godfather of surgery

Outside the operating room, no matter how the doctors and nurses explained, no matter how Lao Song explained, Yao Xiurong believed that something had happened to her child. The doctors and nurses were just hiding it from her. She had to go in and take a look. Why not let her in or let her go inside? There must be a ghost.

And her reason was the words "heart arrest". She was paranoid and stuck in her own knowledge and understanding, unable to extricate herself.

Hey---
To be honest, Lao Song admitted that this wife was good except for this, no matter her appearance or her hardworking and thrifty housekeeping, otherwise Lao Song would have given her divorce letter long ago.

The last "smart drug" incident lasted for half a year, leaving Lao Song exhausted mentally and physically. No matter how she explained it, she just believed that the people selling health care products were right, and said that they were a big company that hired celebrities to advertise and research the team's personality. One is a scientist, so there will definitely be no problem.

But that "smart drug" tasted very good, and the child was greedy, so he always ate it secretly, making Lao Song guard against it every day.

Later, Lao Song learned that the so-called "smart drug" was just a kind of psychoactive drug that could refresh one's mind and cause great harm to the body. If Lao Song hadn't stopped it in time, the consequences would have been disastrous if he kept taking it.

I heard that the matter was not settled yet, so Academician Wang had to take action personally. He recommended the patient. Now that something like this happened, Academician Wang was very embarrassed.

He came to the door of the operating room and scolded him sternly. The academician's aura was different, and he immediately calmed down Yao Xiurong. She said confusedly: "Is everything okay?"

"The child is fine. He is undergoing an operation on the stage right now. If nothing happens, you will cause trouble. If you want the child's operation to go smoothly, just wait here quietly. If you can't wait here, go downstairs, not here. Interfere with the operation. The operation was originally good, but how can the doctor be able to operate safely when you disturb her? You are causing trouble over nothing!" Academician Wang was very strict and did not tolerate her at all.

Yao Xiurong stopped crying: "I heard that the child's heartbeat has stopped, so-"

"The child has had several surgeries, and the surgical talks have been very clear. Didn't you listen? This kind of surgery must stop the heart. Otherwise, how can we do the surgery? This is an inevitable step in the surgery. We have this special technology. , the heart can start beating again after the operation, why are you so ignorant?"

Academician Wang speaks very sharply and without mercy, otherwise it would be in vain for such people to understand.

Lao Song explained from the side: "Just like when we repair a car, we repair the engine. If the engine doesn't stall, how do we repair it? The principle is the same."

Yao Xiurong finally understood this time: "What you said is true, right? You're not hiding it from me, are you?"

"What are you trying to hide? Do I need to hide it from you? Is this necessary? You are looking for trouble! What nonsense!" Academician Wang was really angry.

Lao Song didn't know where to put his face now, he wanted to find a crack in the ground to crawl in. The doctors and nurses were busy helping with the operation. The child was acting up here, it was really funny.

"Get up quickly, don't you think it's embarrassing?" Lao Song immediately picked up his wife and apologized to Academician Wang.

"I'm sorry! She doesn't understand and is just messing around. We'll wait patiently."

Yao Xiurong may have felt that she had really made a mistake, so she nodded and apologized to Academician Wang and the doctors and nurses, and then followed her husband to the waiting area.

But she was really anxious at the time. As a mother, how could she not be anxious when she heard that her child's heart had stopped?What else can you do besides crying when you are anxious?
-
The aorta is in the front, the pulmonary artery is in the right back, and the opening positions of the two large blood vessels are too far away from the normal position. This position is simply not feasible.

The openings must now be re-opened in their normal positions, directing arterial blood from the opening of the left ventricle into the aorta, and directing venous blood from the opening of the right ventricle to the pulmonary artery.

This step is a big one, and if it fails, the entire cardiovascular system will lose function, and there will be no way to repair it.

So at this point, the operation can only move forward, not backward. It is precisely because once the operation is performed, there is no way back, that's why Academician Wang is so afraid and has been unable to come up with a reliable surgical plan.

If the heart is compared to a car engine, it is now necessary to re-open the engine to connect the intake pipe and exhaust pipe. This is no longer the scope of repair, but is equivalent to a fundamental modification of the engine.

Li Ze would stand closer to the screen and stare at the screen closely. He knew that if he made one wrong move, the entire operation would be wasted and there would be no remedial measures.

Professor Yang is also an expert and bold person. If it were Li Zehui, it would be impossible for him to perform such an operation.

Professor Chen and Professor Xin also moved closer. It can be said that this step of the surgery is the most difficult and the most workload.

The position of the opening in this step must be very precise, and the suturing is very difficult. The entire aorta pipe needs to be inserted into the new opening on the left ventricular wall, and then double sutures are performed inside and outside the ventricle. After suturing, no blood can leak from the ventricle. The entire circulation channel to the aorta must be smooth, without eddies or kicking currents, and the suture strength must be enough to ensure that the healing period can be safely passed.

