Super Doctor: Become Stronger From Signing In

Chapter 123 New Record! Repair the arterial wall in five minutes!

The teaching screen on the corridor of the operating room was opened. Su Yang and Lin Feng’s operations were placed on the screen. All the idle medical staff in the operating room surrounded them, wanting to take a look at this extremely difficult and extremely dangerous one. Operation.

Operating room.

Su Yang picked up the scalpel and made a midline sternum incision. After all this opened, a lively beating heart appeared in front of everyone.

However, at this time, the bottom of the heart has been soaked in blood, and the beating of the heart does not look so favorable.

“This is because the arterial wall has ruptured.”

“It’s too late to cut the happy bag and do cardiopulmonary bypass!”

“This is how to do?”

The doctors who looked at the teaching screen outside the operating room exclaimed when they saw the situation at the moment.

Originally, according to the normal procedure, the heart bag was first cut, a blood collection catheter was inserted into the right atrium, extracorporeal circulation was established, and then both sides of the ascending aorta rupture were blocked, suture repairs were carried out as appropriate, or the artificial blood vessel was directly replaced.

However, the current situation is very critical. There is blood around the heart, indicating that the ascending aorta wall has ruptured. If the bleeding is not stopped immediately, the ruptured artery wall is repaired and sutured, and when the artery is completely ruptured, then go back to heaven. Lacking skills.

Seeing the situation in front of them, Lin Feng and Su Yang both looked extremely solemn, and the originally prepared surgical plan was completely useless now.

Bleeding is still accumulating blood, and the heart is surrounded by more and more accumulating blood. Although it is already sucking, there is more and more bleeding in the arteries, and the blood enveloping the heart has not decreased at all.

In this case, the rate of bleeding has exceeded the rate of catheter aspiration.

Not only that, because of the rupture of the artery and bleeding, the place where the artery wall ruptures is also completely covered by blood, and there is no surgical field of view at all.

“Clamp the artery, Director.”

Su Yang said solemnly.

What he meant was to clamp the artery to temporarily stop the bleeding.

However, once the ascending aorta is clamped, extracorporeal circulation has not been established, and the blood supply of the heart is insufficient, and it will soon stop beating.

It is a fantasy to sew up the arteries before the heart stops beating.

This time is only five minutes at most, and the other arteries supply blood, which can only support the heartbeat for five minutes.

“Are you sure of this?”

It’s not that Lin Feng doesn’t believe in Su Yang, but that no one has ever completed such an extremely difficult operation in such a short time.

“Director, I’m sure.”

Su Yang said confidently that he had confidence in his own level.

“Okay, I’ll try it with you.”

Perhaps it was Su Yang’s self-confidence that infected Lin Feng, and he felt that Su Yang could do it at the moment.

After speaking, Su Yang and Lin Feng picked up the vascular clip respectively.

Everyone in the operating room was suddenly in an uproar when they saw the movements of the two people in the operating room.

“What do they want to do?”

“Once the artery is clamped, the wall of the artery must be repaired before the heart stops.”

“This is impossible. They only have five minutes at most. Five minutes to complete this operation is nothing short of a fantasy!”

Everyone has a skeptical expression, because after the arterial wall ruptures, it is very fragile, even if it is repaired, but after the blood flow is restored, whether it can withstand the pressure of the blood flow is a very big problem.

The most important thing is that artificial blood vessels are usually replaced clinically. I have never heard of anyone who directly repairs damaged arteries, and patients can survive after surgery.

Operating room.

The clamping of the upper and lower ends of the arteries has been completed, and after aspiration of the accumulated blood, the damaged area of ​​the arteries has been revealed.

Su Yang saw that most of the arterial wall had been damaged, and, the worst part, he could clearly see that there were some spots on the inner wall of the artery.

This is atherosclerosis. This person has high blood pressure and alcoholism. The arteries have become extremely brittle. No wonder it will rupture.

How to do?

The conventional stitching method will definitely not work.

At this moment, Su Yang’s mind suddenly flashed a thought.

This must work!

“microscope.”

Su Yang said in a deep voice.

“Xiaosu, do you want to use microvascular intussusception?”

At this moment, even Lin Feng said in surprise.

