Excellent hand and heart doctor

Chapter 468 Surgical Explanation (for Subscription)

On Friday morning, the Cardiac Surgery Department of the Affiliated Hospital of Binhai University.

Xu Yang, with a chicken nest on his head, gently pushed open the back door of the small conference room, slipped in with a cat waist, and tiptoed to his colleague before straightening up.

The colleagues around him, seeing that his hair was disheveled and his white coat hadn't been buttoned up, smiled and asked in a low voice, "You didn't hide somewhere in the hospital and slept all night, did you?"

Xu Yang looked forward and saw Professor Ren, and the director of the department hadn't arrived yet. He breathed a sigh of relief, and while arranging his hair and clothes, he said, "I was so excited last night, I didn't fall asleep until three or four in the morning. .”

"Later, when I closed my eyes and opened them, I overslept. I didn't wash my face or eat anything, so I hurried over here."

The colleague was a little puzzled, and asked: "You were selected as one of the five people who entered the operating room and watched the operation up close. Why are you so excited? We sat in the stands outside to observe and study, and the effect was not bad!" "

Xu Yang smiled, but said nothing.

Everyone has different ideas, and the importance of the same thing is also different.

It was his dream to be able to watch Lin Jie's operation at such a close distance.

Since watching Lin Jie's thoracoabdominal aorta replacement surgery last time, Xu Yang regarded Lin Jie as his idol and the ultimate goal of life.

The incomparably refined and precise knife entry; the smooth and intoxicating knife movement; and the free and unhurried handling of nodes, it can be said that Lin Jie turned such a daunting and complicated operation into a pleasing one. performance.

From that moment on, Xu Yang understood that Lin Jie had raised surgery from a technique to an artistic level.

Its level is not comparable to the so-called master surgeons in the affiliated hospital.

After that operation, Xu Yang downloaded Lin Jie's lecture recordings on the "heart" from the Internet. The more he studied and researched, the more he realized Lin Jie's erudition, which gave him a real feeling of looking up to the mountains.

It's just that as a resident doctor, Xu Yang's daily work is heavy, and he doesn't have much free time at all, and Lin Jie is also elusive, so it is very difficult to find opportunities to consult in person.

To Xu Yang's surprise, Lin Jie actually wanted to perform a teaching operation for the heart surgeon.

He cherishes this opportunity very much, and attaches great importance to the operation plan ordered by Professor Ren.

Xu Yang squeezed out a lot of sleep time, looked up information, studied similar cases, changed his draft several times, and finally completed the operation plan.

It can be said that hard work pays off, after being screened by the leader, he and four other colleagues were qualified to enter the operating room to watch Lin Jie's operation because of the excellent operation plan.

Among the five, Xu Yang was the youngest and the only resident doctor.

What made him even more excited was that it was said that Lin Jie had personally seen and approved the five surgical plans.

After Xu Yang tidied up his hair, Professor Ren and several department directors also entered the meeting room, and the whole meeting room was suddenly silent.

Then, Professor Ren's voice sounded, "At my strong request, expert Lin specially performed an on-site teaching operation for us in the Department of Cardiac Surgery."

"I won't go into details about the level of expert Lin. You all know it well. In terms of cardiac surgery alone, Dr. Xia, who used to be the No. 1 doctor in China, can't help himself."

"Professor Lin's achievements are not only reflected in the heart, but also in many fields such as brain and general surgery. He also has an extraordinary level. The title of "unborn medical genius" is definitely well-deserved by Lin.

Ren Maoshi's praise did not feel excessive or overstated.

There are not so many rumors about Lin Jie now.

An Weize's brain tumor, Qin Gang's liver repair, and Xiaoxiao's voice, although these three operations have not been personally acknowledged by the parties involved, many people know the truth in their hearts.

As people in the industry, they know that the difficulty of any one of these three operations is world-class.

No one doubted Lin Jie's strength.

"Today, expert Lin performed a teaching operation on a five-month-old infant with complex heart defects. You have all read the medical records, so I won't say much about the difficulty of the operation."

Ren Maoshi said in a heavy tone: "All in all, this is an extremely rare learning opportunity."

"Let a world-class famous doctor do demonstration and teaching operations hand in hand. Perhaps, you only have such a chance in your life!"

"I sincerely hope that you don't waste this moment. At the same time, in order to let you study with peace of mind, the department has also done a lot of work!"

Ren Maoshi's eyes slowly swept across the three or forty people in the conference room, and said, "Not only have we cleared your work for today in terms of work arrangements, but at the same time..."

"Several old comrades in the department also volunteered to take on duty to deal with possible emergency operations."

After Ren Maoshi finished speaking, the director of the department also reiterated the importance of this teaching operation.

Ten minutes later, the short mobilization meeting ended!

Taking advantage of this short preparation time, Xu Yang quickly brushed his teeth and washed his face in the bathroom of the doctor's lounge. After finishing his personal hygiene, he asked a little nurse who liked to eat snacks for a few pieces of chocolate for breakfast.

Afterwards, Xu Yang came to the operation preparation room, changed into the surgical gown, then sterilized his hands and entered the operating room. He helped the surgical nurse do some preoperative preparations, counted surgical medicines, disposable consumables, placed surgical instruments, etc. .

At 31:[-], the little patient was pushed into the operating room.

The hospital's senior anesthesiologists and nurses connected the children with various monitoring instruments, performed the last inspection, and then performed preliminary anesthesia. After finding that the children had no abnormal reactions, further deep anesthesia was performed.

