Chapter 1665 【1665】Quick Response

Foreign literatures and the surgical cases that they tried to use in their countries are mainly repairing atrial septal defect, ventricular septal defect, valve replacement, and removal of myxoma. A distinct feature of these surgeries is that they involve structures within the heart. Probe inside the heart is the strength of esophageal ultrasound. The purpose of esophagus ultrasound for this type of surgery is very simple. It can detect these structures in the heart in real time, so that doctors can adjust the operation plan and observe the results of postoperative repair.

From this point of view, Xie’s use of TEE for hepatobiliary surgery is definitely a pioneering work in the country. Guozhi has never been used in such cases. Big brother Zhang dares to guarantee this point.

At that time, like other doctors in the hospital at the exchange meeting, he wanted to know who came up with the first. Helpless, Tao Zhijie was blinded at the exchange meeting, and the members of the National Association of China pretended to be dumb. Even if he later went to the National Association because of his mother, a group of people still kept it from him.

Now he is more and more sure that classmate Xie did this. Through the leaded glass window, look at the calm expression on her face, don't think she is pretending, he, a big guy, can see that classmate Xie is really not pretending. Capture the intriguing faces of those members of the Guoxie. Two pieces of evidence support his speculation.

When a group of members of the National Association realized that Mr. Zhang was looking over from the corner of his eyes, they pretended to be wooden faces.

Xie Wanying in the operating room was thinking about what Teacher Du wanted to detect with this esophageal ultrasound in the operation, and it was definitely not the method she used in the extrahepatic and gallbladder operation.

"What could it be?"

The voice was close to her ear. Xie Wanying turned her head and saw Senior Brother Shen wearing a surgical mask with only two bird-like eyebrows and hearty and bright eyes exposed outside the mask.

Shen Youhuan gave her a smiling look: You are familiar with vascular ultrasound, and you also know something about esophageal ultrasound, right?

The senior brother wanted to have a technical exchange with her. The opportunity was rare. Xie Wanying seized the opportunity without thinking too much, and said, "According to the results of the preoperative examination, it is impossible to use esophageal ultrasound and repair the defect to monitor the valve during the operation. There are only two possibilities left, one is that the possible tumor in the right ventricle needs intraoperative monitoring, and esophageal ultrasound can help. Second, Mr. Du may want to use esophageal ultrasound to find fistula."

Everyone knows what she said about the former, but the latter?

"Fistula?" Dr. Pang immediately turned his head to express surprise, "What fistula?"

After all, extracorporeal circulators are not professional cardiovascular clinicians, so their responses are a little slower.

"It's a coronary artery fistula." Shen Youhuan answered for the younger junior sister.

Brother Shen immediately understood what she said, and his skills are superb. Xie Wanying thought.

Will the heart grow a fistula? The definition of fistula has been mentioned before. Two places that are not connected to each other are connected. This abnormal opening is called fistula opening, and the abnormal passage is called fistula tract.

The heart is the same, except it is a closed organ connected to several large blood vessels. As long as it is closed and suddenly connected to the outside, it is normal to have a long fistula. There is a distinction to be made here. A rupture of the heart that causes internal and external communication is the same as rupture of other organs, so it cannot be called a fistula. Therefore, the fistula of the heart refers to the presence of abnormal communication channels between the blood vessels of the heart, such as the left and right coronary arteries, and the heart or other large blood vessels. Most of these fistulas are congenital and patients may be asymptomatic.

Considering the patient undergoing surgery today, the chief surgeon probably suspected the possibility of fistula after the patient was injured. Some fistulas may not be obvious if they are not fully opened. If the knife is moved, the original shape of the fistula will be revealed.