godfather of surgery

Chapter 812 Strategic Determination
In order to ensure that Song Hanhui would not eat snacks secretly again, the nurse emptied all the snacks in the bedside table and told Song Hanhui to strictly abide by the fasting and drinking times. He must not eat anything secretly again, nor drink a sip of water. .

In the evening, Lao Song's wife Yao Xiurong went back to Sanbo Hotel to rest, and Lao Song stayed with her son, so the arduous task fell on Lao Song's shoulders.

It was fine during the day, but I was most afraid that I might not catch it if I was not careful at night. After the nurse cleaned up the snacks, Lao Song carefully searched again. Under the pillow, in the quilt, the inside of the pillow and quilt could not be opened. Lao Song also touched it with his hands. , I even looked under the bed several times before I felt relieved.

Song Hanhui was also embarrassed, and repeatedly promised that he would not eat secretly again, but the promise was of no use. Without strict supervision, he could relax his mind at any time and make the same mistake again.

The little fat man had just finished making his promise when the muscular man in the next bed found a piece of chocolate in the cabinet under the sink in the bathroom.

This left Lao Song speechless. He had no choice but to prepare to stare at him all night long.

"That's what I hid last time. I forgot to take it out." The little fat man defended with a red face.

Of course, it’s hard to live without snacks, even for just a short day.

After an uneventful night, Song Hanhui woke up at six o'clock, tossing and turning in bed unpredictably. His mind was full of snacks, but he tried to hold it back.

This obsession with snacks once made the doctor in charge think that he had diabetes. The three symptoms of diabetes are polyphagia, polydipsia and polyurination. Polyphagia is very suitable for a fat person, but the blood sugar tested before surgery was normal. Even an additional glucose tolerance test revealed no problems.

"Dad, I'm hungry!" the little fat man said in a pitiful tone.

"Just bear with it when you're hungry!" Lao Song comforted his son.

Lao Song was about to get a belt to tie up his son's belly. At this time, the nurse came over and hung a bottle of liquid for the little fat man. When Lao Song asked, this bottle of liquid was a medicine to protect the stomach and make acid, so that he would not feel any pain on an empty stomach. Hungry.

After holding on until seven o'clock, the nurse began to measure the vital signs before the operation, and the little fat man finally waited for the operation.

"He had a standard Fontan procedure."

Academician Wang reminded,——
The poor little fat man, while he was lying on the operating table preparing for anesthesia, kept asking when he could eat after the operation.

It seems that for him, surgery is not a big deal, but what he can eat is the top priority.

This reminded Dr. Liang of his own childhood memories. It seems that people who can gain weight have one thing in common - that is, they must have a good appetite. No wonder gastric surgery to lose weight is now popular.

Fatty Liang was worried about his obesity for a while, and even asked his classmates to contact the best doctor for "gastric incision" surgery to accurately solve the problem with surgery. However, Fatty later insisted on exercising and finally lost weight, and then gave up the idea of ​​surgery. .

Dr. Liang told Song Hanhui that he could eat 6-8 hours after the operation. Song Hanhui closed his eyes with satisfaction: "Let's do the surgery!"

"How long will the operation take?"

It was also the first time for Fatty Liang to see the professor perform this kind of surgery, so he could not make an accurate judgment on the time of the surgery. However, Yang Ping was not in the operating room at this time and might have left temporarily.

Next to them, Li Zehui, Academician Wang, Director Chen, and Director Xin looked at each other. Based on past experience, they did not dare to judge Yang Ping's operation time because it would be very different from the usual operation speed.

"It usually takes more than 20 hours. I don't know about Professor Yang -" Professor Chen can only provide an ordinary time as a reference.

Fatty Liang said without hesitation: "I understand."

It usually takes twenty hours. A conservative estimate is that the professor's operation time should be about five or six hours, so that the fat man can have a reference for planning the dosage of anesthetic drugs and anesthesia time.

After anesthesia is done, the body position is set, and the sheets are routinely disinfected and spread. Everyone follows the normal steps and takes it easy.

Academician Wang found that in the operating room here, no matter what kind of surgery they were doing, their expressions were always so plain and they always had a normal heart, as if everyone was used to all kinds of surgeries.

The anesthetist is always carefree and has his legs crossed in his cropped trousers. The circulating nurse can arrange the operating room in an orderly manner during chat. The whole team seems to be very casual, but in fact the cooperation is extremely tacit.

This time Academician Wang and Professor Chen did not go on stage. They were just observing from the audience, with Song Zimo and Xu Zhiliang as assistants.