Because the child is only five months old, the body and organs are delicate, and the brain development is still somewhat incomplete, deep anesthesia must be very cautious. In the choice of anesthetics, it is also necessary to choose anesthetics with less stimulation and less side effects.

Even if the anesthesia is done very carefully, if the anesthesia time is too long, it may cause unpredictable sequelae. This requires the operation time to be as short as possible, which virtually increases the difficulty of the operation.

Xu Yang, who was standing on the far side of the operating table, looked at the operating table. There were only two or three babies the size of an adult's palm, with many pipelines connected to them. They lay there motionless, feeling helpless in his heart. Powerlessness.

At this moment, he suddenly felt something in his heart. It seemed that the atmosphere in the operating room froze instantly, and he turned to look at the door of the operating room.

See, Lin Jie, who only showed a pair of bright obsidian eyes, walked into the operating room accompanied by the two of them!
He came to the position of the chief surgeon on the operating table in a few steps, first glanced at everyone in the operating room, and said, "Let's start the operation!"

At the same time as Lin Jie said this, he stretched out his right hand, and the surgical nurse at the side immediately handed a small round knife to his hand in good time...

Seeing Lin Jie pick up the scalpel, Xu Yang's heart inexplicably calmed down, as if he had found support, found the backbone, as long as Lin Jie was in this operating room, there would be no accidents...

He stared at the scalpel in Lin Jie's hand, and made a cut on the child's chest!

It's just that, compared with the usual chest-opening knife, the position of this knife is slightly off, and the knife edge is not straight, but slightly wavy...

Could it be that Lin Jie was too relaxed and his hands were shaking?
Suspicious in Xu Yang's heart, he heard Lin Jie's voice, "The incision is slightly off to this point, which can reduce the blood loss at the incision by about ten percent!"

"The slightly wavy incision can facilitate the anastomosis of the wound, and the prognosis of the scar will be smaller!"

Xu Yang suddenly felt as if he had been drunk, and his head was sober in an instant!

detail!detail!detail!

Important things need to be repeated three times!
Lin Jie's high level of surgery is due to his extreme pursuit of details!

Getting used to the natural thoracotomy incision, Lin Jie would think of improvement, just to reduce the bleeding volume by [-]% which is insignificant.

Originally, the bleeding on the superficial skin was less, perhaps this [-]% bleeding volume was half a drop of blood!

Just this one cut can reduce half a drop of blood, and with Lin Jie's spirit of striving for perfection from this knife, maybe every subsequent cut can reduce half a drop of blood, or reduce half of the extra damage...

With the accumulation of one knife after another, quantitative changes lead to qualitative changes, and Lin Jie's patients will have a higher chance of survival, less physical trauma, and a higher level of recovery...

Xu Yang took a deep breath and sighed in admiration.

A famous doctor is indeed a famous doctor. This ordinary first cut fully demonstrated Lin Jie's qualities as a world-class famous doctor.

The operation is still going on!

Every time Lin Jie made a few cuts, he would give a few simple explanations!
The few people staying in the operation, as well as the dozens of people on the stage outside the operating room, everyone's performance is different!
Some people have the same expression, some are contemplative and silent, some are beaming, and some people are suddenly enlightened as if they were enlightened.

Generally speaking, the older and more experienced the doctor, the more profound his feelings.

They frowned, thought deeply, or poked their heads, watching with fascination, Lin Jie's seemingly slow but fast operation...

Time passed by every minute and every second, and Lin Jie's surgery had also entered a critical stage!

After the extracorporeal circulation was established, Lin Jie picked up the scalpel, seemingly casually cut open the small heart that had stopped beating, the size of a walnut, and opened its ventricle!
"oops……"

"Hey, how do you open it from this position..."

"Strange, strange..."

There was a lot of discussion in the viewing stands!
"Teacher, why did Expert Lin enter the knife from that position to rebuild the chamber wall?"

Ren Maoshi, who frowned in thought, looked at the proud student who couldn't help but ask himself. Just as he was about to think about how to answer, Lin Jie's voice came through the loudspeaker, "Left ventricular coronary artery malformation!"

Ren Maoshi was suddenly stunned, and couldn't help saying: "Expert Lin is indeed an expert Lin, he thinks very long-term!"

He explained to his students in a low voice: "Heart malformation is inevitably accompanied by vascular malformation! Judging from the angiographic image of this child, his vascular malformation is relatively mild."

"However, with the correction of the heart deformity and the development of the heart, the slightly deformed coronary artery in the left ventricle of this child will slowly be squeezed and twisted!"

"It is estimated that after puberty, this child may suffer from angina pectoris due to insufficient blood supply to the myocardium of the ventricles, and may need another heart surgery at that time."

Ren Maoshi sighed: "Expert Lin wants to get rid of possible troubles once and for all."

"It is not ideal to enter the knife here for the reconstruction of the ventricular wall, but it can kill two birds with one stone, and it is more convenient to correct the deformed coronary artery of the left ventricle."

"Of course, what I mean by 'less than ideal' is only for Lin experts!"

He shook his head lightly, and said: "I think if other people performed this operation, they would definitely not make such a choice..."

The student nodded, indicating that he understood. He opened his mouth, but finally closed it, and moved his gaze to the operating table below.

Ren Maoshi guessed what the student wanted to ask.

He said very much that he would make the same choice as Expert Lin, but he felt a little guilty, so he didn't say anything at all.

The voice of Ren Maoshi's commentary was actually not too low, and many people around heard it.

They all understood that Lin Jie's seemingly unsatisfactory choice of knife entry was actually the best route to compromise with each other.

While everyone showed admiration, they were once again immersed in the operation that Lin Jie explained from time to time...

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(End of this chapter)