Chapter 1831 The Crushing of the Realm (Monthly Ticket 28500 Plus × 57)

feel? Dr. Reiner has been vaguely aware of Dr. Charles's erratic vocabulary in recent years.

But exactly how to do it, he still doesn't know.

"Wearing sterile gloves will affect the operator's judgment. Each pair of sterile gloves has a different feel. That's why I said that sterile gloves are the most important link in surgical operations."

Dr. Rainer remembered that Dr. Charles had indeed said that.

At that time, I thought the teacher was joking, but I didn't expect it to be true.

"However, a sterile environment must be ensured, so the initial stage of the operation is the key for the surgeon to be familiar with the patient's anatomical structure and understand the hand feeling." Dr. Charles continued to speak slowly.

In his opinion, the operation in front of him is bound to be a great success.

It was such a treat to see this surgery, the flawless process, and Dr. Charles was a little obsessed with it.

It's just that except for myself and the surgeon on the operating table, no one can understand the realm of hand feeling, and life is sometimes lonely as snow.

"Every person's body tissue has unique elasticity and toughness. The first blunt dissociation is the best time for the operator to establish communication with the unique body tissue." Dr. Charles said: "And this communication, It will allow the operator to clarify the feeling of facing the viscera. As long as the communication method is established and the hand feeling is clarified, many complications and mistakes will never occur."

"Look, the strength and angle of the needle tip when Dr. Zheng anastomoses the blood vessels are all choices made by the information left by the feeling of the blood vessels before." Dr. Charles said happily: "Perfect, without a trace of flaw. Watching this The incomparable operation brings people an inexplicable enjoyment."

Lena was speechless.

Everything Dr. Charles said, he was only vaguely aware of it seemed to be. But to apply it in clinical operations, it is impossible to do it without 3-5 years of running-in.

And after 3-5 years, I am already old. Although the experience will be richer, it has passed the peak period of surgery.

Some movements, the body has not allowed itself to complete flawlessly.

Dr. Rainer felt a little regretful.

But it is said that it is 3-5 years, and it is possible that after 5 years, it still cannot be understood, and a new 5 years is needed.

It has nothing to do with diligence, what is needed to reach this level is talent.

"After establishing this connection, as soon as the hand reaches the position of the brachiocephalic artery, one knows how much force should be used for anastomosis. Of course, this anastomosis method must be based on almost flawless microsurgery."

"Perfect fit, Reiner, this operation has reached the level of my peak period, and even overflowed. Remember to copy the whole process back after the operation, and try to figure it out."

"Although your age can no longer reach this level, it is still good for you to improve your surgical skills."

Reiner stared at the operation images silently. While the teacher, Dr. Charles, was explaining the "feel", within a few words, the operator had completed the anastomosis of the brachiocephalic artery.

After all three brachiocephalic vessels were anastomosed, full flow perfusion was started.

The proximal end of the four-branch artificial blood vessel was anastomosed end-to-end with the distal end of the original ascending aorta artificial blood vessel. After exhaust, Zheng Ren opened the ascending aorta.

After the mixed venous blood oxygen saturation reached over 90%, slow rewarming began, and the heart automatically resumed beating.

At this time, a row of numbers appeared on the screen—the perfusion time was 110 minutes, the occlusion was 95 minutes, and the selective cerebral perfusion time under deep hypothermic circulatory arrest was 84 minutes.

Perfect!

Flawless!

Dr. Reiner couldn't help being stunned when he saw these similar numbers.

If you do the surgery yourself, these numbers will basically double. Doubling is not critical, and the difference between perfusion time and occlusion time is definitely not so small.

The small time gap means one thing—the surgeon performed the operation stably and quickly.

Is this all a change brought about by "hand feel"? Dr. Leiner watched the operation silently.

The operator should have finished the operation, but when he saw that the hypothermic extracorporeal circulation was over and the heart resumed beating, another image appeared on the screen.

The interventional guide wire enters the blood vessel, walks through the anastomotic segment, and starts angiography.

At the same time, the surgical field was still clean, with only a small amount of blood oozing out, but no trace of contrast agent.

This is finally confirmed.

Generally, interventional surgery is not used to confirm bleeding after elephant nose surgery, and Dr. Reiner does not approve of this behavior of the surgeon.

If the guide wire touches the anastomosis, it may cause unpredictable changes in the anastomosis.

"Reiner, this is a field that I have never reached." Dr. Charles said suddenly.

"Teacher, I don't think it's necessary here." Dr. Reiner said stubbornly.

"No, you'll find out if you keep reading." Dr. Charles had already guessed what Zheng Ren was thinking, and he said with a smile, "The surgeon has made bold changes to the surgical technique, all based on his understanding of the anatomical structure. and a thorough understanding of the patient's state."

"What is he going to do?"

"You must have forgotten what technique this young man used to be recommended by the Nobel Prize."

"..." Lena was speechless.

Is it necessary to show the technique of interventional surgery in such a large-scale operation after being recommended by the Nobel Prize for interventional surgery?

This should be a very irresponsible behavior, but why does the teacher still expect it so?

Suddenly, an idea appeared in Reiner's mind.

In the operation two years ago, the patient underwent coronary artery bypass grafting and valve replacement of the ascending aorta. The replaced blood vessels have also undergone certain changes under the influence of Marfan syndrome.

This is the terrible thing about congenital diseases, and the grafted blood vessels will also be affected, especially the position of the coronary bypass graft established by the mammary artery in the body.

Looking at the film before the operation and analyzing the images, Lehner thought that the patient's coronary artery had a small problem, but it was not worth noting.

With the torn aorta in the background, nothing is noteworthy.

And the surgeon's ambition is so big? What is he going to do? Could it be...

Rainer's speculation soon became reality.

Interventional stent surgery.

Coronary Artery...Ascending Aorta...Descending Aorta...

Every blood vessel that may be torn is covered with a stent-graft, and there is no gap between the stents, which is perfect and calm.

"Did he go for interventional surgery?" Dr. Reiner asked in a daze.

"Hmm." Dr. Charles finally changed his position. It took too long and his body was not used to it. "Marfan syndrome can cause pathological changes in the media of the aorta. It is better to use a stent to solve it."

Dr. Leiner's chest was stuffy and he couldn't get it out.

If there is still hope that the surgery itself can reach the level of a surgeon, then the current interventional surgery...

I can't do it myself.

This is the crushing of the field!