Chapter 2557 [2557] A bit tricky
Sew the back opening first, and then suture the front vascular anastomosis after the heart is in the right position.
Swish, the chief surgeon holds the needle forceps and tweezers, and the suture lightly passes through the blood vessel wall. After a while, the first and most difficult left pulmonary vein group was sutured, and ca to the right pulmonary vein group that also belonged to the posterior wall of the left atrium.
seems to have encountered a little problem here.
Several assistants have been helping the suction of the suction, the hook of the hook, and the thread trimr of the thread trimr. Now, when the main sword stopped, everyone's hearts were hanging.
has said that the whole-hearted thod is difficult, and it is even more difficult to put it in the case of children. Dr. Cheng Yuchen sighed in his heart. I don't know if my boss is doing this kind of surgery less, and my vigilance in this regard is forced to lower. You know, Mu Yongxian next door has done three cases this year and never dared to use the whole-hearted thod.
Don’t think that the recipient’s pericardial cavity is dilated, and the donor heart can be put in, is it completely suitable? Certainly not. Each human body has its own details. Now, one person's heart is placed in another person's body. This heart donation is definitely not an original accessory. It is not only the size of the anastomosis, but also the shape and spacing. The difference in shape and size you can barely pull after trimming, the difference in spacing is the worst. Think about the operation on the electrocuted child last ti. Can you say that Dr. Duan's repeated failure of sutures is a bad feeling? He can also be regarded as the child of the Cao family. Losing is at a distance.
Why do many doctors like to kick out the left atrium with the double vena cava thod. Just because these two anastomotic stoma, one is on the back wall, the operation field is too tricky, and the other is to reduce the anastomosis operation, it is directly trimd and cut off once, which ans that it must be cut short first. If the distance between the two trimd cuffs of the donor heart is exactly the sa as the distance between the two mouths of the recipient, there is no room for you to deadlift. It's better to leave half of the left atrium to move it.
It is impossible to say that such a big brother Shenxian would not have considered this in advance. It may be that I think it is similar, but after the actual operation, I found that, hey, the distance is larger than the visual distance, and it is just a little bit worse, which is tricky.
The scary thing about this operation is that it didn't give the doctor extra ti to think. Why did I say last ti that the operation of the electrocuted child is relatively simple? Compared with this operation, we can know that the limited ti of the operation is a high threshold for surgeons.
must be decided as soon as possible, as soon as possible to decide what to do next.
All the staff in the operating room were sweating.
At this mont, the number per second of the electronic clock on the wall is beating as if it were a countdown to death.
"Mr. Cao, I think I can sew the inferior vena cava first." Xie Wanying said.
Other people's eyes fell on her face.
inferior vena cava? Why? If the inferior vena cava is sutured first, the heart will be straightened, and the visual field will be blocked. How to continue to suture the anastomosis behind? It sounds wrong.
"Sew a stitch." The main knife opened his mouth.
"Yes. Sew a stitch and set a fulcrum. You need to calculate the approximate maximum tension that the suture can withstand."
It is not easy to touch Xie's brain. A group of people heard it like a cloud. There seed to be countless gold stars circling above Mr. Wei's head. Look at the helper Dr. Cheng Yuchen's brow and directly sar life without love: how can he not understand what this student is saying.
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