godfather of surgery

Chapter 519 Creativity
Yang Ping used the tip of the knife to cut the heart bag.

The tip of the knife ignores the adhesion, just like having eyes, always wandering in a safe gap.

These so-called safety gaps cannot be distinguished with the naked eye because of the existence of adhesion.

So Li Ze would be very puzzled, how could Yang Ping predict where the real safety gap would be.

"Focus!"

Yang Ping saw that the movements of Li Zehui's hands were sluggish for a moment, and knew that he was distracted, so he immediately reminded him seriously.

Any negligence in this operation can easily lead to a big mistake.

Yang Ping's voice was a bit loud, and Li Zehui blushed, not allowing him to think about these issues, the tip of the knife was already moving rapidly, and he immediately focused on assisting Yang Ping.

This dextrocardia, the dextrocardia that is upside-down front and back, was separated little by little under the tip of the knife, and then the aorta, pulmonary artery, superior vena cava, and pulmonary vein were quickly separated, and everything was clearly defined. show in front of your eyes.

Li Ze would think that it would take a long time to reveal the heart in the adhesion, at least two or three hours.

But Yang Ping completed the reveal in just ten minutes.

This is dextrocardia stuck everywhere, and upside down.

With this kind of deformed anatomy, any doctor hesitates, just like crossing a river by feeling the stones.
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In the meeting room of the heart center, the doctors observing the operation all thought that the step of separating and exposing the heart and the great blood vessels would not be completed within three hours.

Dodge thinks so too.

However, the boldness of Yang Ping's knife point quickly surpassed their imagination. They once thought that blood vessels or nerves would be damaged during the separation process, but the entire heart and great blood vessels were clearly exposed, and no unexpected bleeding was seen during the operation.

Ten minutes, only ten minutes, Yang Ping completed the reveal.

What was supposed to be a crisis was exposed, but in Yang Ping's hands, everything was calm.

"Dude, is this Chinese doctor really good at performing heart surgery?"

Laymen watch the excitement, and experts watch the famous halls.

Odorelli only saw this step revealed, and felt inferior.

"Well, I just know how to do it."

In fact, Dodge's thinking is similar to Odorelli's. He just followed the rhythm of the operation, and every time he thought about what he would do if it was him, but every time he didn't think about anything, the tip of the knife in the video had already penetrated layer by layer.

As far as this step is concerned, Dodge also admits that it is not as good as others.

No wonder Li Ze is so persistent, he must be invited to be the chief surgeon.

Dodge seems to be clearer now.

But he was still unwilling to admit defeat, and comforted himself: the operation had just begun, and it didn't show any level.

Arrogant people will always find various reasons to convince themselves.
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"I want to take a good look at this heart?"

Marshall was thrilled.

This is a heart that is turned upside down, and it is now lying on the right side of the chest, beating warmly.

Yang Ping stopped what he was doing and asked him to take a closer look.

As a doctor, Marshall may only encounter this case in his life.

"Can I touch it?"

Marshall asked cautiously.

Yang Ping pointed to the heart and said, "Please do it! Be gentle, don't squeeze hard like a ball."

With permission, Marshall's hands trembled with excitement. He stretched out his sterile gloved fingers, poked lightly on the beating heart, and then gently held it with the palm of his hand.

The surface seen now should be in the back, and the distribution of blood vessels is also misplaced from the normal front to back.

He squeezed it lightly, and he could feel the rubber ball-like thing under his hand—the tumor.

Severe tetralogy - overriding aorta, ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy, all concentrated in this sick heart.

"Marshall, is that enough?" Li Zehui urged, he also wanted to touch this heart.

"and many more!"

Marshall had no intention of stopping immediately.

Yang Ping simply stopped to rest for a while, let them experience enough, anyway, the heart has not been separated now, so there is no rush.

After about 5 minutes.

Li Zehui took his hand out of his chest: "You can continue."

Now, Yang Ping will begin to cut off the large blood vessels connecting the heart, and then take out the heart intact.

Yang Ping ordered to connect the heart-lung machine to empty the heart of blood, and inject cardioplegia fluid into the heart from the coronary artery. Soon, the heart stopped beating under the induction of cardioplegia fluid.

"Anaesthetist! Perfusionist! I'm going to take this heart out now."

After alerting the anesthesiologist and perfusionist, Yang Ping cut the aorta above the origin of the coronary artery, and then cut the superior vena cava, pulmonary artery, and pulmonary vein without hesitation.

