"Doctor Fang is so handsome!"

"Yes!"

"This time, Dr. Fang is going to operate on his girlfriend personally, it's really romantic!"

"Dr. Fang not only did a good job of liver resection, but also did heart valve surgery, which is really amazing, and Dr. Fang's girlfriend is so happy. ”

Before the operation began, the nurses in the operating room were still looking at Fang Han from a distance while communicating in a low voice.

The nurses at Yenching Hospital are more demanding, not only with high academic qualifications, but also with good looks.

As a nurse in Yanjing Hospital, there are more opportunities to fly on the branches and become a phoenix than in other hospitals.

There is not only one case of a nurse accompanying or nursing to be favored by a hospitalized son-in-law or a young man, and becoming a wealthy wife in Yenching Hospital.

Therefore, the nurses in Yenching Hospital have more fantasies than the nurses in other hospitals.

What kind of boyfriend are you looking for, is he handsome or rich, capable or powerful?

Women fantasize that it is more terrible than men.

And for women.

Whether it is a doctor or a nurse, whether it is a policeman or a lawyer, whether it is a strong woman or a lady, every woman has some romantic feelings in her heart.

As instrumental nurses and itinerant nurses who often participate in surgeries, they have seen more patients and patients, and many people are a little envious of Long Yaxin at this time.

"Yes, if there is a boyfriend like Dr. Fang, then he is not afraid of getting sick, and Dr. Fang will do any surgery. ”

"Can you die hard?"

"It's nonsense, it's just that if you are sick and have such a handsome boyfriend as Dr. Fang to take care of you, you will feel happy when you think about it. ”

........

Fang Han changed into a surgical gown, washed his hands, put on gloves, a dust-free hat and a mask, and then walked into the operating room with his hands raised, and Long Yaxin was also pushed onto the operating table.

There was no anesthetic medicine at this time, Long Yaxin was still awake, and she was looking at Fang Han with her eyes open.

It was the first time Long Yaxin had seen Fang Han wearing a surgical gown and a mask, although she couldn't see her face clearly, Fang Han's eyes were very bright and deep, which made people unconsciously indulge in them.

"Don't worry, get a good night's sleep, just wake up, heart valve repair surgery is quite mature now. Fang Han said softly.

"Hmm. Long Yaxin nodded.

"Let's get started. ”

Fang Han said to the anesthesiologist, the anesthesiologist routinely confirmed his identity, and then began to administer anesthesia, the curtain was closed, and Fang Han couldn't see Long Yaxin's face.

The mitral valve is the left atrioventricular valve, also known as the "monk's cap valve", attached to the left fibrous atrioventricular ring, formed by the folds of the endocardium, with two valves, located in the anteromedial side of the anterior cuspid valve, larger, often called the large valve, is the demarcation mark between the left ventricular inflow tract and the outflow tract; The posterior lateral valve is the posterior cuspid valve, which is smaller and is often called a small valve.

The mitral valve acts as a "one-way valve" to ensure that blood circulation flows from the left atrium to the left ventricle and through a certain flow, and when the ventricle contracts, the mitral valve tightly closes the atrioventricular orifice to prevent blood from flowing backwards into the left atrium.

Generally, mitral valve replacement or mitral valve repair is aimed at two conditions, one is mitral stenosis, and the other is mitral insufficiency.

Mitral valve stenosis or mitral regurgitation is rarely congenital, and most of them are rheumatic heart disease.

Heart valve surgery, whether it is mitral valve mechanical valve replacement or repair or tricuspid valve surgery, is a fourth-level extracardiac surgery, which is considered a major surgery.

In terms of medical conditions and medical technology in recent years, mitral valve repair surgery is now a relatively mature operation, and the risk of surgery is not too great.

Before copying Zhang Jiahao's skills, Fang Han really didn't know much about this operation, and could only roughly guess how this operation would be.

As a graduate of the College of Traditional Chinese Medicine, Fang Han's initial understanding of this operation was not much more than ordinary people.

After copying Zhang Jiahao's skills, Fang Han's understanding and insights in heart valves instantly reached the level of advanced +, and he had a clearer understanding of this operation.

Heart valve surgery replacement and repair mainly depends on the degree of the lesion and the degree of damage, which is like something, if it is not serious, we can repair it, but if it is bad, then it must be replaced.

But after all, the heart is the most critical organ of the human body, not something in a simple sense, I will repair it, and if it is not repaired, it will be replaced again, so that the risk is higher than that of direct replacement.

At present, there are two ways of heart valve surgery, whether it is replacement or repair, there are two ways: thoracotomy and intervention.

To a certain extent, interventional surgery is less invasive, has good recovery and fewer complications, which is a general trend of surgery in the future.

