(Chapter 866, Chen Yuan's hallux valgus has been upgraded to the intermediate level, and it was at the elementary level before, I forgot to write it, it has been modified, thank you for reminding)

"Director Zhang, you did a beautiful job. ”

Zhang Jiahao stepped off the operating table, and the assistant on the side hurriedly sent the sycophants.

"Speaking of heart valve surgery, the best doctor I know at present is Dr. Fang Hanfang from Yenching Hospital, and when it comes to heart bypass surgery, Director Su Xuewen Su of Shanghai Hospital. ”

Zhang Jiahao shook his head.

As the chief physician in his forties and the director of the department of Union Hospital, Zhang Jiahao has a clear understanding of himself.

For surgeons, the older they are, the more qualified, more experienced, and more qualified they are, but once they are over the age of 55, surgeons begin to decline.

The body can't hold on, and standing for a long time is very demanding on the body, and many surgeons die suddenly because of this.

For internists, even after the age of 60, they can still be hired back to work in the hospital, but for surgeons, most of them can only do guidance work after the age of 60, and there is almost no chance to go on stage in person.

Zhang Jiahao is only in his early forties this year, and it is necessary for him to have the level he has now, and to have a clear mind.

For most doctors, Zhang Jiahao's current level and status may be the goal they are striving for, but for Zhang Jiahao, he is just the beginning.

"Director Zhang, you are modest, you are still young, it is impossible to surpass Director Su in the future, and you will definitely be the first person in the field of heart and abroad in the future. The assistant doctor said with a smile.

"To be young, Dr. Fang Hanfang from Yenching Hospital is only twenty-five years old this year. ”

The assistant doctor suddenly didn't know how to answer, to say that Su Xuewen is in his fifties, Zhang Jiahao and Su Xuewen are indeed very young compared to each other, but twenty-five-year-old Fang Han ......

"By the way, Dr. Solis from Popkins Hospital has not operated on Yenching Hospital for a while?"

When it comes to heart bypass, Zhang Jiahao thought of Solis, and Solis's heart bypass surgery is really good.

"It seems that Dr. Solis has not operated on this time. The assistant doctor said.

"Let's go and have a look at the classroom. ”

Zhang Jiahao changed his clothes and walked out of the operating room.

"Director Zhang. ”

"Director Zhang's surgery just now is really beautiful. ”

"Yes, the operation is very stable, and the rhythm is quite well controlled. ”

There are several doctors in the classroom at this time, all of whom were watching Zhang Jiahao's surgery just now, and when Zhang Jiahao came in, it was naturally a sycophant.

"Let's see if there is a live broadcast of surgery at Yanjing Hospital at this time. Zhang Jiahao has long been accustomed to everyone's sycophants.

Since he began to emerge and has now become the chief of Concord's heart, Zhang Jiahao has almost grown up in the flattery and sycophancy of this kind of person.

"Hey, there's a picture, it looks like heart surgery. ”

The doctor who debugged was just starting to debug and soon received the signal.

"It's Yenching Hospital, and the chief surgeon is a foreigner. ”

"It seems to be Solis. ”

"Solis has been at Yenching Hospital for so long that he started his first surgery?"

"Maybe it's the first live surgery?"

The other doctors whispered, but Zhang Jiahao had already seen Fang Han who was working as an assistant to Solis at this time.

........

In the operating room of Yenching Hospital.

Fang Han and Solis had just stepped onto the operating table at this moment.

Solis is the main knife, and Fang Han and Wang Zhicheng give Solis a hand.

"Doctor Fang, do you want to come to the previous part?" Solis politely asked for Fang Han's opinion.

"Yes, and I'd like Dr. Solis to give me some advice. ”

Fang Han nodded, not polite, nor shirking.

After dealing with Solis for such a long time, Fang Han probably knows the temperament of these crooked fruit guys, these crooked fruit guys don't understand what Huaxia-style modesty is, if you say no, they will think that you really can't, if you want to resign, the opportunity is often gone.

Although Fang Han has not had heart bypass surgery, his heart valve surgery level is copied from Zhang Jiahao, which belongs to the domestic first-class level, advanced + level.

Although heart valve surgery and visceral bypass surgery are different, they are only the key part, and the rest are similar, thoracotomy, the heart is exposed, and then a section of meridians or arterial blood vessels outside the heart is taken, and the removed blood vessels are connected to both ends of the heart blood vessels, bypassing the narrowed or blocked blood vessels, as if building a bridge on the heart, so it is called heart bypass surgery.

Since the last time Solis was preparing for heart bypass surgery, Fang Han also specifically looked for surgery videos related to heart bypass surgery.

As the saying goes, the basic operations of heart valve surgery and heart bypass surgery are almost the same, which is like addition, subtraction, multiplication and division, although the problems are different, but as long as you master the multiplication formula and the rules of problem solving, it is still very fast to learn.

