Chapter 465 - Surgical Explanation (Ask for Subscription)
Friday morning, Department of Cardiac Surgery, Marina University Hospital.
Xu Yang, who was holding a chicken nest, gently pushed open the back door of the small conference room, slipped in, and crept to his colleague before straightening up.
The colleague next to him, seeing that his hair was messy and the buttons of his white coat had not been buttoned, smiled and lowered his voice and asked, "You won't sleep all night in hiding somewhere in the hospital, will you?"
Xu Yang looked ahead, saw that Professor Ren and the director of the department had not yet arrived, and immediately breathed a sigh of relief, and said while arranging his hair and clothes: "I was so excited last night that I didn't fall asleep until three or four o'clock in the morning." ”
"Later, as soon as I closed my eyes and opened them, I overslept, and I didn't wash my face or eat, so I hurried over. ”
My colleague was a little puzzled and asked, "You were selected as one of the five people who went into the operating room to observe the operation at close range, are you so excited? We sat in the stands outside to observe and learn, and the effect was not much worse!"
Xu Yang smiled and said nothing.
Everyone thinks differently and sees the importance of the same thing differently.
Being able to watch Lin Jie's operation so closely is what he dreamed of.
Since the last time he watched Lin Jie's thoracic and abdominal aortic replacement surgery, Xu Yang has regarded Lin Jie as his idol and the ultimate goal of his life.
The incomparably refined and precise knife advance, the flowing and intoxicating knife line, and the free and unhurried node disposal, it can be said that Lin Jie turned such a daunting and complex operation into a pleasing performance.
From that moment on, Xu Yang understood that Lin Jie had raised surgery from technology to art.
Its level is so high that it is not comparable to the so-called several surgical holy hands of the affiliated hospitals.
After that operation, Xu Yang downloaded the recording of Lin Jie's lecture on "heart" from the Internet, and the more he studied and researched, the more he realized Lin Jie's erudition, which made him really feel like a mountain.
It's just that as a resident doctor, Xu Yang's daily work is heavy, and he doesn't have much free time at all, and Lin Jie is also elusive, and it is very difficult to find opportunities to ask for advice in person.
To Xu Yang's surprise, Lin Jie actually wanted to do a teaching operation for the doctor of cardiac surgery.
He cherished this opportunity very much, and attached great importance to the surgical plan instructed by Professor Ren.
Xu Yang squeezed out a lot of sleep time, checked the information, studied similar cases, changed the draft several times, and finally completed the surgical plan.
After the screening of the leaders, he and four other colleagues, because of the excellent surgical plan, were qualified to enter the operating room to observe Lin Jie's operation.
Among the five, Xu Yang is the youngest and the only resident doctor.
What made him even more excited was that it was said that Lin Jie had personally seen these five surgical plans and recognized them.
Xu Yang tidied up his hair, Professor Ren and several department directors also entered the conference room, and the entire conference room was suddenly silent.
Then, Professor Ren's voice sounded, "At my strong request, Expert Lin specially did an on-site teaching operation for our cardiac surgery. ”
"The level of expert Lin, I won't go into details, you all know it in your hearts, just in the area of cardiac surgery, Dr. Xia, who was the first person in China, is also proud of himself. ”
"The achievements of Expert Lin are not only manifested outside the heart, but also in many fields such as outside the brain, general surgery, etc., and also have an extraordinary level. ”
Ren Maoshi's praise, everyone didn't feel excessive and elevated.
Now there are not many rumors about Lin Jie.
An Weize's brain tumor, Qin Gang's liver repair, Xiaoxiao's voice, although these three surgeries have not been personally admitted by the parties, many people know in their hearts what the truth is.
As industry insiders, they know that the difficulty of any of these three surgeries is world-class.
Lin Jie's strength, no one has questioned it.
"Today's teaching operation by Expert Lin is a five-month-old infant complex heart malformation correction operation, you have all seen the medical records, and I don't say much about the difficulty of the operation. ”
Ren Maoshi said in a heavy tone: "All in all, this is an extremely rare learning opportunity. ”
"Let a world-class famous doctor do a demonstration and teaching surgery by hand, perhaps, you only have such a chance once in your life!"
"I sincerely hope that you will not waste a single second. At the same time, the department has done a lot of work so that you can study with peace of mind!"
Ren Maoshi's gaze slowly swept over the thirty or forty people in the conference room, and said, "We not only emptied your work today in terms of work arrangement, but also ...... at the same time."
Several veteran comrades in the department also volunteered to take on duty work to deal with possible emergency surgeries. ”
After Ren Maoshi finished speaking, the director of the department once again reiterated the importance of teaching surgery this time.
Ten minutes later, the short mobilization meeting ended!
Taking advantage of this short preparation time, Xu Yang quickly brushed his teeth and washed his face in the bathroom of the doctor's lounge, finished his personal hygiene, and asked a little nurse who loved to eat snacks for a few pieces of chocolate to eat for breakfast.
After that, Xu Yang came to the surgical preparation room, changed into a surgical gown, and then brushed his hands to disinfect and entered the operating room, helping the surgical nurses to do some preoperative preparations, counting surgical drugs, disposable consumables, and placing surgical instruments.
At 9:31 a.m., the little child was wheeled into the operating room.
The senior anesthesiologist and nurse of the hospital work together to connect the child to various monitoring instruments, do the last examination, and then perform the initial anesthesia, and after finding that the child has no abnormal reaction, further deep anesthesia is performed.
Because the child is only five months old, the body and organs are delicate, and the brain development is still somewhat incomplete, deep anesthesia must be very cautious, and in the selection of anesthetics, it is also necessary to choose narcotic drugs with less stimulation and few side effects.
