There are two types of surgeries, one is a surgery with a clear diagnosis, the other is a surgery to find out the real cause of the disease, which is equivalent to a doctor taking the patient to a fight with death. As for the latter, due to the deterioration of the medical environment and the deepening of conflicts in the doctor-patient relationship, current clinical surgeons dare not even think about it and prefer to stay away. It is better not to do anything than to do it poorly, which has quickly become a general rule for most current clinicians.
"Go to thoracoscopy - what if it can't be found?" Cao Zhao asked.
God, this man really looks like a devil when he asks questions. Classmate Pan Shihua was extremely anxious, thinking that what this bastard said was like forcing Classmate Xie to jump off a cliff.
Classmate Duan Sanbao's mouth seemed to have a tick in his head: This is the nature of this man, otherwise how could he be called a fun-loving person who can be a pediatrician?
If thoracoscopy cannot detect it, it is a dead end.
Xie Wanying's face hardened and she said, "I can definitely find out."
With this little junior sister's level of confidence, don't be so arrogant. Luo Jingming shouted in his heart.
It is impossible for senior doctors to believe her "evil" just because of her confident words.
Wrong, what happened next was beyond everyone's expectations.
"I believe you can find out, but I also believe you will definitely overturn." Cao Zhao said.
There was dead silence in the air, and everyone's minds were at a loss.
Brother Shenxian really talks like a god. He doesn't have the venomous tongue of Zhang Dao, but he is no less capable of making people blush than Zhang Dao.
Xie Wanying quickly realized where she was wrong and asked: "Teacher Cao, can't your Ruceps muscle surgery be performed under thoracoscopic surgery?"
Yes, my mind moved quickly, and I immediately realized the meaning of his words. The small black vortex in Cao Zhao's eyes shone with light.
First, let’s look at what kind of thoracoscopic surgery it is. The so-called thoracoscopic-assisted surgery is definitely not as good as the total thoracoscopic surgery, and it is quite suspected of being a publicity stunt. True total thoracoscopic surgery to treat heart disease is rare.
The simplest example is that children under the age of three who do not reach the weight threshold cannot expect to undergo total thoracoscopic heart surgery. One thing to distinguish here is that it specifically refers to heart surgery. Unlike pulmonary, mediastinal and esophageal surgeries and other thoracic surgeries, cardiac surgery must first solve the problem of extracorporeal circulation. If your body weight is too low and the diameter of the femoral artery and vein is too small, how can you meet the needs of extracorporeal circulation. Secondly, after the thoracoscope enters the patient's body, its visibility and operability for cardiac surgery are limited. This makes it impossible to perform many types of cardiac surgeries. Specifically, the approach to cardiac surgeries that can generally be performed through total thoracoscopic surgeries is best from the left atrium or right atrium.
For the current child, if it is as you say, "your" head muscle is ruptured.
The first thing everyone can think of to solve the rupture of the "Ru" head muscle is to directly repair the "Ru" head muscle, which cannot be done with full thoracoscopy that goes deep into the ventricular wall.
Another method may be total thoracoscopy, which abandons the "ru" head muscles. Anyway, the "ru" head muscles have the greatest impact on mitral valve activity. Simply replace the mitral valve with a mechanical valve. Before mechanical valve surgery, we have seen that it does not require "your" head muscles to exert force. Total thoracoscopy, which happens to be a relatively simple mitral valve replacement, can be performed. It's just that this patient will need to take medication for life in the future, and maybe he will need a second surgery like the last patient.
In comparison, the first choice is to repair the "Ru" head muscle, and total thoracoscopic surgery is eliminated for this purpose.
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