Chapter 471 Thank You for Not Killing the Boss

Meng Xi took the scalpel, like a baton!

Next and just now are two completely different surgeries!

And the difficulty increases proportionally.

Meng Xi glanced at Chen Cang: "Build a temporary vascular bridge."

Chen Cang nodded quickly.

During aortic coarctation surgery, it is necessary to block the descending aorta above and below the constricted segment. This is to protect the spinal cord and distal organs from damage caused by ischemia during the blocking of the descending aorta.

Hypothermia is generally an option, but temporary vascular bridges and left ventricular flow can also be used.

Although Meng Xi chose to build a temporary vascular bridge, it would increase the difficulty of the operation, but the safety factor of this method is more reliable than low temperature!

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

Hypothermia time is limited, too long can cause ischemic damage.

After the vascular scar is changed, is there necrosis of the intima?

So, there is still a lot to juggle.

When everything was going smoothly, Meng Xi began to open the aortic blood vessel wall, which was already like a tumor and formed by the accumulation of scars.

Chen Cang's expression changed suddenly, he felt that this should not be just a simple blood vessel scar!

Maybe something else.

At this time, the non-invasive vascular forceps were clamped at the upper and lower ends of the aorta.

Meng Xi raised his head and asked Jing Ran, "Have you ever had an angiogram?"

Jing Ran was stunned for a moment, then shook his head: "No."

Hearing this, Meng Xi suddenly hesitated.

Thinking of this, Chen Cang couldn't help reminding: "Mr. Meng, be careful behind, it may be an aneurysm!"

Meng Xi nodded, she had expected it.

If it was just scar tissue, it wouldn't be so serious.

Holding a scalpel, Meng Xi did not cut the blood vessel wall directly, but made an incision to explore.

When the blood vessels opened, Chen Cang immediately saw the existence of the hemangioma. Although it was not big, it was real!

【Aneurysm: Cystic! lv57. 】

All right!

This should be good news.

Not a malignant tumor.

However, Chen Cang looked at the aneurysm at the base of the aneurysm, which had already stretched a little...

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

Originally, the constricted segment was excised, and end-to-end anastomosis could also be used to suture the blood vessel wall, but the existence of this uninvited guest "aneurysm" made the entire operation proportionally more difficult.

Because it is very likely that after the tumor tissue is completely removed, the extension of the descending aorta is not enough, and the end-to-end suture of the blood vessel seems to be impossible.

How to do this?

Vascular transplantation?

patch?

Or what?

Now all of a sudden many problems are put in front of everyone.

Meng Xi took a deep breath and frowned!

Do a bypass transplant?

Bypass transplantation will definitely cause irreversible damage to the upper limbs of the patient. In fact, the blood vessels sent to the upper arm are borrowed and used for the aorta, which is very effective for the aorta, but may damage the upper arm!

Just when everyone didn't know how to draw a conclusion in the end.

Chen Cang hesitated and said, "I have a suggestion."

Meng Xi looked up at Chen Cang, his eyes lit up: "What advice?"

Chen Cang said: "Fill another wound for Jiang to take the initiative!"

Chen Cang's idea directly made Meng Xi seem to have grasped an idea, but he couldn't grasp it in detail: "Tell me in detail."

Chen Cang thought about it, and now I can't say it in detail!

Moreover, it is better to say the details than to do the details!

Thinking of this, Chen Cang said directly to Meng Xi, "Mr. Meng, give me the knife!"

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

And Jing Ran couldn't help but swallow.

This Chen Cang... What kind of major is this?

His chest surgery is terrible, he knows it well.

But... Could it be that his heart surgery is so strong?

At this time, Chen Cang glanced at Meng Xi and sighed. It was about 30 points of favorability.

The last surgery had just gained 5 favorability points, which made the favorability points of Chen Cang and Meng Xi break through to 60 points.

In this way, it can be exchanged for tertiary surgery.

Chen Cang did not hesitate, and directly chose to exchange for [Aortic Coarctation Surgery]!

After the exchange, Chen Cang did not hesitate and started training directly.

This operation is no longer a simple [coarctation of the aorta], and it is also combined with [aortic aneurysm], and Chen Cang now wants to add one more thing to him, that is [aortic injury].

What Chen Cang has to do is to accurately remove the base of the aortic aneurysm according to the eye. Even if it is a very precise removal, if it is sutured, it will definitely still cause aortic stenosis.

What Chen Cang has to do is to remove the scar + all the base of the aortic aneurysm + a knife on the aortic wall.

End-to-end anastomosis cannot be performed on the entire vessel because of the simple two resections.

But if you add another knife, it just makes the ends at a better angle!

What does that mean?

That is, it is not necessary to cut off all the two ends, but only need to cut off the tumor tissue and scar tissue, and then it will definitely not be able to be sutured at this time, but Chen Cang can use a scalpel to cut off the inappropriate places. In this case, Sewing is possible.

Thinking of this, Chen Cang did what he said without hesitation.

Pick up the scalpel and start precise removal of tumor tissue on the vessel wall.

However, during the excision, Chen Cang intentionally cut some more places, and then, to deal with the scar tissue, it is necessary to cut off all the walls of a group of blood vessels!

...

The operation is carried out step by step!

When Chen Cang removed all the tissue, the ports on both sides became irregular ports.

Meng Xi looked at this scene with a dazed expression!

Even Jing Ran and his colleagues, assistants, and anesthesiologists were dumbfounded.

Is this a dog's bite?

How to sew this!

Everyone looked at Chen Cang's two rugged ports with a confused expression.

It's not as good as cutting it all!

At this time, Chen Cang made a light stroke on the upper end of the aorta, and then brought the two ends together...

Immediately!

The whole look has changed at once!

Everyone took a deep breath.

Can he do it?

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

Chen Cang is a surgical surgeon, this is clearly a magician!

The two ends that were bitten by the dog just now can be tightly combined!

Isn't he a magician?

How can the surgeon come to play like this?

By cleverly using this irregular port, Chen Cang cleverly saved the blood vessels next door from being killed!

The blood vessels next door don't need to be transplanted, and I can't help but breathe a sigh of relief: I was scared to death, I was almost cut... Thank you for not killing me.

...

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ps: Hey, thanks for the reward from the Hellcat boss, I have become the leader, thank you!