This surgery involves many aspects. Academician Wang feels that an assistant who can cooperate more well with Yang Ping should be put on stage instead of himself who is already very old. Academician Wang understands that as a surgeon, old age is a huge disadvantage, which means that no matter whether it is The reaction speed of the brain and the sensitivity of the hands have both decreased, which will only delay the operation.

Since Academician Wang took the initiative to be in the audience, Professor Chen had no reason to come on stage, so he followed Academician Wang on the stage.

Because during the few days he stayed at Sanbo Hospital, Professor Chen had seen the operations of Song Zimo and Xu Zhiliang. Compared with them, Professor Chen had to classify himself as "old" even though he was only in his 40s.

The surgical abilities of these two young men are really strong, especially Song Zimo. His basic surgical skills and proficiency in anatomy seem to have undergone some kind of special training.

As expected, Yang Ping and his team had a much better understanding of each other. After a few chats, the operation had already begun.

This kind of surgery is a huge undertaking, so Yang Ping chose the most open approach to the midline of the sternum. The thoracotomy opened the chest and exposed both lungs and the pericardium on the right side of the chest in the wide surgical field.

"I've had three surgeries before, so there must be adhesions and blurred anatomy, so be careful!"

Academician Wang kindly reminded that adhesions are the mortal enemy of surgeons.

The pericardium is the coat of the heart. It wraps the heart. Yang Ping adjusted the direction of the electric knife in his hand. As a wisp of light smoke floated into the straw, and after a sizzling sound, the pericardium was opened, completely opened at once.

A little burning smell from the electric knife leaked out, and you could smell the stench through the mask.

Academician Wang's experience seems to be of little help to Yang Ping. Even if there are adhesions, the electrosurgery is ruthless in cutting, and it does not worry about gains and losses. It gets it right at once, but it is just right. It has just cut the pericardium and stayed in the epicardial area. surface.

The electric knife uses thermal effects to cut, and its damage has a certain range. If it is not grasped accurately, it can easily cause unnecessary secondary damage.

Therefore, when using an electric knife for cutting, you must be familiar with the damage range of the electric knife. The thermal damage range of the electric knife decreases with distance and is also related to the type of target tissue. Very few people can use an electric knife for precise cutting. , because it is not a precision cutting tool at all, and the cheapest precision cutting tool is an ordinary sharp knife, and the high-end one is a laser knife.

Using a rough tool like the electric knife, Yang Ping was able to cut the pericardium without damaging the epicardium. This shows that the electric knife has reached a certain level.

After opening the pericardium, Yang Ping replaced the electric knife with an ordinary sharp knife, because the defects of the electric knife may cause serious consequences in the subsequent operation.

The beating of the heart relies on a series of electrophysiological support, and the "wires" responsible for the conduction of electrical signals - conductive bundles, are buried inside the myocardium and cannot be seen by the naked eye. If these conductive bundles are accidentally cut off when incising the myocardium, , will lead to conduction block, and the consequences of conduction block will affect the beating of the heart. Without the conduction of electrical signals, the myocardium cannot contract, and naturally it will not be able to beat.At this time, in order to allow the heart to beat, a permanent pacemaker can only be installed.

That is to say, the heart loses the ability to beat on its own and must rely on the help of a pacemaker. It will need the help of a pacemaker for a lifetime.

If it is a heart with normal anatomy, experienced doctors can rely on normal anatomy knowledge to make a rough judgment on the direction of the conductive beam and try to avoid the conductive beam.

But this is a malformed heart, and it has been operated on three times. After the three operations, the great blood vessels were transposed, so normal anatomical knowledge is of little use.

In order to avoid the conductive beam as much as possible, Yang Ping used a more refined sharp knife to perform incision and separation.

Sharp separation is the most precise separation method, and a sharp knife is the best tool for sharp separation. Precision means that it needs to be sharp, and sharpness may be difficult to control.

Therefore, using sharp knives in dangerous areas requires superb surgical skills.

Originally, the laser knife was more accurate than the sharp knife, but the laser knife also had thermal damage, although it was very weak, which Yang Ping could not tolerate. Even weak thermal damage could theoretically damage the conductive beam.

The sharp knife in Yang Ping's hand gently opened the epicardium of the heart, and the myocardium was exposed from the opened epicardium. The situation inside was very complicated. The heart and great blood vessels were originally malformed, and after three operations, their current positions were different. Already intricate.

Academician Lian Wang himself frowned when he saw the heart on the screen. It was very tricky and made people feel numb.

All the original surgeries must be dismantled and eight structures must be reconstructed. Any cardiac surgeon would be afraid of such an operation and would not know how to proceed.

"He did a standard Fontan surgery!"

Academician Wang gave a timely reminder.

There is no need to say too much, just this sentence is enough, so that Yang Ping will know exactly how the operation was performed, which parts were operated on after the operation, what treatment was done, and what the current condition may be.

