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Meng Xi took the scalpel and it seemed to be a baton!

The next step is just 2 different operations!

And the difficulty also increases proportionally.

Meng Xi glanced at Chen Cang: “Build a temporary blood vessels bridge.”

Chen Cang was nodded in a hurry.

In the operation of aortic constriction, it is necessary to block the descending aorta above and below the constriction. This is to protect the spinal cord and distal organs during the blocking of the descending aorta from damage caused by ischemia.

Generally, low temperature can be selected, but it is also possible to build a temporary blood vessels bridge and establish left heart circulation.

Meng Xi chose to build a temporary blood vessels bridge, although it will increase the difficulty of surgery, but this method of safety is more reliable than low temperature!

Because no one is sure how long the next operation will last.

Low temperature time is limited, too long will cause ischemic injury.

After blood scars change, is there necrosis of endometrium?

Therefore, there are many things that need to be considered.

While everything was proceeding steadily, Meng Xi began to open the walls of the aortic blood vessels that had formed like scars and scars.

Chen Cang suddenly complexion changed, he felt this should be more than just a scar of blood vessels!

Maybe there is something else.

At this time, the noninvasive blood vessels are clamped at the upper and lower ends of the aorta.

Meng Xi looked up and asked Jing Ran: “Have you ever done blood vessels?”

Jing Ran shook his head for a moment, “No.”

Hearing this, Meng Xi suddenly hesitated.

Chen Cang thought of this, disable to bear reminded: “Teacher Meng, be careful behind, it may be an aneurysm!”

Meng Xi nodded, she had expected it.

If it is pure scar tissue, it is not so serious.

Meng Xi, holding a scalpel, did not directly cut the wall of the blood vessels, but opened the probe.

When the blood vessels opened, Chen Cang suddenly saw the presence of blood vessel tumors. Although they were not large, they were real!

[Arterial blood vessels tumor: cystic! lv57. 】

Ok!

This should be good news.

Not a malignant tumor.

However, Chen Cang looked at the tumor tissue at the base of the aneurysm, which was already somewhat extended…

This means that if all the tumor tissue is removed, the distance of end-to-end anastomosis is not enough!

Originally, the narrowed segment was removed, and end-to-end anastomosis could also be used to suture blood vessels. However, the presence of this unintentional “aneurysm” increased the difficulty of the entire operation in proportion.

Because it is likely that the extension of the descending aorta is not enough after the tumor tissue has been completely removed, the end of the blood vessels Suture seems to be impossible.

What should I do?

blood vessels transplant?

Patch?

What should I do?

Many questions are now in front of everyone.

Meng Xi took a deep breath and closed her brows!

Do bypass transplantation?

Bypass transplantation will definitely cause irreversible damage to the upper limb of the Patient. In fact, the blood vessels sent to the upper arm are borrowed for use in the aorta. This will work well for the aorta, but may damage the upper arm!

Just when everyone did not know how to make a conclusion in the end.

Chen Cang hesitated and said, “I have a suggestion.”

Meng Xi looked up at Chen Cang, and his eyes lit up: “What advice?”

Chen Cang said: “Give Jiang another active wound!”

Chen Cang’s idea directly made Meng Xi suddenly seem to catch a little thought, but he couldn’t catch the specifics: “Be more specific.”

Chen Cang thought about it for a while, but now it’s not detailed!

Moreover, the details are not as good as the details!

Thinking of this, Chen Cang said directly to Meng Xi: “Teacher Meng, give me the knife!”

Meng Xi was stunned for a moment, then froze a little, and handed the scalpel to Chen Cang.

And Jing Ran was also unable to bear and swallowed.

This Chen Cang…… What is the major?

He had severe chest surgery, Jing Ran knew.

But… Isn’t his extracardiac surgery so strong?

At this time, Chen Cang glanced at Meng Xi, sighed, and the 30-point favorite impression is gone.

The last operation just gained 5 points of favorite impression, which made Chen Cang and Meng Xi’s favorite impression breakthrough to 60 points.

In this way, you can redeem Tertiary Grade Surgery.

Chen Cang did not hesitate to choose to exchange [Aortic Surgery]!

After the exchange, Chen Cang started training without hesitation.

This operation is no longer a simple [aortic constriction surgery], it also incorporates [aortic aneurysm], and Chen Cang now needs to add a little more to him, that is, [aortic injury].

What Chen Cang needs to do is to accurately remove the base of the aortic aneurysm according to the eye. Even if it is a very accurate resection, if Suture does, it will still cause the aortic stenosis.

What Chen Cang needs to do is to remove the scar + remove the base of the aortic aneurysm + draw a knife on the wall of the aorta.

Because of only two resections, the entire blood vessels cannot be anastomosed end to end.

But if you add another knife, it just puts the end in a better angle!

What does that mean?

It is not necessary to cut off all the two ends, but only to remove those tumor tissues and scar tissues, and then it must be impossible to Suture at this time, but Chen Cang can cut off the inappropriate places with a scalpel. Suture is possible.

Thinking of this, Chen Cang said he could do it without hesitation.

Picking up the scalpel, the tumor tissue on the wall of the precise blood vessels is removed.

But during the resection, Chen Cang deliberately cut some more places, after that, it was to deal with scar tissue, which required the entire wall of a group of blood vessels to be cut off!

……

Surgery step by step!

When Chen Cang removed all the tissues, the two-sided port became an irregular port.

Meng Xi looked at this scene dumbly!

Even Jing Ran and his colleagues, assistants, and Anaesthetist are didn’t know whether to cry or laugh.

Is this a dog nibbling?

How is this Suture!

Everyone looked at Chen Cang’s rugged and weird 2 ports, and looked dumbfounded.

It’s better to cut it all!

At this time, Chen Cang lightly stroked the upper end of the aorta, and then put the two ends together…

Suddenly!

The style of painting has changed all of a sudden!

Everyone sucked in a breath of cold air.

Is he okay?

Meng Xi looked at Chen Cang incredulously, his eyes full of shock.

Chen Cang there is a surgical surgeon, which is clearly a magician!

The two ends of the same bite just now can be tightly combined together!

Isn’t he a magician?

How can surgical doctors play this way?

Cleverly using this irregular port, Chen Cang cleverly protects the blood vessels next door from killing disaster!

The blood vessels next door don’t need to be transplanted, and they can’t be bear relaxed: I scared the old man and almost got cut…Thank you guys for not killing me.

……

……

ps: hehe, thank you Hellcat gangster for 10000 rewards, and become a Sect Master, thank you!


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