhaust of the right ventricle, and then clamped the artificial blood vessel exhaust channel of the pulmonary artery very quickly.

Continue to drive the artificial heart, open the aortic artificial blood vessel exhaust pipe, and fully exhaust the gas in the left ventricle.

Maintaining 60 beats per minute, Qin Lang has completed most of the operations after 2 minutes.

"Full exhaust is completed, the artificial heart is working normally, and the pressure of the left and right atrium is normal."

Qin Lang directly played the roles of chief surgeon and first assistant, and at the same time gave instructions: "Prepare protamine, neutralize heparin"

"Sterile Plastic Bags"

Hearing Qin Lang's order, the chief physician in the observation room was stunned. What kind of operation is this?
Soon Qin Lang gave them the answer.

"It turns out that the external electrical energy induction can be transmitted to the coil with a sterile plastic bag!"

Ten minutes later, Qin Lang removed the sick heart, anastomosed the patient's aorta with the artificial heart, and stopped the extracorporeal circulation.

"After being sent to the intensive care unit, closely observe the arterial pressure, central venous pressure, ventilator-assisted ventilation, and pay attention to the balance of water and electrolytes."

"Watch closely for chest drainage."

"Use antibiotics to prevent infection."

"Conventional anticoagulation."

Qin Lang has completely let go of himself, directly issued the doctor's order, and then turned around and went to the changing room.Academician Zhong followed a few steps in a daze before he realized it.

"I'm the chief surgeon! Hey! That's my line!"

Academician Zhong smiled wryly, then looked back at the operating table:

This difficult ventricular assist device and artificial heart implantation was a complete success!
PS: This chapter will be updated. I wish you all a happy holiday. Those who have a crush celebrate the festival with the crush, and those who don’t have a crush can read the book.At the same time, thank you to all the big guys who have supported you along the way.Nangong Yi, Tunnel Danger, Purple Muscle, Cloud Freedom, Uncle Cauliflower Four Points, Xi Rushui, Sleeping Handsome Crazy Bird, Big Winner in Life, comn, Promise of Happiness, Diao in Pants, YY Farewell, Heaven and Hell, Fang Yi Wait, wait, I won't talk about them one by one.Thank you everyone!
(End of this chapter)