When doctors have a simulated operating room

The operation is not simple.

Heart transplant is not a simple operation.

It is impossible to perform this operation without long-term experience accumulation.

So Zhang Yi decided to be an obedient student for the time being.

It would be more reasonable to tell Jin Zhenglun that he has learned it after watching it a few times.

If he said he could do it right away, others might get suspicious.

After all, the capital and Tianhe are completely different places.

Just think of it as an upgrade from scratch~

With this mentality, Zhang Yi stood beside Qin Huajun and waited quietly for the operation to begin.

At this time, the patient had already been lying on the operating table.

He was a man in his fifties.

Heart failure caused by rheumatic heart disease is already in the terminal stage, and medical treatment is ineffective, so only a heart transplant can save life.

The donor heart has been delivered and is packed in a special blue box.

The box says:

Special box for organ transportation.

The heart is still fresh, and now we have to open the chest and expose the recipient's heart.

Check the specific size and where to trim.

In situ heart transplantation means splicing the donor's atrium and ventricle to the recipient's heart.

The specific trimming depends on how much the recipient's original heart needs.

General anesthesia, endotracheal intubation to maintain breathing.

Make a 10-centimeter incision between the fourth and fifth ribs on the left chest.

Zhang Yi looked at Jin Zhenglun's technique and felt that the incision was a little long.

If he were to do it, he should be able to reduce it to seven centimeters as much as possible.

The incision goes down little by little, and the ribs can be pulled apart to see the dying heart inside.

Pull open the surrounding skin to fully expose the heart.

The heart is still beating, but it is obvious that there is a problem with the heart.

Jin Zhenglun operated very carefully, and Zhang Yi couldn't help but admire him when he looked at his serious face.

He is old and about to retire, but he is still fighting on the front line.

It's not easy.

Cut open the pericardium and expose several large arteries.

First insert the ascending aorta supply blood vessel near the base of the innominate artery, and then insert the right-angle venous drainage tube at the entrance of the superior and inferior vena cava.

When the temperature of the extracorporeal circulation blood flow drops to 30℃, tighten the superior and inferior vena cava bands to block the ascending aorta.

First establish the extracorporeal circulation, and then open the recipient's heart.

Trim off the unnecessary, that is, the broken part.

I have to say that Jin Zhenglun is worthy of being the vice president of Union Hospital.

These few cuts to open the heart are really good.

Without decades of experience, it is impossible to complete it so smoothly.

Especially when the right atrium was cut along the right side of the atrioventricular groove, the incision was brought upward to the top of the atrial septum and the root of the aorta with a bend of the hand.

This technique is very similar to a video that Zhang Yi accidentally watched before.

A pork seller in the vegetable market used a small curved knife to cut off the meat from half a pig with a few clicks.

He didn't even touch the bones.

After two clicks, only half of the pork ribs were left on the chopping board.

At that time, two words popped up in Zhang Yi's mind: Awesome!

Of course, this is also a case of practice makes perfect.

Zhang Yi still needs to learn more from Jin Zhenglun in this regard.

I have to continue practicing when I go back at night, although I have all the surgical knowledge about heart transplantation in my mind.

But if you don't operate with your hands, it's useless to think with your brain.

The most important thing for a doctor is clinical experience.

"What's the circulation temperature, Zhang Yi?"

Jin Zhenglun asked while lowering his head to operate.

Zhang Yi looked back at the instrument

"It's still 30 degrees."

"Rinse."

Zizi~

Zizi~

Today, Zhang Yi will be a small handyman.

See how Dean Jin performs the operation.

Also see what level the assistants of Union Hospital are at, whether they can be compared with his Baba and Zhazha.

The recipient's heart was quickly opened.

Jin Zhenglun placed the unnecessary heart in a sterile curved tray beside him.

After checking, he said:

"Zhang Yi, clean it."

"Okay."

Zizi~

Zizi~

After cleaning, the surgical field is clearer.

The mitral valve is severely damaged and incompletely closed.

The mitral valve on the donor side can be kept intact and then anastomosed to this side.

After observing and discussing for a while, several senior leaders began to trim the donor heart.

The donor heart must be trimmed completely according to the needs of the recipient, so the donor heart must be unpacked in the transplant operating room.

...

The operation was a bit boring.

Because Zhang Yi had already mastered these operations.

After watching the whole operation, I felt that the overall level of the doctors at Peking Union Medical College was much higher than that of Tianhe.

However...

Except for Jin Zhenglun, Zhang Yi felt that he did not learn anything new from others.

Mainly because few people could perform operations that made Zhang Yi's eyes light up.

Zhang Yi also knew what they could do, but he was not as smooth as Jin Zhenglun in cutting the ventricle.

However, Zhang Yi believed that he would be able to learn it after practicing a few more times.

Other places were just average.

Even when suturing at the end, Zhang Yi felt that Jin Zhenglun's suturing was not as good as his...

Alas!

The reason should be that Zhang Yi himself was too awesome~

And the operation took a long time! !

It was already 6pm when I came out.

A full five hours...

Wow, I went home right after the operation.

Alas!

My feet hurt.

"Zhang Yi, how did you feel after watching this operation today?"

A group of doctors were washing their hands in the scrub room, preparing to change clothes and leave the operating room.

Jin Zhenglun looked at Zhang Yi and asked with a smile.

There was a hint of inquiry in his smile.

It seemed as if he was asking Zhang Yi what he thought of his operation.

Zhang Yi replied politely:

"President Jin, I really benefited a lot from watching your operation, especially the ventricular incision."

"Hahaha."

Hearing Zhang Yi praising himself, Jin Zhenglun didn't know why, but laughed happily.

"Haha, keep learning, you are so talented, I believe you should be able to perform as well as I do after a few more months of practice."

Zhang Yi thought: How many more months? ?

President Jin, you look down on me too much.

In a few months, I can practice all the dozen or so new operations to 100 points!

How many months will it take to perform a ventricular incision? ?

Tsk tsk~

You underestimated me, Dean Jin~

Of course, Zhang Yi didn't say it, just smiled and said:

"Okay, I'll go to the supermarket to buy a pig heart after get off work today and practice it."

On the side, the other doctors who were washing their hands and disinfecting here couldn't help but look at Zhang Yi with an admiring look when they heard Zhang Yi say this.

This young man is pretty good.

Not only is he willing to take the initiative to learn, but he is also willing to take the initiative to practice privately.

It seems that he is called a "medical genius" at a young age. It's not groundless.

He is talented and willing to work hard.

He is good at surgery and looks very humble.

No wonder Dean Jin thinks so highly of him.

Hmm~

Not bad~

The young man has a promising future!