Fang Han's heart valve surgery copied from Zhang Jiahao started very high and he knew the heart very well, and then it was much easier to learn heart bypass surgery.

"Solis didn't do it, he did it. ”

"Who is this Ichisuke, he looks very young, and he doesn't look like a crooked nut. ”

"It seems to be Director Wang Zhicheng on the side, Director Wang doesn't even have the qualifications to get started?"

"It's Dr. Fang Hanfang from Yenching Hospital. Zhang Jiahao spoke slowly.

"Fang Han?"

At this time, many surgeons in Xiehe have heard of the name Fang Han, whether it is outside the heart or outside the liver.

Fang Han is young and has a high level, such a young doctor is easy to spread in the internal circle, not to mention that Union and Yanjing Hospital are both in Yanjing, and the two are often compared.

"Dr. Fang's heart valve surgery is really good, and with Dr. Fang's heart valve surgery, I think I can do a heart bypass. ”

"The two are similar, heart valve surgery can be at the level of Dr. Fang, even if you have not done a heart bypass, with the guidance of Dr. Solis, you can definitely complete it independently. ”

The doctors in the classroom expressed their opinions.

"Fang, you chose this entry point very well. ”

Solis stood on the side, watching Fang Han's operation, the entry point of Fang Han in front of him was very good, and the operation was very smooth.

At first, Solis was still a little worried, ready to replace him at any time, but gradually Solis discovered that Fang Han's level was very high, which simply surprised him.

Solis had heard that Fang Han's heart valve surgery was doing well, but he thought it was just good.

This is good and very good, it also depends on who you compare with, and it also depends on the level you compare.

With Fang Han's age, being able to perform this kind of operation is even very good, very powerful, so Solis didn't think of Fang Han as amazing.

But now, with Fang Han's continuous operation, Solis discovered the abnormality.

Fang Han's is really good, even if he compares it to him, it is quite good.

Although heart valve surgery and heart bypass surgery are two different surgeries, fundamentally speaking, the only difference between the two is in the operation of the heart, one is valve replacement or repair, the other is vascular grafting, and the other is not much different.

And in some cases, heart bypass and valve replacement surgery are sometimes done at the same time.

Therefore, before the pericardium is not opened and the heart is not exposed, there is no hesitation at all for Fang Han, and the only difference is that for the heart surgery site, the point of opening selection is different.

This point is not only heart bypass, heart valve replacement, mitral valve and tricuspid valve or the main heart valve are a little bit different, generally speaking, after the thoracotomy, the opening should be selected as close to the surgical site, so as to minimize the incision and avoid unnecessary damage.

Solis was talking, but Fang Han was silent and focused on the operation.

For people who don't know each other well, Fang Han doesn't talk much, and he talks even less during surgery.

"Heparin is administered intravenously in the territory. ”

Fang Han gave timely instructions while doing it, and the itinerant nurse hurriedly administered the medicine according to Fang Han's instructions.

As the sternum opens, the patient's pericardium is gradually revealed.

"Ready to establish cardiopulmonary bypass. ”

Heart valve surgery is the same as heart bypass surgery, both of which are to establish cardiopulmonary bypass, replace the body's own circulation with cardiopulmonary bypass, and stop the heart from working before further operation.

The nurses who operated this time were also the original nurses who operated on Long Yaxin last time, and the nurses also had a preliminary understanding of Fang Han's surgical style, and their cooperation was not bad.

"Dr. Solis, are you coming next?"

When the pericardium was opened and the nurses established cardiopulmonary bypass, Fang Han handed over the leadership to Solis.

Although with Solis' guidance, Fang Han can also do this operation, but in the spirit of being responsible for the patient, Fang Han still plans to observe it himself and see how Solis does it up close.

"I'm a little distracted. ”

Solis was really surprised, although the previous part was not very difficult, but Fang Han's level really surprised him.

With Fang Han's level, even if he went to their Hopkins Hospital, he would definitely become the head of the medical team.

With the establishment of the cardiopulmonary bypass system, Solis began to take over, and Fang Han stood on the side while observing and helping.

As the Solis operation progressed, the prompt sound of the system suddenly sounded in Fang Han's mind.

"Ding........ Congratulations to the host for reaching the beginner level of heart bypass skills. ”

"Ding, congratulations to the host for reaching the intermediate level of heart bypass skills........

Two consecutive system prompts also mean that the level of Fang Han's heart bypass surgery has been continuously improved.

It's like practicing martial arts, Fang Han, who is proficient in Baguazhang, if he goes to learn other martial arts, it will inevitably be much faster, with Zhang Jiahao's heart valve surgery foundation, Fang Han learns heart bypass very quickly, just with Solis for an operation, the heart bypass will reach the intermediate level.

As Guo Wenyuan said, a rod to the end, and then extend around, is indeed twice the result with half the effort.