Chapter 1830 The True Essence of Surgery (Leader Shyn307 Plus 4)

After opening the aorta, the intima of the aortic arch was seen to be torn in pieces.

The intima at the openings of the three brachiocephalic vessels was stripped to form a true and false lumen, and the intima in the descending arch was torn more than 2/3 transversely, and the diameter of the false lumen was 3.0 cm.

Most of the intima at the opening of the true lumen collapsed, with a diameter of about 2 .0 cm.

"Fugui!" Zheng Ren called out.

"Well." Professor Rudolf Wagner replied, "Shall we start now?"

"Get ready, wait a while."

After finishing speaking, Zheng Ren stretched out his hand, and clapped an artificial blood vessel with membrane stent in his hand.

Bracket: 28 mm×100 mm, the length is not bad.

Zheng Ren inserted and released the stent-grafted artificial blood vessel from the true lumen to fully expand the stent.

Then the left subclavian artery was cut off from the origin, and the origin of the descending aorta was transected at its opening to cut off part of the proximal suture edge of the grafted stent artificial vessel, and the adventitia and intima of the proximal descending aorta were separated from the The suture edge of the grafted stent artificial vessel was fixed with interrupted sutures.

Use a 3-0 prolene line to connect the Datascope Intervascular four-branch artificial blood vessel with a diameter of 30 mm to the proximal end of the descending aorta and the grafted stent artificial blood vessel.

End-to-end anastomosis of the suture edge.

Connect the spare arterial perfusion tube to one side branch of the four-branch artificial blood vessel, slowly inject blood into the descending aorta, block the four-branch artificial blood vessel at the proximal end of the side branch, and the descending aorta starts to supply blood.

The perfusion flow rate was 20ml/(kg·min).

The proximal ends of the left subclavian artery, left common carotid artery, and innominate artery were anastomosed end-to-end with the corresponding branches of the four-branch artificial blood vessels using 5-0 prolene lines.

One hour and 22 minutes into the operation, the anastomosis of the aortic arch was proceeding in an orderly manner.

...

...

At this moment, in the observation room on the second floor, Dr. Charles was sitting on a chair, staring intently at the images on the big screen.

"Doctor, is the operation going well?" Rudy was a little panicked.

The operation went smoothly, but the more so, the more flustered he was.

Bentall surgery, will it be so smooth?

The surgical field is clean and clear, each step is methodical, and the operator's technique is not like that of a human being.

Although things were going in a good direction, Rudy became more and more frightened the more he watched.

And it is said that the heart has stopped beating before the operation, so there will be no brain death.

"It's still a perfect operation, as precise as a machine." Dr. Charles said.

His English is accented, but it does not hinder the communication between him and Rudy.

"Doctor, do you think the operation can..." Rudy asked cautiously, the matter had exceeded his expectations, and he was going further and further on the unpredictable road like a wild dog that had lost its stiffness.

When he came back to pick up Dr. Charles, he knew that the operation had started. Because of the aggravation of the torn brachiocephalic artery and concurrent cardiac arrest, the condition could not be delayed.

After knowing the news, Rudy almost fainted.

In fact, he didn't trust Zheng Ren either, because of the arrival of Dr. Charles, Rudy put his trust on Zheng Ren's side.

"I don't need to go." Dr. Charles said: "I haven't had surgery for many years. The pinnacle of surgery, that was just once. The picture you see now is the pinnacle of surgery today."

"..." Rudy was stunned.

Dr. Leiner clenched his fists and stood behind Dr. Charles, a little angry.

But it was just anger, he couldn't find any problem with the operation process in the screen.

If I was on the operating table, I guess I could only do this.

Of course, this is just Dr. Reiner's own thoughts. Deep down in his heart, Dr. Reiner was sure that he was not up to the level of a surgeon.

From the initial dissociation all the way to blockage, establishment of extracorporeal circulation, and incision of the aortic arch, every step is clean, simple and clear.

The operation was done very quickly, but it was not simply a matter of hand speed. Although it is fast, it is not chaotic, every step is orderly, as if... Dr. Leiner knows, it is as if he is performing the operation with the most serious attitude, and the speed is doubled.

Although he was not convinced, he couldn't refute it.

The anastomosis was obviously performed by microsurgical anastomosis, the needle hole was not large, and there were no tears or suspected tears in the inner and outer membranes of the blood vessels.

Every time an anastomosis is completed, move the clamp to the proximal end of the anastomotic branch of the four-branch artificial blood vessel, so that each anastomotic blood vessel can supply blood in time.

The position of each movement is very standard, as if measured with a ruler.

Is this the pinnacle? Lena was a little dazed.

If the patient he judged to be dead was rescued, Reiner knew that his self-confidence would suffer an unprecedented blow.

"Leiner, vascular anastomosis has always been your weakness. I think you can learn a lot from this operation." Dr. Charles said suddenly.

Dr. Reiner was silent.

Although he knew the truth of the matter, he was still unwilling to admit that his operation was worse than that of the yellow-skinned young man.

If he was facing his teacher, Dr. Charles, Reiner would still think that the teacher no longer performs surgery, even if his previous level was higher, but what's the point?

But even this haze of nothingness brought almost unlimited pressure on Dr. Reiner.

That's why he accepted Cleveland's offer to leave the Mayo Clinic.

This behavior also indirectly caused the Cleveland Clinic to surpass the Mayo Clinic in the field of cardiac surgery.

But the surgery in front of him is another concept.

The practitioner is younger than himself, and he has already climbed to such a height in the era when he should have accumulated experience. What about after that? What kind of a magician will he become.

Reiner was in a daze. He felt as if he had just graduated and was watching Dr. Charles perform the operation.

Heart boundless admiration and admiration.

But he soon woke up and told himself that the younger operator was the one who performed the operation.

The pressure that youth brings to Reiner far exceeds the pressure that Dr. Charles put on him.

Because the operator is younger, his limit is not limited to this. Because the surgeon is younger, he will rule the field of cardiothoracic surgery for many years.

Thinking of this, Reiner felt that his heart was starting to ache.

Before he got out of the haze of Dr. Charles, was he shrouded in another thicker haze that could never be shaken off?

"Leiner, do you still remember what I told you about a good surgeon being able to operate across disciplines?" Dr. Charles asked while watching the operation.

"Teacher, I remember." Reiner replied in a trance, his clenched fists were loosened at some point.

"That's why." Dr. Charles said looking at the image on the screen: "The purpose of the surgery is simple and clear. As long as you understand the anatomical structure, there is actually no surgery that cannot be done. But these are all rooted in one thing-feel."