Chapter 873: One corpse, two lives
Next, it was the real operation!
Xu Qiu did not pause at all. As soon as his heart stopped, he blocked the aorta at the proximal end of the innominate artery, and then cut open the proximal aorta.
As soon as it was opened, everyone's eyes moved uncontrollably, and when they saw the scene inside, they couldn't help but frown.
Even with the naked eye, they saw the spacious, bloody false cavity.
In the original blood vessels, a layer of torn inner membrane separated. As the blood flowed in, the high-speed surging blood constantly impacted this layer, and finally caused the tear to continue to expand, forming a huge false cavity...
The severe pain experienced by the patient was the process of the blood vessels in the body being torn open.
"Although it hurts, in a sense, this is the brain's protection mechanism..."
"Indeed, pain is the most important protection mechanism for humans, no doubt about it!"
"Otherwise, how could it be possible to find the torn blood vessels in the body?"
Many cardiac surgeons couldn't help but sigh.
Although pain is not a beautiful sensory perception, it is the core of human beings to avoid danger in time and save their lives.
Even babies who don't know fire will feel the burning pain and instinctively move away.
…
On the other side, Xu Qiu, the main surgeon, ignored the words of others. After clearing the blood clots in the reinforcement, he directly infused the cardioplegia solution through the openings of the left and right coronary arteries.
He carefully observed the lesions.
Finally, it was decided to do sinusoplasty and aortic valvuloplasty first, and then consider replacing the aortic valve and part of the aortic sinus.
Two hours later.
The proximal end of the aorta was processed.
Xu Qiu started the replacement of the aortic arch and the implantation of the stent trunk.
This is the key link of the modified SUN operation.
Block the three brachiocephalic vessels separately, and perform selective cerebral perfusion through the axillary artery...
Then, open the aortic arch and directly transect the three brachiocephalic vessels!
The left subclavian artery was sutured with 4/0 prolene.
After implanting the stent trunk of an appropriate size into the true lumen of the aorta through the distal port of the aortic arch, Xu Qiu began to trim the aortic arch tissue and the surrounding artificial blood vessels.
Then, choose a four-branch artificial blood vessel with a diameter equivalent to the trunk of the stent.
After anastomosing the distal end of the main blood vessel with the descending aorta with the stent trunk, you can start suturing.
3/0prolene sutures are sutured continuously around the whole circumference...
The other end of the arterial pump tube is inserted into the artificial blood vessel perfusion branch to restore the circulation of the lower body...
The brachiocephalic blood vessel branch is first anastomosed with the left common carotid artery, and 5/0prolene sutures are sutured continuously...
After the exhaust is opened, rewarming begins, and attempts are made to restore the patient's systemic circulation...
Then, the proximal end of the artificial blood vessel main blood vessel is anastomosed with the proximal end of the aorta, and 4/0prolene sutures are used to continuously suture and restore cardiac circulation6
Finally, the innominate artery and the left subclavian artery branch are anastomosed!
At this point, the modified SUN operation was successfully completed.
Then comes the aftermath.
Xu Qiu did not relax his vigilance. He transected the aorta one centimeter above the junction of the sinus tube, anastomosed it with the proximal end of the four-branch artificial blood vessel, sutured it continuously with 3/0prolene sutures, and processed each blood vessel in turn.
After anastomosis of the blood vessels throughout the body, fully exhaust the air and open the clamp of the aorta.
Electric shock the heart, and resume beating!
Gurgling——
Blood began to be pumped out by the heart.
The strength and speed were relatively slow at the beginning. As the body temperature rose and the heart woke up, the pulsation amplitude became larger and larger, and finally returned to the level before the arrest.
"Nasal temperature 37.8 degrees Celsius."
"Rectal temperature 35.3 degrees Celsius!"
This is considered to have reached the standard for withdrawing extracorporeal circulation.
After Xu Qiu issued the withdrawal order, the anesthesiologist slowly withdrew the extracorporeal circulation.
At the same time, everyone was staring at the surgical area.
During the process of re-beating, the previously blocked blood vessels resumed blood circulation, and active bleeding was very likely to occur at the suture site.
However, until the heart was completely re-beating, no one found any bleeding points.
"Idol, it's outrageous!" Yang Yuen couldn't help but sigh.
Director Zheng also stared.
Why does it feel more perverted than the previous modified SUN surgery?
It's only been more than a year, what's the ridiculous speed of Xu Qiu's progress?
"Doctor Xu, do you want to send the video of this operation to Joseph and others?" Director Zheng asked hurriedly.
Joseph, Saito Tsuyoshi and Noah all returned to China after the start of the World Championship.
It would be difficult to trick them back without showing some rarer technology.
And obviously, the operation Xu Qiu is doing now is qualified.
This is a win-win situation.
Joseph and others have learned technology that the international community does not have, and have taken a step forward in the academic field.
And Linyi can also have the resources of international famous doctors to increase its development speed.
Xu Qiu smiled slightly, saw Director Zheng's little thoughts, and nodded.
In terms of reputation, Linyi is still not big enough.
At least it can be supported by Xu Qiu in China, but in the international community, it basically can't make any big waves.
In this case, letting Joseph, Noah and others come to take charge is the simplest and crudest way to increase international influence.
Moreover, their role is definitely not just to be a vase.
These are top talents with real skills!
Even academicians are far inferior to them.
Joseph, the world's number one cardiac surgeon.
Noah, the only heir to the founder of hand surgery, is the most influential and experienced hand surgeon in the world. It is no exaggeration to say that he is the most influential.
Wherever these two masters sit, they will become the focus of all departments and disciplines.
Not to mention that Linyi has two of them at the same time...
...
In the fourth hour of the operation, the chest was closed successfully and the operation ended successfully!
The family members waiting outside the operating room cried with joy.
They never thought that miracles would happen to them again and again!
The fetus had Galenic vein malformation, and Xu Qiu saved it.
Maternal Marfan syndrome caused type A aortic dissection, and Xu Qiu saved it again!
Xu Qiu saved a series of risks of premature cesarean section by retaining the fetal membrane sac!
One incredible operation after another finally saved this family and saved two lives at the same time.
…
“It’s done!”
Wang Fan, who had been following the progress of the operation, smiled and quickly sent the manuscript he had written to the medical forum.
Not long after, the post “Fetus with Galenic vein malformation” that had sunk to the bottom of the page rushed to the front page again.
Seeing this hot post, many people had a question mark in their heads.
What the hell, didn’t it end a few weeks ago?
Why was it suddenly pushed up again.
Mandela effect?
With doubts, many people chose to click on the post to see what happened.
It didn’t matter if they saw it, the onlookers were directly shocked!
“Fuck, it’s coming again!”
“Marfan syndrome… I wrote before that the patient had Marfan syndrome, and then he really had aortic dissection. It’s really linked!”
