When a doctor opened a plug-in

The atmosphere in the operating room does not seem to be so tense.

After all, Director Tao Mi personally took the charge, and everyone was relatively relaxed.

Zhang Wenfu is the assistant, Chen Cang should be the second assistant, and Qian Lin and classmate A are the assists in the eyes and the hooks and knots.

However, this is already very satisfying for the two.

Don't think that every student can go to the operating table and that it is a seedling of Yanyi.

The operation hadn't started yet. Anesthesiologist Liu Jian was chatting with Director Tao. Nurse Yuanyuan put on Chen Cang's surgical gown in the envied eyes of Qian Lin and classmate A.

But Chen Cang suddenly remembered one thing, how to choose the opening for surgery.

Thinking of this, he turned around: "Yuanyuan, take out the checklist, I will look at the chest X-ray and color Doppler ultrasound."

Kong Yuanyuan nodded and took out the film. After Chen Cang saw it, she frowned slightly.

According to this chest radiograph, the patient must have pericardial adhesions at this time, but what Chen Cang needs to distinguish is where the adhesion sites are, because different adhesion sites have different openings.

Under the x-ray results, the outline of the heart was obviously irregular, a little stiff, and the upper mediastinum widened. Chen Cang looked a little silent.

When Tao Mi saw this, his eyes suddenly became more admiring, he knew what Chen Cang was doing.

When Qian Lin and Classmate A saw the teacher's eyes, they were very acquainted. They turned around, walked behind Chen Cang, and nodded frequently while watching the film.

Qian Lin nodded thoughtfully: "Well, yes, that's where, that calcification point!"

Classmate A also repeated: "Yeah, a lot."

Chen Cang:...

...

...

A few minutes later, Chen Cang knew it.

For a surgeon, knowing is the most critical and most important thing, which means that he has a specific plan for this operation, from the beginning to the end.

The operation also started soon.

Tao Mi took the scalpel, and after some consideration, he started to do it.

With this shot, Chen Cang understood what Director Tao meant.

The choice is "bilateral chest transverse incision"!

It's not a loss to be the old director, and from the beginning, Chen Cang's eyes shined.

Zhang Wenfu picked up his eyelids and quickly took the gauze to stop the bleeding. Chen Cang calmly took the pliers, because since Director Tao chose this incision, his purpose was clear, which was to increase the surgical field and take care of both sides of the heart.

In this way, the pliers must be prepared to better prepare for the next step.

Sure enough, Tao Mi didn't lift his head, saying:

"Split the pliers!"

As soon as the voice fell, Chen Cang had already passed the pliers.

Tao Mi couldn't help but raise her head, and saw the separation pliers in Chen Cang's hand, and couldn't help but smile.

With such an aid, the operation is too comfortable.

Next, Chen Cang basically handled everything that Director Tao needs at any time, and even proactively reached out to help when it was necessary to separate, without Director Tao's reminder.

After an operation, Zhang Wenfu was full of enthusiasm, and he felt like watching a four-wheel drive brother?

fast!fast!fast!

Rush!Rush!Rush!

Surgery brothers are in action...

Because the cooperation between the director and Chen Cang is too close, and Zhang Wenfu can't help at all, it feels a little clumsy!

Zhang Wenfu and Chen Cang, who were simply silent, changed positions.

The operation went smoothly.

Although Director Tao is more than 50 years old, his technique is still very meticulous.

Just after cutting the muscle into the chest cavity, Chen Cang took the hemostatic forceps over, ligated the internal thoracic artery quickly, and then cut it off.

Then you need to break the fifth rib near the breastbone!

Keep the rib cage open as much as possible, including the ribcage.

The next separation work is a very demonstration of the technology. It is necessary to sharply separate the left phrenic nerve from the pericardium, and it is necessary to carry as much fat or soft tissue as possible, so as not to damage the phrenic nerve.

The whole process is very subtle, and only then did Chen Cang discover how steady Director Tao's hand is!

The next work is very delicate.

Even if Chen Cang has already performed master-level constrictive pericarditis surgery, he couldn't help feeling a little bit when he looked at Director Tao.

Really strong!

It can only be said that each has its own merits.

Mutual progress can be made. Director Tao's overall view is much better than Chen Cang's. This can be reflected from the opening.

I think that "bilateral anterior chest transverse incision" has obvious advantages. It can be said to be the best of several incisions for exposing the surgical field of view. It can also take care of both the left and right sides of the heart and can completely remove the pericardium. It is convenient to deal with any accidents during the operation!

This is very consistent with Wu Yushu's situation.

Because Wu Yushu has been ill for a long time, it is difficult to accurately assess the condition of the pericardium without surgery. This opening is straightforward.

However, it is not without shortcomings. Chen Cang felt that it would be better if the double incision was replaced with "through the left anterior lateral incision + bilateral anterior lateral incision".

In this way, it will obviously reduce the impact on lung function.

No harm!

The operation continued.

After the pericardium was exposed, a series of messages appeared in Chen Cang's eyes:

[Constrictive pericarditis monster, lv55, elite level, adhesion is more serious, need to be separated carefully.

Chen Cang was taken aback for a moment, and it was not a normal constrictive pericarditis.

really!

At this time, Tao Mi was just about to cut the happy bag, but he was slightly taken aback by the situation before him.

Did not reach the surface of the myocardium!

Because the adhesion between the pericardium and the outer membrane of the heart has become dense!

This shows that the adhesion between the heart and the pericardium and the parietal layer is more serious.

Tao Mi suddenly sighed, but fortunately he chose this cut!

Otherwise it will be in trouble...

At this time, Chen Cang had already passed the blade over.

Because of this situation, sharp separation is required!

Tao Mi was stunned: How did Xiao Chen discover this?

Tao Mi is calm on the surface, but the waves in his heart are already turbulent. This is how the operation is, details are very important.

And Chen Cang seemed to be very fluent in every step. Even before Tao Mi didn't make the next step, he had already made plans for the next step!

How can this make Tao Mi not shocked?

What this means is already clear: Chen Cang is not only good at constrictive pericarditis surgery, but also good at it!Not even worse than yourself!

Thinking of this, Tao Mi's heart was shocked, really no one could think of it!

This Xiao Chen is really...

Hey……

...

...

The operation proceeded slowly, Tao Mi was filled with emotion.

How long?

It's been a long time since I had such a comfortable operation.

It's really extraordinary to have a high-level person hit.

After all... someone who has this ability, who can help himself?

Thinking of this, Tao Mi couldn't help sighing...

Maybe there is a genius in this world, at this moment Tao Mi suddenly understood Qian Lin and Classmate A...

ps: Wait for the second chapter, I'm afraid it will get stuck again, wait five minutes to send...