Doctor Peerless
Chapter 768 Successfully Completed the Surgery
Chapter 768 Successfully Completed the Surgery (Please Guaranteed Monthly Pass!)
Zhou Sheng adopted a new method.I want Jing Xinghai's heart to calm down.
Now everyone began to wait patiently for the effect of this new method.
After a few minutes passed.
Jing Xinghai's heart has always been very stable.
There was no sign of a comeback again.
It seems that Zhou Sheng's method of reperfusion with cardioplegia fluid and ice saline to cool down the temperature has worked.
As time went by, Wang Xiaoming felt that Director Tian's trip was in vain.
Director Tian was invited to come, he was the first to propose.
At this time, he said to Director Tian with some embarrassment: "Director Tian, you are lucky now, and it seems that the current situation is stable."
Director Tian smiled, "You don't get rewarded for nothing, you handled it properly, especially Zhou Sheng's method of cooling the heart with ice salt water, which made me more knowledgeable. You young people have performed very well. Since now It's okay, I'll take my leave."
Leaders are praised.
Zhou Sheng also had to say something on the scene at this moment, "Director Tian, since you are here, don't leave. You are here, so we can feel more at ease during the operation."
Wang Xiaoming also echoed at this time: "Yes, Director Tian, you must stay."
To be honest, Director Tian is in no hurry at the moment.
After hesitating for a moment, he nodded in agreement.
Cao Xin, who was on the side, was happy in his heart.
There was Zhou Sheng, and now there is another Director Tian.
He felt that Jing Xinghai's operation was quite safe.
Another few minutes passed.
Jing Xinghai's heart has been in a stable dormant state.
Zhou Sheng felt that his method was successful, and the operation could continue.
But Director Arita was present.
Although he was the chief surgeon, he still asked politely, "Director Tian, can we remove the tumor now?"
Director Tian said: "Today you are the chief surgeon, you have the final say. Like them, I am here to observe and study."
Zhou Sheng didn't say much anymore.
Although Jing Xinghai's heart has temporarily stabilized.
But how long it will last is hard to say.
So the operation must be carried out against time.
"Electric knife!"
After giving birth to the doctor's order on Monday.
Immediately began the work of removing the tumor.
The difficulty of cutting a tumor mainly depends on the location and size of the tumor.
Cardiac tumors are also huge tumors, and the difficulty must be the highest level.
Even if Zhou Sheng has superb extra-intentional skills, at this moment he still needs to be full of energy.
Zhou Sheng lifted the tip of his heart carefully.
I saw a round, gray thing attached to the apex of my heart.This is very different from the dark red color of the heart.
Even if it's not a doctor.
It can also be seen at a glance that this thing should not be part of the heart.
That's right, this gray thing was exactly the tumor that Zhou Sheng was going to remove today.
This tumor is the same as the heart.
There is also a film on the outside.
If the tumor grows on the surface of the body or in a place that is not very dangerous.
Zhou Sheng can directly resect the tumor along with the outer membrane.
But today, such an operation is obviously not possible.
Because the tumor grows on the heart.
So the outer membrane of the tumor must be cut first.
Find out where the contact area between the tumor and the myocardium is before you start.
Of course, Zhou Sheng didn't need to do this.
Because he is a systematic man.
With the help of auxiliary scans, he knew the structure of the tumor at a glance.
but.
Even so, he followed the process.
There is still a group of interns visiting the operation today.
I can't teach this group of "kids in the operating room" badly.
Zhou Sheng used an electric knife to carefully incise the outer membrane of the tumor.
Now we can see the true face of this tumor.
I saw that the inside of the tumor was grayish white, with dense tissue, no fluid, and no cystic tissue.
Most of the boundary between the tumor and the normal myocardium is still clear, which brings certain convenience to the resection.
But there is good news and there is bad news.
As previously predicted, part of the tumor has penetrated the endocardium. If the tumor is to be completely removed, it will inevitably damage the left ventricle.
But Zhou Sheng had already made up his mind that the tumor must be completely removed to prevent the tumor from recurring again.
Observe the inside of the tumor.
Zhou Sheng began to operate on the spherical tumor.
The heart is already in a bloodless state at this moment.
Zhou Sheng used an electric knife with a good hemostasis effect.
Therefore, there was no bleeding during the resection.
Zhou Sheng carefully removed a tumor measuring 5 cm x 5 cm x 4 cm from Jing Xinghai's heart.
Inevitably, resection of the tumor left a large defect in the left ventricle.
The area of the defect is very large, and it is impossible to complete the repair of the wound by simple suture alone.
At this time, Zhou Sheng had to resort to manual repairs.
Zhou Sheng took a felt piece commonly used in heart repair surgery, with a size of 4.5 cm × 4.0 cm, and used intermittent sutures to repair the inner side of the left ventricular defect, and then took a pericardial patch and continuously sutured the outer side of the defect.
