Section 144
Use curved forceps to clamp the skin and pull it apart to expose the ribs.
A very thin bone can be broken by clamping with large forceps.
Apply bone wax to the cross section of the ribs to stop bleeding.
Insert the catheter of the extracorporeal circulation machine to establish extracorporeal circulation.
Cut the pericardium, find the position of the ventricle, cut the anterior wall of the right ventricle, the wall bundle, and the fibrous diaphragm ring to fully expose the ventricular septal defect.
Ventricular septal defect means that the two ventricles are connected, and the arterial blood and venous blood are mixed together.
You can choose polyester fabric pieces for suturing, which has strong tension and can stretch as the heart grows.
"But be careful when suturing here, be careful to avoid touching the conduction technique at the lower edge.
You can do it like me, be gentle, and don't press the thread too deep."
Zhang Yi explained while operating.
He knew that the operating room and outside the operating room were full of people watching his operation.
If they talk about more key points, they can avoid these problems in future operations.
After Zhang Yi finished speaking, all the doctors in and outside the operating room nodded frequently as if they were being taught.
Wow!
This is the boss!
Next is pulmonary artery stenosis.
Make a 1cm longitudinal incision, remove excess fiber muscle, and then sew with pericardium to expand the right heart outflow tract.
(The blood from the right heart flows out of the pulmonary artery.)
As long as the pulmonary artery outlet is expanded, the problem of right ventricular hypertrophy can also be solved.
Cross the aorta, sew the cross-over blood vessels back to the top of the left ventricle to correct the blood flow.
In fact, the method of surgery is to correct one by one.
The difficulty lies in the fact that the subjects of the surgery are basically children.
The dose of anesthesia, the doctor's operating skills, and whether there are complications after the operation are actually the key to the success of the operation.
But fortunately, Zhang Yi has practiced many times.
Including this kind of newborns, children aged four or five, and teenagers have all practiced.
So Zhang Yi is full of confidence.
After the correction, remove the extracorporeal circulation catheter.
Open the child's autonomous heart blood flow.
The next time is to wait!
Wait and observe to see if the child can recover his heartbeat.
One second,
Two seconds,
Three seconds...
Boom! Boom! Boom!
Although the little heart was covered with scars, it still beat strongly!
In the operating room, everyone breathed a sigh of relief.
The little guy did well!
The operation was also a complete success!
Then, after a careful inspection, he began to suture layer by layer.
"The operation is over."
Putting the needle holder into the curved tray, Zhang Yi said with a relaxed look.
Beside him, everyone looked at Zhang Yi and the child in front of him with an unsatisfied look.
It's over?
This is too smooth!
It's so smooth that it doesn't seem like an operation for tetralogy of Fallot!
At this time, Wang Mingjun turned his head and looked at the time in the operating room.
You don't know until you see it, and you'll be shocked when you see it!
Hiss!
It's only one hour and seventeen minutes? !
Excluding the time for opening the chest, closing the chest and opening the extracorporeal circulation...
Damn, it took less than thirty minutes to complete the intracardiac operation!
It's so outrageous!
"Oh my god, it's so enjoyable to watch Zhang Yi perform surgery!"
"That's right, his operation is really neat and tidy, and he doesn't waste any extra time."
"Woo woo! I want to worship Zhang Yi as my master, I wonder if he will accept disciples?"
Not only in the operating room, but also outside the operating room, the doctors knelt down to worship.
Boss!
Accept disciples!
We are all your most loyal disciples!
After the operation, the child was sent to the neonatal intensive care unit for observation.
During this period, the young father was unable to see the child after the successful operation.
However, outside the operating room, several doctors also reported the good news to the child's father.
"Don't worry, the operation was successful!"
The child's father showed an unbelievable expression when he heard it!
He just Baidu looked up the time of the operation, and it said that it would take at least four hours!
How come his son came out so quickly after going in? !
Chapter 111 Mr. Z, we have been waiting for you so hard
The operation time is only more than an hour, right? !
The child's father couldn't believe it!
This is too fast!
However, seeing the affirmative answers from the big doctors, he also believed that his child's operation was indeed successful.
"You go to the pediatric ICU and wait. You should be able to go in and see the child later when the child wakes up or passes the critical period."
Hearing the doctor's instructions, the child's father nodded repeatedly:
"Okay, thank you! Thank you doctors!"
The doctors led by Zhang Yi left the operating room.
After the operation, they had not eaten lunch for the operation.
Then they went to the cafeteria to prepare for lunch.
Following Zhang Yi, there were many interns watching the operation in the monitoring room next to them.
They looked at Zhang Yi with admiration.
"Assistant Zhang, you did a beautiful operation today!"
"Yes, yes, if there is another opportunity next time, I will come to see your operation again!"
"Assistant Zhang, I would like to ask a question. You said during the operation that you should be careful not to damage the ventricular conduction bundle when suturing. Is there a specific control distance?"
Beside Zhang Yi, a bunch of interns are studious and inquisitive.
They surrounded Zhang Yi.
The scene was like a celebrity walking through an airport.
Wang Mingjun felt a little sad when he saw this scene.
Why did he suddenly have a feeling...
I felt that Zhang Yi was the director!
And he was just a passerby? !