Big Doctor Live Room

Chapter 1083 Subclavian Artery Descending Aortic Anastomosis
Five or six minutes later, Chen Qun, who brushed his hands and entered the operating room, took over the position of the chief surgeon without hesitation, and asked a middle-aged professor who was the chief surgeon just now about the situation.

"Are IV prostaglandins working?"

"I have already injected two doses, and I dare not continue to inject, but it still has no effect, and the ductus arteriosus is still not open. If you give it again, the blood pressure will drop, and the baby will become very dangerous."

"It seems that only aortic reconstruction surgery can save this little life. How long is the warning time?"

"But the child's current heart and lung function cannot use artificial heart and lungs. Without extracorporeal circulation, the whole operation is meaningless and there is no possibility of success."

"So I'm taking over, and I'm going to do the aortic reconstruction with a subclavian descending aortic anastomosis. Reposition the baby, and I'm going to open the left chest, with a No. [-] scalpel."

Gu Ning, who did not appear on the stage but directly chose to act as an instructor, and Xu Kai, the director of obstetrics and gynecology, appeared in the video surveillance room next door.After all, for the Department of Obstetrics and Gynecology, there is only one teaching demonstration room, and other operating rooms can only sit in a small monitoring room and watch TV signals.

Gu Ning knew that the method given by Chen Qun was to cut off the inferior clavicle artery, bypass the constricted aortic arch, and connect it directly to the descending aorta.This kind of operation is a common operation used by surgeons for this kind of medical records before the appearance of artificial heart-lung extracorporeal circulation machines.

Or to be precise, this is an "outdated surgery"!
Therefore, he can complete the operation without artificial heart and lung for extracorporeal circulation.

Gu Ning felt an unprecedented sense of absurdity in his heart. The most cutting-edge and radical surgeon in the world is actually using one of the oldest methods to operate on patients.How much knowledge and knowledge reserves are needed for this!
For a moment, the head of the Cardiovascular Department was about to ask Chen Qun, have you had this operation before?But he swallowed the words as soon as he got to his mouth. He had studied Xiao Chen’s experience hundreds of times before entering Xiangyun, and he had never had such an operation. for such a difficult operation.

I am afraid that the younger generation of cardiac surgeons have only seen this kind of operation in textbooks. As for how to operate it, there are very few people who know how to do it.

After finishing the order, Chen Qun opened the baby's left chest at a flying speed, and even only opened a very narrow opening to ensure the vision.This is not the first time he has performed heart surgery on a hypoplastic baby, and in terms of experience, no one in the world can surpass him, so he naturally entered the state with ease.

Qi Hong, who followed him into the operating room, now acted as an assistant to the equipment nurse, helping the nurse to wait beside him with the equipment. At first, the equipment nurse complained a little, but the foreign doctor who helped with family affairs, It was not easy to do it, so I buried my head and continued my work.

But in a blink of an eye, I realized that my hands and feet couldn't match the young doctor in front of me. If it wasn't for the girl who just came here to help, she wouldn't be able to do it alone.

This nurse is not from the Department of Obstetrics and Gynecology, but a full-time nurse from the Department of Cardiology, and they are all in a hurry, feeling ashamed and anxious, knowing that if it is not for the new doctor's helper, I am afraid that I will be scolded out. She couldn't help but look at Qi Hong with gratitude.

Qi Hong seemed to see the thoughts in the nurse's eyes, and gave a whispered answer in English directly.

"In our hospital, Dr. Chen is equipped with three equipment nurses in rotation. At the fastest time, only his girlfriend can cooperate. Others can't help it no matter how long they have two hands."

Chen Qun cast a contemptuous glance at Qi Hong, and uttered a cold voice.

"Circumferential forceps!"

Qi Hong hurriedly handed over the tools that had been prepared in her hand, and then saw Chen Qun clamp the arterial forceps at the front end of the aortic arch, and then clamp another aortic forceps at the position below the descending aorta.Then, I picked up the sharp surgical scissors handed over by the equipment nurse, and began to cut open the wall of the aortic arch vessel.

Not to mention that Qi Hong was taken aback by this move, even Gu Ning, who was watching on the TV screen next door, sat up straight.Because he couldn't understand the intention of Chen Qun's move.

"Fold the subclavian artery down! I'm going to overlap and suture the aorta! Seven-gauge thread!"

Chen Qun then issued another order to the assistant that Qi Hong did not understand.

Gu Ning, who was behind the TV screen, understood Chen Qun's intention at once, but still had more questions in his mind.Chen Qun is preparing for subclavian valve aortic angioplasty.In this method, two blood vessels are overlapped, and a drainage vessel established outside is integrated with the original blood vessel to form a single blood vessel.

This is more cost-effective than the descending subclavian aortic anastomosis he just mentioned, allowing more blood to flow through the blood vessels.Considering the postoperative situation of the baby, it is obvious that this surgical method is better.

Just using other parts of the tissue to reconstruct the tissue is a unique idea of ​​pediatric heart surgery experts, but compared with the subclavian artery descending aortic anastomosis, the cost of subclavian valve aortic anastomosis is at least two or three times Time, can Xiao Chen complete it in the 40 minutes specified in the time limit?

Gu Ning only thought of this according to conventional thinking, and then he laughed dumbfounded, knowing that he had made another trial error, using his own ability to estimate Xiao Chen's ability, this is to judge the fairy's heart with an ordinary heart.Xiao Chen is not in the same plane or dimension as all the surgeons in the world.With this little time, Chen Qun could do two or three surgeries of this type without any difficulty.

Chen Qun was performing the operation without slowing down, but the whole operating room seemed a bit busy. The three assistants and the two nurses were all busy in a hurry. This strong contrast between the movement and the stillness made Gu Ning feel even more When the gap between the giant and the ants is reached, the giant takes a step without haste, while the ants may spend their entire lives chasing after them but will not be able to catch up.

Unfortunately, he should also be a member of this group of ants, just one of the fastest runners. It's not that he doesn't work hard or have no talent, but what restricts him is still talent.The gap between him and Xiao Chen lies in the double blow of personal ability and space construction, which prevents him from reaching Xiao Chen's level.

The only thing that can be thankful is that he and Xiao Chen are comrades-in-arms and colleagues who fought side by side. Xiao Chen's spaceship is enough to turn his small broken ship into a cruising speedboat.

As soon as he thought of this, Gu Ning knew why Xiao Chen's research center was established so quickly, because those old guys and old foxes in the hospital thought so, making Xiao Chen the biggest engine of Xiangyun Hospital, directly crossing the area The environment of the hospital has entered the industry of the world's top ten hospitals in one step.

This process probably took decades ago, but it was actually just a flick of a finger. The hospital had already made enough preparations, and it was waiting for the entire hospital system to undergo earth-shaking changes under the tossing of Xiao Chen and his wife.

(End of this chapter)