Even if the anesthesia is done very carefully, if the anesthesia is too long, it may cause unpredictable sequelae, which requires the shorter the operation time to be better, which invisibly increases the difficulty of the operation.
Xu Yang, who was standing on the far side of the operating table, looked at the operating table, there were only two or three babies the size of adult palms, and there were a lot of pipelines connected to their bodies, lying there motionless, and a sense of powerlessness arose in his heart.
At this time, he suddenly felt something, and it seemed that the atmosphere in the operating room instantly froze, and he turned his head to look at the door of the operating room.
I saw that Lin Jie, who only showed a pair of eyes as bright as obsidian, walked into the operating room accompanied by the two of them!
He took a few steps to the position of the chief surgeon on the operating table, first glanced at the people in the operating room, and said, "Let's start the operation!"
At the same time as Lin Jie said this, he stretched out his right hand, and the surgical nurse on the side immediately handed a small round knife to him in a timely manner......
Seeing that Lin Jie picked up the scalpel, Xu Yang's heart calmed down inexplicably, as if he had found a support and found the backbone of the heart, as long as Lin Jie was present in this operating room, there would be no accidents......
He stared at the scalpel in Lin Jie's hand and made a cut in the patient's chest!
It's just that this knife, compared with the knife that usually opens the chest, is slightly off, and the knife edge is not straight, but slightly wavy......
Could it be that Lin Jie was too relaxed and his hands were shaking?
Xu Yang, who had some suspicions in his heart, heard Lin Jie's voice sound, "The incision is slightly off, which can reduce the blood loss at this part of the knife by about ten percent!"
"The slightly wavy incision can make it easier for the wound to close, and the prognostic scar will be smaller!"
Xu Yang suddenly felt as if he was being drunk, and his head suddenly sobered up!
Details! Details!
Important things that need to be repeated three times!
Lin Jie's surgical level is so high, because of his extreme pursuit of details!
Accustomed to a natural thoracotomy incision, Lin Jie would think of improvements, just to reduce the amount of bleeding that is not noticeable by 10%.
Originally, there was less bleeding on the surface of the skin, maybe this 10% of the bleeding volume is half a drop of blood!
Just this knife can reduce half a drop of blood, with Lin Jie's spirit of excellence shown from this knife, maybe every knife after that can reduce half a drop of blood, or reduce half a point of additional damage......
With the accumulation of this knife and the quantitative change leading to the qualitative change, Lin Jie's patients will have a higher chance of survival, less physical trauma, and a higher level of recovery......
Xu Yang took a deep breath and was convinced.
A famous doctor is indeed a famous doctor, and this ordinary first knife has fully demonstrated Lin Jie's characteristics as a world-class famous doctor.
The surgery continues!
Every time Lin Jie makes a few cuts, he will simply explain a few words!
The few people who stayed in the operation, and the dozens of people on the observation table outside the operating room, each of them behaved differently!
Some have the same expression, some are silent, some are happy, and some are as if they have been enlightened.
Generally speaking, the older and more experienced the doctor, the more profound the feeling.
They either frowned, pondered, or probed, and watched as if they were drunk, and Lin Jie seemed to be slow and fast in the surgical movements......
Time passed minute by minute, and Lin Jie's surgery also entered a critical stage!
After building cardiopulmonary bypass, Lin Jie picked up the scalpel and seemingly casually gave the small heart the size of a walnut that had stopped beating, which was a knife, and cut open its ventricles!
"Oops......"
"Hey, how do you cut the ...... from this position?"
"Strange, strange......"
There was a lot of discussion in the stands!
"Teacher, why did Expert Lin enter the knife from that position and rebuild the wall of the room?"
Ren Maoshi, who was wrinkling his eyebrows and thinking deeply, looked at the proud student who couldn't help but ask himself, and was about to think about how to answer, when Lin Jie's voice came through the megaphone, "Left ventricular coronary branch malformation!"
Ren Maoshi was stunned and couldn't help but say: "Expert Lin is worthy of being an expert Lin, thinking about it is very long-term!"
He explained to his student in a low voice: "Heart malformations are inevitably accompanied by vascular malformations! Judging from the imaging images of this child, his vascular malformations are still relatively mild. ”
"However, with the correction of the cardiac malformation and the development of the heart, the slightly deformed coronary artery of the left ventricle of this child will be slowly squeezed and twisted!"
It is estimated that after puberty, the child may develop angina pectoris due to insufficient blood supply to the heart muscle to the ventricles, and it is likely that another heart surgery will be required. ”
Ren Maoshi sighed: "Expert Lin wants to solve the possible future troubles once and for all." ”
"Although the surgery here is not ideal for reconstructing the ventricular wall, it can kill two birds with one stone, and it is more convenient to correct the coronary branch artery of the left ventricular malformation. ”
"Of course, the 'less than ideal' I mean is only for expert Lin!"
He shook his head lightly and said, "I don't think anyone else would have made such a choice if they were to perform this operation......
The student nodded, signaling that he understood, and he opened his mouth, but eventually closed it, moving his gaze to the operating table below.
Ren Maoshi guessed what the student wanted to ask.
He said very much that he would make the same choice as Expert Lin, but he felt a little weak and simply didn't say anything.
Ren Maoshi's explanation voice is actually not small, and many people around have heard it.
They all understood that Lin Jie's seemingly unideal choice was actually the best route for mutual compromise.
While everyone showed their respect, they were once again immersed in the operation that Lin Jie explained from time to time......