godfather of surgery

Chapter 945 Mending

Facing the stopped heart, Yang Ping carefully cut it open. The "engine" of the human body was turned on, and the structure inside was clearly revealed in front of the surgeon.

It can be said that the structures around the aortic valve and mitral valve are in a mess, blurred, and it is impossible to identify their respective structures. The destroyed valves, vegetations, and abscesses are mixed together. If it were not for the help of ECMO, this would have been impossible. The Swedish gentleman's life may have ended long ago.

Swedish doctor Davenport stood in front of the screen. The details of the surgical field were clear. Now what was shown in front of him was the ruins of his heart. He frowned. He really couldn't figure out how Yang Ping could complete such an operation. , almost no one can pass the suturing technique alone, at least not himself, nor can the doctors he has seen and known.

This is the second Commando operation. The foundation for reconstructing the door frame is already very bad. On this bad foundation, it is impossible to complete every stitch of high-quality suturing because the thickness of the myocardial wall left is certain and there are many parts. Because the infection is in the edema stage, edema will cause the tissue to become brittle and tender. It is very difficult to perform stitches on the brittle and tender tissue, and the control of risks is not enough, which can easily lead to cutting the myocardial tissue.

Therefore, thousands of stitches cannot be missed in a single stitch. A single mistake will not only cut the originally fragile tissue and loosen the stitch, but also cause subsequent stitches to have nowhere to start. Secondly, the distribution of stitches It requires extremely rich experience, and the point at which the needle enters and exits must be very precise, so as to ensure that the entire suture can withstand a certain amount of stress without any weak points.

All stitches need to be considered comprehensively, so that all stitches, especially those in fragile parts, can reasonably disperse stress and form a zipper-like effect of evenly dispersing stress. This is extremely difficult to achieve. In theory, it is possible, but in practice No one can do it.

The zipper is straight, but the stitches on the heart are now in various irregular shapes. How is it possible to achieve this intricate and irregular stitching route by relying on human experience to distribute the stress of each stitch to the most appropriate level?

If the stress of any needle is too concentrated, it may be torn into a gap due to the beating of the heart and the huge pressure of the internal blood. Once this gap is formed, it will be catastrophic. The high-pressure blood will mercilessly expand the gap, and the blood in the heart will If it is immediately ejected through the gap, the entire human body will die due to massive hemorrhage. This type of massive hemorrhage is more terrifying and dangerous than aortic dissection.

Xia Shu came from Fuwai Hospital and had seen many complex and difficult cases. The cases he had seen in Fuwai in one day might be more than those seen in ordinary hospitals in decades. From the perspective of Yishu, he saw this kind of cases. The Commando surgery required revision, and my head was filled with mush, and a huge feeling of pressure hit my face.

Director He Xiangjun of the Thoracic Surgery Department of Sanbo Hospital and several doctors from the Thoracic Surgery Department were also gathered around the screen. They were too nervous to breathe. Professor Cao Zhenshan of the outpatient clinic was also a retired professor from Fuwai. He made arrangements for the outpatient work and hurriedly rushed to the operating room.

When he saw this situation on the screen, he couldn't help but worry about Yang Ping. How to perform this kind of surgery, and there is no heart transplant as a backup. If it fails, how will it end? Are you using ECMO to maintain your life while waiting for a heart transplant?

Yang Ping was not in a hurry. He removed all the originally replaced valves, stitch by stitch, and removed all the original valves, vegetations, and abscesses. Some attachments and attachments that had been eroded by bacteria were removed. The surrounding tissue was also cleaned, and then rinsed repeatedly with saline to make the left chamber of the heart clean.

The difficulty of the Commando operation is that it involves two closely connected valves, the aortic valve and the mitral valve. It requires the reconstruction of the entire fibrous skeleton of the heart, which means that the load-bearing walls must be shared between two different "rooms" of the heart. The two small doors were replaced with a large door frame, and two new doors were put in. The amount of work can be imagined.

In addition, the sutures need to be very fine during the operation to prevent uncontrollable bleeding. Once the suture quality is poor and loose gaps occur, it will be difficult to stop bleeding after the operation, which is catastrophic for both the patient and the doctor. Therefore, Commando Surgery requires extremely high suturing techniques, and suturing is directly related to life.

