Big Doctor Live Room

Chapter 1116 Mitral Annuloplasty
"No. [-] absorbent cotton gauze, airbag leak test!"

Chen Qun's left hand moved quickly twice as if mechanically, then paused for a tenth of a second, then moved twice quickly, and the two beautiful surgical knots were completed.Speaking of his knotting skills, he was first promoted to the master level, and then after a long period of training, he was promoted to the real master level, and then... he didn't move, and he didn't know how much he improved.

But now when he was operating, he felt something strange more and more. It seemed that he was about to be promoted to the true master level. The long journey during this period can be said to be difficult to describe.

If only in terms of skills, the difference between a master and a grand master, a grand master, can hardly be perceived with the naked eye, but that difference can be clearly felt by feeling.If the skill of a master is to be stable under normal circumstances, then the skill of a true master is that it can be perfect in any situation, including very difficult to operate environments, and cannot be picky.

Just now when I was knotting, I felt more and more handy. It seems that this skill with little value has also shown signs of breakthrough.Compared with the more important skills of incision, suturing, and hemostasis, he has advanced to the level of a true grand master early on. This knotting skill is not so obvious. It is impossible to rise to that level.

But now it seems that as long as you train for a long time, you can also improve.Perhaps, I will take care of all the sewing work at home.

When Chen Qun thought of this, a helpless smile overflowed from the corner of his mouth, which was something the eldest lady liked to hear.In particular, his knotting and sewing skills are masters. He criticized the stitches and stitches that the young lady stretched out his hands, but he did not criticize them. He even sewed the buttons that fell off for the young lady who did not know how to sew, which was completely comparable to those old tailors. needlework.

Perhaps, his suturing skills in the human body are not as good as the true pinnacle weaving and embroidery masters, but it is not an exaggeration to barely reach the level of a master.

Perhaps, if one day he fully realizes artificial intelligence because of the eldest lady's mechanical equipment, and he is forced to lose his job, he can still work as a competent tailor, and he will not starve to death.

"Aspiration! Ready for mitral annuloplasty."

While ordering, Chen Qun picked up the straw in his hand, and sucked out a stream of oozing blood in the patient's small atrium near the artery. The blood at the mouth of the straw was sucked up, and in a blink of an eye, it came out from the gap again. Some come out.

In a moment of astonishment, he sucked the straw in his hand for a second time, but this time he was careful.Because sometimes the blockage of some blood vessels and the placement of the position will cause some residual blood to be distributed in the blood vessels, which cannot be sucked away in a short time, which is very normal.

But if it continues to bleed, it's not normal.The present situation is a bad sign.

As the second spurt of about a milliliter of blood disappeared, a slightly raised granulation-like structure appeared at the mouth of the blood vessel, causing his suctioning movements to pause.

This sudden situation was worse than the continued bleeding of the heart.Because the patient has already entered the extracorporeal circulation mode, there is unlikely to be too much blood remaining in the heart. If the bleeding continues, at most there is a rupture in a blood vessel, and he can repair it immediately.

But with neoplastic tissue, that's another story.

"The appearance of vegetations, which are lumps formed by bacterial accumulation on the heart valve tips, is present on the inner wall of the heart, which also means that there is the possibility of concurrent infective endocarditis! This is impossible, why didn't we check it out? The ultrasound pictures don’t show anything either!”

Chen Qun, who was performing the operation, didn't panic much, but Professor Fu, who was watching from the observation platform, lost control together with other experts and ran away collectively.

This little patient is more valuable than anything else, and they have never been short of various examinations. But if such a big problem suddenly arises, it is not as simple as dereliction of duty.Unless..., unless this growth was born within a day or two.

Now, for Chen Qun, the surgeon, they not only need to repair the chordae tendineae of the mitral valve, but also need to repair the valve itself, which cannot even be accomplished by simpler artificial valve replacement.

Chen Qun hesitated for less than a tenth of a second, and immediately gave a solution.

"Add autologous pericardium filling and perform mitral annuloplasty."

"But Dr. Chen, can you complete these difficult operations within an hour?"

Fu Guobin, who had lost his sense of proportion, immediately shouted a question into the loudspeaker.

"I'll do my best. I scheduled four 10 minutes to complete the operation from the beginning. Now that I have one more, I can use the extra 10 minutes. Give me the Mei's anatomical scissors!"

Following Chen Qun's command, the movements at hand immediately accelerated, and they were no longer flowing like clouds and water, but turned into high-speed mechanical operations.The two assistants around him immediately turned into four, using manpower to make up for his lack of speed.

It feels as if the speed of the machine is increased at once, and more workers are needed to cooperate. After this kind of decomposed action division, the actions that cannot be completed by one person can be completed by two people, and Chen Qun will be able to do it again. The operation speed reached a kind of coordination.

"Disinfect the endocardium with glutaraldehyde, give me CV5 non-absorbable sutures immediately, Xiao Lu, and immediately cut the endocardial patch with a size of 13 x 8."

"Protein line No. 5!"

"Air bag leak test!"

……

Chen Qun's instructions and actions were issued one after another. The eight surgical team members who came over, together with the three capable medical staff of the hospital who stayed in the operating room, were like a high-speed machine, following Chen Qun's instructions. Fly at high speed.Although the calmness just now was lost, and a mechanical rhythm was added, which gave the whole operation an industrial feel, but the quality did not change at all.

"The mitral valvuloplasty is completed, and the artificial stem cell muscle cell layer film operation will be performed next. We will open the constant temperature tank we brought, and take out Sir Victor's muscle cell layer. Two pieces will form one layer, and then we will put these The cell patch is attached to the patient's left ventricle so we don't have to do the last ventricle volume reduction surgery."

Chen Qun completed his operation in just seventeen minutes and then gave the second option.As he spoke, he looked up to explain to the panel of experts above him.

"This kind of stem cell muscle film is part of the bionic intima technology of the blood vessel wall from abroad. Just now we contacted foreign laboratories on the way and compared the data. This kind of stem cell muscle film matches the patient's immune system and can for this operation. This way, the patient can get better heart function."

(End of this chapter)