medical road high rise

Chapter 232 Qin Feng's Teachings

Chapter 232 Qin Feng's Teachings

"How many blood vessels have you transplanted? How come there are so many twisted blood vessels?" Qin Feng said with a serious face.

Director Jin's face was also a bit ugly, "I suspect that the surgeon affected other blood vessels during the transplantation of the two blood vessels, resulting in multiple distortions."

Director Jin was also called over suddenly. As soon as he saw this patient, he sent someone to call Qin Feng over. Only relying on the personnel of the Department of Vascular Surgery alone will definitely not be able to solve this problem.

If Qin Feng can't solve it, then it will be handed over to the higher-level hospital.

"The patient's current condition is a bit serious, and we still have to wait for the results of vascular color Doppler ultrasound." Qin Feng said.

Director Jin nodded, and the two stood outside the ward waiting for the color Doppler ultrasound to return. As for the left-behind doctor inside, he helped the patient do some recovery exercises to see if the blood vessel distortion could be relieved.

Ten minutes later, the results of vascular color ultrasound were sent.

On the color Doppler ultrasound, the patient's blood vessels and arteries appear to be stretched and twisted, and the blood flow resistance becomes larger due to the twisted arteries, which affects the blood supply of the deep and shallow palms of the palm, resulting in bruising of the palm.

Fortunately, Qin Feng found the reason, pointed to the top and said: "The blood vessels you transplanted are too long, which makes the blood flow impossible to pass through normally, so there is a distortion, which causes the pressure of the blood flow to increase and oppresses other blood vessels. , resulting in the distortion of multiple blood vessels."

The face of the doctor in charge of the vascular department changed, "Why is it too long? I obviously cut it according to the length of the missing part!"

"Surgery first, I will explain to you after the surgery." Qin Feng said.

Qin Feng asked Director Jin to arrange the operating room, and went into the ward to conduct a physical examination on the patient.

When you put your ear on the protruding artery, you can clearly hear the murmur in the artery, which is a manifestation of blocked blood flow.

After taking a look at the preoperative examination done by the patient, everything was normal. When Director Jin called, everyone went to the operating room.

The patient was a little nervous lying on the operating table, "Doctor, what's wrong with me? I was fine a few days ago, why did I suddenly become like this?"

"Sorry, it was our negligence. When the blood vessels were anastomosed, there was probably a problem, which caused the blood vessels to twist." The angiologist apologized.

"Will that affect my body?" the patient asked worriedly.

"No, your physical condition is very good, and the symptoms of blood vessel twisting can be resolved through surgery." Qin Feng confirmed the incision while checking the body.

After listening to it, it has no effect on the body, and the patient is relieved. For him, as long as it does not endanger his life, it will be fine.

As for the mistakes in the operation, he didn't think much about it.

If it were some people, I am afraid that the vascular department would not be so comfortable, at least it would have turned upside down.

"Don't worry, because of our negligence of duty, our department will bear the expenses." Director Jin said.

The patient nodded, it would be best if he could do it without spending money.

Director Jin came to the stage and took the position of Qin Feng's first assistant.

"how was it?"

"It's time for surgery. The incision has been determined." Qin Feng said.

The anesthesiologist started anesthesia directly under Director Jin's command. Since it wasn't Lu Shan, and Qin Feng didn't have the desire to direct, he let Director Jin do it. Anyway, he just needs to do the main job well.

After waiting for 5 minutes, the patient fainted due to anesthesia. Qin Feng directly opened the incision at the marked place, exposing the vascular tissue underneath, and then separated it, exposing several twisted arteries and blood vessels in the surgical field.

Qin Feng leaned over and looked through the microscope, and he could clearly see that the anastomosis of the blood vessel graft had infection symptoms, and the surrounding incision was swollen in a big circle.

Originally, it was only because the transplanted blood vessels were too long, and now there was an infection, and under the combination of various conditions, it evolved into multiple arteries that were extended and twisted.

"Vascular clamp."

"Tissue scissors."

Qin Feng blocked the blood flow, and then cut off the transplanted great saphenous vein. Because of the infection, this section of great saphenous vein has lost its function, and it is impossible to reuse it.

What needs to be done now is to expose the blood vessels, reconnect them with artificial blood vessels, solve the infection problem, and unblock the twisted and knotted blood vessels here to restore normal blood circulation.

Fortunately for Qin Feng, the patient was sent to the hospital in a timely manner, and there was no cell necrosis in the tissues of the palm. If he came back after a day or two, it must not be the case now.

Even if Qin Feng is the chief surgeon, he will have to arrange amputation.

"No, during the previous operation, the anastomotic blood vessels were completely cut according to the required length. Why are they growing so much now?" The length is longer than required, why did it fit successfully?"

Everyone in the vascular department looked at Qin Feng, wanting to get news from Qin Feng.

"You still ask me this kind of length question?" Qin Feng looked at him strangely.

In his opinion, this kind of length problem is completely the simplest.

Qin Feng picked out the great saphenous vein, "See for yourself, what's wrong with this great saphenous vein."

The angiologist and Director Jin leaned over to look at it, and suddenly Director Jin asked, "Why are these blood vessels so thin?"

"Yes, this great saphenous vein has been stretched." Qin Feng said, "In the operation I did before, although the length I cut was longer than needed, I placed the removed blood vessel In the heparin saline, the heparin saline can trigger the retraction of the great saphenous vein, after soaking, the length of the retracted great saphenous vein is just what I need, and the blood vessel wall will be thicker."

"In addition, the last time I anastomosed was a vein, the venous blood flow is gentle, and the lumen is relatively large, so basically the length of the grafted blood vessel will not be changed, but what you are anastomosing now is an artery. The pressure in the artery is small, and the vein will appear. For a certain length of extension, the pressure on the radial artery can probably extend it by about one tenth."

Qin Feng's explanation stunned the vascular doctor.

"But when I transplanted before, this didn't happen either."

"That's because you didn't use heparin saline to soak in this operation." Qin Feng pointedly said.

To put it nicely, it means self-confidence, feeling that the interception is just right, and there is no need to soak it.

It doesn't sound good, that's stupid, blind self-confidence led to this failed transplant operation.

"For blood vessels, heparin saline can prevent vasospasm. Your blood vessels have not been soaked, and if you are unlucky, they will convulse, which will lead to increased resistance to blood flow, and the current situation will naturally appear." Qin Feng said.

The angiologist lowered his head in shame. Director Jin just glanced at it, and the meaning in his eyes was very clear. In the future, the number of operations performed by this doctor will be reduced.

(End of this chapter)