Suturing is one thing, and on the other hand, the size of the valve must also be controlled extremely accurately.

Skilled cardiac anatomy techniques and accurate judgment of valve size are required. Once the valve size is misjudged, resulting in a valve that is too small or too large, it will cause dysfunction of the valve and lead to cardiac dysfunction.

If it is the first surgery, it will be easier. Sometimes you can use CT scan images for measurement. But for the second surgery, you don’t know what the remaining structure will look like after removing the original surgery, and you can’t predict it before the surgery. , can only be measured empirically during surgery.

The second Commando surgery was twice as difficult as the first, with more factors to consider.

After the original operation was dismantled and the infected lesions were removed, everyone looked at the broken walls of the heart and felt a little desperate. On this basis, reconstruction, suturing, and accurate judgment of valve size were extremely difficult. No wonder Europeans do not dare to do this kind of surgery, it is impossible to do it.

Yang Ping's eyes were still calm. He seemed to be performing a very ordinary operation, step by step, calmly.

Xia Shu assisted Yang Ping as an assistant in reconstructing the aortic root, aortic annulus, aortic curtain, left atrium roof, and mitral valve annulus. When he first saw this bad heart, his mind was completely confused. , now I have a clear mind and follow Yang Ping to do every detail well.

The Swedish doctor sat in front of the electronic screen and stared at it intently. He was glad that he followed Mr. Cullen to China and had the opportunity to observe such an incredible operation up close, which allowed him to get to know Chinese doctors, Chinese medicine, and Commando surgery.

Suturing stitch by stitch, Yang Ping made every stitch perfect. The surgical suturing skills were superbly demonstrated in this operation. This is a real skill, not a simple suturing.

A few hours later, the heart, which looked very bad and tattered, had returned to its normal structure and function in Yang Ping's hands. When the heart closed, it started beating again. Not only Xia Shu, but also the Swedish doctors and everyone felt that It's incredible that this kind of heart can be repaired.

The Swedish doctor was a little dumbfounded. As the top cardiac surgeon in Europe, he had to worship Yang Ping's level of suturing skills. There was probably only one person in the world who could perform suturing to this level. At least he Never seen the second one.

No wonder he dared to perform such an operation. His unique suturing technology and super spatial imagination ensured that this almost impossible operation was successfully completed and avoided heart replacement.

After all, my heart has good vitality. After repairing it, it is still much better than other people's hearts.

If someone else's heart is transplanted, anti-rejection treatment will eventually be required, but his own heart does not need anti-rejection treatment. Yang Ping feels that there is no problem in using this heart for another ten to twenty years. Of course, if there is no For other diseases, longer time is not a problem.

Swedish doctors have heard a popular saying before that Chinese people's hands are very flexible due to long-term use of chopsticks. Now it seems that the rumor is true. The suturing technique that Professor Yang just demonstrated with his hands is unparalleled by anyone else in the world. To achieve this, thousands of stitches are used to suture, and each stitch is perfect. It is the perfection of this stitch one stitch that combines the perfection of the entire operation. After the operation, Karen was transferred to the CCU for postoperative monitoring. According to the usual practice, for such critically ill patients, even if they are placed in the CCU, the surgical institute will send someone to guard them. The most suitable doctor to send this time should be Xia Shu, because Xia Shu The book is the first assistant, understanding the details of the entire operation.

But Xia Shu's father was still in the ward and had not been discharged from the hospital. When he was hesitating, the head nurse called him and asked him to work with peace of mind. She would arrange Xia Shu's father's affairs so that Xia Shu did not have to worry. This kind of case is rare and must be Follow up carefully.

With the help of the head nurse, Xia Shu felt much more at ease. He knew the head nurse's working style and was thoughtful and careful, so he would definitely be able to take good care of his father. In this way, Xia Shu went to CCU without any worries and participated in Karen's postoperative monitoring and treatment.

The biggest risk after Karen's surgery is massive bleeding, because if one of the thousands of stitches of suturing becomes loose, it can cause massive bleeding. Secondly, the postoperative infection worsens or cannot be controlled, and the bacteria erode the implanted valve and attachments again, and even spread throughout the body.