The same goes for the pulmonary artery, which must achieve this effect.

Regardless of the design of the new opening or the sealing of the old opening, Yang Ping appeared to be very skilled, as if this type of surgery had been practiced thousands of times.

The music in the operating room has been playing melodiously, and the guzheng version of "Mountains and Flowing Water" is played on a loop. Against this music background, Li Zehui, Professor Xin and Professor Chen fell into a transcendent artistic enjoyment while watching the surgery on the screen. .

The operation was very fast, but it had a beautiful rhythm and the super high quality presented made people have to think of one word - miraculous workmanship.

The needle and thread were moved in and out repeatedly, and then the thread was knotted and cut. Soon, the displacement of the aorta and pulmonary artery was completed.

In the chest, the original chaotic structures completely disappeared, replaced by a neat and orderly new heart and great blood vessels, and the beauty of remodeling was displayed on the screen.

Li Zehui memorized this piece of music, as if it was this piece of music every time he saw Professor Yang performing surgery. He quietly found the traveling nurse and asked, "What piece of music is this?"

The nurse said: "The guzheng version of "Mountains and Flowing Water"!"

Mountains and rivers!
-
Academician Wang returned to the operating room, feeling still angry.

If Yang Ping hadn't been so confident, his emotions on the operating table would have been disturbed when something like this happened.

"It's okay! It was just a nonsense. It was a misunderstanding. She heard the child's cardiac arrest out of nowhere, so she thought something was wrong with the child and cried. The child had several operations, but she still didn't know what happened to the child's cardiac arrest. It happened." Academician Wang returned to the operating room and told Yang Ping the whole story.

Obviously, Yang Ping was not affected by the turmoil. He continued to perform the operation calmly, treating the farce as just a casual joke during the operation.

This young man's psychological quality is really good, Academician Wang can't help but admire him.

Academician Wang walked to the screen and continued to observe the operation - the operation was actually over, and he was now preparing to restart the heart and then stop the bleeding.

What does it mean?
Wasn’t there an anastomosis between the aorta and pulmonary artery just now?They're also in the wrong position and need to be corrected, and that's done?This step is a lot of work.

I kept sitting and watching the surgery and didn't feel anything good. After leaving for a while, I suddenly realized that Yang Ping's surgery was really too fast, ridiculously fast.

After just a moment, the most important step was missed. Academician Wang asked Professor Chen: "Is it done?"

Professor Chen nodded: "It's done!"

Professor Wang couldn't help but feel a little regretful, but he could slowly watch the surgery video in the future, but after all, it didn't feel like a live broadcast.

The extracorporeal circulation is withdrawn and the heart is successfully restarted. The old rules include the final hemostasis step. This step is also very critical and often takes a lot of time.

After the blood was passed through, some small bleeding spots popped up in the chest, which were eliminated by bipolar electrocoagulation. All the anastomotic parts did not need to be stopped at all. Even if there was a little bleeding in some places, it was caused by abnormal coagulation function. , the bleeding can be stopped naturally after 5 minutes of compression.

Academician Wang saw two surgeries performed by Yang Ping. Each one was very clean. The entire surgical field was clean and there was almost no bleeding.

"Color Doppler ultrasound!" Yang Ping put down the equipment in his hand.

Academician Wang doesn't know how to describe this kind of self-confidence. It's like having a thousand years of cultivation and being able to resolve any difficulties.

In general, intraoperative color ultrasound of cardiac surgery is performed by doctors in the ultrasound department. Cardiac surgeons have only a superficial understanding of color ultrasound.

But it is different in general surgery. Doing color Doppler ultrasound and watching color Doppler ultrasound are basic items that must be trained.

Song Zimo was about to take off his gloves and step off the stage for a color ultrasound, when Fatty Liang volunteered: "I'll do it!"

For Fatty Liang, color ultrasound is also a basic skill. Color ultrasound of the esophagus and heart is no problem for him. It is not a problem for any senior doctor in the general surgery department, including the young Li Guodong.

Do anesthesiologists also perform color ultrasound?
Academician Wang was once again surprised and came to Sanbo Hospital. Anyway, he spent the whole time in surprise.

Fatty Liang brought the color Doppler ultrasound machine. He moved very skillfully. The probe was quickly inserted into the esophagus and came to the back of the heart. The heart on the image was beating one after another, and the red and blue blood was circulating back and forth.

"The airtightness of the interatrial septum and ventricular septum is intact, there is no insufficiency of the mitral and tricuspid valves, and there is no stenosis in the aorta and pulmonary artery -" Fatty Liang dictated the report skillfully.

Academician Wang walked up to the fat man, stared at the color ultrasound, and then stared at Fatty Liang, wondering how this anesthesiologist could do the color ultrasound so skillfully.

"Do your anesthesiologists also train in color Doppler ultrasound?"

Academician Wang couldn't help but asked curiously.

