Section 94

The blood clot has been melted now.

But it is not enough, the problem of thickening of the blood vessel wall has not been solved.

There is still a possibility of blockage again in the future.

If at this time, a stent is added to open the blocked blood vessel, then the operation is completed.

But the problem is not that simple.

The elasticity of the blood vessels around the heart of the elderly has disappeared and blockage has occurred again.

After adding the stent, if the small blood vessels cannot withstand the pressure and rupture, the problem will be even bigger.

So only bypass surgery can be considered.

That is, find a section of intact blood vessels all over the body for transplantation.

Graft this intact blood vessel to the coronary artery.

Ignore the blocked blood vessels and directly build another pathway for blood.

In this way, the myocardium will regain blood to maintain nutrition and power.

But now the problem is here.

To do a bypass, you have to open your chest.

And at the same time, you have to remove the ventricular aneurysm.

Opening your chest is very risky for this elderly person.

You have to consider recovery, infection, grafted blood vessels, etc.

It is even unknown whether the removal of the ventricular aneurysm will have any effect on the elderly’s heart.

The doctors at Ping An Hospital sincerely hope that the old man can get better.

So they took this opportunity to invite an authoritative expert in this field to take a look.

The old man asked the nurse to put on his dentures, then looked at Zhang Yi and Tian Ming and said:

"Doctor, when can I have the operation?

I am in good health. I just had chest pain before. My third daughter-in-law was so nervous that she had to send me to the hospital.

And I have been staying here for so many days. You see, I am much better now. I can have the operation now."

Tian Ming shook his head:

"Don't worry, old man. We have to think of a foolproof way to perform the operation on you."

The old man nodded and said:

"Yes, yes, I will still listen to what you doctors say, but I hope I can have the operation and be discharged as soon as possible. I must go to the military parade."

Chapter 76 Is Zhang Yi crazy or am I crazy?

Speaking of the military parade, the old man's dark eyes are shining a little.

He must go to the military parade!

Just this one chance...

He must bring his eyes to attend the military parade for them and everyone!

See the prosperous New China for them!

After Zhang Yi looked at the old man, he checked his whole body again.

At the age of 93, the risk of surgery is indeed very high.

But...

Zhang Yi lowered his eyes and thought for a while.

Tian Ming looked at Zhang Yi and asked curiously:

"Doctor Zhang...what are you thinking about?"

"Surgical plan."

Zhang Yi's solemn expression did not change, but he opened his thin lips slightly and uttered four words lightly.

Aside, Tian Ming really couldn't calm down!

What? !

Surgical plan? !

Oh my goodness!

He can't really do cardiac surgery? !

Are you kidding me? !

Tian Ming looked at Zhang Yi with a frightened expression.

In the hospital, each department is as different as a mountain.

He should...can't do cardiac surgery!

At this time.

At the door of the ward, a man in military uniform suddenly appeared.

When he heard Zhang Yi say that he was thinking about the surgical plan, he stopped at the door.

He was worried that he would disturb the doctor who was thinking about the surgical plan.

After a while, Zhang Yi spoke.

"Director Tian, ​​I actually have a plan that does not require a thoracotomy."

Tian Ming bit his lower lip and looked at Zhang Yi in shock:

"What...what?!"

"Use minimally invasive, that is, laparoscopic, method to perform bypass surgery!"

Zhang Yi said in a decisive tone.

Tian Ming's shoulders trembled when he heard it.

The next second, Tian Ming widened his eyes, opened his mouth slightly, and looked at Zhang Yi in horror!

What a lunatic! !

Where is the minimally invasive heart surgery? !

Although the technology of coronary artery bypass has become more and more mature in recent years.

But this level of surgery has always been done by thoracotomy, okay? !

How can you find the position of the heart without a thoracotomy? !

If you don't open your chest, you can't even open the ribs, let alone perform surgery.

Even the field of view of the entire operation is not clear at all!

The heart is located between the second and fifth sternum.

Below is the liver, and on the left and right are the lungs.

To perform heart surgery, you must open the chest and expose the heart.

And push the organs in front and behind to fully expose the surgical field.

Zhang Yi wants to use minimally invasive methods? ?

It's impossible!

But...

On second thought.

Zhang Yi's operation is indeed very good.

Could he really do it? ?

No, no!

Heart surgery is too difficult!

Using minimally invasive methods...

How is it possible!

Seeing the entanglement and doubt in Tian Ming's eyes, Zhang Yi directly stated the surgical steps.

"First, using minimally invasive methods can reduce postoperative infection and reduce the wound area, so that the elderly, especially those who are 93 years old, can recover faster and have less risks.

The minimally invasive method I mentioned is to make three holes on the chest.

Make a larger incision under the xiphoid process, about five centimeters, and open it to place the tractor and other operating tools.

Make a one-centimeter incision horizontally in the fourth intercostal space on the left to place the lens.