Big Doctor Live Room
Chapter 1011 Improvements
Chapter 1011 Improvements
"Next, start to implant the arterial suture!"
Chen Qun took the smallest pair of surgical tweezers handed over by his girlfriend, held the tweezers in his hands unexpectedly, and then made several circles in the air with his palms, and even his five fingers liked to make irregular movements together. movement, as if moving the finger joints.
Gu Ning knew from a glance that Xiao Chen was preparing for this extremely difficult stitching, so he quickly reminded him.
"You don't have enough space for sutures. You need to expand the chest cavity by another centimeter so that you can have enough vision to observe the suture site."
Chen Qun pointed to the portable microscope on his head, showing a helpless smile.
"Senior Brother Gu, do you think this field of view can appear under a microscope? It has been completely blocked by the back of your hand. Even if you use your unique skill of vertical suturing, you can't see much. So, I don't need the field of view this time, just use It’s a blind operation, just rely on feeling to sew. What’s more, there is already 3D real-time imaging here, so it can be completed without a real field of view.”
This should be due to the boldness of Yigao people. The real-time image of the stereoscopic projection is completely different from the real part seen by the naked eye. The gap in the field of vision is not ordinary.Even if he had practiced, it was almost not as accurate as what he saw with his own eyes.
Gu Ning understood in an instant that Chen Qun was purely following his feelings this time, relying on muscle memory to complete the stitching.With his usual technique under a high-power electron microscope, it is fully possible and possible to complete the suture under the absence of field of view.
"Why don't you sew with your right hand on the opposite side, the success rate is higher?"
"No, if you change positions, the five of you have to change accordingly, instead of wasting time, trust me, I'm doing all the sewing at home!"
With a bang, the eldest lady who was operating the keyboard at the back knocked the mouse on the ground, making a crisp and clear sound.
Dongfang Wenxin tried her best to bite her lips to keep herself from laughing out loud.This guy actually still has time to play tricks at this most urgent stage. This girl will make your dreams come true, and you will become a housewife after you go home. You only love red makeup and needlework?There are quite a few of the two younger sisters!
Seeing that Chen Qun was still in the mood to joke around, Gu Ning couldn't laugh. He knew that the situation was really serious this time, and even Chen Qun, who was so quiet on the operating table, needed to tell a joke to relieve himself. Yep, it's the first time I've seen it.The weirdness is really weird, and when you are really nervous, you will have a little humor; when you are not nervous, you don’t say anything, just finish the work and leave.
But what Chen Qun said is right at all. A microscope is needed to suture blood vessels with a diameter of less than one millimeter. A conventional portable head-mounted microscope is not very effective.The reason why he didn't use a high-power microscope was just to increase the speed of the operation and complete the operation in the shortest time.
To perform suturing by feeling, you have to practice countless times before you dare to use it on stage.Even if Xiao Chen used his left hand this time, judging from all the coordination of movements just now, he is almost as good as his right hand, which means that he has not only practiced it normally, but also through his peculiar space ability of savant syndrome, he can move with his eyes closed. You can also build a surgical scene in your mind and practice.
Perhaps for most doctors, the structure in the field of vision they see is just a flat structure, but for Di Chenqun, what he sees is a three-dimensional structure, most of which are made up by his brain. Naturally, after a glance, you can deduce it in your mind.
After Gu Ning finished sighing, he saw that on the three-dimensional projection in front of him, the eldest lady magnified the projection ten times, and a needle tip as thick as a finger was neatly sticking to the edge of the blood vessel wall, making a needle with the blood vessel below. The stitching of the first line, the spacing is slightly skewed, but the overall shape is still neat and smooth, and there is not much difference from the usual stitching.
This guy is indeed a robot. The blood vessels of only [-]mm that appear on the screen are sutured without any mistakes, and there is no overlap at all. He almost perfectly demonstrates his vision-free suture technology. The most suitable method for docking without any mistakes.
I am afraid that only one or two doctors with the best suturing skills in the entire hospital or even the country can achieve such results during drill demonstrations, but they will definitely make mistakes on the operating table.This is the result of a huge psychological gap.
"OK, the arterial vessels are sutured, continue to strip the left atrium, forceps, electric knife!"
Following Chen Qun's instructions, Gu Ning, who was acting as an assistant, immediately let go of the palm holding his heart, and issued the following instructions for Chen Qun.
"Start preparing instruments and equipment, and then Xiao Chen will continue to perform mitral valve repair surgery for insufficiency that occurs in various segments of the left ventricle."
Dongfang Wenxin restored the projected image to its original state, then frowned, stood up and yelled at Chen Qun.