It's just that at present, interventional surgery still has a lot of limitations, and not all lesion surgery can be intervened.

"Doctor Fang, everything is normal. The anesthesiologist responded to Fang Han.

"Prepare for surgery!"

Fang Han raised his hand and walked up to the main knife position, and as soon as he stretched out his hand, the instrument nurse put the scalpel in Fang Han's hand.

Long Yaxin was covered by a towel, only a small piece of fair skin on the mouth was exposed, Fang Han held the scalpel in his hand, without any hesitation, and with a slight stroke, he made an incision on Long Yaxin's chest.

This time to operate on Long Yaxin, Fang Han still has a lot of scruples, not only considering the prognosis, but also taking into account the aesthetics, after all, it is a girl, and the stitches and scars of the wound are all to be considered.

Therefore, Fang Han chose small incisions as much as possible.

Looking at the incision drawn by Fang Han, Wang Zhicheng subconsciously asked: "Xiao Fang, is the incision too small?"

Whether it is cardiothoracic surgery or extrahepatic surgery, the size of the incorporation will affect the difficulty of the operation, the larger the incision, the more convenient it is for doctors to operate, the wider the surgical field, the more places that can be observed, the smaller the incision, the less space for operation, and the surgical field will be limited to a certain extent.

Wang Zhicheng understands Fang Han's intention of using a small incision, female patients, especially some young female patients, many will ask for a small incision when they do surgery, and the patient is Fang Han's girlfriend, so it is understandable that Fang Han uses a small incision.

No one wanted their girlfriend to have a big scar on her chest, but the incision Fang Han chose was too small, smaller than the regular small incision.

Wang Zhicheng has never made such a small incision himself.

Generally speaking, for mitral valve plasty or replacement, most doctors make a median incision in the chest, and the incision is made through the right atrium-atrial septal route, close to the mitral valve.

This time, Fang Han's choice of incision was a small incision in the left ventricle, and the incision was smaller than the conventional incision.

Of course, seeing the position of Fang Han's incision, Wang Zhicheng no longer doubts Fang Han's level, although Fang Han's incision is small, the position that can be selected is very good.

It is important to know that the patient has a fracture of the left rib, which is also a problem that must be considered during the operation.

The heart of a normal person is located in the lower left of the middle of the chest, the heart of the human body is like a peach or a fist, and the front of the heart is facing the sternal body and the 2nd to 6th soft ribs.

If this incision is not selected well, it will be troublesome if the ribs are pulled and operated at that time, resulting in the dislocation of the ribs with good alignment at the broken ends.

And the incision that Fang Han chose can be said to have completely taken this problem into account.

From this point, Wang Zhicheng can see that Fang Han's level outside cardiothoracic surgery is definitely not low.

"The incision is enough. ”

Fang Han replied softly, and then continued to operate.

Qian Xiaolin stood not far away, and watched Fang Han's operation intently, although it was only the beginning of the operation at this time, Qian Xiaolin also judged that Fang Han's level was definitely okay.

As soon as the so-called connoisseur makes a move, he will know if there is one.

At present, although heart valve surgery is quite mature, and many tertiary hospitals in China have the level of doing this surgery, the level of doctors is still quite important.

As mentioned earlier, let's just say that there is little difference between Kuang Mingzhuo and Fang Han in general liver resection, and there is a subtle difference if the difference is not big, and this premise is that you have to have the same level as Kuang Mingzhuo, and Kuang Mingzhuo's level is not low.

.......

"Has the surgery started?"

Fang Haoyang came a little late, Fang Han had already entered the operating room when he came, and he had just walked into the observation room on the edge of the operating room.

In the observation room, Li Junxian, Yang Jianying, and Zhang Xiaoquan are all there.

Because of Fang Han's relationship and Li Junxian's knowledge of the identities of several people, the observation room did not prohibit them from entering.

"Director Fang is here, and the operation has just begun. Li Junxian hurriedly greeted.

Fang Haoyang didn't say a word, and looked directly at the display screen, inside which Fang Han was making an incision.

"Such a small incision. ”

Fang Haoyang subconsciously said that although he had never done cardiothoracic surgery, he had also participated in it, and some general surgeries Director Fang could also do, so he naturally understood what a small incision meant.

"Isn't this incision small?" Zhang Xiaoquan asked back.

"A smaller incision is a good thing for the patient, but it makes the surgery more difficult for the surgeon. Fang Haoyang explained.

Li Junxian also said: "Director Fang is right, foreign doctors like large incisions very much, easy to operate. ”

Zhang Xiaoquan then understood what was going on, and said: "Don't worry, my master knows in his heart, others have a big incision, and my master has a small incision, which is different." ”

Zhang Dashao doesn't know how to medicine, but Fang Han has blind trust.