Chapter 156 If I don’t go to work, will you support me?
Director Zheng grunted and swallowed nervously.
He picked up the balloon syringe, injected cold saline into the left ventricle, and performed static tests to evaluate mitral valve function.
At the same time, use a sterile ratio to mark the atrial surface of the mitral valve leaflets to assess the depth of adhesions.
Gurgling——
Physiological saline was poured into the left ventricle one after another.
Everyone held their breath and stared nervously into their hearts.
This step depends on the doctor's basic skills.
The basic skills are not good, and the sutured valve is full of holes, just like a bamboo basket for collecting water.
The chordae tendineae are either too long and too loose, or they are short and have too much tension and are too tight.
This kind of repair obviously fell short of success, and in the end we had to give up and switch to mitral valve replacement.
It can be said that this examination represents the success or failure of the operation!
With the normal saline filled half full, Director Zheng stopped the compression and moved the balloon.
The saline solution gathers calmly in the ventricle without any fluctuation.
At this moment, the doctor in the operating room was excited!
"Success!"
"The implanted chordae are almost identical to the natural chordae, and the tension and length are perfectly matched!"
"The sutures were tight and not even a drop of saltwater penetrated out!"
"The suture depth is so well controlled, eight centimeters, exactly eight centimeters, and the adhesions are almost invisible!"
Director Zheng also looked at the surgery area in surprise.
There is no residual prolapse at the anastomotic commissure...
Generally speaking, doctors need to perform multiple inspections and make constant revisions to perform this surgery.
However, Xu Qiu just relied on intuition and won it in one go!
What a superb restoration technique this is.
There are also the endless new technologies, one magic technique after another, as if the mitral valve is broken into pieces and can be repaired piece by piece!
"This mitral valve repair machine is a world-class teaching material!" Director Zheng said in deep shock.
…
In the operating room, everyone was extremely excited.
The success of this operation is exciting for the entire cardiac surgery community.
In addition, a more direct benefit is that they have such a clear surgical tutorial!
In the future, mitral valve repair in the Cardiac Surgery Department of Linhai No. 1 Hospital may reach a new level because of this creative surgery!
In the medical field, the difficulty is never how tricky a technology is.
What’s more difficult than this is the courage to create and the exquisite surgical design!
Just like the cardiac interventional surgery back then.
Before that amazing Dr. Werner, rubber tubes could only be used for urological catheterization.
But Werner used himself as an experiment, inserting a 65-centimeter catheter thirty centimeters from his left elbow and directly into his heart——
Since then, the era of cardiac intervention has begun!
Countless doctors have more exquisite skills and more detailed control than him, but he has become the originator.
Because no doctor dares to shake the so-called truth that "no matter how the heart is touched in any way, the patient will die"!
At this moment, when chordae tendineae replacement and papillary muscle transposition appear one after another in patients who are almost impossible to repair, people who dare to challenge the peak of mitral valve repair appear...
This will also bring the Cardiac Surgery Department of Linhai No. 1 Hospital into a new era!
…
With the heart being repaired, the surgery is coming to an end.
On the other side, the anesthesiologist reported the current situation.
"The CPB (extracorporeal circulation) perfusion time was 90 minutes, and the aorta was blocked for 48 minutes... During the operation, the nasopharyngeal temperature was 32.1°C, the rectal temperature was 33.5°C, the average perfusion pressure was maintained between 5Hg, and ultrafiltration was 1000ml!"
The anesthesiologist looked a little shocked.
This data is too good to be true, and it doesn’t even look like a difficult mitral valve repair surgery!
"Sewing completed..."
On the other side, Director Zheng also picked up Xu Qiu's unwanted chest and finished the suturing and reported it.
Xu Qiu nodded, thought for a moment, and confirmed the post-operative care.
"Protamine is fully neutralized after shutdown."
"Other treatments are as usual after CPB, control the amount of crystalloid, and adjust the volume according to left atrial pressure at any time."
"Continue to maintain mechanical assisted breathing for about two days..."
There was joy on everyone's faces.
There was no replacement valve, and not even the most basic artificial ring was used. Xu Qiu relied solely on the patient's own extended chordae to complete the entire repair...
This means that Niuniu does not need to take warfarin for life. After the operation, she will get a real new life!
…
Outside the operating room.
Niuniu's parents were waiting anxiously.
Niuniu's mother was sitting alone on a chair.
Niuniu's father and Xiaoli were sitting on the other side.
"Will you still go out to work in the future?" Xiaoli looked inside the operating room and saw that there was no movement, so she took Niuniu's father's hand.
The latter twitched and subconsciously withdrew his hand.
When he wanted to hold it again, Xiaoli had already stuffed her hand into her pocket.
Niu Niu's father's eyes were a little dim, and he said in a hoarse voice: "Maybe - the contractor owes me more than a year's salary, and only pays me a thousand yuan in living expenses every month. If he doesn't continue to work, how can I get the money? Have to come back?”
Xiaoli said a little lonely: "I have come into contact with so many people, but I have never seen anyone who can get their money by working with the contractor."
"Then what should I do?"
"What should I do? Just make a fuss. If you don't, you won't have any money."
Niu Niu's father immediately shook his head: "You can't make trouble, I still have Niu Niu - I make trouble, what will Niu Niu do in the future? If I, the father, are not clean, she will study in the future and even have the opportunity to become an official. Her background is But it’s closed.”
"Haha, I won't worry so much. I won't have children." Xiaoli smiled coldly.
Only when you are alone can you have nothing to fear.
She understood this truth too early, so she would never care about other people's eyes.
However, when Xiaoli turned to look at Niuniu's father and saw the weakness in his eyes, her heart still throbbed a few times.
After a long silence, Niuniu's father suddenly raised his head and said to Xiaoli: "If Niuniu is cured, can you stop going to work?"
"If you don't work, how about you support me?" Xiaoli imitated the plot in the movie.
She didn't give Niu Niu's father a chance to answer, so she covered his mouth and said, "Stop pretending to be a loving husband. You didn't even take good care of your wife. You hid it from her and me. The official has three talents." Wife and concubine, you...do you still want to possess both of us at the same time? "
As soon as Xiaoli finished speaking, Niuniu's mother not far away suddenly stood up!
