Chapter 386 Boss Monster!

At this time in the office, Ge Huai and others thought that the operation was over and were about to turn off the TV.

Suddenly I saw the broadcast screen light up again!

When they saw the surgery screen, the three of them immediately looked happy.

Surprise!

There is nothing more exciting than seeing surgery.

If so, then more operations.

When the three saw the pericardial incision in the picture, their eyes suddenly shrank!

Ge Huai couldn't help but say, "Trouble!"

Another doctoral colleague also nodded again and again: "Well, such a sticky pericardium is really rare. The adhesion is so tight, and the pericardium is obviously thickened. It is really difficult to know the depth of such a knife."

Constrictive pericarditis is most difficult when the pericardium is in close contact with the outside of the heart.

At this time, if you want to separate, the difficulty factor has increased too many times.

At this moment, everyone was staring at Chen Cang.

Xia Gaofeng was about to speak, but Tao Mi quickly stopped him.

He saw Chen Cang thinking!

There was no way, not only Chen Cang, but also everyone present didn't know how to proceed with such an operation.

Ten seconds passed!

Chen Cang continued to act.

After Chen Cang reached into the blade, he picked it up slightly. With this pick, his heart suddenly felt loose.

Chen Cang looked happy!

Sure enough!

Because there is a layer of loose connective tissue between the thickened pericardium and the adventitia, here is the interface for peeling off the pericardial adhesions.

However, if the adhesion is severe, the connective tissue and the epicardium will be tightly adhered together, making it difficult to find.

but!

Regardless of the adhesion, the properties of this layer of connective tissue, the pericardium and the adventitia are different after all, so Chen Cang quickly turned around.

"Pliers, take it off!"

Gao Jianxin nodded quickly. He was very curious about how Chen Cang found this layer of connective tissue, but Chen Cang had already found the outside of his heart at this time. No matter how dazed he was, he could only quickly ask.

After Gao Jianxin lifted the pericardium, Chen Cang quickly pressed his left hand on the surface of the heart!

At this time, everyone can see a beating heart!

Surgery is so fucking hard!

After all, the motion of the heart is not so accurate. If you want to remove the adhesion between the heart and the pericardium, there is no absolute level and effort, but there is really a problem!

Mild coronary artery damage, causing bleeding!

In severe cases, the heart muscle ruptures, which is life-threatening!

At this moment, the difficulty of the operation increases proportionally!

At this time, a small piece of the pericardium was lifted, and everyone could see the adhesion between the epicardium and the pericardium.

Too serious!

And troublesome!

Because of the uneven adhesion, a decisive treatment method cannot be selected.

Chen Cang turned around and said lightly:

"Peanut tongs!"

"gauze!"

The nurse quickly handed it over. Chen Cang covered the gauze with his fingers, held his breath, and did not dare to move.

He said to Gao Jianxin, "It's done, evenly, don't put pressure on it!"

Gao Jianxin took a deep breath and dared not move.

And everyone around was brought into it by the atmosphere at this time.

Chen Cang pressed his fingers slightly, and carefully loosened the loose adhesion.

one by one!

Everywhere!

These loose ones are good to say, just at this moment, a roadblock appeared immediately!

After a cord-like adhesion appeared, everyone couldn't help but widen their eyes.

Everyone sighed: hey... this operation, some have done it.

This kind of strong adhesion is a manifestation of severe adhesion and calcification. It is very difficult to separate, and blunt separation is basically infeasible, and only sharp separation can be used.

Chen Cang put down the gauze, picked up the blade, and wanted a sharp separation.

But...the adhesion is getting tighter and tighter, how to separate?

Chen Cang gritted his teeth and changed his place!

That's right, separating the pericardium is the first easy and then the difficult.

Moreover, the basic range of peeling should be determined based on the condition of the patient during the operation.

Step by step, Chen Cang took it off with difficulty!

But no matter what order, the apex of the heart must be completely stripped, and the left side is where the left phrenic nerve needs to be approached, but the phrenic nerve cannot be damaged, let alone the heart.

Disaster!

At this time, Gao Jianxin watched the monitoring carefully, for fear of any problems, because once arrhythmia or unstable myocardial discoloration occurs, more plans and measures need to be taken immediately, and the operation should be completed as soon as possible!

The heart, after all, is different from other areas.

Therefore, cardiac surgery operations start at level three, with an average level of four...

Therefore, the doctors of cardiac surgery all started as doctors, and averaged as deputy director.

The operation is carried out step by step!

Finally, Chen Cang found the most crucial place.

A calcified lesion embedded in the myocardium. After everyone saw this moment, their faces changed, and their expressions suddenly became heavy!

This is a big guy!

Xia Gaofeng couldn't help but said, "This...don't worry about this, right?"

Tao Mi was also silent, and he wasn't sure whether this need was fulfilled or not.

But it must be cut well!

This embedded heart muscle has caused severe damage and is detrimental to the function and recovery of the heart.

but……

It's too hard to get rid of it!

Compared with the risk of peeling, although not peeling is a chronic injury, but... the risk is much smaller, which is why Xia Gaofeng said that peeling is not necessary!

Everyone was a little worried, because the previous separation was done on the pericardium, but this time it was peeled off on the heart.

And because the adhesion is serious, only sharp points must be done.

Holding a knife on the heart, it can't hurt the heart muscle.

Isn't it hard for the strong?

but!

This is surgery!

There are always uncertain risks in surgery.

Everyone couldn't help but look at Chen Cang, but... no one saw a trace of panic in Chen Cang's eyes or face.

dull!

calm!

Calm down!

It seems as simple as cutting the appendix.

The clouds are light and the wind is light, the favor is not frightened, and it is so calm...

In general, in this case, it can be reserved in the shape of an island, and it cannot be forced to be peeled off.

However, the debonding boundary was unclear and the adhesion was severe, so Chen Cang had to release the shackles on the surface of the myocardium.

Now, it's a dilemma!

It is best to enter, but in case of myocardial rupture, it is dangerous.

At this time, Chen Cang made a bold operation.

This is an attribute of Director Tao of Chen Cangxue: stability!

This stability is relatively stable!

Thinking of this, Chen Cang raised the corner of his mouth slightly.

He said to Gao Jianxin, "It's done!"

At this moment, I saw Chen Cang holding the blade and peanut pliers at the same time in his hand, holding the pliers in his left hand to clamp the pericardium, and his right hand, following the frequency of the heart beat, carefully peeling off!

This scene directly stunned people.

Everyone stared at Chen Cang with wide eyes.

Is it still possible to do this?

Keep your hands and heart moving the same way, are you sure you're not kidding?

Xia Gaofeng couldn't hold back any longer: "Hold the grass, you are awesome!"

Not only him, but everyone around was stunned by the scene of Chen Cang's separation and stripping of the calcified lesions embedded in the myocardium.

However, no one dared to disturb.

No one dared to disturb such delicate work, even Xia Gaofeng quickly raised his hand to cover his mouth.

He really couldn't hold back!

This piece is the last piece to stick.

Once stripped, the surgery was successful.

At this moment, no one doubted Chen Cang.

Today, he does not use outlandish innovative surgical procedures.

All are traditional surgical procedures.

However, the more traditional things are made, the more powerful they feel.

ps: Thank you for the reward of Yang Chenjiu Ri, thank you!

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Finally, remember, you can watch it, but...the ticket has to be brought back...or else it will really make me cry. .