Chapter 1445 Doing Surgery, Spreading Dog Food, It's Too Immoral
"Lao He, prepare for extracorporeal circulation." Zheng Ren touched down again, feeling the same as in the operating room of the system, and his heart was much more stable.
Lao He responded with a sound, turned on the timer on his mobile phone, put it at hand, and hurriedly prepared the accessories for extracorporeal circulation.
"Boss Zheng, where is the filter?" Liu Zewei asked when Lao He started to prepare sterile pipes.
In fact, he wasn't curious, this time was a great opportunity to make fun of him, and it was really a pity to miss it.
"About 10cm below the pulmonary valve, there may be a pulmonary valve tumor, the blood flow slows down, and thrombus occurs." Zheng Ren said: "The Fuguier filter is good."
The professor smiled on the side.
Zheng Ren just explained it casually, he did not forget that this was a live broadcast operation.
The ascending aorta was cuffed by first dividing the space between the aorta and the pulmonary artery with hemostatic forceps.
Pull the band on the ascending aorta to the left to expose the medial superior vena cava.
Then Zheng Ren stretched out his hand and said, "Right angle..."
Before he finished speaking, the right-angled pliers clapped in the palm of his hand.
Because of extracorporeal circulation, Zheng Ren was worried that the Xie Yi people could not keep up with the operation steps.
But he didn't expect that Xiao Yiren was still proficient. He raised his head, bent his eyes at Xiao Yiren, and smiled.
A pair of smiling eyes awaited him.
Looking at each other, Zheng Ren forgot that he was still broadcasting live.
The doctors watching the live broadcast of the surgery exploded in an instant!
Surgery and dog food are simply unbearable and unbearable!
"Boss, it's live." Su Yun reminded.
"..." Zheng Ren lowered his head and looked at the surgery area again.
Just for a moment, I don't know how many doctors who watched the live broadcast of the surgery witnessed it with their own eyes.
This is the dream of many surgeons. There is a gentle and pleasant instrument nurse, and the two have the same heart.
Even if the surgery is not as good as the surgeon, there is still a good equipment nurse who even laughed at him!
This wave of dog food is scattered, and resentment from all over the world is soaring into the sky.
Zheng Ren didn't know what the doctors watching the live broadcast were thinking. He used right-angle forceps to bypass the posterior cuff along the inside of the superior vena cava. In the same way, use the inferior vena cuff forceps around the inferior vena cava cuff as a backup.
"Lao He, are you ready?" Zheng Ren asked.
"Okay, start anytime." Lao He said solemnly.
In this operation, he adjusted his state to the best level and wanted to show himself in front of Boss Zheng.
The opportunity is rare and fleeting.
After getting Lao He's reply, Zheng Ren didn't look up.
As soon as he stretched out his hand, the needle holder clapped in the palm of his hand. At the same time, Lao He clicked the timer button.
On the distal end of the ascending aorta, two concentric purse-string sutures were made with a 7-gauge thread.
The technique of purse-string suture is extremely delicate. The small needle only penetrates the adventitia of the blood vessel, but does not penetrate the blood vessel. The No. 7 thread is sutured around the adventitia of the aorta.
"Boss, I thought you were going to use a microscope." Su Yun said.
"No, the aorta is so thick. I've been using the microscope for a long time. I'm worried that my vestibular nerve can't stand it." Zheng Ren said.
This is Zheng Ren's weakness, and he gets dizzy on the roller coaster. Microsurgery, with a slight movement, the field of vision in front of him is like a roller coaster, and the field of vision changes rapidly.
Although there is no feeling of ups and downs, Zheng Ren tries to avoid too much time for microsurgery.
Zhao Yunlong watched in silence as Zheng Ren left a purse string on the adventitia of the aorta, and remained silent.
Have you done a similar operation yourself, which time is it not careful?
Although the aorta is thick, the gap between the adventitia and the aortic trunk is remarkably small. A little careless, the blood spurted out.
Although not fatal, it was extremely troublesome to stop the bleeding, and the operation time was extended indefinitely.
Looking at Boss Zheng's operation, it was easy to lift weights. The difficulty just now was not difficult for his subordinates at all, it was just an ordinary operation.
Zhao Yunlong was still worried about the level of Zheng Ren's cardiopulmonary bypass surgery, but he just glanced at it and understood it.
The level is a geometric order stronger than himself.
Zheng Renliu's purse line has one opening on the left and one on the left.
He put the purse wire into the hemostat, ready for hemostasis and fixation during intubation.
The adventitia in the central part of the purse is excised.
"Heparin, 3mg/kg." Zheng Ren said.
"It's ready." Lao He said. He knew that Boss Zheng was worried about his birth, but such detailed instructions obviously looked down on others, Lao He muttered in his heart.
Zheng Ren smiled, and after injecting heparin into the right atrial appendage, he cut an incision slightly smaller than the diameter of the arterial cannula in the center of the purse with a lancet-blade knife. When the knife was withdrawn, the arterial cannula was inserted into the incision of the ascending aorta.
At the same time, Su Yun immediately tightened the hemostats of the two purse strings, and fixed the arterial cannula with the hemostat with thick silk threads.
Finally, fix the arterial cannula on the edge of the incision or the petiole of the distractor, and connect the cannula to the artificial heart-lung machine.
Similar to this step, Zheng Ren then sewed a purse string in the right atrial appendage and the right atrium, and put on a hemostat.
Then make an incision, insert the superior and inferior vena cava cannula, and tighten the hemostat.
The atrial appendage and atrial wall 2-3 mm below the incision were ligated around the cannula with thick silk thread, and the upper and lower lumen cannula were fixed with this ligature to prevent slipping. Connect the upper and lower lumen cannulae to the artificial heart-lung machine.
Lao He watched the operation on the operating table while observing the time.
There are at least several hundred cases of cardiopulmonary bypass he has done. The extracorporeal circulation teacher can determine the surgical level of the surgeon from the process of establishing the extracorporeal circulation.
3′12″…
It's an outrageous time.
What are the previous records? Although it is not finished, Lao He is sure that Boss Zheng will be able to break the national record steadily.
Of course, this record is not officially certified.
There is a group of cardiopulmonary bypass specialists in the large tertiary hospitals in the imperial capital and the magic capital. In the group, everyone recorded the time when the big cows in their respective hospitals established cardiopulmonary bypass.
Contrast hurts.
It wasn't them who were hurt anyway. If the chief surgeon has a lot of work and thinks that he has a high level, he can directly use the data to attack people.
Lao He was proud, but instead of smiling, he glanced at the time on the timer and went to work.
I am afraid that in the future, others will do cardiopulmonary bypass, so they can only drive honestly and calmly, and talk about small jokes. With this number here, who dares to play big?
Do you want to lose face? !
Boss Zheng's hand speed is too fast and extremely stable.
If you are not careful, you will delay the operation. However, Lao He was proud of himself, that is, he was replaced by others. At this time, he had already started to delay the operation.
I don't know if Boss Zheng can realize his worth, Lao He thought to himself.
What twin sisters, can they wear lead clothes into the operating room? Can they be so skilled in cooperating with cardiopulmonary bypass?
impossible!
Zheng Ren didn't know what Lao He was thinking, he was doing the operation silently.