"Chen Qun, there is an error in my simulation program here, and I can't use the data to find out the exact part of the lesion. Can you give me another 10 minutes... No, 5 minutes!"
As soon as the words are exported.Everyone in the operating room looked at Chen Qun and the eldest lady, knowing that if the computer data is wrong, the only way is the routine inspection method, and it will take at least one or two hours to fully determine the location of the myocardial disease.At that time, the baby might not be able to last that long, and would have died on the operating table long ago.
Chen Qun was not at all surprised by the surprise of the eldest lady, because as long as there is a mistake in this kind of data simulation, it may lead to other structural mistakes, just like the construction of a magnetic ball. It collapsed.
The more high-tech something is, the more likely it is to make mistakes. This is caused by the nasty guy like probability.
Chen Qun's eyes showed a firm and bright smile, comforting his girlfriend.
"Xiaoxin, don't be busy. You don't need to continue the simulation calculations. You just need to complete the real-time imaging projection. Even without your projection now, it has little impact on the operation. Times are advancing. Traditional ventricular volume reduction surgery, There will be new technologies as well, and it’s time to make improvements.”
The eldest lady didn't answer yet, Gu Ning looked at him directly.
"How to improve?"
"The trick is not good to put it bluntly! Excision of the lesion is only a routine option, and we also have unconventional options!"
Chen Qun deliberately showed off, and Dongfang Wenxin who was next to him suddenly understood what he meant and shouted.
"You mean you just need to shrink the heart?"
When Gu Ning was reminded by the eldest lady, he immediately reacted, stared blankly at Chen Qun, and expressed his opinion.
"You are going to cut the left ventricle along the coronary artery, then increase or decrease according to the size of the lesion, and then re-fold and suture the myocardium. That is, the heart can be restored to its original size without removing the lesion .So with your method, you don’t even need to determine the lesion site, you only need to wrap and suture it by overlapping, and you don’t need to remove the myocardium, which naturally reduces the burden on the heart and reduces the risk.”
Chen Qun nodded and gave some additional explanation.
"From the perspective of surgery, the risk is reduced, but there are still some hidden dangers for the patient. However, there is a high probability that the necrotic part of the myocardium will not affect the normal beating of the heart, so under special circumstances, we can allow necrosis. Myocardium coexists with the heart.”
(End of this chapter)
"Next, start to implant the arterial suture!"
Chen Qun took the smallest pair of surgical tweezers handed over by his girlfriend, held the tweezers in his hands unexpectedly, and then made several circles in the air with his palms, and even his five fingers liked to make irregular movements together. movement, as if moving the finger joints.
Gu Ning knew from a glance that Xiao Chen was preparing for this extremely difficult stitching, so he quickly reminded him.
"You don't have enough space for sutures. You need to expand the chest cavity by another centimeter so that you can have enough vision to observe the suture site."
Chen Qun pointed to the portable microscope on his head, showing a helpless smile.
"Senior Brother Gu, do you think this field of view can appear under a microscope? It has been completely blocked by the back of your hand. Even if you use your unique skill of vertical suturing, you can't see much. So, I don't need the field of view this time, just use It’s a blind operation, just rely on feeling to sew. What’s more, there is already 3D real-time imaging here, so it can be completed without a real field of view.”
This should be due to the boldness of Yigao people. The real-time image of the stereoscopic projection is completely different from the real part seen by the naked eye. The gap in the field of vision is not ordinary.Even if he had practiced, it was almost not as accurate as what he saw with his own eyes.
Gu Ning understood in an instant that Chen Qun was purely following his feelings this time, relying on muscle memory to complete the stitching.With his usual technique under a high-power electron microscope, it is fully possible and possible to complete the suture under the absence of field of view.
"Why don't you sew with your right hand on the opposite side, the success rate is higher?"
"No, if you change positions, the five of you have to change accordingly, instead of wasting time, trust me, I'm doing all the sewing at home!"
With a bang, the eldest lady who was operating the keyboard at the back knocked the mouse on the ground, making a crisp and clear sound.
Dongfang Wenxin tried her best to bite her lips to keep herself from laughing out loud.This guy actually still has time to play tricks at this most urgent stage. This girl will make your dreams come true, and you will become a housewife after you go home. You only love red makeup and needlework?There are quite a few of the two younger sisters!
Seeing that Chen Qun was still in the mood to joke around, Gu Ning couldn't laugh. He knew that the situation was really serious this time, and even Chen Qun, who was so quiet on the operating table, needed to tell a joke to relieve himself. Yep, it's the first time I've seen it.The weirdness is really weird, and when you are really nervous, you will have a little humor; when you are not nervous, you don’t say anything, just finish the work and leave.