The heart is separated from the baby's circulatory tubes and becomes a self-contained unit.

At this time, Yang Ping carefully took out the heart and held it in the palm of his hand.

The equipment nurse handed over a metal tray already filled with sterile ice.

Yang Ping put the heart into the metal plate, and then personally carried the metal plate to the prepared aseptic workbench.

He is now going to complete a series of operations on this workbench on this isolated heart.

Li Ze will transfer to the workbench to assist Yang Ping.

Marshall left to guard the empty chest cavity, and the space left by the heart being removed seemed empty.

This feeling is weird, a person whose heart has been ripped out.

The artificial heart-lung machine simulates the function of the heart and lungs, promotes blood circulation throughout the body, and maintains the baby's life.

First, the tumor of the left ventricle must be removed. Although the tumor is inside the left ventricle, the myocardium of the left ventricle cannot be directly cut to expose the tumor.

The function of the left ventricle is to pump blood. When pumping blood, the myocardium contracts strongly. If the ventricle is cut and the incision is closed with sutures, it cannot adapt to the strong contraction at all, and there is a risk that the incision will rupture during pumping.

And the scar of the ventricle will also reduce the heart's endurance in the future. It is entirely possible that after a certain strenuous exercise, the heart will crack at the scar due to rapid and rapid contraction.

So to remove this kind of tumor, it is best to use a knife on the atrium, and a real master will try to dig out the tumor from the space in the aorta.

In this way, the intact left ventricular myocardium is preserved, so that the function of the heart is better and the adaptability is stronger.

"Wrist and interphalangeal joint arthroscopic instruments! Pediatric ENT endoscopic instruments! Pediatric thoracoscopy and laparoscopy instruments!"

A series of instruments are unpacked aseptically, each set of instruments occupies a sterile table, and various instruments are placed around the operating table.

If it wasn't for Yang Ping's in-depth communication with the whole team in advance, they would have no idea what these various equipment are used for.

In fact, with so many equipment, Yang Ping can't use much.

But he had to rely on these equipment bags, each of which might have one or two pieces, to get all the equipment he needed.
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What is this for?
Dodge couldn't understand what Yang Ping was going to do next. He actually asked the roving nurse to prepare so many endoscopic and endoscopic systems. Could it be that he wanted to use these mirrors to look at the tumor inside and prepare for planning the surgical incision?
Sure enough, a creative guy!

Yang Ping picked a suitable lens and inserted it through the fracture of the aorta, which connects to the left ventricle, and the tumor can be seen from here.

"Fix the heart!"

Yang Ping needs someone to fix the heart, and Li Ze will fix the heart with both hands. Yang Ping holds the lens in one hand and the instrument in the other, and starts to peel off the tumor.

"He actually performed endoscopic surgery on an isolated heart. Didn't he cut open the heart and use an endoscope to resolve tumors and deformities?"

Dodge was right in his guess.

Yang Ping's madness is far from being as simple as performing such a complicated operation on an isolated heart.

He will use minimally invasive surgery to remove the tumor.

impossible!

Dodge denies his judgment.

No one can do it!

However, the equipment in the video is clearly separating the tumor, and in a small space, the equipment is almost used to its limit.

The tumor is separated bit by bit.

Dodge covered his mouth: "He really wants to use an endoscope to remove the tumor? How is that possible?"

"He took his first steps? Dude, this guy is full of novel ideas?"

Odorelli saw that Yang Ping was really separating the tumor, not just looking at it with a camera.

A tumor of the rubber ball, buried deep in the left ventricle, blocked the outflow channel of the aorta.

The narrow space makes this kind of endoscopic surgery very difficult and almost impossible to complete. Every instrument must play its limit to be successful.

"Marshall, don't stare at the chest cavity, come here and help stabilize the heart."

Li Zehui now has to free up his hands to help Yang Ping hold the camera.

Marshall immediately came over to help. After all, his heart was soft, and it was not easy to fix it. He worked hard to adjust to find the right force.

And Li Zehui now specializes in fixing the camera.

In this way, Yang Ping's two hands are free to operate the equipment.

Sometimes arthroscopic instruments, sometimes ENT endoscopic instruments, sometimes thoracoscopic and laparoscopic instruments.

Various instruments come in and out of the aortic opening, cooperate with each other, and the tumor is separated bit by bit.

(End of this chapter)