Start From Emergency Doctor

Chapter 306

After removing the deep hypothermia and stopping the cardiopulmonary bypass, Zhao Mingshi’s body temperature still recovered.

Zhou Yuan went back to the operation.

After more than ten days of toe transplantation to reconstruct the thumb, Zhou Yuan now feels that his fingers are a little deformed…

Occasionally being able to perform an aortic dissection operation is a bit new to Zhou Yuan.

Look at this wonderful innominate artery. It is short but sturdy. It can also send out the common carotid artery and the right subclavian artery. It crosses the anterior wall of the trachea and is separated from the trachea by only a small amount of loose tissue.

The familiar ascending aorta. Zhou Yuan hasn’t seen what the ascending aorta looks like for almost a month since the last elephant nose surgery. Compared with the small blood vessels in the hand, the ascending aorta seems to be tall and tall. Mature lady…

Zhou Yuan really thinks these blood vessels look good.

System: “Host, I have a brief mental illness here…”

Zhou Yuan: “Go away.”

Keep the cross talk, every day I suspect that the host is mentally ill, right?

Zhou Yuan once again reinforced the distal anastomosis to prevent bleeding, and then wrapped the artificial blood vessel with the remaining aortic adventitia. 26

The principle of this step is actually very simple. After all, the artificial blood vessel is a foreign object. The patient’s own aortic adventitia is used to wrap the artificial blood vessel, just like wearing the clothes of an enemy army.

This is also to reduce the body’s rejection response as much as possible.

Of course, the role of protecting artificial blood vessels and strengthening anastomosis cannot be ignored.

After Zhou Yuan finished wrapping the artificial blood vessel, he glanced at the chief physician.

At this time, he is undergoing reverse perfusion of the superior vena cava.

The replacement of the ascending aortic arch is generally done after this step. However, in order to save time, Zhou Yuan directly starts to check the ascending aortic arch and prepares for replacement.

“Why did you start again?” The chief physician was dumbfounded.

The replacement of the aortic arch during the reverse perfusion of the superior vena cava requires high technical requirements for the main knife…

Even he himself didn’t have absolute certainty to try.

During the reverse perfusion, the blood vessel itself pulsates due to the perfusion fluid. After this time, the aortic arch needs to be replaced. The difficulty can be imagined.

For example, it’s like writing on a swaying iron cable bridge. Most people don’t even talk about writing. They can’t even stand firmly and must hold the bridge rope next to them.

The ability of most surgeons is to stand firmly on a swaying chain bridge and write with a pen.

The slightly better ones can write words that make the content understandable.

And the level of the chief physician is that he can write better-looking characters, at least he can write the strokes clearly and not skewed.

Zhou Yuan’s replacement of the aortic arch during the reverse perfusion of the superior vena cava is as difficult as writing regular script on a violently shaking iron cord…

The chief physician thinks he can’t do it.

You can try cursive script.

“The intima of the three branches of the aortic arch has ruptured…” Zhou Yuan sighed.

This is the most critical step of this operation, repairing the breach.(Read more @ wuxiax.com)

Zhou Yuan did not expect to have three gaps.

Also surprised was the chief physician.

“Fortunately, I brought you here…Three ruptures…” The chief physician was a little afraid.

If he did not invite Zhou Yuan in time, he would not be able to solve these three ruptures.

The rupture of the aortic arch is not simply 1+1=2. For every more rupture, the difficulty will increase exponentially.

Because each rupture needs to be repaired and then anastomosed with the artificial blood vessel.

The more incisions that need to be anastomosed, the more difficult it is to control the balance between the artificial blood vessel and the human blood vessel.

“You have to be careful about the anastomosis. If you don’t pay attention, one of the anastomosis is good, and the other is infiltrated…” the chief physician said.

Zhou Yuan nodded, twisted his hand, and directly anastomosed the three branch blood vessels with the artificial blood vessel, “Oh, the anastomosis is good.”

The chief physician was stunned for two seconds, his expression was extremely shocked: “Okay?!”

I’m so special… You’ve got an anastomosis before the reverse perfusion is finished? !

Zhou Yuan glanced at the chief physician.

If you are so shocked, you should be rewarded with an intermediate treasure chest, right?

Chief physicians usually start with intermediate treasure chests, and there are only a few rewarding junior treasure chests like Wu Guohui.

Zhou Yuan still hasn’t figured out why Wu Guohui only has a junior treasure chest.

Regarding the degree of approval, Wu Guohui himself has a very good personality. It is impossible to admire Zhou Yuan on the surface, jealousy and dissatisfied, but he must really admire him on the ground.

Regarding surgical techniques, Wu Guohui has no specialization, but…All hand surgery has two brushes. Except for Director Wang, hand surgery is his world, and the skills are not bad…

Could it be… this guy has no morals?

Zhou Yuan sighed and looked at the chief physician of thoracic surgery again: “Director, do it quickly. I have to go back to the hand surgery after I have sutured it.”

Chief physician:…

“This is the first time someone thinks I have a slow operation…”

“Your surgery is really slow.” Zhou Yuan looked down and said, “Is it the second time now?”

Director of Thoracic Surgery:? ? ?

What good do you do for me?

“Or, leave the stitching to us?”

The most difficult step has passed. As a chief physician, he can still do sutures.

Zhou Yuan shook his head.

It is impossible to get the approval of the superior without finishing the operation.

Moreover, the aortic dissection operation can accumulate to 2/10 after this time, and it is not done carefully, and the toe transplantation on the hand surgery side is lost to reconstruct the thumb, and the aortic dissection here is gone, blood loss…

Wu Guohui Zhou Yuan is actually very relieved. It has only been more than an hour, and only a few easy large blood vessels have been sutured over there. It is unlikely that there will be a problem.

“Hurry up… forget it, let me do it.”

Zhou Yuan took over, and the chief physician stopped with both hands in his chest with a dazed expression on his face.

Are you disgusted? !

Zhou Yuan’s speed was very fast. After a few minutes, the reverse perfusion was completed.

The chief physician next to him stared silently at Zhou Yuan, who was seriously operating.

Surgical techniques, techniques, and simple techniques, any aspect of the thorns, with the harsh eyes of his director, there is nowhere to be sprayed.

No… Actually it’s still a bit.

such as.

“Fuck, why can you just anastomose the artificial blood vessel directly?”

“Fuck! The false cavity of the mezzanine has been emptied? Are you human!”

Zhou Yuan didn’t pay attention to the surprised gaze around him at all, picked up the needle-holding forceps and forceps, and began to suture the chest cavity layer by layer.

After more than ten minutes, the stitching is complete.

Zhou Yuan put down the needle holder and watched the aortic dissection that jumped to 2/10 and the suture of 9/10.

He looked at the chief physician again, his eyes glowing.

Sure enough, the voice of the system also rang at this moment.

“Congratulations to the host for the approval of the superior!”

Zhou Yuan’s gaze shifted to the reward. .