2226 A childish idea
In Domingo Paul’s eyes, the sun was no longer bright that day.
He had just become the king of Cardiovascular Surgery, and before he could set off a storm in the academic world and crown himself, he had to face a challenge from another surgeon who was not inferior to him.
However, Domingo Paul was more curious than worried.
In his opinion, it was impossible for interventional surgery to complete the treatment for dilated cardiopathy.
He began to browse through the video materials left behind by the surgeons in the livestream room. All kinds of surgeries were performed brilliantly.
Although the percentage of surgeries related to cardiothoracic surgery was not high, it had been proven that whether the surgeon in the surgery livestream room was a person or a team, the level of the skill was extremely high.
If Batista’s surgery was performed, Domingo Paul felt that there was a possibility of success. However, to perform an interventional surgery to treat late-stage vasilopathy …
Domingo Paul had never figured out how to perform such a surgery.
The sky was getting dark, and he didn’t even have the appetite to eat dinner. The flame of curiosity in his heart had already ignited his whole body.
There was a laptop in front of him, and he had read through the patient’s information countless times. The patient’s condition was extremely serious, and Domingo Paul estimated that at least 400g of cardiac muscle would be cut off for Batista’s surgery.
This was a forbidden area for surgery, and the mortality rate of 20% had soared to almost 100%.
If he were to choose, he would definitely refuse to perform surgery on this patient. No matter how much money the patient’s family donated to their Medical Center, they would not hesitate to refuse to perform this surgery, which had a 100% mortality rate!
After all, no one wanted the patient they worked so hard for to not only fail to extend his life, but also die in the critical period after the operation.
What should the surgeons in the surgery livestream room do? This question had been lingering in Domingo Paul’s mind.
After he thought about it countless times, he finally concluded that this was an impossible surgical method.
Interventional heart surgeries were mainly used to open up coronary blood vessels, block off incomplete valves, and open narrow valves.
These surgeries all had their own internal logic. Interventional surgeries were surgical methods that would not cause major trauma.
However, in the case of late-stage vasomatosis, a large amount of expanded and proliferated heart muscle had to be removed. Logically speaking, it was not suitable for interventional surgery at all.
He refused all business activities and did not go home. Instead, he quietly waited for the operation to begin.
Time passed by, and at 21:50, the screen in the surgery live-stream room lit up.
Two jungles appeared in front of Domingo Paul.
Based on the brief introduction, Domingo Paul knew that the surgery was carried out with a small thoracotomy and an interventional surgery guided by the CFA.
The two surgical fields were within his expectations.
Although he thought that interventional surgery could not do everything that Batista’s surgery could, he still had a bad feeling.
It was because this was a live broadcast of the surgery!
If the surgeon did not have full confidence, who would dare to perform a surgery that was destined to “fail” in front of his peers from all over the world?
Domingo Paul sent all his assistants home and stayed in the studio. In the silent night, he seemed to be able to hear his own heartbeat.
The surgery would begin in a few minutes, so Domingo Paul stood up and made a cup of coffee.
He returned to the computer and saw a number.
The number of people who entered the live broadcast room had already exceeded six digits, which meant that there were more than 100000 doctors around the world watching this surgery.
And as the time drew closer, this number was still soaring.
The number was rapidly changing every second. This was the most number of surgeries Domingo Paul had watched at the same time in his memory.
It seemed that everyone was very interested in the new surgical method known as interventional surgery.
Domingo Paul watched quietly. This was a reckless challenge to him, a challenge to his dignity as a King.
The time finally reached 22 O’ clock sharp, and the operation began.
He did not move the first surgical field, and he started with thoracotomy in the second surgical field.
A small incision was made on the left side of the chest, about 6 cm in length. The sharp scalpel cut open the skin, and blood slowly flowed out, making the whole picture look more realistic. At this moment, Domingo Paul seemed to smell the scent of blood.
The scalpel wasn’t a standard one. Every time Domingo Paul saw the elegant lancets, he was a little envious.
A blade like this cost 233 dollars, and it was not something you could use just because you wanted to. The blade had to be custom made.
What a luxurious sorcerer, Domingo Paul thought to himself.
As the blood gushed out, the gauze in the assistant’s hand fell. He dipped it in the blood, wiped it clean, and pressed it a few times with the electric burner. The hemostat began to separate the subcutaneous tissue and muscle.
From the perspective of the chest opening, everything was perfect.
He opened the pleura and expanded the surgical field. Single lung ventilation was already in progress.
At the same time, the first operating field lit up. While the diaphragm was cut open to expose the heart, a guide wire entered the superior venular vein from the cervical vein, then to the right atrium, and entered the right ventricle through the trisegate.
From a Sorcerer’s point of view, Domingo Paul could see a huge heart in front of him. Because the incision was small, the heart could not be seen in its entirety.
Domingo Paul immediately imagined himself in the process of the operation. If he were in her shoes, he would have already begun preparing for cardiopulmonary bypass.
At this moment, the guide wire in the first surgical field had reached the part of the right ventricle that was close to the atrial septal defect.
The Gaiding tube, which had a J-shape arc, was attached to the interchamber. The surgeon of the interventional surgery then placed a fixed anchor point and immediately began the puncture.
What were they trying to do? Domingo Paul was stunned.
On the screen guided by the scan, the large left ventricle was clearly pulsating. Meanwhile, the needle had already pierced through the atrial septal defect and entered the left ventricle.
Due to the fact that the patient suffered from dilated myopathy, the left chamber of the patient was extremely large.
‘How childish,’ Domingo Paul thought.
From the looks of it, the surgeon wanted to use a needle to penetrate the entire left chamber, but Domingo Paul had no idea how to do it.
However, he judged that the possibility of success was extremely small.
Since the needle had to be inserted into a J-type tube, it was very elastic, and not straight or hard steel.
Even though the patient had dilated myopathy and had a reduced blood discharge score, the blood flow in the left chamber was still extremely fast with the beating of the heart.
Under the impact of a high flow of blood, it was impossible for a tough needle to stay in a straight line and reach the position the surgeon wanted.
Domingo Paul really did not know what sorcerers were thinking!
Although he did not understand what the surgeon meant, from this step alone, at least the external circulation had to be established to stop the heart from beating. Only then would the puncture be successful.
And what the Sorcerer did was simply too childish!