“Yes, Director.”

Su Yang said confidently.

Such ultra-highly difficult fine sutures must rely on excellent technology. This time the system is not very helpful. After all, the system cannot directly control Su Yang for surgery.

“There is only this, it’s worth a try.”

Lin Feng nodded and said.

Five minutes, this is the final time limit, five minutes can not solve the problem of arterial rupture, and there is no surgery.

“What did he push the microscope over?”

One watched the doctor’s face full of doubts.

“I see, he wants to use microvascular intussusception!”

A doctor thought for a while and said suddenly.

“what?”

“That’s used for the suture of tiny blood vessels. Besides, it takes at least twenty minutes. He only has five minutes, which is impossible!”

Everyone in the operating room is tightly heart-wrenched, whether it is alive or dead, it’s just five minutes.

“Director, please prepare blood vessels for me.”

Su Yang said in a deep voice, picking up the needle holder, and he was about to start stitching.

“good”

Lin Feng also said solemnly.

He picked up two vascular clamps and temporarily anastomosed both ends of the ruptured blood vessel from the lower end of the ruptured artery.

Su Yang held his breath and concentrated. At this moment, his attention was highly concentrated. He picked up the needle holder and lightly began to suture the inner lining of the blood vessel.

He held the needle holder in his hand and kept flying up and down. This movement was exceptionally smooth, and it was simply flowing water.

The microvascular intussusception suture method, as the name suggests, is well understood microscopically, that is, suture under a microscope.

The telescoping is layer after layer of stitching, and the thickness of each layer is only a few tens of microns.

It is a difficult operation to suture the blood vessel directly.

Not to mention, the vascular membranes with a thickness of tens of micrometers were sutured layer by layer.

However, the advantage of this suture is that the two ends of the blood vessel are fixed with a silk thread several times more than the whole layer suture. It is not only firm and can resist the pressure of the blood flow, but also accelerates the healing speed of the blood vessel after the operation.

Everyone in the operating room, looking at the electronic display at this moment, has fallen into a state of sluggishness.

The operating room, isn’t it a robot in human skin?

This speed, accuracy, and all movements are clean and neat, there is almost no lag, and this operation is almost like a mechanical operation.

3 minutes.

2 minutes.

1 minute.

. . .

50 seconds!

40 seconds!

30 seconds!

Everyone saw that Su Yang’s movements stopped.

Could it be that he completed the stitching?

It’s incredible!

“Director, you can open the vascular clamp.”

Su Yang put the needle holder on the tray next to him, and said in a deep voice.

“you sure?”

At this moment, even Lin Feng, who is experienced, cannot be sure whether the arteries repaired by Su Yang can withstand the pressure of blood flow after the blood supply is restored.

If you cannot withstand the pressure of the blood flow, the arteries may break directly, and the patient’s heart cannot withstand the reduction in blood return caused by another clamping of the arteries.

If this happens, the only result is that the patient will die directly on the operating table!

“I’m sure.”

Su Yang said with certainty that although he did not rely on the system this time, he believed in his current level of surgery.

“good.”

Lin Feng nodded.

He and Su Yang held one end each and released the vascular clamp at the same time.

“Look, the blood supply is restored!”

“You must not fail!”

Everyone looked at the electronic screen, and their hearts were tight.

One minute.

Two minutes.

. . .

Until five minutes passed, there was no bleeding from the repaired and sutured blood vessels!

It’s a success!

He really did it!

Everyone couldn’t help but applaud enthusiastically!

“Director, we succeeded.”

Seeing the arteries regaining blood supply and the heart beating vigorously, Su Yang let out a long sigh of relief.

“This is your success.”

Lin Feng’s heart that had been tugging was also let go. He looked at Su Yang with great relief and said softly.

“Five minutes, a new record was born on you!”

Lin Feng said solemnly that he would not be able to complete such an extremely difficult operation in five minutes in his life.

But who made Su Yang his student?

In any case, he taught it!

Lin Feng couldn’t help thinking at this time.

“This buddy is really awesome!”

“God!”

The people standing above the corridor were caught in a lively discussion at this moment. Everyone was asking when there was such a young, skilled and amazing young doctor in the hospital.