Start From Emergency Doctor
Chapter 358
Chapter 358
The vascular surgeon discovered with horror that it was really exhausting to perform surgery with Zhou Yuan…
It’s not that his hands are tired, because it’s not his turn to touch the knife at all, but the eyes are tired.
Have you ever seen a surgeon whose hands are so fast that you can’t keep up with the blink of an eye?
I was so tired that I didn’t dare to blink my eyes watching Zhou Yuan undergoing an operation.
How did the doctors who observed Zhou Yuan’s surgery for a month survived? Did they install fake eyeballs?
With the effort of the vascular surgeon, Zhou Yuan has completed the last stitch of the artificial blood vessel and said: “It’s done, let’s proceed with the resection of the aortic coarctation.”
Zhou Yuan glanced at the vascular surgeon and wanted to say something, but in the end he stopped talking.
Alas, I still have to let the chief physician be his assistant in the future. The doctor in charge of this kind is too unsteady, and the facial expressions of a group of surgeons are wonderful, like emoticons.
I haven’t seen Jiang Xiaoqi making a fuss…
Zhou Yuan picked up the scalpel and placed a non-invasive vascular clamp on the proximal and distal ends of the descending aorta in the coarctation of the aorta.
After the blood flow was blocked, Zhou Yuan excised the constriction.
The blood vessel wall was so smooth that there was no resistance when it was removed, and it was done in one go.
Jiang Xiaoqi: “Unheard of…”
This is Jiang Xiaoqi’s first operation with Zhou Yuan?
Zhou Yuan had too many surgeries, and he hadn’t paid attention to this, and who was there who hadn’t performed surgery with him?
Now Yanjing Traditional Chinese Medicine has a default rule, whoever has served as an assistant to Zhou Yuan is awesome. Because anyone who didn’t have an operation with Zhou Yuan was ineligible…
Which one of Zhou Yuan’s surgery is not extremely difficult? If you want to be Zhou Yuan’s assistant, you really can’t get on the operating table without some skills.
For this reason, the team formed by Zhou Yuan during the skull separation operation of the conjoined children is now particularly well-known in the hospital.
The more Jiang Xiaoqi undergoes surgery with Zhou Yuan, the more he feels that there is still much room for improvement in her technique.
She was a master student when she was at Harvard. Even when she was performing clinical operations, Jiang Xiaoqi was used as a role model, and she was often called to demonstrate to her classmates.
But now I see Zhou Yuan… I am a scumbag!
Moreover, Jiang Xiaoqi knows that although the teachers at Harvard are awesome, the students are used to being lazy.
Country M is a country that loves fried chicken and beer. Even Harvard’s final exam, there are a lot of students who will use drugs to improve their attention and brainpower in a short time to improve their performance.
Therefore, Jiang Xiaoqi is awesome at Harvard not because of her classmates, but really awesome…(Read more @ wuxiax.com)
What did the tutor say at that time? Jiang Xiaoqi is a rare medical genius.
If this is to make the instructor see Zhou Yuan, he shouldn’t be scared to cry by Zhou Yuan’s medical skills?
The more Jiang Xiaoqi analyzes, the more he feels that she is useless, and the more she feels Zhou Yuan is incredible.
Later, I almost became autistic: How can the gap between people be so big? !
She looked at Zhou Yuan’s side face focused on surgery, and she couldn’t help but feel a little silly.
so hot……
“Vascular clamp.”
Zhou Yuan’s lips moved.
Jiang Xiaoqi recovered, and immediately moved the upper and lower vascular clamps gently to reduce the tension during the anastomosis and ligation of the vascular wall.
This is the step that has already been discussed in the pre-surgery protocol discussion link, so as soon as Zhou Yuan spoke to Jiang Xiaoqi, he understood what to do.
Zhou Yuan took a 4-0 polypropylene suture, threaded it into a straight short needle, and used the needle-holding forceps to insert the short needle into the skin, and began to perform intermittent sutures.
I haven’t had an operation for several days, and Zhou Yuan’s hands are still very proficient. After returning home these days, Zhou Yuan is still practicing sutures with soap bubbles. As a surgeon, he must always ensure his hand feel, because they do not allow mistakes.
One mistake may have a life-long impact on the patient.
Zhou Yuan threaded a short needle and tightened the polypropylene suture to align the inner membrane.
Zhou Yuan was cautious when performing sutures and ligation. Patients with coarctation of the aorta often have abundant collateral circulation, which means that many blood vessels are very fragile.
Zhou Yuan paid special attention when ligating and cutting the arterial catheter. There were many bleeding points at the incision. It took half an hour to complete the ligation of all bleeding points to stop the bleeding.
“Wait…” Zhou Yuan was taken aback for a moment.
Jiang Xiaoqi noticed that Zhou Yuan’s face was wrong, she looked at the descending aorta, and her face turned pale at the first glance.
The inner wall of the descending aorta actually began to seep blood, and the suture area operated by Zhou Yuan was directly infiltrated by fine blood beads.
These blood beads are small, not fast, and they only appeared soon.
The vascular surgeon holds the tissue scissors in his hand-he has been responsible for the freeing of the descending aorta and the opening of the surgical field. His job is to provide a good operating space for Zhou Yuan’s surgery.
However, just now, when the tissue scissors were peeling the tissue around the descending aorta, it actually cut the blood vessel? !
“How come, there is no blood vessel next to the descending aorta, why is there blood oozing!”
The vascular surgeon looked incredulous, and his tone was a little frightened.
Jiang Xiaoqi was also stunned, staring at the aortic wall blankly.
Anyway, blood did come out, not aortic bleeding, what other blood vessel could it be? !
“You may have hurt Abbott’s artery…” Jiang Xiaoqi thought for a while and said.
“Abbott’s artery?” The vascular surgeon was stunned.
Zhou Yuan changed his position and went to the vascular surgeon’s place and began to check the rupture of the blood vessel. He said, “It’s the Abbott’s artery. This artery does not exist in normal people, but it sometimes coexists with aortic coarctation.”
The Abbott artery is an extremely special blood vessel, very tasteless, it doesn’t matter if it doesn’t, normal people lack this blood vessel.
In other words, this is an abnormal blood vessel, which usually occurs with aortic coarctation. How to form it, its specific function, etc. is a mystery.
The Abbott artery usually travels a short distance in the direction of the head and then goes behind the carotid artery or directly traverses the posterior wall of the aortic arch to the head and neck. This is a blood vessel that can’t even be searched on Wikipedia, and it is only understood by experts in the medical industry. At present, this blood vessel has no effect, but accidentally injured during the operation.
Zhou Yuan did not expect Xiaoding to have Abbott’s arteries, which shows that Xiaoding is not a normal person…
He stretched out his hand slowly and pressed his fingers around the descending aorta. Sure enough, he could vaguely feel that there was an artery buried beside the descending aorta, about two to three millimeters in diameter.
Zhou Yuan pressed it lightly, and soon, the bleeding stopped, and the perfect pressure hemostasis method worked again.
“Zhou Yuan, what do you use to stop the bleeding?” Jiang Xiaoqi said. .
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