Chapter 1601: Cardiac parastomectomy


The Xie Yi people were elated and held the operating box in their hands, treating it as a baby.
"Zheng Ren, what surgery?" After the meeting, the Xie Yi people immediately asked.
"Heart surgery, there are..." Before Zheng Ren finished, Xie Yiren happily held the operating box and said: "Who are you going to contact the operating room to disinfect?"
"Hey..." Zheng Ren also wanted to explain the risk of surgery to Xiaoyi people, but she couldn't hold back if she looked at her euphoria.
Zheng Ren took the surgical box and handed it to the disciple of Chu Nuang, and sent him to disinfection.
The little Iraqi people were not at ease, but their lips moved and finally did not say anything.
"Zheng boss, your operating box is really a baby." Laohe said with a smile.
"Fortunately, some operations, using it can increase the success rate by about 10 points." Zheng Rendao.
"Heart surgery, what special account?" Laohe is very cautious, this is the first time with Zheng boss to go abroad for surgery, absolutely no mistakes!
Lao He thought of it.
The twin sisters did not spend the time with the boss of Zheng, and this should be considered a top priority.
The more so, the more cautious.
Taking the lead, Zheng Bo has more and more times to go abroad, and his position is becoming more and more important.
Until the boss of Zheng left the pair of twin sisters to forget.
It seems unlikely, then weaken their role, as long as it is a difficult operation, they will think of themselves.
Thinking about it, Lao He’s eyes looked at Zheng Ren and Xie Yi in a complicated way.
The most fascinating thing about Zheng’s wife is that his girlfriend doesn’t seem to mind the existence of the twin anesthesiologist.
The omnipotent is omnipotent, this is the example!
If you are yourself, you have already been killed by your wife.
"Surgery, need extracorporeal circulation. In addition to the degree of anesthesia ... I will remind you during the operation." Zheng Ren calculated the myxoma or egg in the right atrium, very cautious.
It is said that myxoma and eggs should be well resolved, and the imaging shows that it is definitely a myxoma, but Zheng Ren still regards the eggs as an option.
Seeing Zheng Ren is so cautious, Lao He’s heart is ashamed, saying:
Well, if there is any special need in the surgery, let me know 1 minute in advance.

After that, Lao He thought about it and said: "Zheng boss, can I get familiar with the machine first?"
Not only is Laohe familiar with the machine, Zheng Ren and Su Yun are familiar with the operating room environment.
Small differences are enough to lead the surgery to an unpredictable future.
At this time, no matter how cautious it is.
At this time in Zheng Ren's heart, Chu Nuang is not a teacher, nor is it an emerging force of the ancient family that blends with the current technology. He is only a patient and needs patients for surgery.
Regardless of the small surgery, we must go all out, not to mention the cardiac myxoma, suspected heart parasite eggs.
The apprentices of Chu Nuangsai were very productive. They didn’t have to worry about Zheng Ren and others. He contacted everything in the morning, and even the doctors with the surgery were the directors of cardiac surgery at the National Hospital.
When I came to the operating room, Zheng Ren explained that she had to do the surgery - the right atrial myxoma was performed under cardiopulmonary bypass.
The boss of the cardiothoracic surgery at the National Hospital was stupid.
Heart tumors, I have not encountered one case in a year, how can I be hit by myself?
After explaining the procedure, Zheng Ren began to inspect the various equipment in the operating room of the National Hospital.
From the ventilator, ECG monitoring all the way to electric burning, suture, nothing.
The difference is not very big, Zheng Ren has a bottom in his heart.
It is related to equipment and consumables, but it is not absolute. The main point is still people.
There are Xiaoyi people, Su Yun, Lao He, Zheng Ren will not face the dilemma of Xilin Town.
If you go to a strange place in the future, or treat more people, Zheng Ren thought of it.
"Old congratulations, is there a problem?" Zheng Ren asked with a hand.

No.
Lao He looked at the extracorporeal circulation machine and said:
It’s not the latest equipment, but it’s just right.

"Su Yun, is there a problem?"
Su Yun did not speak, raised his left hand and made an OK gesture.
"Iraq?"
"Do you use sutures? A rare model of Johnson & Johnson." Xie Yi said.
Zheng Rendao: "No problem."
After that, he turned back to the doctor at the National Hospital: "Send the patient and prepare for surgery."
On the other side, Zheng Ren went to the reading machine to pose, and entered the system space to start surgery training.
The related surgery was done once in 912 to the mother of Zhang Weiyu’s friend.
Although the location is different, it is similar.
In the case of surgery alone, the operation of the right atrium is much less difficult than the tricuspid tumor.
After all, valve replacement is not involved, and the complexity is an order of magnitude weaker.
Therefore, Zheng Ren dared to try the myxoma resection of the heart.
Standing in the operating room of the system, Zheng Ren did not worry about surgery, but first calmed his emotions.
Before the fight between Yu and Yan, Zheng Ren was moved by the fire.
At this point just calm down ~ EbookFREE.me ~ recall all the past, Zheng Ren feels that the lucky value is useful. This coincidence coincides with Su Yun’s desire to find everyone in the medical team to eat.
With Fan Tianshui and the old squad leader, I did not expect to be spared an embarrassment.
I hope that the big pig's hoof will give him a little more to increase the lucky value in the future. Zheng Ren smiled.
How do you say that you are also a protagonist, plus a lucky +27 man, the general situation should be fine.
After ten minutes, Zheng Ren felt that his mood was stable.
He sinks his heart and begins surgery.
Without paying attention to the degree of surgical completion in the operating room of the system, Zheng Ren only wants to do it again and see what is in the heart.
Even so, he still stepped on the surgery, surgery, and he was alone in the extracorporeal circulation.
This is indeed a "wasting" of certain surgical training time, but these operations are also part of the surgery. It is difficult to see qualitative changes, but it is still extremely important.
Cut and expose the heart and find that the patient's right atrium is full. Zheng Ren put his hand on it and touched the slightly "myxoma" inside.
The patient's inferior vena cava has been almost blocked.
Zheng Ren began to establish extracorporeal circulation, which was slightly different from the previous surgery. Because of the condition of the inferior vena cava, he chose the femoral vein and superior vena cava intubation.
After the intubation is completed, the superior vena cava control band is tightened, the inferior vena cava is opened, and Zheng Ren cuts the right atrium.
The tumor size is about 7.8 x 6.7 x 8 cm. It is horn-shaped and protrudes into the inferior vena cava and tricuspid valve, almost completely blocking the inferior vena cava. Below, there is a small pedicle.
Like a big watermelon, this tumor floats in the right atrium.
The tumor pedicle is located between the inferior vena cava inlet and the right atrial wall and is approximately 1 cm in diameter.
Zheng Ren was curious to observe the "tumor" organization.
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