Chapter 2554 【2554】Basic Elements
Well, now I have chosen the most difficult operation, but there is not much time left for the chief surgeon and assistants. The numbers on the electronic clock on the wall jumped to five hours and thirty-two minutes.
The air in the operating room became scorching hot, and the faces of the doctors behind the masks were sticky and sweaty. I only heard movement in the operating room next door, people passing by in the corridor of the operating room said: "Doctor Han is on his way back?"
"Yes. Fortunately, fortunately, it can be used in time."
"Whether it can be used may have to wait until the heart arrives. How is the operation on Dr. Cao's side?"
"It's hard to say. Their donor hearts are far away, and it took a long time to get them back. The heart has been waiting for a long time. Maybe the two operations will end at about the same time."
The two surgeries performed tonight were all unusual heart donors challenging the technical limits of transplant doctors.
"It's almost over? The two operations should be anomalous."
"No. Doctor Cao said that he wants to transplant it wholeheartedly."
God. ——This should be the almost unanimous cry in the hearts of those who heard the answer.
Someone ran to the door of Cao Zhao's operating room to probe his brain, trying to find out how the other party planned to complete this difficult operation.
Do you want a little bit of magic like a fairy?
If a surgeon has magical skills, it is expected to be like the magic that Xie Wanying showed in Pediatric Orthopedics. It is a complete set of surgical techniques combined with theory and practice. Specifically speaking, in surgery, the doctor's manual work must be integrated with the instruments in his hand to achieve superb results. This is the warning that Xie got from Teacher Tan early in the morning.
Speaking of which, after practicing for so long, several mentors have their own martial arts secrets for the weapons and magic weapons they hold. For example, suturing, the most basic surgical technique, the materials selected by each instructor are closely related to the specialties they belong to.
In Pediatric Cardiac Surgery, I just talked about the difficulty of suturing the anastomosis. How can doctors solve this problem?
There are two basic elements of suture, one is the suture material, and the other is the suture procedure.
Let’s talk about suture materials first. If special instruments such as staplers are not used, the doctor will sew by hand stitch by stitch. The focus of attention is on the suture thread. The anastomosis just happened to be sutured on the heart transplant, which can only be stitched by the doctor manually. The anastomosis angles of the various blood vessels in this place are too tricky, and the requirements for the flexibility of the suture operation are too high, and the rigid stapler cannot meet these harsh conditions.
How to choose the suture? Let me talk about the diameter of the suture first. The thickness of the suture is represented by several zeros, and the line with six zeros is the thinnest. Here is an interesting point, the number of suture marks is the same, but the thickness of different materials is not the same. Some materials may have six zeros thicker than another six zeros. All these need to be figured out by the surgeon himself.
OK, the chief knife makes a sound: six zero lines.
Not surprisingly, all kinds of pediatrics are thin and small, and the thinnest thread is safe.
What material is the thread used for?
Skilled equipment nurses don't need to be reminded by the surgeon, they first put on a polypropylene thread and come out. This is an excellent non-absorbable suture commonly used in surgery.
As long as they hear that it is a non-absorbable suture, some patients may turn pale and question whether the doctor sees a bad suture that the patient has no money to use.