Auto chess in the operating room

Chapter 376 Artificial Heart Implantation Completely Successful

"Pyroplasty Scalpel Hemostatic Forceps."

On the screen, Tang Lou was already performing difficult operations calmly.

"In addition to blocking the position and speed of blocking, this operation is more important to control the perfusion of cardioplegia in the aortic root, which requires experience and rhythm."

A chief physician of Xiehe Hospital lamented that even if he came, he had to confirm it before he dared to act.

However, what he didn't expect was that Tang Lou didn't think too much at all. He quickly completed the blocking like a reckless man, and then poured cardioplegia. Ventricular groove lateral resection of bilateral ventricles.

"Crazy, crazy! Is this really not afraid of making mistakes, removing both ventricles one after another, oh my god!"

Even academician Zhong in the operating room had a thumping heart and became nervous, but the matter had come to this point, and it was too late to stop it.

"Tang Lou, slow down and be steady."

After all, Academician Zhong couldn't hold back, said something, and then asked with concern: "Pay attention to keep the atrioventricular ring and part of the ventricular muscles intact, cut off the mitral and tricuspid valve tissue, suture the coronary sinus, and cut it from above the semilunar valve. Aorta and Pulmonary Arteries"

Tang Lou didn't respond, just quietly carried out his own operations, and then perfectly displayed what Academician Zhong ordered. Some small operations were handled more appropriately according to the instantaneous situation of the incision during the operation. .

"Suture Needle Holder."

Tang Lou didn't turn his head, and stretched out his hand. The equipment nurse hurriedly presented the equipment Tang Lou had made. He was shocked in his heart at this moment. The level of this young doctor was really too high.

At an age like her in her thirties, experience and physical strength are all about her. When her various skills are the most mature, it was very easy for her to deal with those old directors and old men. The high frequency and fierceness of the building, I can only take advantage of some small gaps, take a few quick breaths, and recover my strength.

"Doctor Tang is this?"

"Understood. Since there was still a patent foramen ovale, he chose to suture it together and ligate the left atrial appendage at the same time. Such a quick response."

Next, Tang Lou inserted a left atrium pressure measuring tube through the right superior pulmonary vein, and then began to cut the suture ring of the left atrium.

"What do you think of Director Huang?"

"How else can you see it? Just kneel and watch. In this operation, the suture ring is trimmed according to the actual situation. This is not a boss who dares to try."

"Amazing"

The operation was only halfway through, and these chief physicians were completely convinced, and even learned a lot of tricks.

"4-0 prolene suture outer lining felt strip"

Tang Lou had already fully entered the state, and unconsciously, he also took away many operations of the chief surgeon.

It's not good for academician Zhong who is on the side to stop, and it's not good not to stop.

"This brat. That's it, that's it."

Academician Zhong simply moved the position, and Tang Lou occupied the position of the chief surgeon honestly, and began to suture the left atrium tissue continuously.

"A good hand suturing technique, especially in such fragile parts, fast, uniform and stable suture is especially important."

"Then what is the operation of Dr. Tang's outer felt strip?"

"You don't understand this. Since the patient's condition is not very good, Dr. Tang added this step to prevent bleeding or air intake."

"I see. I didn't expect Dr. Tang to be so calm and considerate during the operation."

"Yes, have you noticed that Dr. Tang has silently arrived at the position of chief surgeon, and Academician Zhong has not given orders for a long time."

"That's true, doesn't that mean that Dr. Tang is not only qualified to assist, but can even try to perform artificial heart transplantation!"

After several directors discovered the truth, they were once again shocked by Tang Lou's comprehension ability.

"The next step is the implantation of the artificial heart. See Dr. Tang and start cutting the artificial blood vessels. Use 4-0 prolene sutures to anastomose the pulmonary artery first, then the aorta."

"The level of vascular anastomosis is really amazing, it's just at the textbook level."

After completing this step, it is time to enter the connection of the induction electrodes and artificial heart wires with the internal controller.

"Tang Lou, in this step, the left atrium is first connected to the ring, then the aorta is connected to the ring, and then the pulmonary artery is connected to the ring. The right atrium is not connected for now."

At this point, Academician Zhong finally began to guide, and even he was a little envious of Tang Lou's almost blind movements.

After all, under the super skill field, Tang Lou needs far less room to operate than ordinary people.

After seeing Tang Lou complete this step, Academician Zhong cheered up a bit. Arriving here, it has already been explained that two-thirds of the entire operation has been completed, and several key points with high risks have passed most of it smoothly. .

"Saline.Pliers"

Normal doctors would take a break at this point to refresh their energy, but Tang Lou had no intention of stopping at all.

"Doctor Tang, you are sure not to take a rest and replenish your energy."

Academician Zhong asked with concern, so far, Tang Lou's performance has far exceeded his expectations, so he also hopes that Tang Lou can start well and end well, and don't fall short of success.

"It's okay, Academician Zhong, it doesn't make me feel at all."

It was rare for Tang Lou to say something that had nothing to do with the operation order.

Hearing that Tang Lou was still in such high spirits, the equipment nurse's legs softened, and the young man just didn't know how to control himself!I am exhausted.

Tang Lou continued to the next step, injecting normal saline through the entrance of the right ventricle of the artificial heart to expel gas, opening the superior vena cava occlusion band and temporarily clamping the superior vena cava drainage tube to fill the right atrium with blood, connecting the right atrium connecting ring, and removing the superior vena cava drainage tube. Vena cava cannulation.

The movements are very coherent, and the operation is particularly skillful.

All the directors in the observation room were stunned.

"Beautiful, so smooth!"

In the operating room, Tang Lou started to drive the artificial heart again, and exhausted the residual gas through the exhaust pipes on the artificial blood vessels of the aorta and pulmonary artery.

"Clamp."

Since the material of the artificial heart is transparent, it is possible to observe whether there is any gas inside. Tang Lou soon completed the full exhaust of the right ventricle, and then clamped the artificial blood vessel exhaust channel of the pulmonary artery very quickly.

Continue to drive the artificial heart, open the aortic artificial blood vessel exhaust pipe, and fully exhaust the gas in the left ventricle.

Maintaining 60 times/min, after 2 minutes, Tanglou has completed most of the operations.

"Full exhaust is completed, the artificial heart is working normally, and the pressure of the left and right atrium is normal."

Tang Lou directly played the roles of chief surgeon and first assistant, and at the same time gave instructions: "Prepare protamine, neutralize heparin"

"Sterile Plastic Bags"

Hearing Tang Lou's order, the chief physician in the observation room was stunned. What kind of operation is this?
Soon Tang Lou gave them the answer.

"It turns out that the external electrical energy induction can be transmitted to the coil with a sterile plastic bag!"

Ten minutes later, Tang Lou removed the sick heart, anastomosed the patient's aorta with the artificial heart, and stopped the extracorporeal circulation.

"After being sent to the intensive care unit, closely observe the arterial pressure, central venous pressure, ventilator-assisted ventilation, and pay attention to the balance of water and electrolytes."

"Watch closely for chest drainage."

"Use antibiotics to prevent infection."

"Conventional anticoagulation."

Tang Lou had completely let go of himself, issued the doctor's order directly, and then turned around and went to the changing room.Academician Zhong followed a few steps in a daze before he realized it.

"I'm the chief surgeon! Hey! That's my line!"

Academician Zhong smiled wryly, then looked back at the operating table:

This difficult ventricular assist device and artificial heart implantation was a complete success!
(End of this chapter)