There are many differences in the appearance of the same surgical procedure among different surgeons.
Just like an article, the strokes are the same but the handwriting is completely different.
A good surgeon's surgical traces are clear, and every step reveals artistic beauty.
Zhao Yuan's surgery has reached this level.
"Zhao Yuan is measuring valve leaflets. You can pay attention to his method, which has been significantly improved.
He started from the junction of the original valve leaflets, placed the measuring device close to the posterior wall of the aorta, and measured the pressure direction of the aorta at a 45-degree angle. This can reduce errors. "
"When measuring, you need to be careful not to choose a slightly larger size measuring instrument between the junctions of the original valve leaflets. This requires more training and learning to master the surgical skills as soon as possible."
Measurements are a key part of this procedure.
Just like tailors in ancient times, measurement is the core, and tailoring needs to be based on accurate data.
Therefore, tailors in ancient times generally had a sharp eye, and they could tell what model and fluid they were using at a glance.
“The next step is to cut the autologous pericardium.
Zhao Yuan chose the autologous pericardium to be slightly larger, considering that the autologous pericardium treated with glutaraldehyde will shrink slightly.
If the autologous pericardium is defective and is not suitable for use, artificial bovine pericardial patch can be used.
The key is to properly restore the natural sinus and sinotubular junction to the maximum extent, optimize hemodynamics, and also help delay the decay cycle of the newly produced valve leaflets. "
Under Mr. Zhong's explanation, even doctors who are not familiar with this technology have a clear understanding of the difficulty and key points of the operation.
The heart is the engine of the human body, and any accident can lead to death.
As a doctor who repairs engines, my nerves are always tense.
Wei Xudong is not proficient in thoracic and cardiac surgery, but he still has a basic understanding.
He knew how difficult it was to achieve the current state of the operation that seemed not too difficult.
Why was this patient chosen?
Zhao Yuan performed a demonstration operation for the doctors at Zhongyong Hospital.
He wants these doctors to understand, and even more, he wants these doctors to be full of hope for the future.
If you use an operation that is completely incomprehensible, you may be able to improve your skills, but for these young doctors, it will completely destroy their moral integrity.
Precise calculation, meticulous stitching, and skillful operation.
The time came to five hours unknowingly.
"Heart beat again!"
Zhao Yuan looked serious, waiting for the result.
Qin Yi said in surprise, "There is almost no regurgitation in the aortic valve!"
Zhao Yuan was relieved, "The operation was successful! You are responsible for the next part."
Zhao Yuan got off the operating table, Qin Yi took over the operation, and began to communicate with Mr. Qin.
The live broadcast room did not expect Zhao Yuan to do this, and some people began to take the lead, thinking that Zhao Yuan did not attach great importance to the tour surgery.
Of course, some people think that Zhao Yuan's handling method is understandable. Most surgeries follow this process. The main surgeon completes the core part and the deputy is responsible for other parts.
The doubts in the live broadcast room gradually subsided.
Because everyone found that Isuke's level was very high. Even though it was just some mending work, it was obvious that his basic skills were very solid.
Outside the operating room, the patient's family is anxiously waiting for the results.
When the doctor came out, they rushed over to ask for the results.
The family cried with joy when they learned that the operation was successful.
Zhao Yuan didn't have much time to rest and immediately started preparing for the second operation.
The patient undergoing the second surgery was a 92-year-old man. In the past year, he had experienced symptoms of chest tightness, palpitation, and shortness of breath after activity many times, and had lost consciousness three times.
This not only affects his quality of life, but also poses a serious threat to his life safety.
Because the patient is too old to undergo traditional surgical thoracotomy, transcatheter aortic valve replacement has become the most suitable treatment option for him at present.
The number of people in the live broadcast room did not decrease, but increased by about 10%.
"This surgery is more difficult than stage surgery, and there are a lot more things to see."
"Hey, Zhao Yuan made another improved technique?"
Not long after the operation, someone discovered the clue.
I thought it was ordinary.
As a result, Zhao Yuan added some ingredients.
Ninety-two-year-old patient——Dare to use improved surgery!
In an instant, the tense atmosphere was filled.
"This old man is really big-hearted. He dares to accept improved techniques at such an old age."
"People have enough trust in the surgeon."
"I think it's for free treatment!"
"Say less! Who among you here dares to perform modified surgery on such an old patient?"
Facing such a large audience, performing highly risky modified surgeries on elderly patients requires not only skills, but also courage and confidence.
Zhao Yuan looked very calm.
Zhao Yuan had done enough homework for this operation.
Completely release the valve, secure the guidewire, maintain tension, and slowly unhook...
If the patient is older, the shorter the procedure, the lower the risk.
The operation time must be controlled within two hours...
When Zhao Yuan walked out of the operating room, everyone was still confused...
"Is this the end of the first day of surgery?"
"Zhao Yuan arranged the operations in a planned order. The second operation was significantly more difficult than the first operation. This is called getting better."
"Twenty yuan is well spent! It is said that when Zhao Yuan performed surgery in Mai Country, the fees charged by the experts were two hundred thousand dollars!"
"I'm looking forward to my surgery tomorrow."
Zhao Yuan completed the first day of surgery, which was smoother than expected. The surgery was quite difficult, and it was mainly modified surgery, so a lot of thought was spent on it.
If he were in an ordinary hospital, Zhao Yuan would just have to follow the procedure step by step and do the conventional surgical plan.
However, this is not possible at Zhongyong Hospital.
Modification surgery is necessary.
You must know that many doctors spend their entire lives unable to perform a modified surgery.
Zhao Yuan completed two units in one day.
A layman looks at the excitement, an expert looks at the door.
From the look in his master's eyes and the expressions of Mr. Zhong and Mr. Kong, Zhao Yuan knew that his performance on the first day was good.
Mr. Zhong met Zhao Yuan and said with a smile, "Every time I see you perform surgery, I have a different feeling. Today is the same as before."
Mr. Kong joked, "Xiao Zhao, you are not old. In addition to studying chest and gods, you can also try to expand your knowledge in general."
Mr. Qin denied angrily, "You can't bite off more than you can chew. You still need to thoroughly study your own advantageous projects. As for the rest, let's talk about it later when we have the energy!"
Seeing Zhao Yuan surrounded by three masters, Wei Xudong felt quite uncomfortable, but he had nothing to do.
In the past, seeing is believing could be used as a reason to question Zhao Yuan, but now I have seen it with my own eyes!
Wei Xudong had to admit that Zhao Yuan's level was higher than his own.
