Chapter 2225 Childish Thoughts

In Domingo Paul's view, the sun is no longer shining this day.

He has just become the king of heart surgery, and before he has had time to cause a great disturbance in the academic world and crown himself the crown, he is about to meet the challenge of another surgeon whose level is not weaker than his.

It's just that Domingo Paul's curiosity is greater than worry.

In his view, interventional surgery is simply impossible to complete the treatment of dilated cardiomyopathy.

He began to read the video materials left by the surgeons in the live broadcast room, and the various operations were performed wonderfully.

Although the percentage of operations related to cardiothoracic surgery is not high, the facts have proved that no matter whether the surgeon in the live broadcast room is an individual or a team, the level is extremely high.

If Batista surgery is done, Domingo Paul feels that the other party has the possibility of success. But interventional surgery for advanced dilated cardiomyopathy...

Regarding this technique, Domingo Paul has never figured out how to do it.

It was getting late, and he didn't even have the appetite for dinner. The flame of curiosity in his heart had already ignited his whole body.

There is a laptop in front of him, and he has read the information about the patient countless times. The condition of the patient is extremely serious. Domingo Paul estimated that at least 400 grams of myocardium would have to be removed if the Batista operation was performed.

This is the restricted area of ​​surgery, and the 20% mortality rate has soared to almost 100%.

Had he chosen, he would have refused to perform surgery on this patient. No matter how much money the patient's family donates to their own medical center, they will not hesitate to refuse this kind of surgery with a 100% mortality rate!

After all, no one hopes that patients who have worked so hard to perform surgery will not only fail to prolong their lives, but will die in a dangerous period after the operation.

What should the surgeon in the live broadcast room do? This question has been circling in Domingo Paul's mind.

After thinking about it countless times, he finally judged that this was an impossible technique.

Interventional surgery, applied to the heart, is mainly to expand coronary vessels, block valve insufficiency, and open narrowed valves.

These operations all have internal logic, and interventional surgery is a surgical procedure that does not cause major trauma.

However, in advanced dilated cardiomyopathy, a large number of dilated and hyperplastic myocardium needs to be resected. Logically speaking, interventional surgery is not suitable at all.

He refused all routine activities and did not go home, but quietly waited for the operation to begin.

Time passed by one minute and one second, and at 21:50, the screen in the live surgery room lit up.

Shuangshuye appeared in front of Domingo Paulo.

According to the previous brief introduction, Domingo Paul knew that the operation was performed through DSA-guided interventional surgery combined with small thoracotomy.

The two surgical fields are expected.

Although he believed that interventional surgery could not accomplish everything that Batista's surgery could, he always had a bad premonition in his heart.

Not for anything else, just because this is a live surgery!

If the surgeon is not fully sure, who would dare to perform a surgery that is doomed to "failure" in front of colleagues all over the world!

Domingo Paulo drove all his assistants home and stayed in the studio by himself. In the silent night, he seemed to be able to hear his own heartbeat.

With a few minutes to go before surgery, Domingo Paulo stood up and made a cup of coffee.

Back in front of the computer, a number came into view.

The number of people entering the live broadcast room has exceeded six figures, which means that more than 100,000 doctors around the world are watching the operation.

And as time approaches, this number is still skyrocketing.

The numbers are being refreshed rapidly almost every second. This is the time Domingo Paulo watched the most surgeries at the same time in his memory.

It seems that everyone is very interested in the new technique of interventional surgery.

Domingo Paul watched quietly. For him, this was a reckless challenge, challenging his dignity as a king.

The time finally came to 22:00, and the operation began.

The first operative field has not been moved, and the second operative field underwent thoracotomy first.

A small incision of about 6cm was made on the left chest. A sharp scalpel cut through the skin, and blood flowed out slowly, making the whole picture look more textured. At this moment, Domingo Paul seemed to smell blood.

Scalpels are not standard, and Domingo Paulo feels a little envious every time he sees the beautifully curved lancet.

Such a blade is worth $233, and it is not ready to use. This blade needs to be customized.

What an extravagant performer, Domingo Paul thought to himself.

As soon as the blood gushed out, the gauze in the assistant's hand fell on it. After dipping in blood, wiping it clean, and flicking the electric burner a few times, the hemostat began to bluntly separate the subcutaneous tissue and muscle.

From the perspective of opening the chest, everything is perfect.

The pleura was opened, the operative field was stretched, and one-lung ventilation was performed.

At the same time, the first surgical field lit up, and while the mediastinum was being surgically cut open to expose the heart, a guidewire was passed from the jugular vein into the superior vena cava, then to the right atrium, and through the tricuspid valve into the right ventricle .

Domingo Paul From the operator's point of view, a huge heart appeared in front of him. Because the incision is relatively small, the whole picture of the heart cannot be seen.

Domingo Paul immediately put himself into the operation process. If he changed himself, he would probably have already started preparing for extracorporeal circulation.

At this time, the guide wire in the first surgical field has reached the part of the right ventricle close to the interventricular septum.

The Gaiding tube with a J-shaped curvature was attached to the interventricular septum, and the operator of the interventional surgery then placed a fixed anchor point and started puncturing immediately.

What are they trying to do? Domingo Paulo froze.

On the DSA-guided screen, the huge left ventricle can be clearly seen beating hard. The puncture needle has passed through the interventricular septum and entered the left ventricular cavity.

Because of dilated cardiomyopathy, the patient's left ventricular cavity was huge.

How childish, Domingo Paulo thought.

The surgeon seems to want to penetrate the entire left ventricle with a puncture needle, but Domingo Paul has no idea how to do it.

But at this step, he judged that the possibility of success was extremely small.

Because it needs to be punctured into the J-shaped tube, the puncture needle has strong elasticity and is not a straight, hard steel needle.

Although the patient has dilated cardiomyopathy and reduced ejection fraction, the blood flow in the left ventricle is still extremely fast as the heart beats.

Under the impact of high-velocity blood flow, it is absolutely impossible for a tough puncture needle to maintain a straight line and reach the position desired by the surgeon.

Domingo Paul really doesn't know what's going on in the mind of the surgeon!

Although he didn't understand what the surgeon meant, but only from this step, at least extracorporeal circulation must be established to stop the beating of the heart, so that the puncture will be successful.

And what the magician did was simply too childish!