But what Chen Qun said is right at all. A microscope is needed to suture blood vessels with a diameter of less than one millimeter. A conventional portable head-mounted microscope is not very effective.The reason why he didn't use a high-power microscope was just to increase the speed of the operation and complete the operation in the shortest time.
To perform suturing by feeling, you have to practice countless times before you dare to use it on stage.Even if Xiao Chen used his left hand this time, judging from all the coordination of movements just now, he is almost as good as his right hand, which means that he has not only practiced it normally, but also through his peculiar space ability of savant syndrome, he can move with his eyes closed. You can also build a surgical scene in your mind and practice.
Perhaps for most doctors, the structure in the field of vision they see is just a flat structure, but for Di Chenqun, what he sees is a three-dimensional structure, most of which are made up by his brain. Naturally, after a glance, you can deduce it in your mind.
After Gu Ning finished sighing, he saw that on the three-dimensional projection in front of him, the eldest lady magnified the projection ten times, and a needle tip as thick as a finger was neatly sticking to the edge of the blood vessel wall, making a needle with the blood vessel below. The stitching of the first line, the spacing is slightly skewed, but the overall shape is still neat and smooth, and there is not much difference from the usual stitching.
This guy is indeed a robot. The blood vessels of only [-]mm that appear on the screen are sutured without any mistakes, and there is no overlap at all. He almost perfectly demonstrates his vision-free suture technology. The most suitable method for docking without any mistakes.
I am afraid that only one or two doctors with the best suturing skills in the entire hospital or even the country can achieve such results during drill demonstrations, but they will definitely make mistakes on the operating table.This is the result of a huge psychological gap.
"OK, the arterial vessels are sutured, continue to strip the left atrium, forceps, electric knife!"
Following Chen Qun's instructions, Gu Ning, who was acting as an assistant, immediately let go of the palm holding his heart, and issued the following instructions for Chen Qun.
"Start preparing instruments and equipment, and then Xiao Chen will continue to perform mitral valve repair surgery for insufficiency that occurs in various segments of the left ventricle."
Dongfang Wenxin restored the projected image to its original state, then frowned, stood up and yelled at Chen Qun.
"Chen Qun, there is an error in my simulation program here, and I can't use the data to find out the exact part of the lesion. Can you give me another 10 minutes... No, 5 minutes!"
As soon as the words are exported.Everyone in the operating room looked at Chen Qun and the eldest lady, knowing that if the computer data is wrong, the only way is the routine inspection method, and it will take at least one or two hours to fully determine the location of the myocardial disease.At that time, the baby might not be able to last that long, and would have died on the operating table long ago.
Chen Qun was not at all surprised by the surprise of the eldest lady, because as long as there is a mistake in this kind of data simulation, it may lead to other structural mistakes, just like the construction of a magnetic ball. It collapsed.
The more high-tech something is, the more likely it is to make mistakes. This is caused by the nasty guy like probability.
Chen Qun's eyes showed a firm and bright smile, comforting his girlfriend.
"Xiaoxin, don't be busy. You don't need to continue the simulation calculations. You just need to complete the real-time imaging projection. Even without your projection now, it has little impact on the operation. Times are advancing. Traditional ventricular volume reduction surgery, There will be new technologies as well, and it’s time to make improvements.”
The eldest lady didn't answer yet, Gu Ning looked at him directly.
"How to improve?"
"The trick is not good to put it bluntly! Excision of the lesion is only a routine option, and we also have unconventional options!"
Chen Qun deliberately showed off, and Dongfang Wenxin who was next to him suddenly understood what he meant and shouted.
"You mean you just need to shrink the heart?"
When Gu Ning was reminded by the eldest lady, he immediately reacted, stared blankly at Chen Qun, and expressed his opinion.
"You are going to cut the left ventricle along the coronary artery, then increase or decrease according to the size of the lesion, and then re-fold and suture the myocardium. That is, the heart can be restored to its original size without removing the lesion .So with your method, you don’t even need to determine the lesion site, you only need to wrap and suture it by overlapping, and you don’t need to remove the myocardium, which naturally reduces the burden on the heart and reduces the risk.”
Chen Qun nodded and gave some additional explanation.
"From the perspective of surgery, the risk is reduced, but there are still some hidden dangers for the patient. However, there is a high probability that the necrotic part of the myocardium will not affect the normal beating of the heart, so under special circumstances, we can allow necrosis. Myocardium coexists with the heart.”
(End of this chapter)
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