Big Doctor Live Room

Chapter 1062 Chen's Bladder Construction
Holding the surgical forceps, Qi Hong stared blankly at the heart on the blue cloth platform. It was completely different from the heart seen in the same position in previous surgeries. This heart was still beating continuously. As if it has its own consciousness, it is showing vigorous vitality to everyone in the room.

She stretched her hand forward twice eagerly, and then fixed it directly in the air. The bright eyes exposed on the surgical mask glanced at the encouraging Miss Dongfang, showing an apologetic expression, and then directly addressed the chief surgeon. Gu Ning and Chen Qun said.

"I'm really flustered, my hands are shaking, can you let me be an apprentice next to you and watch you operate."

Neither Chen Qun nor Gu Ning was surprised by the reaction of the top female student. After all, this kind of extracorporeal heart surgery is not something that every doctor can encounter. Even experienced chief physicians and deputy chief physicians can He might not be able to deal with it, not to mention a Qi Hong who is not very capable of doing things?

What's more, both Chen Qun and Gu Ning discovered the problems with the heart at this time, and there were much more problems than those shown in the MRI and CT photos. It would be irresponsible to let Qi Hong do it again.

Gu Ning nodded directly, "Then you go down, needless to say, we won't let you take over. After all, this operation is beyond your ability, and even beyond the situation calculated by the three-dimensional projection. Just the tendrils of the tumor invading the wall of the right atrium, you can't do this resection."

Chen Qun also interjected to add a sentence.

"And the tumor spread on the heart is too extensive, we need to remove more tissue, which means there is not enough tissue to reconstruct the inflow cavity of the patient's heart."

As Gu Ning walked over to take over Qi Hong's position, he discussed with Chen Qun.

"Perhaps we can try it with expanded polytetrafluoroethylene artificial blood vessels?"

"No, the remaining atrium is not enough to connect the blood vessels."

"We can use the partition wall to accomplish this connection."

"It doesn't seem to work. See if there are dense conductive fibers on the spacer rod. If it is damaged, it will cause arrhythmia. Now, we need to come up with a perfect way to complete the operation immediately, otherwise, it will take too long. Bypass surgery can lead to hypotension and abnormal bleeding."

"Prepare platelets and fresh frozen plasma immediately, ready for blood transfusion at any time. Maybe we can use the small intestinal submucosa to rebuild the ventricular wall, but the material is limited and cannot cover such a large area. It seems that today's surprises are one after another, before they are resolved One problem, and then the solution creates a new problem, and it's going to wear us out."

Gu Ning, as the chief director of the cardiology department and one of the top three experts in China, of course knows that such uncontrolled accidents often mean the failure of the operation.

Qi Hong was also thinking about this question, and couldn't help expressing her opinion.

"Maybe, we might be able to see how thick the deep fascia is, and if it's more than two millimeters, maybe we can use this instead"

"No, I've already considered this, and I can't completely cover the heart. We need tissue with a thickness of 2.7 millimeters that can fully meet the arterial perfusion and systolic pressure. In patients, we cannot find such tissue, so, We need to break out of the box and find materials in other ways."

Chen Qun frowned and came to a conclusion.

As soon as he finished speaking, Zhou Lin, who was watching the video remotely, immediately sighed.

"If it's just a heart valve transplant, we can use bovine pericardium."

Gu Ning also sighed.

"Unfortunately not, the endurance of bovine heart tissue is not enough to complete a complete heart."

During a few questions and answers, Dongfang Wenxin, who had been in charge of controlling the computer, suddenly spoke and gave a calculation result.

"Just now I searched for the tissues that Chen Qun needed, and the little broom gave several answers. The most suitable one is that the pig bladder tissues fully meet your requirements, and there are ten tissues delivered in the morning in the tissue procurement laboratory of the hospital. There are many, there are enough choices, and you don’t know if it’s suitable or not.”

Gu Ning and Chen Qun looked at each other, and Gu Ning expressed his heart.

"Pig bladders are only used in the urology department to reconstruct human bladders, but they have never been used on the heart. Miss Xin, can you see if there are any examples of using the heart in foreign materials. It is not limited to the bladder, other organs It's okay. I seem to have a little impression, but compared to your database, I'd better give up and wait for your results."

Miss Dongfang quickly entered the search requirements on the keyboard, and got the results in less than a second.

"There have been more than a dozen surgeries in which pig bladders have been used on human hearts, but there have been no examples of building atrial walls."

Chen Qun immediately made a decisive decision, "Then we will be the first to eat crabs, and use pig bladders to rebuild the patient's atrium wall, Xiaoxin, immediately send a message to the organization's procurement laboratory and ask them to send a 300 cm pig bladder Get organized, as quickly as possible."

Miss Dongfang did not forget to taunt Chen Qun while sending the message.

"It seems that the little broom will have a day of meritorious service. After the operation is completed, it should be rewarded with a big chicken leg. It is much smarter than some people who are full of pig brains. This operation is called Chen's bladder construction!"

The dead girl is being unreasonable and unforgiving, deliberately annoyed him, how can there be such a nondescript naming method of deliberately emphasizing the bladder?
Chen Qun ignored the sarcasm of the proud eldest lady, and stood directly opposite Gu Ning, and started the operation. Two meters away from the two of them, the patient was lying quietly on the operating table, with a blood hole in his chest, looking down from above Look, it's kind of scary.

Qi Hong, who was recording the video, hastily turned the screen aside, not continuing to watch this somewhat terrifying scene.A weird idea came to mind, that is, the last time Chen Qun and the others took out all the organs in the patient's abdominal cavity and completed the operation, but now the abdominal cavity has become the chest cavity, and what was taken out was even more Heart, according to this trend, Chen Qun may have to take out the brain in the cranial cavity for surgery next.

It's scary to think about it!
It's just that when the brain can be taken out for surgery, is it true that technology has evolved to the point where the brain in a vat has reached the point where the real version of The Matrix can be staged at any time.

Of course, with the current level of technology, Chen Qun does not have the physical technical basis to take out his brain for surgery. In about three to forty years, when they are all old, they may see a glimmer of hope.But the complete brain cannot be taken out, but part of the brain can be taken out conditionally. It is a big problem to continue to maintain the brain and nerve connections.Perhaps decades later, they will be able to perform extracranial surgery on local brains, perhaps under the electron microscope.

Just as Qi Hongdong was thinking about it, Chen Qun's voice sounded in the operating room.

"Surgery outside the body is really not so fast. I estimated that it would take 10 minutes to peel off all the tumors, but it was all done in 6 minutes. However, this operation taught us a lesson, that is, the next extracorporeal heart surgery , it is best to place the operating table above the patient's chest to solve the problem of long-distance hypotension in bypass surgery."

(End of this chapter)