This process is simple to say, it is the process of two sutures.
But it is completely a technical job, if the sewing technology is not good enough.
Once the heart is running again, the wound is likely to rupture and bleed profusely.
Therefore, Zhou Sheng took a full hour and a half for the two stitches.
This is much longer than when the tumor is removed.
Work slowly and work hard.
Extracorporeal circulation was performed for nearly 3 hours.
Zhou Sheng completed the resection of the tumor and the reconstruction of the left ventricle.
Everything is going well.
Next, Zhou Sheng started to withdraw from extracorporeal circulation.
The first step, of course, is to get the heart back beating.
The process of re-jumping is much smoother than that of stopping.
Nothing unexpected happened.
After flushing out the potassium ions with the perfusion tube.
The heart quickly resumed beating.
Next, it is the removal of various cannulas to restore blood supply to the heart.
After some operations.
Extracorporeal circulation was withdrawn.
The blood returned to the heart, and Jing Xinghai's body temperature gradually returned to normal.
At this moment, Zhou Sheng was not in a hurry to suture the pericardium.
The work of reconstructing the left ventricle just now is not up to standard, and it needs to be observed at this time.
While watching the beating condition of the heart with his naked eyes, Zhou Sheng was also scanning in the system.
After a few minutes, everything appears normal.
There was no abnormality in the beating of the heart, and no bleeding was seen.
At this moment, the operation is more than half successful.
The atmosphere in the operating room suddenly relaxed.
Wang Xiaoming and Cao Xin were even more excited.
Especially Cao Xin.
If he wasn't still in the operating room, he would have been yelling.
However, the real success of an operation cannot be fully concluded until the patient recovers.
There is still much to be done.
For example, the pericardium needs to be sutured, and the opened chest cavity needs to be closed.
At this time, Zhou Sheng gave the doctor's order to start sewing up the pericardium.
It has been more than five hours since the operation was carried out.
During these five hours, Zhou Sheng was the chief surgeon.
Wang Xiaoming also gave a hand beside him when the chest was being opened.
Seeing that the operation is almost over.
Wang Xiaoming was also embarrassed, so he was a helper who kept watching.
So he offered to help Zhou Sheng with the finishing work.
The high-intensity continuous work also made Zhou Sheng a little tired.
Seeing that Wang Xiaoming really wanted to help, Zhou Sheng agreed.
Zhou Sheng stepped aside.
Wang Xiaoming took over the job.
……
(End of this chapter)
Zhou Sheng adopted a new method.I want Jing Xinghai's heart to calm down.
Now everyone began to wait patiently for the effect of this new method.
After a few minutes passed.
Jing Xinghai's heart has always been very stable.
There was no sign of a comeback again.
It seems that Zhou Sheng's method of reperfusion with cardioplegia fluid and ice saline to cool down the temperature has worked.
As time went by, Wang Xiaoming felt that Director Tian's trip was in vain.
Director Tian was invited to come, he was the first to propose.
At this time, he said to Director Tian with some embarrassment: "Director Tian, you are lucky now, and it seems that the current situation is stable."
Director Tian smiled, "You don't get rewarded for nothing, you handled it properly, especially Zhou Sheng's method of cooling the heart with ice salt water, which made me more knowledgeable. You young people have performed very well. Since now It's okay, I'll take my leave."
Leaders are praised.
Zhou Sheng also had to say something on the scene at this moment, "Director Tian, since you are here, don't leave. You are here, so we can feel more at ease during the operation."
Wang Xiaoming also echoed at this time: "Yes, Director Tian, you must stay."
To be honest, Director Tian is in no hurry at the moment.
After hesitating for a moment, he nodded in agreement.
Cao Xin, who was on the side, was happy in his heart.
There was Zhou Sheng, and now there is another Director Tian.
He felt that Jing Xinghai's operation was quite safe.
Another few minutes passed.
Jing Xinghai's heart has been in a stable dormant state.
Zhou Sheng felt that his method was successful, and the operation could continue.
But Director Arita was present.
Although he was the chief surgeon, he still asked politely, "Director Tian, can we remove the tumor now?"
Director Tian said: "Today you are the chief surgeon, you have the final say. Like them, I am here to observe and study."
Zhou Sheng didn't say much anymore.
Although Jing Xinghai's heart has temporarily stabilized.
But how long it will last is hard to say.
So the operation must be carried out against time.
"Electric knife!"
After giving birth to the doctor's order on Monday.
Immediately began the work of removing the tumor.
The difficulty of cutting a tumor mainly depends on the location and size of the tumor.
Cardiac tumors are also huge tumors, and the difficulty must be the highest level.
Even if Zhou Sheng has superb extra-intentional skills, at this moment he still needs to be full of energy.
Zhou Sheng lifted the tip of his heart carefully.
