After more than 4 hours, Yang Ping completed the last stitch on his heart and began to rebeat his heart.

The camera on the operating light is pointed at the heart, which lies quietly in the chest, and everyone looks at the young heart, wondering if it will be able to beat again.

Academician Wang also stared at the screen without blinking his eyes, although the cardiac arrest did not exceed 4 hours, Academician Wang was still very nervous.

This little heart has undergone three surgeries, it can be described as a thousand holes, this operation is about 3,000 stitches, there is a possibility of heart failure at any time before the operation, and now after more than 3 hours of arrest, I don't know if it can be re-beaten, no one dares to guarantee.

Usually when he operated on his own, Academician Wang had never been so nervous as he was today.

Professor Cao, Director Xin, Director Chen, and other doctors all stared at the quiet heart on the screen, wondering if it could still beat.

Pull out the tube of cardiopulmonary bypass, and in a moment, the heart begins to pound.

The experts and doctors in the classroom cheered.

Academician Wang excitedly turned around and held Director Xin's hand: "Jumped, it jumped." ”

Beating means the freshness of life.

Director Xin nodded excitedly, Director Chen clenched his fists tightly, Mai Zijing was his patient, he had three operations on Mai Zijing, and the last one was really weak, so he recommended Yang Ping.

Although the surgery has not yet been completed, the heart can beat again, indicating that the biggest hurdle has been overcome.

Xiang Changjun, director of the Department of Thoracic Surgery of Sanbo Hospital, has only rushed over after finishing the operation in the department, and the operation is nearing completion.

And there is no place for him in the classroom, crowded with graduate students, trainees and interns, no one pays attention to him at all, this scene of water splashing makes Director Xiang very headache, he turned around a few times, and found that he couldn't squeeze in at all, and he didn't bother to squeeze in hard, so he just turned around the door a few times and didn't see anything.

I heard that there was heart surgery here, Director Han also took the time to come over and walk around, although he is still the director of the Department of Orthopedics, but the actual work is completely handed over to Tan Boyun to do, he basically takes a back seat, and he will engage in strategic management with Dean Xia when he has nothing to do.

In the past, Yang Ping only focused on the field of orthopedics, and Director Han was able to participate, but now that Yang Ping is taking the route of global development, he can no longer participate, but as long as there is a difficult operation here, he will also come over to join in the fun.

Professor Zhang Zongshun has made it clear that this kind of "roller coaster" type of surgery, he had better observe less, because he is too old to play with young people.

Director Han turned two punches at the door, and when he saw it, he said helplessly to the director, "Why don't you go in?" ”

Director Xiang shook his head: "Look, this water can't be leaked, how to squeeze it." ”

Director Han looked inside: "You don't care about him, squeeze it hard, squeeze it wherever it goes." ”

Director Xiang still shook his head, he was also a section director anyway, and he couldn't do this if he went to squeeze students, and it was unseemly.

Director Han saw that he didn't move, and he didn't want to persuade him, but Director Han felt that there was nothing wrong with this, didn't Gao Yuan often do this, he was cheeky and squeezed inside, and there was nothing wrong with being scolded by students several times.

Next, is the final hemostasis link, because cardiopulmonary bypass requires the use of some anticoagulant drugs, now Mai Zijing's coagulation function is very poor, and the bleeding tendency is much stronger than that of normal people, so after the blood circulation of the cardiovascular system is restored, the original suture may leak blood, and the place in the chest cavity that did not bleed before may now bleed.

Song Zimo's vascular clamp was sandwiched with a ball of gauze, compressing the bleeding area at any time to stop the bleeding, creating time for Yang Ping's bipolar electrocoagulation.

Yang Ping held the vascular forceps in his left hand, and held the bipolar electrocoagulation in his right hand, and began to stop the bleeding, bleeding is generally divided into oozing blood, gushing blood and squirting blood, capillary or fine arteriovenous bleeding is manifested as oozing blood, and slightly thicker venous bleeding is manifested as blood rushing, and arteriole or thicker arterial bleeding is projectile.

The order of resolving bleeding is to solve the spurting blood first, then the blood gushing, and finally the oozing blood.

