Sew the opening at the back first, and then it will be easier to sew the vascular anastomosis at the front after the heart is in a good position.
Swish, swish, the surgeon holds the needle pliers and tweezers, and the suture passes through the blood vessel wall lightly. An experienced man can sew very quickly. After a while, the first and most difficult left pulmonary vein group was sutured, and we came to the right pulmonary vein group that also belonged to the posterior wall of the left atrium.
There seems to be a little difficulty here.
Several assistants have been helping with suction, hook retraction, and thread trimming. Seeing the moment when the surgeon paused, everyone's hearts trembled.
It has been said that it is difficult to apply the whole-hearted method, and it is even more difficult to apply it to children's cases. Dr. Cheng Yuchen lamented in his heart. I don’t know if my boss has done less surgeries like this and has been forced to lower his vigilance in this regard. You know, Mu Yongxian, who lives next door, did three cases this year and never dared to use the whole-hearted method.
Don’t think that if the recipient’s pericardial cavity is expanded and the donor heart can fit in, it’s completely suitable? Definitely not. Each human body has its own details. Nowadays, one person's heart is placed into another person's body. This donor heart is definitely not an original accessory. It is reflected in not only the size difference in the anastomosis, but also the shape and spacing differences. The difference in shape and size you can barely pull out after trimming, but the difference in spacing is the most terrible. Think about the last surgery on the kid who was electrocuted. Can you say that Dr. Duan's repeated failures in suturing are due to his bad touch? He can also be regarded as a child of the Cao family. The defeat lies in the distance.
Why do many doctors like to use the bicaval method to kick out the left atrium? Because these two anastomoses are, firstly, on the posterior wall and the surgical field is too tricky; secondly, in order to reduce the number of anastomosis operations, they were directly trimmed and cut off, which means that a large section must be cut short first. If the distance between the two trimmed cuffs of the donor heart does not match the distance between the two openings of the recipient, there will be little room for you to perform a deadlift. It's better to leave half of the left atrium to move around.
It is impossible to say that a big boss like Brother Shenxian would not have considered this in advance. Maybe I thought it was almost the same, but after actual operation, I found that, alas, the distance was a little wider than the visual estimate, just a little short of that, which was tricky.
The scary thing about this surgery is that it didn't leave the doctor any extra time to think. Why was it said last time that the operation on children who were electrocuted was relatively simple? Comparing this operation, we can see that the time limit for the operation is a high threshold for surgeons.
A decision must be made as soon as possible, as soon as possible, as soon as possible, what to do next.
All the staff in the operating room were sweating hotly.
At this moment, the electronic clock on the wall is beating every second, as if announcing the countdown to death.
"Mr. Cao, I think we can sew a stitch into the inferior vena cava first," Xie Wanying said.
The other people's eyes suddenly fell on her face.
Inferior vena cava? Why? If the inferior vena cava is sutured first, it sounds wrong to continue suturing the subsequent anastomosis if the heart is aligned and the vision is blocked.
"One stitch." The surgeon said.
"Yes. Sew a stitch and set a fulcrum. You need to calculate the approximate maximum tension that the suture can withstand."
It's not easy to get into Xie's mind. A group of people were stunned after hearing this. There seemed to be countless gold stars spinning above the head of the third assistant student Wei. Looking at the brow of the assistant doctor Cheng Yuchen, he said: "Why can't he understand what this student is saying at all?"
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