Chapter 828: : Kicking!

Chen Cang's words greatly inspired everyone present!
Yes indeed!
At this time, is there any retreat?
Meet the difficulties, and you're done!
I do n’t know why, this time when you wash your hands, everyone is surprisingly hard, and you ca n’t wait to use a brush to brush down the cuticle!
Hmm, actually, surgical hand washing is very troublesome. The brush on the meat does not hurt!
At least for young girls with fine skin and tender meat, this is several times more painful than rubbing a bath!
Don't ask me why I know.
Immediately afterwards, Zhou He began to prepare, intubate, and administer intravenous fentanyl anesthesia!
Uh ...
Anesthesia is successful!
Ji Zhouhe gave a glance at Chen Cang with encouragement: "Come on!"
At this time, Chen Cang started to establish extracorporeal circulation to assist the circulation.
The purpose of this is very simple, is to empty the heart blood, so that the heart can be opened later.
Everyone is sighing when they see the heart that keeps jumping!
After a while, under such circumstances, to complete a surgery.
Everyone is a little nervous and hesitant.
Apart from anything else, even opening the heart will become very difficult now.
Because when the heart beats, the coronary veins flow through, and the coronary artery is accidentally cut through the operation, this is a very punitive thing.
Cang Cang turned to take the scalpel!
Looking at the banging young heart, I'm about to be happy right now, a little worried what to do?
Uh ...
Uh ...
At this moment, in the large office outside, a group of people gathered to watch the surgery video.
同 Wu Tongfu frowned immediately after seeing the operation of the artificial extracorporeal circulation machine at the beginning of the operation!
Aren't you using an extracorporeal circulation machine?
Yesterday, Xu Ziming reported the surgical plan in person. He recognized the surgical plan!
But now why Chen Cang suddenly changed the plan!
在 At this moment, Wu Tongfu thought a little bit and realized it!
It may be because the patient cannot tolerate the heart under such conditions ...
An extracorporeal circulation machine must be established.
A scheme like this at this moment ... seems a little more clever!
Not bad!
小 The kid's ability to respond is really strong.
同 Tongwu Wu felt a little more appreciated in his heart, and it was really getting better and better.
Alas, in this case, the difficulty of the surgery is all on the surgeon.
Wu Tongfu even looked forward to Chen Cang's performance.
Uh ...
Uh ...
Chen Cang hesitated with a scalpel.
If according to the previous surgical plan, Chen Cang must choose to make a longitudinal incision from the posterior groove of the chamber to enter the left atrium.
But now it's different, there is nothing in the heart, and the incision is made directly from the right atrium!
2From 2cm above the atrioventricular ditch, Chen Cang jumped along the heart and cut the right atrium directly, extending outward along the atrioventricular ditch.
Everyone can clearly see the picture of entering the right room!
Subsequently, Chen Cang cut the oval fossa in a longitudinal direction and expanded up and down!
The whole process is impartial, it seems that the heart is an obedient child, unscathed!
At this time, everyone saw the mitral valve!
沧 Cang Cang needs to trim the mitral valve under the beating of the heart, but at this time, it is time for more sophisticated surgery!
After all, these mitral valves are not cropped randomly as you think, neither too many nor too few, and they are well preserved and trimmed out of calcification.
The whole process must be fine!
Attentive!
Slow!
However, everyone saw Chen Cang took scissors and tweezers, and the crackling operation was like a tiger!
Xu Ziming, who was so scared, was suddenly shocked!
Before I could talk, Chen Cang had already spoken.
"Give me a patch."
Everyone is choking!
Is that done?
多 How long has it taken, can you be more serious.
In case of damage to the posterior wall of the left ventricle, and if the tendons and muscles are retained during valve replacement ... you should first avoid the artificial valve flap movement and impact valve due to retained tissue Mouth?
Can't make good tinkering?
After you have measured the patch, you can do it again?
But ... Cang Cang is too fast, right?
And ... would it be a bit sloppy?
Xu Ziming swallowed his mouth and decided to persuade Chen Cang: "Xiao Chen ... are you ... too fast?"
Cang Cang didn't look up, instead he lowered his head and held 2-0 double needle nylon thread with support pad for intermittent mattress suture ...
After hearing Xu Ziming's voice, a long voice came out under the mask: "Oh ... this, jifu!"
For a word, they were a little dumbfounded in the room.
基 操?
What is basic operation?
Several directors glanced at each other, full of doubts.
Then the little nurse whispered, "It's the basic operation!"
Everyone froze, a little speechless!
And Chen Cang continued: "The operation time should not be too long. Although there is no cardiac arrest, in this case, the heart circulation is restored after a while. I am afraid that the heart will have an unsuitable process, so after the rapid repair, I need to deal with the left Atrium! "
I heard Chen Cang's words, everyone was a little surprised, so it is!
I can't ... but deal with the left atrium?
How to deal with it?
At this time, everyone looked at the left atrium with a worry.
Suddenly, the left atrium seemed to understand Chen Cang's words, and jumped in a hurry: What cares about me? What am I doing?
Xu Ziming couldn't help asking: "What to do?"
Chen Cang: "Cut him."
Left atrium: bang bang ...
The whole patch repair process needs to be very delicate.
The mitral valve is a pivotal structure with extremely high mobility, which requires very delicate work in the process of repair and suture.
Remove severed chords, long thread ends, etc. with your heart to avoid card flaps!
前后 Before and after the suture of the artificial valve, the ventricular cavity must be repeatedly flushed to carefully check the ventricular cavity to prevent the artificial valve dysfunction caused by the remaining broken tendon card flap.
For the same reason, after the knot is sent, the long thread should not be left when the remaining thread is cut.
Therefore, all this must be handled with care.
But this time, Chen Cang didn't care!
Both hands are as smart as playing the piano, constantly repairing extra patches, then stitching, and then repairing ...
看 The people who are looking at these series of operations are trendy!
The mitral valve is in the hands of Chen Cang ~ EbookFREE.me ~ It really looks like a work of art and needs to be carved out a perfect angle and structure!
确 Indeed, the human body is really a work of art, and it needs to be meticulously carved. One more point will affect a lot!
Chen Cang found that his eyes really felt more useful the more he used them.
After all, this repaired mitral valve, this structure, this opening ... This is better than the original one.
And the extra threads, chordae, and valves can be clearly displayed, making the mitral valve clear!
The next step is to check the opening and closing functions of the prosthetic valve.
Everyone looked at the mitral valve like the original artificial repair, and looked forward to it!
All of a sudden, everyone was attentive!
At this time, it was introduced into it with physiological saline, and immediately accompanied by the heart beat, the mitral valve closed ... diastolic ...
Very flexible!
There is no trace of stuttering at all, and it seems not much different from normal mitral valve.
For a moment, everyone's eyes looked a little more respectful to Chen Cang!
Maybe ... this is really the basic operation, right?
Under the continuous beating of the heart, quickly build excess patches and then repair them. We know how difficult the entire process is.
But in Chen Cang's eyes, maybe it's really just a basic exercise ...
too strong!
too fast!
I'm too stable!
Uh ...
Uh ...
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