Doctor Started a Plug-in

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The atmosphere in the Operation Theatre does not seem so tense.

After all, Director Tao Mi personally Chief Surgeon, everyone is relatively relaxed.

Zhang Wenfu is the assistant, Chen Cang should be the second assistant, Qian Lin and Classmate A are the eye assists, and the knots are tied.

However, this is already very satisfying for 2 people.

Don’t think that every student can go to the operating table, and it is the seedling of Yanyi.

Before the operation, Anaesthetist Liu Jian was chatting with Director Tao next to him. Nurse Yuanyuan dressed Chen Cang in the envious eyes of Qian Lin and Classmate A.

But Chen Cang suddenly remembered one thing, how to choose the opening of the operation.

Thinking of this, he turned around: “Yuanyuan, take out the checklist, I look at the chest radiograph and Color Doppler Imaging.”

Kong Yuanyuan nodded, took the film out, after Chen Cang saw it, slightly frowned.

According to this chest radiograph, Patient’s pericardial adhesion is definitely present at this time, but Chen Cang needs to be clear about where the adhesion is, because the opening is different for different adhesions.

Under the x-ray results, the heart outline was obviously irregular, a little stiff, and the upper mediastinum widened. Chen Cang looked a little silent.

Tao Mi saw this, and suddenly had a little more appreciation in his eyes. He knew what Chen Cang was doing.

While Qian Lin and Classmate A saw Teacher’s eyes, they were very acquainted, turned around and walked behind Chen Cang, watching the film frequently nodded.

Qian Lin looking thoughtful’s nodded: “Well, yes, that’s where, that calcification point!”

Classmate A also echoed again and again: “Well, a lot.”

Chen Cang: …

……

……

After a few minutes, Chen Cang knew.

For a surgeon, having the heart is the most important and the most important, which means that he has a specific plan for this operation, from the beginning to the end.

The operation also started soon.

Tao Mi took the scalpel, and after thinking about it, he started.

With this shot, Chen Cang understood what Director Tao meant.

The choice is “bilateral chest incision”!

It’s the old director who doesn’t lose, so she opened Chen Cang’s eyes.

Zhang Wenfu picked up his eyelids and quickly took Gauze to stop bleeding. Chen Cang took the pliers quietly, because since Director Tao chose this incision, the purpose was very clear, that is to increase the surgical field, taking into account both sides of the heart.

In this way, pliers must be prepared in order to better prepare for the next step.

Sure enough, Tao Mi didn’t raise his head, one sentence:

“Separating pliers!”

Just now the voice fell, Chen Cang had handed the pliers over.

Tao Mi unable to bear looked up and saw the separating pliers in Chen Cang’s hand, suddenly unable to bear smiled.

With such an aid, the operation is too comfortable.

Next, Chen Cang basically handled everything that Director Tao needed at any time, and could properly handle it at any time. Even when separation was needed, he took the initiative to reach out and help, without requiring Director Tao to remind him.

An operation, seeing Zhang Wenfu is boiling blood, there is a feeling of watching 4 drive brother?

fast! fast! fast!

Rush! Rush! Rush!

Surgery brother is in action…

Because the cooperation between the director and Chen Cang is too close, and Zhang Wenfu can’t help at all, it feels a little clumsy!

Zhang Wenfu and Chen Cang changed their positions.

The operation went smoothly.

Although Director Tao is more than 50 years old, his technique is still very detailed.

Just after cutting the muscles into the chest cavity, Chen Cang took Hemostatic Forceps over, quickly ligated the internal thoracic artery, and then cut it.

Then you need to disconnect the 5th rib near the sternum!

Open the thoracic cage as far as possible, including the chest cavity.

The following separation work is a great demonstration of the technique. It is necessary to sharply separate the left phrenic nerve from the pericardium, and it is necessary to carry as much fat or soft tissue as possible, so as not to damage the phrenic nerve.

The whole process is very subtle, and Chen Cang only discovered how stable Director Tao’s hand was!

The next work is very delicate.

Even if Chen Cang had Master Level constrictive pericarditis surgery, when he looked at Director Tao, he was unable to bear with emotion.

Really strong!

It can only be said that there are 1000 autumns each.

They can progress with each other. Director Tao’s overall view is much better than Chen Cang, which can be reflected from the opening.

I thought that the “bilateral lateral chest incision” this surgical incision has obvious advantages. It can be said that the exposure of the surgical field is the best of several incisions, and it can take into account the left and right sides of the heart at the same time, and can completely remove the pericardium, even after surgery. What happened in the accident is also easy to deal with!

This is very consistent with Wu Yushu’s situation.

Because Wu Yushu’s condition has been very long, it is difficult to accurately assess the condition of the pericardium without surgery. This opening is straightforward.

However, it is not without its shortcomings. Chen Cang feels that if the double-cut incision is replaced by “transthoracic lateral left incision + bilateral lateral chest incision”, it seems better.

In this way, it will obviously reduce the impact on lung function.

No harm!

The operation continued.

After the pericardium was exposed, a series of messages appeared in Chen Cang’s eyes:

[Constrictive pericarditis, lv55, elite level, adhesion is more serious, need to be carefully separated. 】

Chen Cang was stunned for a while, and it was not a normal constrictive pericarditis.

really!

At this time, Tao Mi just cut his happy bag, but the situation in front of him made him slightly surprised.

Did not reach the surface of myocardium!

Because the adhesion between the pericardium and the outer membrane of the heart is already dense!

This shows that the heart and pericardium are more severely adhered to the visceral and parietal layers.

Tao Mi immediately sighed, but fortunately chose this incision!

Otherwise it will be troublesome…

By this time, Chen Cang had handed over the blade.

Because of this situation, sharp separation is required!

Tao Mi was surprised for a moment: How did you find this Little Chen?

Tao Mi is not shocked on the surface. Stormy sea has long been in his heart. This is the operation, and the details are very important.

Chen Cang seems to have a smooth grasp of each step. Even when Tao Mi did not make the next step, he had already made the next step!

How can this make Tao Mi not shocked?

What this means is clear: Chen Cang will not only perform constrictive pericarditis surgery, but also be good at it! Not even worse than yourself!

Thinking of this, Tao Mi’s inner shock, really no one can think of it!

This Little Chen, really…

Hey……

……

……

The operation was carried out slowly, and Tao Mi’s heart was 10000 1000.

How long?

I haven’t had such a comfortable operation for such a long time.

It’s really unusual to have someone with a high level of skill.

After all…who has such a skill, who will help yourself?

Thinking of this, Tao Mi unable to bear sighed…

Maybe this World is really genius, at this moment Tao Mi suddenly understood Qian Lin and Classmate A…

ps: I’ll post Chapter 2 later, I’m afraid I’ll get stuck again, wait 5 minutes to send…