When a doctor opened a plug-in

Accompanied by Chen Cang's order.

All the medical staff have entered the preparation for war.

"Deep venous catheterization is complete!"

"The monitor is over!"

"The blood is ready!"

...

The anesthesiologist is not the director of the anesthesiology department, but Zhou He!

Zhou He is quite good at anesthesia for cardiovascular surgery, and he has a good grasp of patients. If it weren't for departmental struggles, he might have already served as the director of the original hospital.

It was Wu Tongfu who came here personally and was also a candidate for the anesthesiology department.

The patient stays on his side, and needs to expose the whole side of the heart and make an arc-shaped incision of one meter long!

Because there are many branches of the thoracic and abdominal arteries to be replaced, the intercostal arteries that supply the spinal cord, the bilateral renal arteries, the celiac trunk, the superior and inferior mesenteric arteries, and the bilateral common iliac arteries, make at least six anastomoses!

After Chen Cang crossed the line, the wound almost cut a person apart.

From the position of the third rib on the left mid-axillary line, go around the anterior chest area, go down to the center of the severe breastbone, straight down to the navel position, and then to the anterior superior iliac spine.

The length of the entire incision looks very hideous!

Moreover, the most important thing is that patients have no time to do accurate examinations such as CT, MR, X-ray, and angiography.

It is very difficult to complete the operation accurately with only echocardiography, electrocardiogram, and x-ray examination.

Zhou He couldn't help asking, "Dr. Chen, do you want to do low-temperature cardiopulmonary bypass?"

This question has become the first question before everyone!

Do you use cryogenic cardiopulmonary bypass technology?

If used, it means that the complications of cardiopulmonary bypass including bleeding, brain and lung complications greatly increase the mortality of patients after surgery.

However, the total thoracic-abdominal aortic replacement surgery performed by some heart centers is very traumatic, time-consuming, and requires a lot of blood!

If it is performed under cardiopulmonary bypass assistance and deep hypothermia circulatory arrest, it can effectively reduce the risk of surgery and ensure the stable operation of the operation.

The first contradiction stumped everyone.

Chen Cang handed the marking pen to Ge Huai, and shook his head: "Using normal temperature non-extracorporeal circulation technology, the operation is blocked in sections!"

Zhou He nodded and immediately began to prepare.

He doesn't need to doubt Chen Cang's skills, Chen Cang is the only handsome in this war!

Even if the emperor is on the battlefield, he can only serve as a "mascot" watching the coach line up!

Wu Tongfu didn't say a word from beginning to end, and it was Chen Cang's responsibility to clarify everything.

Everyone knows that once the normal temperature non-extracorporeal circulation technique is performed, the patient's survival probability will increase, but the pressure of the surgeon will increase exponentially.

Especially when dealing with thoracic aortic replacement surgery, the beating of the heart and the progress of the circulation will become an obstacle to the operation.

This requires the surgeon to have sufficient ability!

Zhou He had never doubted Chen Cang, at least he would not doubt it now.

But Li Baoshan and Xu Ziming stopped talking.

Finally clenched his fists and decided to fight!

that's it……

The moment Chen Cang took over the scalpel also meant that the operation officially began!

The incision is very long, and it does not need to be exposed all at once. It needs to be done gradually according to the operation stage.

However, the patient is an exception. The operation must first perform an end-to-side iliac artery anastomosis, so as to ensure that the area of ​​the ascending aorta operation will be avoided for a while to avoid ischemic necrosis caused by blocking blood in the kidneys, abdominal organs and other areas. .

In this case, the large blood vessels in the chest must be processed, so the operation may require a large-scale operation to fully expose all the thoracic and abdominal aorta.

Actively do all rescue measures!

If a rupture of the ascending aorta is found during the operation, it can be stopped in time.

End-to-side anastomosis of bilateral iliac artery artificial blood vessels is the first step in surgery!

Unlike simple abdominal aortic replacement, it is necessary to first establish a retrograde blood perfusion pathway for the descending thoracic aorta-artificial vessel-left iliac artery to ensure blood supply to other organs when anastomosing the intercostal artery, abdominal artery, and lower extremity artery.

But again, in this way, it is necessary to accurately control the operation time, and the time for the anastomosis of the blood vessel and the artificial blood vessel is very limited.

With Li Baoshan's help, the abdominal tissue clamp controlled the surrounding surgical field. Xu Ziming exposed the location of the aortic aneurysm and began to separate the surrounding abdominal omentum layer by layer.

At this time, Chen Cang gave Ge Huai a series of instruments including probes, separating forceps, scalpels, spatulas.

"Help me get it."

After speaking, Chen Cang took the lead in finishing the scalpel.

The doctors around looked at Chen Cang holding so many things in a daze, what are they doing?

Even the equipment nurse felt a little blushing. Is this not trusting yourself?

However, after the operation started, everyone realized that Dr. Chen might really need someone who could quickly hand him the equipment anytime, anywhere.

When Xu Ziming separated the area of ​​the aortic dissection.

A dissecting aneurysm measuring seven or eight centimeters long appeared in front of everyone, and Chen took a deep breath.

"Block!"

After speaking, quickly began to clean the aorta and start to clean the tumor cavity.

The whole process is fast and accurate!

At this time, Chen Cang kept changing the equipment in Ge Huai's hands.

A while probe, a while a tweezers, a while a separation forceps, a while a spatula.

Even Wu Tongfu was blinded by Chen Cang's operation!

This is... a bit too exaggerated, right?

But when Li Baoshan saw it, he was a little shocked.

Because he found that Chen Cang's choice seemed to be the best choice.

He can always use the most suitable equipment to complete the cleanup.

It seems simple, even troublesome!

However, in this way, it can undoubtedly complete the cleaning effectively, and even better protect the vascular intima.

Li Baoshan cooperated cautiously, while Xu Ziming stared straight at each step of Chen Cang's operation.

Don't dare to relax in the slightest.

At this time, the equipment nurse was also stunned.

Because she discovered that Dr. Chen didn't look down on himself, but because he needed to quickly change the equipment at any time.

Even...she felt that what Dr. Chen needed was a specialized nurse.

Otherwise, it is not enough to maintain his operation.

But Ge Huai was very involved at this time!

Originally thought Chen Cang called himself to get the equipment because he looked down on or humiliated himself.

Now it seems that is not the case!

Compared with the people around, Ge Huai found that... it seemed that he could only do such a job.

Moreover, his angle can even just see Chen Cang's operation.

Thinking about it carefully, Chen Cang was actually helping himself!

For a time, Ge Huai also had mixed feelings.

However, he didn't dare to think too much, since Chen Cang helped him so much, he had to do his job well!

Pass the equipment!