"Prepare, extracorporeal circulation, cardiac arrest!"

Yang Ping ordered.

In fact, the extracorporeal circulation team of Sanbo Hospital did not have much experience before, because there were relatively few cardiac surgeries. However, since Yangping started cardiac surgeries, they have taken on more and more jobs, and they are all high-quality jobs, so they have accumulated experience. More and more abundant.

Feeding is the only way for any doctor to grow.

Soon, the extracorporeal circulation was turned on and the heart was stopped.

"I'm going to start dismantling the original surgery!" Yang Ping told his assistants to prepare them mentally.
-
Family waiting area in the operating room.

Song Hanhui's mother Yao Xiurong was restless, always walking around, and sometimes she would lower her head to wipe the tears from the corners of her eyes.

But Lao Song is more nervous. His attitude is completely opposite to that of his wife. He is actually sitting in the family waiting area humming and shaking his head, as if he is not worried at all.

At this time, normal parents must be as anxious as ants on a hot pot, restless and uneasy.

Because the child may not be able to get off the operating table.

"Why aren't you in a hurry?"

Yao Xiurong was very dissatisfied with Lao Song's "bad" attitude, but there was nothing he could do about it. He was like this every time, no matter what urgent matter he encountered.

"What's the use of being anxious? Are you worried about heart disease and it will be cured? What kind of things can be solved by being anxious? Isn't there a doctor inside? We can just wait." On the contrary, Lao Song felt that his wife was a little futile and anxious. It was useless to worry. Sometimes it's not helpful.

"Then you can't hum."

Yao Xiurong complained, she was in a state of confusion, Lao Song was just humming here, as if the person doing the surgery was not his son.

Lao Song said disdainfully: "I don't hum songs, but I cry all over the place. That's what makes me a qualified father? What's the use of being anxious? Whether the operation is successful or not has nothing to do with whether I am anxious or not. Instead, I have to stay calm. Do you understand? If I hadn’t calmed down, would my son have found such a good doctor now? That relative of yours said that going to South Korea for surgery would cure the disease, but you kept urging me all day long, and I didn’t agree. You also said that I was afraid of spending money. You don’t have to think about it. How many high-level doctors can there be in a country as big as South Korea? Even if they do, how many operations can they do in a year? Breast augmentation, butt augmentation, and heart surgery? Can they do it? I don’t want to scold you. , causing trouble all day long, it’s not because I have the strategic determination, I keep looking for Professor Wang from Fuwai, how can I have the chance to come here for surgery."

"This is not called humming. This is called strategic concentration. Do you understand?"

"Are you still proud?"

Yao Xiurong is not easy to scold, because everything Lao Song said makes sense.

This was indeed the case at that time. A relative suggested that they send their child to South Korea for surgery, saying that the medical level there was much higher than that in China. Yao Xiurong was anxious at that time and desperately urged Lao Song to take the child to South Korea as soon as possible. It turned out that they had also been to that South Korea. The doctor suggested an operation as soon as possible, but Lao Song firmly disagreed. Coming to Korea was just to fulfill his wife's wish, and he would not have to worry about it every day. He still believed in the quality of Chinese doctors.

So Lao Song asked how many such surgeries were performed in South Korea every year, and they hesitated.

Later, Lao Song ignored his wife's cries and resolutely refused to have surgery in South Korea. After returning, Lao Song tried to stop his wife's mouth. When he inquired, he found that Korean doctors had never done a few cases of congenital heart disease. How dangerous!

"In the past, when we were buying a house in Shanghai, what did our relatives say? What kind of house should we buy in Shanghai? It is so expensive and a waste of money. It is better to save money and earn interest, then retire and return to my hometown to buy a house for retirement. I am not under pressure. I bought a house with a loan, and after so many years of repaying the mortgage, do you think how much the house has gone up now? This is called strategic vision. Don’t act blindly all day long. You must have strategic determination and strategic vision. You, just listen to me on everything. You My husband has a pretty good head." Old Song pointed at his round head.

"Honey, don't be anxious, don't get confused, you know? Leave everything to the doctor now, we'll wait patiently, it's not up to us whether it works or not, just be quiet for a while, you know."

Old Song crossed his legs again and started humming.

"Can I stop being so anxious? How about I knock on the door and ask? How about you call Professor Wang and ask about the situation inside?" Yao Xiurong asked worriedly.

Old Song Xun said: "You are adding to the chaos. We have only been in for a while. We are waiting quietly now and cooperate with the doctor at any time. It is time to sign and sign. Do you understand?"

Yao Xiurong nodded, but she was still panicking.

(End of this chapter)