"This is our basic subject and must be mastered." Fatty Liang said while doing it.

Xia Shu felt tremendous pressure on the sidelines. So, he had to learn how to do a cardiac color Doppler ultrasound from scratch?Not only do you need to be able to do it, but you also need to be able to see. In the past, color Doppler ultrasound doctors did all these tasks, and many surgeries required excellent color Doppler ultrasound doctors to provide support.

Before the operation, esophageal color ultrasound is used for diagnosis; after the operation, esophageal color ultrasound is used to evaluate the surgical effect. Only when the evaluation is qualified, the surgeon dares to close the chest.

Fatty Liang looked at all the parts that needed to be seen. Yang Ping himself stood beside him and looked at the color Doppler ultrasound images, and he interpreted each image carefully.

"Great, call it a day!"

Yang Ping confirmed that there was no problem with the color ultrasound, and then Fatty Liang stopped working and took out the color ultrasound probe.

Can Professor Yang still perform esophageal color Doppler ultrasound by himself?

Academician Wang couldn't believe it. Even as a representative of the older generation, Academician Wang only knew a little about color ultrasound and was not as good as a specialist.

Such an important surgery did not require the assistance of a color Doppler ultrasound doctor, and he watched the whole process by himself, which shows that Professor Yang's color Doppler ultrasound level is extremely high.

The next step is to close the chest.
-
Outside the door of the operating room, Yao Xiurong walked around like an ant on a hot pot: "It's been five or six hours, why haven't you come out yet?"

"Just sit down. It's common for this kind of surgery to take more than 20 hours. What's wrong with five or six hours? Let's sit down and wait, okay." Lao Song had no choice but to persuade his wife.

"My little baby hasn't been hungry for more than twenty hours?" Yao Xiurong was very worried.

Old Song had a black line on his face: "My good wife, please, sit down, I will give you the infusion during the operation, I will starve to death, don't worry, oh!"

"Old Song, do you think nothing will happen to the child? He won't be unable to jump after his heart stops, right? Has the doctor ever encountered someone who couldn't jump before?" Yao Xiurong asked.

Lao Song definitely couldn't have a normal discussion with her, so he simply said: "No, the current record is [-]% recovery, and it has never been said that recovery after stopping during the operation was unsuccessful."

Yao Xiurong covered her heart: "Then I can rest assured. You have been talking for so long, how can Xiaobao persist, poor son!"

At this time, Yao Xiurong burst into tears, and Lao Song handed her a tissue: "Sit down, have a good rest, and don't worry about it."

"You said I'm bothering you?" Yao Xiurong was angry and murderous.

Lao Song immediately changed his mind: "I said I was tormenting, don't get me wrong, I meant me."

Finally, the door opened and Song Hanhui was pushed out. Yao Xiurong rushed forward like an arrow from a string: "Xiaobao, how are you?"

When Lao Song saw his wife taking out a piece of chocolate from nowhere and holding it in her hand, he was so frightened that he broke into a cold sweat and rushed forward: "You can't eat now."

Yao Xiurong said with tears: "I know, I will give it to him when he can eat it."

"You can't eat until six hours after the operation. Remember not to move earlier without permission." Anesthesiologist Fatty Liang emphasized loudly.

Song Zimo said: "Send him to CCU first and observe him for a few days before talking about it."

Patients and family members are isolated in CCU, and even visits can only be separated by glass walls.
-
Academician Wang, Professor Chen, Professor Xin and Li Ze will sit in the locker room and take a rest.

Robert and August were also resting in the locker room. They had just observed the surgery with the students in the demonstration classroom. Although they were not majoring in cardiac surgery, they were also learning by the way.

Li Zehui asked: "What is the piece of music that Professor Yang plays when he performs surgery? It's very nice. I play this piece of music every time I see him perform surgery."

Professor Xin thought for a while and said: "That is China's famous classical music - "High Mountains and Flowing Waters", played with our national musical instrument guzheng."

Li Zehui had never heard of this piece of music called "High Mountains and Flowing Waters". He continued to ask: "Does this music have any connotation? I think it is very elegant and can soothe people's emotions and make people feel calm."

Robert said slowly: "The connotation of this piece of music is - the music is sublime, and it's hard to find a close friend."

The music is wonderful, but a close friend is hard to find?
Li Ze would ponder this sentence over and over again, as if he still didn't know what it meant.

Robert thought to himself that your face has grown in vain, so he explained to him: "The meaning of this song is - I am too advanced, so I can't find anyone who can understand me -"

"Why does the professor like this piece of music? According to you, the tone of this piece of music should be depressive." August also didn't understand.

Robert let out a small sigh:

"Professor Yang is so high up that he is in the cold, and he is alone and begging for defeat!"

At this time, Academician Wang, Professor Xin, and Professor Chen simultaneously turned to look at Robert.

PS: I will try my best to update on time at [-]pm in the future, thank you all!