Chapter 371: : Director Tao's attitude reversed

The atmosphere in the operating room didn't seem so tense.
After all, there was Director Tao Ye in charge of the sword, and everyone was relatively relaxed.
Zhang Wenfu was the assistant, Chen Cang should be the second assistant, Qian Lin and classmate A belonged to the eye assists and tied the knot.
However, this is already quite satisfactory for the two.
Don't think that every student can go to the operating table, and it is a young seedling.
The surgery has not yet started. Anesthesiologist Liu Jian chatted with Director Tao next to him. The nurse Yuanyuan dressed Chen Cang with surgical gown in the envious eyes of Qian Lin and his classmate.
However, Chen Cang suddenly thought of one thing, how to choose the opening of surgery.
Thinking of this, he turned around: "Yuanyuan, take out the checklist, I look at the chest radiograph and the color Doppler ultrasound."
Kong Yuanyuan nodded and took the film out. After Chen Cang saw it, he frowned slightly.
According to this chest radiograph, the patient's pericardial adhesions must be present at this time, but Chen Cang needs to distinguish where the adhesion sites are, because the openings are different for different adhesion sites.
Under the x-ray results, the contour of the heart was obviously irregular, a little stiff, and the mediastinum was widened. Chen Cang looked a little silent.
When Tao Yan saw this, he felt a little more appreciation in his eyes. He knew what Chen Cang was doing.
When Qian Lin and classmate A saw the teacher's eyes, they were very acquainted, Ma Liu turned around, walked behind Chen Cang, and nodded frequently while watching the film.
Qian Lin nodded thoughtfully: "Well, yes, where is that calcification point!"
Classmate A also repeatedly agreed: "Ah, a lot."
Chen Cang: ...
...
...
After a few minutes, Chen Cang knew.
For a surgeon, having the most in mind is also the most important, which means that he has a specific plan for this surgery, from the beginning to the end.
The operation also started soon.
Tao Yan took the scalpel, considered it, and started to do it.
With this shot, Chen Cang understood what Director Tao meant.
The choice is "bilateral chest incision"!
Without losing the old director, he opened his eyes and let Chen Cang shine.
Zhang Wenfu picked his eyelids and quickly held the gauze to stop the bleeding. Chen Cang took the pliers calmly, because since Director Tao chose this incision, the purpose is very clear. It is to increase the surgical field and take care of both sides of the heart.
In this way, the pliers must be prepared to better prepare for the next step.
Sure enough, Tao Yan's head was not raised, a sentence:
"Separation clamp!"
Just after the voice fell, Chen Cang had handed the pliers over.
Tao Yan couldn't help looking up and saw Chen Cang's detacher in his hand, and couldn't help laughing.
With such an aid, it is too comfortable to perform the operation.
Next, Chen Cang basically handled everything that Director Tao needed at any time, and even when he needed to be separated, he took the initiative to help, without the need for Director Tao to remind him at all.
During an operation, Zhang Wenfu was enthusiastic. Seeing a four-drive brother?
fast! fast! fast!
Rush! Rush! Rush!
Surgery brothers in action ...
Because the cooperation between the director and Chen Cang is too close, and Zhang Wenfu cannot help at all, it feels awkward!
Zhang Wenfu and Chen Cang changed their positions.
The operation went smoothly.
Although Director Tao is more than 50 years old, his technique is still very detailed.
As soon as the muscle was cut into the chest cavity, Chen Cang took the hemostatic forceps and quickly ligated the internal thoracic artery and then cut it.
Then you need to disconnect the fifth rib near the sternum!
Open the rib cage as much as possible, including the thorax.
The following separation work is very demonstrating technology. It is necessary to sharply separate the left phrenic nerve from the pericardium, and it is necessary to bring as much fat or soft tissue as possible so as not to hurt the phrenic nerve.
The whole process is very subtle. At this time, Chen Cang discovered how stable Director Tao's hand is!
The next work is very delicate.
Even when Chen Cang had mastered constrictive pericarditis surgery, when looking at Director Tao, he couldn't help feeling a little bit of emotion.
Really strong!
It can only be said that each has its own advantages.
You can make progress with each other. Director Tao's overall situation is much better than that of Chen Cang. This can be seen from the opening.
I think the "bilateral anterior thoracotomy" surgical incision has obvious advantages. It can be said that the exposure of the surgical field is the best among several incisions, and it can take care of both the left and right sides of the heart, and can completely remove the pericardium. What happened during the operation is also easy to handle!
This is in line with Wu Yushu's situation.
Because Wu Yushu's condition is very long, it is difficult to accurately evaluate the pericardial condition without surgery. This opening is straightforward.
However, it is not without its shortcomings. Chen Cang feels that if the double incision is replaced with a "transverse left anterior thoracic incision + bilateral transverse anterior thoracic incision", it seems to be better.
As a result, the effect on lung function is significantly reduced.
Innocuous!
The operation continued.
After the pericardium was exposed, a series of messages appeared in Chen Cang's eyes:
[Constrictive pericarditis, lv55, elite level, the adhesion is more serious, it needs to be carefully separated. 】
Chen Cang was a little surprised, and it really was not ordinary constrictive pericarditis.
really!
At this time, Tao Yan was just cutting his bag, but the situation in front of him made him a little surprised.
Did not reach the surface of the myocardium!
Because the pericardial and epicardial adhesions are dense!
This shows that the heart and pericardial visceral and parietal adhesions are more serious.
Tao Yan immediately sighed, but fortunately chose this cut!
Otherwise it's troublesome ...
At this time, Chen Cang had handed the blade over.
Because of this situation, a sharp separation is required!
Tao Yan suddenly hesitated: How did this Xiao Chen find out?
On the surface, Tao Yan was not shocked. He was already in a turbulent sea. This is the operation. The details are important.
And Chen Cang seemed to have a smooth grasp of each step, even when Tao Yan did not make the next step, he had already planned for the next step!
How can this not make Tao Yan shocked?
What this means is already clear: Chen Cang will not only constrict pericarditis surgery, but he can be said to be good at it! Not worse than yourself!
Thinking of this, Tao Zhen's shock was really beyond anyone's mind!
This little Chen ~ EbookFREE.me ~ is really ...
Hey……
...
...
The operation proceeded slowly, and Tao Yan was filled with emotion.
How long?
How long have I not had such a comfortable operation?
It's really unusual to have a high-level person to strike.
After all ... who has the ability to assist himself?
Thinking of this, Tao Yan could not help but sigh ...
Perhaps the world really has genius. At this moment Tao Yan suddenly understood Qian Lin and his classmates ...
ps: Wait for the second chapter in a while, I'm afraid I'll get stuck again, wait for five minutes ...