Chapter 372 Director Tao's Attitude Reversal

The atmosphere in the operating room seemed less tense.

After all, with Director Tao Mi personally in charge, everyone was relatively relaxed.

Zhang Wenfu is the assistant, Chen Cang should be the second assistant, Qian Lin and classmate A are the eye assists and the hooks and knots.

However, this is already satisfactory for both of them.

Don't think that every student can go to the operating table, and it is a seedling of Yanyi.

Before the operation started, anesthesiologist Liu Jian chatted with Director Tao, nurse Yuanyuan put on Chen Cang's surgical gown under the envious eyes of Qian Lin and classmate Jia.

But Chen Cang suddenly remembered one thing, how to choose the opening of the operation.

Thinking of this, he turned around: "Yuanyuan, take out the checklist. I'll take a look at the chest X-ray and color Doppler ultrasound."

Kong Yuanyuan nodded and took out the film. Chen Cang frowned slightly after seeing it.

According to this chest X-ray, the patient must have pericardial adhesions at this time, but what Chen Cang needs to know is where the adhesions are, because different adhesions have different openings.

Under the X-ray results, the outline of the heart was obviously irregular, a little stiff, and the upper mediastinum was widened. Chen Cang looked a little silent.

Seeing this, Tao Mi's eyes suddenly became more appreciative, he knew what Chen Cang was doing.

When Qian Lin and classmate A saw the teacher's eyes, they were very sensible. They turned around, walked behind Chen Cang, and nodded frequently while watching the film.

Qian Lin nodded thoughtfully: "Well, yes, that's where, that calcification spot!"

Classmate A also echoed: "Mmmm, a lot."

Chen Cang: ...

...

...

A few minutes later, Chen Cang knew something.

For a surgeon, knowing is the most critical and most important thing, which means that he has a specific plan for this operation, from the beginning to the end.

Surgery also started soon.

Tao Mi took the scalpel, and after thinking about it, he started.

With this move, Chen Cang understood what Director Tao meant.

The choice is "bilateral chest transverse incision"!

Fortunately, the old director, as soon as he opened his mouth, Chen Cang's eyes lit up.

Zhang Wenfu raised his eyelids and hurriedly took the gauze to stop the bleeding. Chen Cang calmly brought the forceps over, because since Director Tao chose this incision, the purpose is very clear, that is to increase the surgical field and take into account both sides of the heart.

In this way, pliers must be prepared in order to better prepare for the next step.

Sure enough, Tao Mi didn't lift his head, saying:

"Separation pliers!"

As soon as the voice fell, Chen Cang had already handed over the pliers.

Tao Mi couldn't help but look up, saw the separation pliers in Chen Cang's hand, and suddenly couldn't help laughing.

With such an assistant, the operation is very comfortable.

Next, Chen Cang basically handled everything that Director Tao needed at any time, and even reached out to help when he needed to be separated, without Director Tao's reminder at all.

An operation, Zhang Wenfu is very excited, does it feel like watching a four-wheel drive brother?

quick! quick! quick!

rush! rush! rush!

The surgery brothers are in action...

Because the cooperation between the director and Chen Cang is too close, and Zhang Wenfu can't help at all, he feels a little clumsy!

Zhang Wenfu and Chen Cang, who were simply calm, changed positions.

The operation went smoothly.

Although Director Tao is in his fifties, his methods are still very meticulous.

Just after incising the muscle into the chest cavity, Chen Cang took the hemostatic forceps and quickly ligated the internal thoracic artery and cut it.

Then you need to disconnect the fifth rib near the sternum!

Open your chest as much as possible, including your ribcage.

The next separation work is very technical. The left phrenic nerve needs to be sharply separated from the pericardium, and it is necessary to carry as much fat or soft tissue as possible, so as to avoid injury to the phrenic nerve.

The whole process is very subtle. At this time, Chen Cang realized how stable Director Tao's hand is!

The next work is very delicate.

Even Chen Cang had mastered constrictive pericarditis surgery, and when he looked at Director Tao, he couldn't help but sigh with emotion.

Really strong!

It can only be said that each has its own merits.

We can make progress with each other. Director Tao's overall view is much better than that of Chen Cang, which can be reflected from the opening.

It is believed that the advantages of the "bilateral transverse chest incision" are very obvious. It can be said to be the best of several incisions for the exposure of the surgical field, and it can take into account the left and right sides of the heart at the same time. It can also completely remove the pericardium. It is an accident that happens during the operation, and it is also easy to deal with!

This is very consistent with Wu Yushu's situation.

Because Wu Yushu has been ill for a long time, it is difficult to accurately assess the condition of the pericardium without surgery. This opening is straightforward.

However, it is not without its shortcomings. Chen Cang felt that it would be better if the double incision was replaced by "left anterior lateral incision + bilateral transverse chest incision".

In this way, the impact on lung function will be significantly reduced.

Innocent!

Surgery continues.

After the pericardium was exposed, a series of messages appeared in Chen Cang's eyes:

[Constrictive pericarditis monster, lv55, elite level, the adhesion is more serious and needs to be separated carefully. 】

Chen Cang was stunned for a moment, it really wasn't normal constrictive pericarditis.

really!

At this time, Tao Mi was just about to cut his heart, but the situation in front of him made him slightly stunned.

Did not reach the surface of the myocardium!

Because the pericardium and epicardial adhesions have been dense and indistinguishable!

This shows that the heart and pericardium layer and parietal adhesions are more serious.

Tao Mi suddenly sighed with emotion, fortunately he chose this incision!

Otherwise it will be troublesome...

At this time, Chen Cang had already handed over the blade.

Because of this situation, a sharp separation is required!

Tao Mi was stunned for a moment: How did Xiao Chen find out?

Tao Mi was calm on the surface, but his heart was already turbulent. That's how surgery is, details are very important.

And Chen Cang seems to have a smooth grasp of every step, and even when Tao Mi has not made the next step, he has already made a plan for the next step!

How could this make Tao Mi not shocked?

What this means is already clear: Chen Cang is not only good at constrictive pericarditis surgery, but also good at it! Not even worse than yourself!

Thinking of this, Tao Mi's inner shock is truly unexpected!

This little Chen is really...

Hey……

...

...

The operation was carried out slowly, and Tao Mi was filled with emotion.

How long?

It has been a long time since I had such a comfortable operation.

It's an extraordinary feeling to have a high-level guy kicking in.

After all... With such a skill, who can help him?

Thinking of this, Tao Mi couldn't help but sigh...

Maybe there are geniuses in this world. At this moment, Tao Mi suddenly understands Qian Lin and classmate A...

ps: I'll post the second chapter later, I'm afraid I'll get stuck again, so I'll post it in five minutes...