Vol 3 Chapter 2228: Childish ideas

In Domingo Paul's view, the sun is no longer bright on this day.
Having just become the king of cardiac surgery, he has not had time to set off an uproar in the academic world and crown his own crown, and he will have to meet the challenge of another surgeon who is not weaker than him.
I was just more curious than Domingo Paul.
他 In his opinion, interventional surgery is impossible to complete the treatment of dilated cardiomyopathy.
开始 He began to read the video materials left by the surgeon in the live room.
Although the percentage of operations related to cardiothoracic surgery is not high, it turns out that no matter whether the surgeon is a person or a team, the level is extremely high.
If there is a Batista operation, Domingo Paul thinks the other party may be successful. But interventional surgery for advanced dilated cardiomyopathy ...
About this technique, Domingo Paul never figured out how to do it.
It was getting late, and he didn't even have the appetite for dinner. The curious flame in his heart had lit the whole person.
笔记本 He had a laptop in front of him and had read the patient's information countless times. The patient's condition was very serious. Domingo Paul estimated that at least 400 g of myocardium would be removed if Batista surgery was performed.
This belongs to the surgical exclusion zone, and the 20% mortality rate has soared to almost 100%.
If he chooses, he will definitely refuse to perform surgery on this patient. No matter how much money the patient's home donates to his medical center, he will not hesitate to refuse this kind of surgery with 100% mortality rate!
After all, no one hopes that the patient who has worked hard for surgery will not only prolong life, but will die in the dangerous period after surgery.
要 What should the surgeon do in the surgery live room? This question hovered in Domingo Paul's mind.
After thinking countless times, he finally judged that this was an impossible technique.
Interventional surgery is applied to the heart, mainly to open coronary blood vessels, block valve insufficiency, and open narrow valves.
These operations are inherently logical. Interventional surgery is a surgical procedure that does not cause major trauma.
But advanced dilated cardiomyopathy has to remove a large number of dilated and proliferated myocardium, and logically interventional surgery is simply not suitable.
He refused all business activities and did not return home, but waited quietly for the operation to begin.
Time passed by one minute and one second, at 21:50, the picture of the surgery live room lit up.
The double field appeared in front of Domingo Paul.
According to the previous brief introduction, Domingo Paul knew that the operation was performed by DSA-guided interventional surgery combined with a small chest incision.
Two surgical fields are expected.
Although he thinks that interventional surgery can't complete everything Batista can do, he always has a bad feeling in his heart.
Nothing else, just because this is a live surgery!
If the magician is not completely sure, who dares to perform a surgery that is destined to "fail" in front of colleagues all over the world!
Domingo Paul took all the assistants home and left him in the studio. The silent night made him seem to hear his heartbeat.
I had a few minutes to start the operation, and Domingo Paul stood up and made a cup of coffee.
Back to the computer, a number came into view.
The number of people entering the live broadcast room has exceeded six figures, which means that more than 100,000 doctors around the world are watching the operation.
数字 And as time approaches, this number is skyrocketing.
数字 Almost every second the number is refreshing rapidly. This is the most simultaneous operation in Domingo Paul's memory.
It seems that everyone is interested in the new technique of interventional surgery.
Domingo Paul looked at it quietly. For him, this was a wanton challenge, challenging the dignity of his king.
Time finally came to 22:00, and the operation began.
The first surgical field has not been moved, and the second surgical field first undergoes thoracotomy.
A small incision on the left chest, about 6cm, a sharp scalpel cuts the skin, and the blood slowly flows out, making the whole picture look more textured. At this moment, Domingo Paul seemed to smell the blood.
The scalpel is not standard, and every time you see the beautifully curved lancet, Domingo Paul is a little envious.
Such a blade is worth $ 233, and it is not ready to use. The blade needs to be customized.
I was really a luxury sorcerer, Domingo Paul thought secretly.
As soon as the blood poured out, the gauze in the assistant's hand fell down. Dip it in the blood, wipe it clean, click a few times on the electric burn, and the hemostats begin to bluntly separate the subcutaneous tissue from the muscles.
Just look at it open, everything is perfect.
Open the pleura, open the surgical field, one lung ventilation has been performed.
At the same time, the first surgical field lit up, and while the mediastinum was surgically opened to expose the heart, a guidewire entered the superior vena cava from the jugular vein, then reached the right atrium, and entered the right ventricle through the tricuspid valve. .
Domingo Paul saw from the surgeon's perspective that a huge heart appeared before his eyes. Because the incision is relatively small, you cannot see the whole picture of the heart.
Domingo Paul immediately substituted himself into the surgical procedure. If he changed himself, he might now be preparing for extracorporeal circulation.
At this time, the guide wire in the first surgical field had reached the part of the right ventricle close to the ventricular septum.
贴 The Gaiding tube with a J-shaped arc was attached to the ventricular septum. The surgeon then placed a fixed anchor point and immediately began puncturing.
做 什么 What do they want to do? Domingo Paul froze.
DSOn the DSA-guided screen ~ EbookFREE.me ~, you can clearly see the huge left ventricle beating hard. The puncture needle has penetrated the ventricular septum and entered the left ventricular cavity.
Because of dilated cardiomyopathy, the patient's left ventricular cavity is huge.
He was so naive, Domingo Paul thought.
The surgeon seemed to want to use a puncture needle to penetrate the entire left ventricle. Domingo Paul had no idea how to do it.
Yun Ke is this step, he is very unlikely to judge success.
The puncture needle has strong elasticity because it needs to be penetrated in the J-shaped tube. It is not a straight, hard steel needle.
Although the patient has dilated cardiomyopathy and the ejection fraction is reduced, the blood velocity in the left ventricle is extremely fast as the heart beats.
Under the impact of high velocity blood flow, it is absolutely impossible for a puncture needle with toughness to maintain a straight line and reach the position the surgeon wants.
Domingo Paul really doesn't know what the surgeon is thinking!
虽然 Although he does not understand the meaning of the surgeon, from this step alone, at least the extracorporeal circulation must be established to stop the heart from beating so that the puncture can be successful.
What the surgeon did is simply naive!

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