Chapter 1389 Probably, This Is a Classic! (Adds 52/104 for the Raging Touch)
Chapter 1389 Probably, this is a classic! (Add 52104 for the raging touch)
Those who watched the operation above were surprised at this moment.
They learned of Chen Cang's power from Sabrina's mouth.
However, they did not expect such a big gap!
The president of the Presbyterian Hospital and these directors looked at the few people Chen Cang brought, and saw their ordinary expressions, and they were a little surprised!
Could it be that... they are also very good, and they have already seen the clues! ?
Thinking of this, these people are not worried that it is fake.
Is China's cardiac surgery has developed to this point?
Too arrogant!
Of course, they must not know that the reason why they are calm is because Chen Cang does anything, and they will not be too surprised.
Even if the patient dies, Chen Cang is dead and dead, and they will nod their heads calmly!
As the twelve disciples of the Chen clan, they should be at least as good as they can be!
Well, it may be the eleven disciples now. After all, Liu Quan has been driven back to China. Whether he can go back after returning is another matter.
The surgery goes on!
It's time for high energy!
Tetralogy of Fallot repair surgery under the beating heart!
At this time, the operation has been carried out for more than half an hour.
The most important thing in endocardial repair surgery is to protect the right ventricle. After all, the patient itself has an abnormal pulmonary artery. Once the right ventricle is damaged, with the abnormal development of the pulmonary artery, this can only increase the risk of surgery!
At this time, the advantages of Chen Cang's large incision were exposed again: for ventricular septal repair, adequate exposure is very important.
With the gentle beating of the heart, Marayne is now flatteringly using two retractors to place the aortic valve and the anterior edge of the ventricular septum.
Even the aorta and mitral valve can be seen clearly!
Such an excellent surgical field of view is conducive to precise surgical operations, and also makes up for the adverse effects of Chen Cang's heartbeat.
"What patch to use?" Marion asked kindly.
Chen Cang: "Teflon patch!"
Marlene nodded and handed it over quickly, which made Sabrina couldn't help but complain.
Seeing this, Xu Ziming decided to teach President Sabrina a word after the operation: "Lick the dog!"
That's right, Comrade Maren at this time has become more and more steady on the road of fanning Chen Cang!
Chen Cang's pruning patch has become a performance part of the operation.
Everyone stared at Professor Chen.
Chen Cang stared at the compartment.
After a while, the patch in hand quickly began to trim.
It didn't take long for the trimmed patch to appear in Chen Cang's hand, which was slightly smaller than the ventricular septal defect.
Xu Ziming was about to hand over the needle pliers, but Marion had already handed the needle pliers and spacer to Chen Cang.
Everyone who saw it was ashamed!
Interventricular septal repair is a dangerous area suture and requires a spacer, but this makes the needle forceps less flexible in the case of an asymptomatic heart.
Thinking of this, Chen Cang said directly, "No gaskets."
This made several people stunned.
"Is this... is it dangerous?" Sabrina couldn't help reminding.
Chen Cang also knows that it is dangerous, but sometimes, only one can be taken into consideration. If you choose a gasket, you have to give up flexibility, but if you don't choose a gasket, there is a certain risk.
Chen Cang nodded: "I'll be careful."
He didn't say much, and he doesn't need to say much now.
Mattress suture itself is more difficult than continuous suture. At this time, along with the beating of the heart, the sharp needle in front of the needle forceps in Chen Cang's hand exudes a cold glow, which looks daunting!
In fact, many times surgery will encounter iatrogenic injuries, some of which are unavoidable and some that can be avoided.
Under the gaze of dozens of pairs of eyes at the scene, Chen Cang took a deep breath!
The 4-0 polyester thread double-ended small curved needle in the hand seems to have a soul. One end is sewed from the ventricle to the atrial surface and the needle is passed through the root of the septal valve. It is carefully transferred to the adjacent muscle of the aortic valve ring. At the root of the septum, the needle distance is 2 to 3 mm.
"This is... a transfer needle?"
"That's right!"
At this time, there were a lot of people watching from above. After the operation in the operating room, many doctors came out one after another. When they came up and saw Chen Cang's suture technique, they were amazed!
"And it's a heartbeat transfer needle!"
"That's Professor Chen Cangchen!"
For a time, the people around were sighed.
After Chen Cang's first transfer needle is completed.
The second transfer needle is transferred from the septal valve to the sinus ventricular septum. One end is sewn on the root of the septum valve, and the other end is sewn on the right ventricular surface of the ventricular septum. The needle is inserted and exited perpendicular to the edge of the defect. The needle is about 0.5mm away from the lower edge, the needle depth is 1mm, and the needle distance is 2mm.
This set of sutures directly stunned everyone watching the surgery!
What is precision?
This is precision!
Sabrina felt her breathing quicken.
The Chen Cang in front of him became less and less like a person.
Such precision operation, even a machine can't do it, right? How did he do that?
However, Chen Cang did not stop the operation in his hand.
Two mattress sutures were made again to stabilize the edge of the right ventricular surface between the first transfer needle and the conus conus.
Subsequently, five mattress sutures were made in the muscle adjacent to the aortic annulus immediately adjacent to the first needle.
The third transfer needle is to sew a needle in the adjacent muscle of the aortic valve annulus, and then pass through the supraventricular ridge from back to front, and then pass the suture needle through the edge of the mesh, push down the mesh and ligate.
Such a delicate three-needle transfer suture, with a slight overlap of layers, not only prevents the generation of residual ventricular septal defect, but also makes the repair more stable.
Let the patch and the myocardium be cleverly sutured!
Under the beating heart, with the extremely difficult mattress suture.
The whole set of operations is a classic!
Everyone watching is excited!
In the eyes of these professional doctors, nothing is more classic than such an operation.
Such an operation is definitely the box office champion in everyone's eyes, and Chen Cang is a well-deserved actor.
The suture of such a heart-wrenching dangerous area was completed with the efforts of Chen Cang.
In fact, Chen Cang's every step was also startling, and his back was already sweating.
This scene was seen by everyone watching the operation above.
Such high-precision surgery is tiring.
However, Chen Cang directly started to widen the right ventricular outflow tract patch.
That is the second step of the operation!
Compared with the first part, Chen Cang's pressure is much lighter.
But looking at the obvious deformity and the connected blood vessels, what Chen Cang needs to do is to select and establish a new right ventricular outflow tract patch.
In Chen Cang's eyes, the complicated pipelines also began to become orderly.
How to choose, it seems that this moment has become easier.
This made Chen Cang heave a sigh of relief.
Finally not so tired.
In fact, Chen Cang himself couldn't stand such a high-intensity operation.