When a doctor opened a plug-in

Meng Xi took the scalpel, it seemed like a baton!

Next and just now are two completely different operations!

And the difficulty increases proportionally.

Meng Xi glanced at Chen Cang: "Build a temporary vascular bridge."

Chen Cang nodded quickly.

During aortic coarctation surgery, the descending aorta above and below the constricted segment needs to be blocked. This is to protect the spinal cord and distal organs from damage caused by ischemia during the blocking of the descending aorta.

Generally, low temperature can be selected, but temporary vascular bridges and left ventricular circulation can also be selected.

Although Meng Xi chose to build a temporary vascular bridge, it would increase the difficulty of the operation, but the safety factor of this method is more reliable than low temperature!

Because no one is sure how long the next operation will last.

The low temperature has a limited time, and too long can cause ischemic damage.

After the vascular scar changes, is there necrosis of the inner membrane?

Therefore, there are many things that need to be considered.

Just as everything was going steadily, Meng Xi began to open up the aortic blood vessel wall that was already like a tumor and formed by the accumulation of scars.

Chen Cang's expression suddenly changed, he felt that this should be more than just a blood vessel scar!

Maybe there is something else.

At this time, the noninvasive vascular clamp is clamped at the upper and lower ends of the aorta.

Meng Xi raised his head and asked calmly: "Have you had an angiography?"

He was taken aback and shook his head suddenly: "No."

Hearing this, Meng Xi suddenly hesitated.

Thinking of this, Chen Cang couldn't help but reminded: "Mr. Meng, be careful to the rear, it may be an aneurysm!"

Meng Xi nodded, she had expected it.

If it is simply scar tissue, it will not be so serious.

Meng Xi held a scalpel and didn't cut the blood vessel wall directly, but opened it for exploration.

After the blood vessels opened, Chen Cang suddenly saw the presence of hemangioma, although it was not big, but it was real!

[Arterial hemangioma: cystic!lv57.

Ok!

This should be good news.

Not a malignant tumor.

However, Chen Cang looked at the tumor tissue at the base of the aneurysm, and it already stretched...

This means that if all the tumor tissue is removed, the end-to-end anastomosis distance is not enough!

Originally, the constricted section was removed, and end-to-end anastomosis could also be used to suture the blood vessel wall, but the presence of this uninvited guest "aneurysm" made the entire operation more difficult in proportion.

Because it is very likely that after all the tumor tissue is removed, the extension distance of the descending aorta is not enough, it seems impossible to suture the ends of the blood vessels.

What to do?

Blood vessel transplant?

Patch?

Or what to do?

Many questions are now before everyone at once.

Meng Xi took a deep breath, frowning!

Do bypass transplant?

Bypass grafting will definitely cause irreversible damage to the patient's upper limbs. In fact, the blood vessels sent to the upper arm are borrowed for use in the aorta. This will have a good effect on the aorta, but it may cause damage to the upper arm!

Just when everyone didn't know how to draw a conclusion in the end.

Chen Cang hesitated and said, "I have a suggestion."

Meng Xi looked up at Chen Cang, his eyes lit up: "What advice?"

Chen Cang said, "Give Jiang take the initiative to fill another wound!"

Chen Cang's thought directly made Meng Xi seem to have grasped a hint of the idea, but he couldn't catch it exactly: "Be more specific."

Chen Cang changed his mind, now I can't elaborate!

Moreover, the details are not as detailed as the details!

Thinking of this, Chen Cang said directly to Meng Xi: "Teacher Meng, give me the knife!"

Meng Xi was stunned for a moment, then passed the scalpel to Chen Cang.

And Jing Ran couldn't help but swallowed.

This Chen Cang...what is his profession?

He had a good chest surgery, he knew it.

But... Is his extra-cardiac surgery also so strong?

At this time, Chen Cang glanced at Meng Xi and sighed. The 30-point favorability score was gone.

The last operation just gained 5 points of favorability, allowing Chen Cang and Meng Xi's favorability to break through to 60.

In this way, it can be exchanged for level three surgery.

Chen Cang did not hesitate and chose to exchange [Aortic Coarctation Surgery] directly!

After the exchange, Chen Cang did not hesitate to start training.

This operation is no longer a simple [Aortic Coarctation Surgery], it also has [Aortic Aneurysm], and Chen Cang will add one more point to him now, that is [Aortic Injury].

What Chen Cang has to do is to accurately remove the base of the aortic aneurysm according to the eye. Even if it is very precise, if it is sutured, it will definitely cause aortic stenosis.

What Chen Cang had to do was to remove the scar + completely remove the base of the aortic aneurysm + slash the aortic wall.

Because of two resections alone, the entire blood vessel cannot be anastomosed end-to-end.

But if you add another knife, you can just put the end at a better angle!

What does that mean?

It’s just that you don’t need to cut off all the ends, but you only need to remove the tumor tissue and scar tissue, and then you definitely can’t suture at this time, but Chen Cang can cut off the inappropriate place with a scalpel. Stitching is possible.

Thinking of this, Chen Cang did what he said without hesitation.

Picking up the scalpel, the tumor tissue on the blood vessel wall is accurately removed.

However, during the resection, Chen Cang deliberately cut a few more places. After that, he was dealing with the scar tissue, which required all the blood vessel walls to be cut off!

...

The operation is performed step by step!

After Chen Cang removed all the tissues, the ports on both sides became irregular ports.

Meng Xi looked at this scene dumbfounded!

Even Jing Ran and his colleagues, assistants, and anesthesiologists were dumbfounded.

Is this a dog chewing?

How to stitch this!

Everyone looked at Chen Cang's two rugged and weird ports with a dazed expression.

It's better to cut them all!

At this time, Chen Cang lightly stroked the upper end of the aorta, and then brought the two ends together...

Suddenly!

The whole painting style suddenly changed!

Everyone took a breath.

Can he do it?

Meng Xi looked at Chen Cang even more incredible, his eyes full of shock.

Chen Cang is a surgeon, who is clearly a magician!

The two ends of the dog just gnawed closely together!

Isn't he a magician?

How can a surgeon come to play like this?

Cleverly using this irregular port, Chen Cang cleverly saved the blood vessels next door from killing!

The blood vessels next door don't need to be transplanted, and I can't help but breathe a sigh of relief: I scared me to death, and almost got cut...Thank you for not killing.

...

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ps: Hey, thanks to the hellcat boss for his rewards, you have become the leader, thank you!