The aorta originates from the left ventricle and travels to the upper right, this segment is called the ascending aorta, to the height of the second thoracic costal joint on the right, arched to the left posterior, to the left inferior border of the 4th thoracic vertebra, this segment is called the aortic arch. The aortic arch then shifts downward to descend the aorta.

Aortic dissection is a disease that occurs in the aortic arch and its anterior and posterior ends of the ascending aorta and the beginning of the descending aorta.

The wall of the aorta is divided into three layers: intima, media, and adventitia. The aortic arch is particularly turbulent due to its unique inverted U-shaped anatomy. If the lining of the aorta is damaged, there is a high chance that the turbulent blood flow will break through the intima and enter the middle of the artery wall, resulting in a dissected hematoma.

Once a dissected hematoma is formed, if it is not treated in time, the arterial wall at the hematoma will become weaker and weaker, until it ulcerates and leads to death.

Even if the arterial wall at the hematoma is in a balanced state, although there is no worry about rupture for the time being, the hematoma is also very prone to thrombosis. After the thrombus falls off, it will travel with the bloodstream, which has a great potential danger to various organs, and if it flows back to the heart, the consequences are unimaginable.

According to statistics, the mortality rate of untreated patients is extremely high, with 25% of patients dying within 24 hours of onset, more than half of patients dying within one week of onset, and mortality rates of more than 75% and 90% after 1 month and 1 year after onset, respectively.

Even with effective treatment, the 10-year survival rate for patients with aortic dissection worldwide is only about 50%.

Therefore, it is a most dangerous surgical disease, and it should be justified.

Jiang Lai received a call from the Pharmacology Department of the Medical College, and he was completely stunned.

Although the profession is not clinical, after all, what he has learned is closely related to medicine, Jiang Lai does not know much about the disease of aortic dissection, but he also knows that the disease is quite dangerous.

My wife's body has always been healthy, so how can she say that she is sick when she is sick? Moreover, it is such a dangerous disease.

Jiang Lai asked for leave in a panic and drove towards the medical center.

Fortunately, it was three o'clock in the afternoon, and there were not many vehicles on the street, and the only thing that could hinder Jianglai's speed was the traffic light at the street entrance.

......

Finish a lunch.

Professor Daniel, Associate Professor Randall and Yang Xilian Xiangdong, they have become friends who hate to see each other late.

During the conversation, Associate Professor Randall showed a different emotional intelligence, not only fixing the target of praise and touting on Yang Xi alone, but also piggybacking on Lian Xiangdong by the way.

Professor Daniel also felt the same way, when he was doing a help for Yang Xi on the stage, he felt that the second assistant on the other side was not simple, the technique was in place, the thinking was clear, and the response was quick.

These two foreign doctors have already seen the level of laparoscopic surgery, so can the level of conventional surgery be shown one or two?

With such a proposal, Professor Daniel and Associate Professor Randall had no doubts about the ingredients they wanted to verify, but the two of them sincerely wanted to see Yang Xilian Xiangdong's full display.

Because, Professor Daniel and Associate Professor Randall had already seen Yang Xi's routine surgery video, but they were sure that the video was fake, so they didn't pay much attention to it.

Now that their doubts were dispelled, the two professors really wanted to see Yang Xi once again show off his amazing routine surgical skills under their own eyes.

They have become irreversible friends, how can they refuse such a request from the other party?

Even Xiangdong didn't bother to translate it for Yang Xi first, so he happily agreed.

At 3 o'clock in the afternoon, there was a recurrent liver abscess in Cory that required complete abscess removal.

It's better to rush early or late than to be lucky.

The first is to cut it cleanly to avoid recurrence, the second is to make the wound as small as possible, which is conducive to the patient's postoperative recovery, and the third point is the best way to reflect the surgical skills of the surgeon, that is, the surgical field can not be contaminated by the pus in the abscess.

Lian Xiangdong laughed.

As for why he laughed, even Xiangdong didn't say a word.

Hehe, just this kind of operation, for Xi Shao, it is at most half an hour, you two keep saying that you want to see Xi Shao's operation, only half an hour, can you enjoy it?

At 2:50, the four returned to the operating room.

"Contact George and ask Conley to take your wife to the operating room. Yang Xi instructed Lian Xiangdong, and it was obvious that he was planning to perform this operation with an all-Chinese class.

Conley and George are not eligible to enter the operating room unless approved by Professor Daniel. Early in the morning, Professor Daniel had a ghost in his heart, so he naturally wanted to avoid Conley, so he arranged for the two to rest and wait in Cory.

As a nurse, Fang Chang was also deprived of the right to observe the operation by Professor Daniel.

However, the morning is early, and the present is now. At this time, Mo said that Yang Xi asked to use his own instrument nurse, even if he appointed Professor Daniel to the stage to be responsible for handing over the surgical instruments, he would have nothing to say, and would only regard this as an honor.

If the news of the morning can reach the Department of Surgery of the Medical School, it will naturally be transmitted back to Corey, so when Conley sent Fang Chang into the operating room, the proud look on his face was incredible.

Fang Chang suddenly came from a township-level hospital to the operating room of this palace-like hospital, and his mood was inevitably a little nervous. Even Xiangdong glanced at him with a few comforts, but the effect was average.

Yang Xi rubbed his shoulders with Fang Chang as if he was inadvertent, and just whispered three words: "You can do it." That Fang Chang was actually relieved immediately, and there was no longer the slightest nervousness on his face.

Lian Xiangdong couldn't help but gasp, could it be that this is the legendary spiritual derailment?

At 3:10 a.m., the operation began.

Yang Xi had just scratched the skin of the patient's abdomen when he heard a noise outside the operating room.

On the stage, Lian Xiangdong was slightly distracted, and was knocked by Yang Xi on the vascular clamp in his hand.

The practitioner needs to be fully focused, not distracted!

Open abdomen.

Explore the location of the abscess.

The abscess is incised, the pus is sucked out with a suction device, and the abscess cavity sac is repeatedly flushed.

The incisional approach is enlarged and the wall of the external abscess is removed.

Debridement and suture the liver wound.

Clean the abdominal cavity, close the abdomen and step down.

From the first incision to the last injection of the abdomen, the total time is 28 minutes.

Professor Daniel was stunned.

In other words, since Yang Xi went under the knife, he has not been normal.

It's so fast!

It's so clean!

Moreover, in the nearly half an hour of operation, I never saw Yang Xi pause at all.

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