Chapter 2557 [2557] A Bit Tricky

Sew up the back opening first, and then sew up the anastomosis of blood vessels in the front after the heart is in the right position.

Whoosh, whoosh, the chief surgeon held needle forceps and tweezers, and the suture passed through the blood vessel wall lightly, and the experienced master sewed it very fast. After a while, the first and most difficult left pulmonary vein group was sewn up, and came to the right pulmonary vein group that also belonged to the posterior wall of the left atrium.

There seems to be a little bit of a problem here.

Several assistants have been helping to suck, pull the hook, and cut the thread. Seeing the moment when the chief knife stopped, everyone's hearts were pounding.

It has been said that the whole-hearted method is difficult, and it is even more difficult to apply it to children's cases. Doctor Cheng Yuchen sighed in his heart. I don't know if my boss has done too little of this kind of operation, so my vigilance in this aspect has been reduced. You know, Mu Yongxian next door has done three cases this year and never dared to use the whole heart method.

Don't think that the recipient's pericardial cavity is expanded and the donor heart can fit in, so it is completely suitable? Certainly not. Every human body has its own nuances. Now that one person's heart is placed in another person's body, this donor heart is definitely not an original accessory. It is manifested not only in the size of the anastomosis, but also in the shape and distance. The difference in shape and size you can barely pull after trimming, this difference in spacing is the most terrible. Think about the operation on the electrocuted child last time. Can you say that Dr. Duan's repeated failures in sutures are because he feels bad? He can also be regarded as a child of the Cao family. Lost in the distance.

Why do many doctors like to kick out the left atrium with the double-caval method. Because of the two anastomotic openings, one is on the back wall, the operation is too tricky, and the other is to reduce the anastomotic operation, it is directly repaired and cut off once, which means that a large section must be shortened first. If the distance between the trimmed cuffs of the donor heart does not match the distance between the two mouths of the recipient, there is no room for deadlifting. It's better to leave half of the left atrium to move.

It is also impossible to say that a big brother like Brother Shenxian did not consider this in advance. It may be that it is almost the same, but after the actual operation, I found that, hey, the distance is a bit larger than the visual distance, which is just a little bit worse, which is tricky.

The scary thing about this operation is that it didn't leave the doctor with extra time to think. Why was it said last time that the surgery for an electric shock child is relatively simple? Compared with this surgery, we can see that the time limit for surgery is a high threshold for surgeons.

It must be decided as soon as possible, as soon as possible, as soon as possible to decide what to do next.

All the staff in the operating room were sweating.

At this moment, the number per second jumping on the electronic clock on the wall seems to be announcing the countdown to death.

"Mr. Cao, I think we can sew a stitch on the inferior vena cava first." Xie Wanying said.

The gazes of the others fell to her face.

inferior vena cava? Why? If the inferior vena cava is sewed first, the heart will be straightened, and the visual field is blocked, so how to continue to sew the anastomosis at the back sounds wrong.

"Sew a stitch." The chief surgeon said.

"Yes. Sew a stitch and set a fulcrum. You need to calculate the maximum tension that the suture can bear."

It is not easy to touch the mind of classmate Xie. A group of people were overwhelmed by the sound. Sansuke Wei's head seemed to have countless gold stars spinning around. Take another look at Dr. Cheng Yuchen's brow, which is directly smeared with nothing to love: why can't he understand what the student is saying at all.