I saw a round, gray thing attached to the apex of my heart.This is very different from the dark red color of the heart.
Even if it's not a doctor.
It can also be seen at a glance that this thing should not be part of the heart.
That's right, this gray thing was exactly the tumor that Zhou Sheng was going to remove today.
This tumor is the same as the heart.
There is also a film on the outside.
If the tumor grows on the surface of the body or in a place that is not very dangerous.
Zhou Sheng can directly resect the tumor along with the outer membrane.
But today, such an operation is obviously not possible.
Because the tumor grows on the heart.
So the outer membrane of the tumor must be cut first.
Find out where the contact area between the tumor and the myocardium is before you start.
Of course, Zhou Sheng didn't need to do this.
Because he is a systematic man.
With the help of auxiliary scans, he knew the structure of the tumor at a glance.
but.
Even so, he followed the process.
There is still a group of interns visiting the operation today.
I can't teach this group of "kids in the operating room" badly.
Zhou Sheng used an electric knife to carefully incise the outer membrane of the tumor.
Now we can see the true face of this tumor.
I saw that the inside of the tumor was grayish white, with dense tissue, no fluid, and no cystic tissue.
Most of the boundary between the tumor and the normal myocardium is still clear, which brings certain convenience to the resection.
But there is good news and there is bad news.
As previously predicted, part of the tumor has penetrated the endocardium. If the tumor is to be completely removed, it will inevitably damage the left ventricle.
But Zhou Sheng had already made up his mind that the tumor must be completely removed to prevent the tumor from recurring again.
Observe the inside of the tumor.
Zhou Sheng began to operate on the spherical tumor.
The heart is already in a bloodless state at this moment.
Zhou Sheng used an electric knife with a good hemostasis effect.
Therefore, there was no bleeding during the resection.
Zhou Sheng carefully removed a tumor measuring 5 cm x 5 cm x 4 cm from Jing Xinghai's heart.
Inevitably, resection of the tumor left a large defect in the left ventricle.
The area of the defect is very large, and it is impossible to complete the repair of the wound by simple suture alone.
At this time, Zhou Sheng had to resort to manual repairs.
Zhou Sheng took a felt piece commonly used in heart repair surgery, with a size of 4.5 cm × 4.0 cm, and used intermittent sutures to repair the inner side of the left ventricular defect, and then took a pericardial patch and continuously sutured the outer side of the defect.
This process is simple to say, it is the process of two sutures.
But it is completely a technical job, if the sewing technology is not good enough.
Once the heart is running again, the wound is likely to rupture and bleed profusely.
Therefore, Zhou Sheng took a full hour and a half for the two stitches.
This is much longer than when the tumor is removed.
Work slowly and work hard.
Extracorporeal circulation was performed for nearly 3 hours.
Zhou Sheng completed the resection of the tumor and the reconstruction of the left ventricle.
Everything is going well.
Next, Zhou Sheng started to withdraw from extracorporeal circulation.
The first step, of course, is to get the heart back beating.
The process of re-jumping is much smoother than that of stopping.
Nothing unexpected happened.
After flushing out the potassium ions with the perfusion tube.
The heart quickly resumed beating.
Next, it is the removal of various cannulas to restore blood supply to the heart.
After some operations.
Extracorporeal circulation was withdrawn.
The blood returned to the heart, and Jing Xinghai's body temperature gradually returned to normal.
At this moment, Zhou Sheng was not in a hurry to suture the pericardium.
The work of reconstructing the left ventricle just now is not up to standard, and it needs to be observed at this time.
While watching the beating condition of the heart with his naked eyes, Zhou Sheng was also scanning in the system.
After a few minutes, everything appears normal.
There was no abnormality in the beating of the heart, and no bleeding was seen.
At this moment, the operation is more than half successful.
The atmosphere in the operating room suddenly relaxed.
Wang Xiaoming and Cao Xin were even more excited.
Especially Cao Xin.
If he wasn't still in the operating room, he would have been yelling.
However, the real success of an operation cannot be fully concluded until the patient recovers.
There is still much to be done.
For example, the pericardium needs to be sutured, and the opened chest cavity needs to be closed.
At this time, Zhou Sheng gave the doctor's order to start sewing up the pericardium.
It has been more than five hours since the operation was carried out.
During these five hours, Zhou Sheng was the chief surgeon.
Wang Xiaoming also gave a hand beside him when the chest was being opened.
Seeing that the operation is almost over.
Wang Xiaoming was also embarrassed, so he was a helper who kept watching.
So he offered to help Zhou Sheng with the finishing work.
The high-intensity continuous work also made Zhou Sheng a little tired.
Seeing that Wang Xiaoming really wanted to help, Zhou Sheng agreed.
Zhou Sheng stepped aside.
Wang Xiaoming took over the job.
……
(End of this chapter)
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