1832 Crushing of the territory
Feel? In recent years, Dr. Reiner had vaguely touched the fleeting word Dr. Charles had said.
However, he still did not know how exactly he should do it.
“Wearing sterile gloves will affect the surgeon’s judgment. Every pair of sterile gloves has a different feeling to the touch. That’s why I’ve said that sterile gloves are the part that affects surgery the most. “
Dr. Reiner remembered that Dr. Charles had indeed said this.
At that time, he had thought that his teacher was joking. He did not expect it to be true.
“However, a sterile environment must be guaranteed. Therefore, the first stage of the surgery is for the surgeon to be familiar with the patient’s anatomical structure and to have a clear sense of the patient’s condition.” Professor Charles continued slowly.
In his opinion, the surgery in front of him would definitely be a great success.
Watching this kind of surgery, the perfect process, was really a pleasure. Dr. Charles was a little addicted to it.
However, other than himself and the surgeon on the operating table, no one could understand the realm of feeling. Sometimes, life was as lonely as snow.
“Everyone’s body structure has its own unique elasticity and toughness. The best time for the surgeon to communicate with the unique body tissue structure is when the patient begins to perform blunt dissociation. ” Professor Charles said,”and this kind of communication will allow the Sorcerer to clearly understand the feeling of the organs.” As long as we establish a way of communication and understand what we’re doing, many complications and mistakes will definitely not happen. “
“Look, the strength and angle of the tip of the needle when doctor Zheng anastomosed the blood vessel was based on the information he left behind when he felt the blood vessel.” “It’s perfect, without a single flaw,”professor Charles said happily. Watching this kind of unparalleled surgery gives people an inexplicable enjoyment. “
Reiner was speechless.
He only had a vague idea that everything Dr. Charles said seemed to be true. However, if he wanted to use it in Clinical Surgery, he would need at least three to five years of practice to achieve it.
And after three to five years, he would be old. Although he would have more experience, he would have passed the peak of the surgery.
There were some movements that his body did not allow him to complete flawlessly.
Dr. Reiner was a little regretful.
However, even if he said that it would take three to five years, it was possible that he would still not be able to comprehend it after five years and would need a new five years.
It had nothing to do with hard work. To reach this realm, one needed talent.
“After you establish this connection, you will know how much strength you need to use to perform the anastomosis once you place your hand on the brachiotomy artery. Of course, this kind of anastomosed means must be built on the foundation of an almost perfect microsurgery. “
“A perfect match, Reiner. This surgery has already reached my peak level, and there’s even a bit of overconfidence. After the surgery, remember to copy the entire process and study it carefully. “
“Even though you can’t reach this level at your age, it will still be good for you to improve your surgical skills.”
Reiner looked at the surgical image speechlessly. While his teacher, Dr. Charles, was explaining the “feeling”, the surgeon had completed the anastomosis of the brachiotomy artery in just a few sentences.
After all the blood vessels in the three arms were anastomosed, he began to infuse the blood vessels with full flow.
The near end of the four – branched artificial blood vessel was anastomosed end – to – end with the far end of the original ascending aortic artificial blood vessel. After letting out gas, Zheng Ren opened the ascending aortic valve.
When the mixed venous blood oxygen saturation reached more than 90%, it began to slowly warm up, and the heart started to beat again.
At this moment, a row of numbers appeared on the screen.”Blood circulation time: 110 minutes, blockage time: 95 minutes, and deep hypothermal cycle selective brain infusion time: 84 minutes.”
It was perfect!
It was flawless!
Dr. Reiner looked at the similar numbers and was stunned.
If he were to perform the surgery himself, these numbers would basically double. The multiplication wasn’t the key, the time between the injection and the blockage definitely wouldn’t be so small.
A small time difference meant that the surgeon was able to perform the surgery steadily and quickly.
Was this a change brought about by the ‘feeling’? Dr. Reiner watched the surgery in silence.
The surgeon should have finished the surgery, but when he saw the low – Temperature external circulation end and the heart beating again, another image appeared on the screen.
The interventional guide wire entered the blood vessel, walked through the anastomosed section, and began to perform angiography.
At the same time, the operating field was still clean. Only a small amount of blood oozed out, but there was no trace of a contrast agent.
This was probably the final confirmation.
Generally, after an elephant trunk surgery, an intervention surgery would not be used to confirm the bleeding, and doctor Reiner did not approve of this behavior of the surgeon.
If the guide wire touched the anastomosed section, it might cause unpredictable changes to the anastomosed section.
“Reiner, this is a domain that even I have never reached.” Professor Charles suddenly said.
“Teacher, I don’t think there’s a need to do this.” Dr. Reiner said stubbornly.
“No, you’ll know if you continue to watch.” Dr. Charles had already guessed Zheng Ren’s thoughts. He said with a smile,”the surgeon has made bold changes to the surgical method, which is based on his thorough understanding of the anatomical structure and the patient’s condition.”
“What does he want to do?”
“You must have forgotten what surgical method this young man used to win the Nobel Prize in recommendation.”
Reiner was speechless.
Did he have to show off his skills in interventional surgery in such a major surgery just because he received a Nobel Prize recommendation?
This should be a very irresponsible behavior, but why did the teacher still have such expectations?
Suddenly, a thought appeared in Reiner’s mind.
Two years ago, the patient had a coronary artery bypass surgery and an ascending aortic valve replacement surgery. The blood vessels that were replaced had also undergone certain changes under the influence of Marfan syndrome.
This was the scary part of congenital diseases. The transplanted blood vessels would also be affected, especially at the position of the coronary artery bypass that was built from the masturbation in the body.
After looking at the scan and analyzing the image before the operation, Reiner felt that the patient’s coronary artery had a small problem, but it was not worth paying attention to.
With the torn aorta as the background, nothing was worth paying attention to.
And a Sorcerer’s ambition was actually this big? What was he doing? Could it be …
Reiner’s guess quickly became a reality.
It was an inserted stent surgery.
The coronary arteries … The ascending aorta … The descending aorta …
Every blood vessel that might have been torn was covered with a perineurium stent, and there was no gap between the stent. It was perfect and calm.
“He went for an interventional surgery?” Dr. Reiner asked in a daze.
“Yes.” Professor Charles finally changed his posture. It had been too long, and his body was not used to it. “Marfan syndrome will cause pathological changes in the aorta and media. It’s better to use a stent to solve the problem.”
Dr. Reiner was depressed and couldn’t get out.
If there was still hope for him to reach the level of a surgeon in surgery, then the current interventional surgery …
He simply couldn’t do it.
This was the suppression of a domain!