Chapter 455 Plus surgery, crazy famous doctor!
Quiet operating room.
Joseph, Saito and others could no longer hold back their hands, and directly kicked He Hai away and became assistants.
After repeated verifications in these days, Joseph also summarized some advantages of the modified SUN-style surgery.
The reason why such excellent surgical results can be achieved is that it improves the false lumen closure rate, reduces the intraoperative circulatory arrest time, increases the contact area between the implanted artificial blood vessels and the aortic wall, etc.
And because it does not require blocking the proximal end of the left subclavian artery, the incidence of cerebral embolism and paraplegia is also greatly reduced.
Who would have thought that a surgery that was born at the beginning of the century and has been perfected after more than ten years of clinical application could be improved to this extent by Xu Qiu...
"Right axillary artery catheterization..."
"Deep hypothermic extracorporeal circulation..."
"Selective cerebral perfusion..."
Before the operation, the patient had taken 10 mg of diazepam and 10 mg of morphine intramuscularly.
After induction and anesthesia with sodium thiopental and propofol specially formulated for aortic dissection rupture, the operation began.
Xu Qiu was very cunning in choosing the incision. He made an incision perpendicular to the long axis of the body from the surface skin of the intersection of the middle and inner third of the clavicle under the right clavicle, controlling it to about 7cm, and then began to bluntly separate the pectoralis major muscle.
"Thyroid retractor."
"Sleeve."
"Free the axillary artery."
Under the orderly command, Joseph and Saito quickly got into the state.
And began to enjoy the feeling of being an assistant.
He Hai stood in the distance, looking at this harmonious scene, with an inexplicable sense of familiarity.
"Familiarity? Director He, have you been an assistant before?" Jiang Mai was curious.
He Hai shook his head and said silently: "No, I used to stand here, but I was watching your Director Wang Ping as an assistant."
"..."
...
When the operation was in the third hour, Joseph, Saito and others were already numb with shock.
In their opinion, there are several hurdles that cannot be overcome in the modified SUN operation.
It is also the difficulty that distinguishes the modified procedure from the original procedure.
Similarly, these difficulties also create differentiation in surgery and bring amazing results.
For example, the brachiocephalic vessels are difficult to free, especially for patients who have already ruptured. The difficulty of freeing the supra-arch vessels increases exponentially.
Xu Qiu's technique was very clever. He first fully removed the remaining thymus tissue, then transected the left innominate vein, and completely exposed the supra-arch artery.
The patient's arteries were dilated, and the aortic dissection and adhesions around the brachiocephalic vessels were serious.
Joseph and Saito Ye were sweating coldly. This situation almost sentenced the operation to death.
But Xu Qiu's expression did not change at all.
He calmly freed from the distal end to the proximal end, and then stopped at the left subclavian artery.
Under the bright shadowless lamp, the dilation of the aortic arch was more obvious, and the vertebral artery originated directly from the aortic arch, and the surrounding adhesions were even more serious than those on the brachiocephalic trunk!
It is not an exaggeration to say that the condition formed after adding a bottle of 502 and then rubbing it vigorously with big hands!
Under the shocked eyes of Joseph and others, Xu Qiu first freed one side of the left common carotid artery, then freed the artery from its deep surface, and directly found the internal opening without pressure of extracorporeal circulation...
The scalpel was like Xu Qiu's third hand, encircling the veins and gliding dangerously on the surface of the tissue.
Finally, the brachiocephalic blood vessels were delicately freed!
"God!" Joseph was shocked.
"God of scalpel!" Saito Ye showed the characteristics of Xiaoziguo.
He Hai waved his hand: "Calm down, Dr. Xu is usually like this. When I was his assistant, I also sutured for him."
Jiang Mai was shocked.
This can be used to brag? !
He Hai glanced at Jiang Mai, "You kid."
He still didn't know the gap between himself and Xu Qiu.
Didn't you see that Joseph, Saito Ye and other internationally famous doctors were so excited?
Being an assistant to Xu Qiu, this thing can really be boasted for a lifetime!
...
Five hours later, this thrilling operation came to an end.
The modified SUN surgery for aortic dissection is actually similar to car repair.
Aortic dissection and rupture are similar to tire bulges and blowouts.
What Xu Qiu did was to patch up various places, or even directly replace a section of the tire, and each part was sutured by Xu Qiu stitch by stitch.
If Joseph and Saito Ye didn't know why the modified SUN surgery was so effective before.
Then after watching the surgery again, they completely understood.
The biggest gap between them and Xu Qiu is not the degree of mastery of the modified SUN surgery.
But... basic ability!
Every stitch of Xu Qiu's suture is comparable to a machine program, with needles rising and falling, tightly fitting and perfect, as if it is the art of threading a needle.
He has taken every suture of the broken mouth to the extreme.
How could the repaired aorta under this situation be bad?
Details determine success or failure, and this operation is vividly demonstrated!
…
“Congratulations on completing the modified SUN-style surgery!”
“Surgery rating: A+!”
“Random reward: “Stent Elephant Trunk Technique Improved Skill Book Fragments”!”
After leaving the operating room, Xu Qiu heard the system’s prompt.
He was surprised when he saw the reward, then he was stunned.
The good news is that famous doctors like Joseph are very capable. After the modified SUN surgery tutorial book was given out, their learning progress was very fast.
If they go further, there will be nothing to attract them.
After all, after understanding the details and specific operations of the modified SUN surgery, they can continue their studies in their own countries.
But with the release of new rewards, the modified SUN surgery may be able to add an "improved" in front.
Improved version of "modified SUN surgery"!
The previous modified style was actually only improved for Bentall and aortic arch replacement, but the elephant trunk stent surgery was no different from the previous one.
And this time the reward is exactly the latter!
The only thing that makes Xu Qiu unhappy is...
This system has started to produce fragments!
This means that you have to continue to do the task to get this reward randomly!
"Professor Joseph, Professor Saitono..." Xu Qiu came back to his senses from the system and glanced at the international famous doctors who were in a daze next to him.
"What's the matter?" Joseph looked over.
Saito Ye also had a dull look in his eyes: "Ah?"
Xu Qiu said calmly: "I had a sudden idea recently and felt that the modified SUN surgery was not perfect enough, so I plan to improve the elephant trunk stent surgery next."
Joseph, Saito Ye, etc.: ???
Be a human being!
We haven't learned the modified SUN surgery yet, and now there is a Plus version?
"What's going on?"
Outside the operating room, in addition to the family members, Wang Shengde, Wang Ping and others were also waiting.
Xu Qiu's accident last night was still vivid in his mind. As the leaders of the clinical medicine and the emergency department, they had to come to express their condolences.
However, when they saw Joseph and Saito Ye's faces flushed with pain and excitement, they were a little unresponsive.
Isn't this... a masochistic expression?