The doctors in CCU are all cardiologists and lack surgical thinking. Having cardiac surgeons from the surgical institute participate in the treatment can make up for the shortcomings of the CCU doctors. This way, strengths and weaknesses can be utilized to avoid medical errors due to blind spots in thinking.

The Swedish doctor applied to take care of Karen together, but because his language skills were not good enough and did not comply with the procedures of Sanbo Hospital. Later, because he was familiar with Karen's past medical history, which was of great significance for perioperative monitoring, the medical office It was agreed that he would participate in Karen's perioperative diagnosis and treatment in the form of follow-up consultation, but it was only a follow-up consultation without any authority. His status was lower than that of an intern, and he was just a companion.

Even so, the Swedish doctor was happy. He wanted to personally participate in Karen's treatment, and wanted to see the final effect of the operation, whether the heart could turn decay into a miracle in Yang Ping's hands, and whether Karen could finally return to normal.

The Swedish doctor kept a diary, and he wrote down the entire treatment process in detail. If it was really successful, this would be a classic case.

The operation has ended. As a qualified instrument nurse, cleaning the instruments is the last and most difficult step. Qiu Nuo followed Zhou Can to clean today's surgical instruments.

Qiu Nuo was amazed by Zhou Can's professionalism, because she always cared for the equipment, cared for the equipment from the bottom of her heart, and then poured her ideas into every detail of her work. This is the quality that an excellent equipment nurse should have.

"This is what Sister Xiaosu taught me!" Zhou Can looked proud.

It was Xiao Su again, Qiu Nuo couldn't help but sigh, but it just so happened that she could take this opportunity to learn about the love story between Xiao Su and Yang Ping.

This is not a secret. Since Qiu Nuo wants to know, Zhou Can tells everything she can know. She can't tell what she doesn't know.

After Zhou Can's introduction, Qiu Nuo roughly understood the outline of this love story. When Yang Ping first came to Sanbo Hospital, he was single and had not yet become famous. He was just an ordinary doctor. At that time, Xiao Su began to have a relationship with Yang Ping slowly fell in love, and now he is married and has children. This is the story.

The shadow of Yang Ping lingers in Qiu Nuo's mind. With his superb surgical skills, dedicated personality, and tall and handsome figure, why is Yang Ping so good and why is he already married? Qiu Nuo feels that this is a distressing thing. , I will never be able to find someone I like when I fall in love in the future, because no matter who he is, Qiu Nuo will compare him with Yang Ping.

Why didn't he meet Yang Ping first, but Xiao Su? Why was Xiao Su always so lucky, and the best things were always taken away by her.

Qiu Nuo calmed down and thought about it, if Yang Ping met him at that time, would he like him?

Probably not, I just like the current Yang Ping.

This is probably the reason why he lost to Xiao Su. Just like buying stocks, he can only see the stocks in their peak state. It is no longer the time for him to take action, but Xiao Su has accurately spotted the stock with the greatest potential in the future. share.

Qiu Nuo's mood was very complicated now. The more she thought about it, the more confused her mind became. She felt extremely lonely. In the end, she could only comfort herself. It might as well be that he was the husband of her best sister. Thinking of this, she felt a little more comfortable.

If it weren't for her best friend's husband, Qiu Nuo would really have the idea of ​​​​fighting for love. Sometimes when people get carried away, they tend to ignore all other restrictions.

"Sister Xiao Su is so happy. We, Professor Yang, only love her and don't even look at other girls."

Zhou Can said enviously that she also hoped to have such a husband who was capable and only loved herself.

"Is there anyone else who likes Professor Yang?"

Qiu Nuo was very curious.

Zhou Can thought for a while and said: "Of course, I know a few, and there are very outstanding girls among them. They are all the best in terms of appearance, figure and knowledge. They are passionate about Professor Yang, but Yang Not to mention being tempted, the professor doesn't even have any ideas. His thoughts are all on medicine and Xiao Su. Sister Xiao Su is really happy. I really envy their dedicated relationship. "

No wonder Xiao Su is not worried at all about her liking for Professor Yang. Her love has gone through many tests and is very stable.

After the instruments were washed, Qiu Nuo had to perform the second operation, again on Yang Ping. It would be a blessing to follow Yang Ping in surgery. Qiu Nuo even had the idea of ​​joining Sanbo Hospital.