When a doctor opened a plug-in

The director of this operation came from, not even the deputy chief physician.

First of all, because of the old age, the gossip heart is not so strong. The chief physician of the Affiliated Hospital of Peking University, who does not know a few little stars?

At this point, he wouldn't be curious for a long time like a young man.

Secondly, it is also very skilled!

Director Zhang Xuan glanced at Yao Lekang, a little helpless, he actually wanted to follow Director Xiao for surgery. After all, Xiao Zhehai, as the top domestic major blood vessel surgery leader, has a lot to learn.

Being able to perform auxiliary surgery on Xiao Zhehai can be a source of inspiration and improvement for them.

This operation will not allow them to watch the video of the operation. If it is not for preventing future operations from going to the public hall, the camera in the operating room will not be turned on.

Therefore, in this operation, they have no chance to go back and forth to watch the video.

In fact, Xiao Zhehai is also very helpless. You know, he is more curious than others.

Chen Cang's treatment of endarterectomy of the abdominal aorta made Xiao Zhehai itchy.

After anesthesia, an abdominal incision began to be established.

This time the choice of incisions is relatively large, so it is convenient for the two operations to participate together!

Before the operation started, Xiao Zhehai glanced at everyone and said, "Everyone, be careful!"

This time, everyone was wearing double gloves and a mask on their faces.

Although many people think that double-layer gloves are useless and affect surgical flexibility, this is not the case. Studies have shown that the probability of injury to double-layer gloves is only one-fifth of that of single-layer gloves.

Because whether it's a scalpel or suture needle... these sharp objects are very sharp, and they can be cut inadvertently.

Maybe the role of double-layer gloves is to strengthen everyone's defense and safety awareness.

Chen Cang is the chief sword, he is in charge of laparotomy, and Yao Lekang on the opposite side helps him.

The so-called expert will know if there is any!

There is no fixed opening in this operation.

The chief surgeon needs to judge by himself based on the impact results.

This is the first test of the master knife!

However, because of the existence of the four-dimensional model diagram, Chen Cang knows the patient's abdominal cavity well at this time!

How to choose a suitable surgical incision becomes particularly important.

It is well known that the larger the opening, the harder it is to recover, and the greater the risk of infection.

At this moment, Chen Cang stopped from the tip of the left 12th rib to the midline 5-7cm below the umbilicus!

This incision is far from ordinary large vessel replacement surgery.

Can this work?

For a while, everyone looked at Chen Cang's eyes full of doubts.

However, when Chen Cang incised the external oblique muscles, internal oblique muscles, and transversus abdominis layer by layer to expose the peritoneum, and then began to free the intestine layer by layer, soon the two major blood vessels were clearly exposed!

"Towing hook!"

"All-round hook!"

When the omnidirectional pull hook separates the tissue, the surgical field is instantly exposed!

Compared with conventional openings, such an opening not only increases the surgical field and operating space on both sides, but also effectively utilizes the contraction of the abdominal skin to reduce abdominal wounds.

This operation, at the very beginning, made all directors shine!

But thinking about it carefully, everyone couldn't help but sigh, after all, they are the big names in the field of general surgery.

When the great blood vessels were exposed, Chen Cang and Xiao Zhehai looked at each other, nodded, and said, "Start the operation!"

In a limited space, two manual speeds must be performed, one for the left and the other for the right, and start work at the same time!

This is extremely demanding for the two chief surgeons!

At the same time, there are also very precise requirements for the assistant director.

And Yao Lekang was full of curiosity and expectation about Chen Cang's surgery at this time!

He wanted to see how Chen Cang's so-called stripping operation was handled!

How to deal with this 8 cm long hemangioma?

Because of the limited time, Chen Cang and Xiao Zhehai dared not delay.

When Chen Cang carefully freed the abdominal aorta and common iliac arteries on both sides, external iliac arteries and internal iliac arteries!

The whole process is very delicate, which is 23cm beyond the lesion.

Moreover, at the same time, the middle sacral artery and the lumbar artery in the corresponding plane should be freed and controlled.

And at the same time, hemostatic work needs to be carried out at the same time as Xiao Zhehai, and the two should be coordinated.

The operation starts in 6 minutes!

Xiao Zhehai and Chen Cang said at the same time: "Successfully separated! Prepare hemostats!"

The doctor who assisted Xiao Zhehai here was taken aback!

They didn't expect Chen Cang to be so fast!

Xiao Zhehai's "fast" is the top in the industry. He once underwent aortic arch replacement surgery in just 18 minutes.

Unexpectedly, Chen Cang is not inferior to Xiao Zhehai!

However, Yao Lekang and Zhang Xuan, who helped Chen Cang's surgery, felt even more shocked!

Because they knew that... Chen Cang was actually faster than Xiao Zhehai just now!

Because after Chen Cang finished the treatment, he cleaned and separated the surrounding tissues, which made vascular surgery more convenient!

At this moment, the two of them were quite shocked!

So fast!

If Tao Mi and Xia Gaofeng or other people familiar with Chen Cang were present, they might say something lightly: "Basic exercise"!

After all, our President Chen is famously "fast"!

Here, Chen Cang felt the pulsation caused by the huge aortic dissecting hemangioma with his hand, and his heart began to feel it, making it easier to cut the blood vessel in a short time.

However, at the same time, the condition of the large blood vessels also entered Chen Cang's mind!

[Abdominal aortic dissecting pseudoaneurysm: lv88, lord's grade, infection of palladium spirochetes causes damage to part of the intima of the blood vessel wall, resulting in the destruction of the aortic intima and forming a pseudoaneurysm.

Level 88 Lord Monster!

Very satisfactory.

After all, Chen Cang is a big brother who has ever seen a 99-level Siamese baby, such a 88-level lord is naturally fearless.

At this time, the hemostatic forceps are already in place!

Chen Cang turned around with a scalpel, and started his next operation: the aneurysm bisection!

Chen Cang held an electric knife and carefully cut the adventitia and media along the midline. At this time, the upper end just stopped at the junction of the tumor and the normal artery, and then the knife made a transverse incision to make it into a T shape. !

In this way, the transverse incision accounts for about 40% of the circumference, which is the best processing diameter!

At this time, you need to use a knife handle to clean the tumor carefully, and the peeling plane can be between the middle and intima.

Because here, there are substances such as organizing thrombi that adhere to the inner membrane. Once these things enter the blood circulation, they are troublesome.

"Probe!"

"Scraper!"

"Normal saline!"

"attract!"

At this time, Yao Lekang continued to perform various actions with both hands following Chen Cang's instructions.

At this moment, Yao Lekang suddenly discovered something!

He can't keep up with Chen Cang's rhythm...