Chapter 1388 The Style of This Knife!

Chen Cang decided to pay attention this time!

It doesn't matter if it's king or what.

You have to find a way to get this surgery done!

Not because of the 20 million, but mainly for the children.

Well, that's right!

Arguably, tetralogy of Fallot is the most common congenital heart disease.

The so-called tetralogy is actually mainly four kinds of deformities:

Right straddle, pulmonary stenosis, ventricular septal defect, and right ventricular hypertrophy due to widening of the aortic root.

The first three items are primary lesions and have important diagnostic significance.

The right ventricular hypertrophy is a secondary change, the consequence of the above-mentioned deformity.

However, although the young patients at this time are not very old, they are not lightly ill. Not to mention that these patients are directly contracted, the key is to increase the abnormal development of the pulmonary artery.

As a result, the difficulty of the operation for the patient has increased a lot.

In fact, this kind of personal order is the most suitable for diseases. The same disease can be manifested in different people, and there are really various manifestations.

Li Baoshan, He Zhiqian, Xu Ziming and Meng Xi followed behind Chen Cang.

Director Xu was more conscious, found a suitable position and stood up, ready to act as a "second dealer" and bring equipment to Chen Cang.

Chen Cang glanced at the others and said, "Let's take a look at the operation. This operation... is still very valuable for research. I will summarize it well after I go back."

After the preoperative preparations are over, and the anesthesia is checked and administered, the operation officially begins.

The method used in conventional surgery is deep hypothermia to stop circulation, but it is definitely impossible for patients to use it. Not only that, after cardiopulmonary bypass, the heart cannot withstand the toss of asystole.

Chen Cang decisively widened his chest.

The sternum was then sawed directly and the thymus was removed.

The family members on the stage couldn't bear to look directly.

Reeves' wife covered her eyes and turned away.

Old Kurt watched the operation seriously.

He can't understand surgery, but he can understand people. Through the eyes of everyone, Old Kurt can judge a lot of information.

At this moment, Old Kurt looked at everyone, including Sabrina, and he clearly saw the hesitation and anxiety in the other's eyes.

but! This mood improved a lot after Chen Cang arrived.

Only Chen Cang's eyes, old Kurt can't see through!

Chen Cang's eyes were clean and calm.

This is also the greatest confidence of the old Kurt.

Chen Cang easily cut the pericardium, kept the excess pericardium, and handed it to Ren: "I will use it as a patch later, and rinse it with normal saline."

Ren nodded and started to deal with it.

After the establishment of extracorporeal circulation.

Chen Cang said to the three: "There are four steps, the first is the incision of the heart, and then the first is to perform intracardiac repair to repair the ventricular septal defect.

Then proceed to right ventricular outflow tract patch repair!

The third is to perform reconstruction of the valved conduit from the right ventricle to the pulmonary artery.

The last is the treatment of combined deformities. "

Chen Cang's thinking was very clear. The people around him originally looked at this bad heart like a mess, but after Chen Cang's description, it began to become clear.

They are not mediocre, and it is not something ordinary people can do to get to this position.

After briefly describing the patient's situation, Chen Cang picked up the scalpel and started making an incision on the heart!

This is the first step, but also the most important step.

I saw that the structure of the heart was constantly adjusted in his eyes, forming invisible lines.

Finally, he found a suitable location.

Pick up the scalpel and make a longitudinal incision from the proximal end of the pulmonary trunk to the right ventricle. The pulmonary valve should be fully exposed when the incision passes through the pulmonary valve annulus!

This kind of incision changes the form of Chen Cang's previous small incision, and the opening is wide enough!

However, all coronary vessels were carefully avoided, and the entire incision was large, but the amount of bleeding was very small.

The entire incision presents an inverted "T" shape.

After Chen Cang opened the incision, the entire heart cavity was completely brightened.

This surprised everyone, and it was unclear why Chen Cang did this.

However, Chen Cang did not explain much, but continued to strike.

The incision is made at the fusion of the junction of the two or three leaflets.

This step was very difficult for Chen Cang to deal with, and the heart was still beating. Chen Cang tried his best to keep the valve leaflets intact and cut open the valve leaflets.

However, at this time, Chen Cang did not stop, but cut the valve leaflets along the valve annulus to the pulmonary artery incision!

This scene directly made everyone watching the operation frown, and they couldn't even understand Chen Cang's operation!

At this moment, when Chen Cang took the needle-holding forceps, Sabrina suddenly realized!

Her eyes glowed, and she became excited when she saw the somewhat irregular heart that Chen Cang had cut open!

did not expect!

Really did not expect.

It turned out that Chen Cang did this!

Ren, who was beside him, was a little puzzled when he saw the expression of his old partner.

Sabrina couldn't help but said, "Professor Chen's heart-slicing move really benefited me a lot!"

Everyone looked at Sabrina, puzzled.

And Sabrina said directly: "Look, if here, the incised valve edge and the adjacent pulmonary artery incision edge are subjected to interrupted mattress sutures, what will the result be?"

Everyone looked in the direction of Sabrina's gesture.

The more you look, the more familiar you feel!

The more you look, the more surprising it is!

After a moment.

Mond Alpha woke up like a dream: "This can reduce postoperative pulmonary insufficiency!"

In a word, everyone woke up.

Unexpectedly, Professor Chen's random heart incision turned out to be so miraculous.

For a time, everyone was amazed.

However, Chen Cang remained unmoved, and then fully exposed the incised ventricle to prepare for inner repair. After hearing what everyone said, he smiled lightly and said, "Anything else?"

In a word, the people around the operation were stabilized!

and also?

When Chen Cang saw a few people like this, he didn't make a fool of himself.

"Don't you think that extending the incision up to the bifurcation of the pulmonary arteries on both sides and incising one or both pulmonary artery openings can effectively prevent the stenosis of the pulmonary artery openings?"

Everyone looked around and saw that Chen Cang's incision extended along the heart to the pulmonary artery junction, and suddenly realized.

One and a half days did not respond!

Sabrina didn't speak for a while, and after a while, she gave a wry smile.

This is too great, right?

It takes a lot of knowledge about the heart to do that!

The deformity of the patient's heart at this time has undergone a lot of changes after such a knife.

Originally, everyone was a little curious about why Chen Cang opened such a big hole.

Now it seems……

Still not enough vision!

Sometimes, the height is not enough, and the scenery you may see is different.

The demeanor of Chen Cang's knife just now was enough to crush everyone present, including Sabrina herself!

Thinking of this, Sabrina glanced at Chen Cang, only to think that this young man's eyes were like ancient wells.

Unfathomable, yet unpredictable!

...

ps: Thanks for the 100,000 reward of the big guy "Shaobing and Sesame More", becoming the 74th leader of the book, plus 3 chapters.

At present... 103 chapters of debt, um, 51 chapters to be paid... keep up the good work!

There are still 3 chapters in the evening, ask for a monthly pass!