Therefore, once the blood circulation is established, Yang Ping and Song Zimo are staring at the place where blood may be spurted, and when it has just squirted out, or has not yet formed a spraying momentum, Song Zimo's gauze will be pressed up, and then instantly withdrawn, in this short gap, the blood vessels have not had time to spray blood, Yang Ping's double-click electrocoagulation directly clamps the broken end of the blood vessel, and uses electrocoagulation to carbonize and occlude the broken end of the blood vessel, which plays a role in stopping bleeding.

After the blood spray is subdued, the next step is to deal with the blood gushing and oozing blood, these bleeding points are much easier, and the treatment method is the same, which is nothing more than to find the bleeding point, accurately surge and double-click electrocoagulation to clamp the broken end of the blood vessel, and implement electrocoagulation.

In some larger blood vessels, electrocoagulation does not stop the bleeding and can only be ligated with silk threads, which is almost rare because these vessels have already been ligated at the beginning of the procedure.

The picture of hemostasis is also very ornamental, Song Zimo cooperates very well, the gauze is pressed against the tiny red dots, Yang Ping's bipolar electrocoagulation accurately clamps the broken ends of the small blood vessels, and as wisps of green smoke drift into the straw, the red dots are eliminated before spreading.

The movement was so fast and extremely precise that not a single red dot spread into a patch of blood, all of which were destroyed before it spread, and the ribcage remained clean.

However, all the anastomosis parts of the heart, including the circle where the two large blood vessels were anastomized, did not leak blood.

Academician Wang stared at the screen and gasped, how can this be seen, after the sutures are completed, the anastomosis does not need to be supplemented to stop the bleeding.

Based on his more than 40 years of experience, this is impossible, in the past, even if there were no such difficult cases, they would have to spend three or four hours to stop the bleeding, but now in less than an hour, the hemostasis is completed, and the whole surgical field is clean, not at all like heart surgery.

Academician Wang has seen the operations of almost all top experts at home and abroad, and he has more than 40 years of experience in cardiac surgery, and has never seen such accurate and rapid hemostasis.

Those bloody red dots had no chance to spread at all, and were quickly eliminated, even if some small dots in the back row, they only barely spread into a small piece, and the climate did not form at all.

Now Academician Wang finally understands why even the world's top experts like Li Zehui respectfully call him a mentor, and why Xin Weicong admires him so much, this is a genius who has not been seen in 10,000 years.

And at such a young age, the future is immeasurable, if the cardiac surgery in Fuwai can have such a young man, he will directly become the first in the world.

"Wei Cong!" Academician Wang brushed his hair to sober himself up.

"Is there a way to introduce Professor Yang to Fuwai, and we will give him a ward." After Academician Wang finished speaking, he found that it was inappropriate to say these things in such a public place, but fortunately, everyone focused on the operation and no one listened to him.

As soon as he spoke, Professor Wang remembered that Yang Ping was the master of 13 CNS publications, so he changed his words and said, "Make him a big director." ”

Professor Xin turned his head to look at the classroom, and then said, "We'll talk about this later." ”

Academician Wang also found that it was inappropriate to discuss this topic here and now, and he was anxious to blurt it out just now.

Young people's level of surgery, in today's world, unmatched, if it can be introduced to Fuwai, Fuwai will be the top of the pyramid in the future, there is no second one in surgery is not comparable, almost all heart surgery, no matter how difficult, no matter how high the risk, can be tried.

After completing the hemostasis, for the sake of safety, Yang Ping waited for half an hour, and found no bleeding points, and then decided to close his chest.

Compared with the surgical incision of nearly half a meter in the middle of the sternum, the two left intercostal incisions, one is more than 10 centimeters, and the two add up to only more than 20 centimeters, which is much more minimally invasive, and enters from the intercostal space, without splitting the sternum, and the trauma to the patient is much smaller.

After irrigating the chest cavity, the drainage tube is placed, and then the chest is closed, and the operation ends without suspense.

"Don't you need to delay closing your chest?" Director Chen, who had not spoken, came out with a sentence.

Academician Wang said: "This is to have absolute confidence in every stitch I have sutured. ”

This kind of case is so complicated, with so many stitches on the heart, even the experienced academician Wang does not dare to close the chest in one stage, and will definitely delay the chest closure to prevent effective rescue in case of massive intrathoracic bleeding. After observing for a certain period of time, it is safe to make sure that it is safe before daring to close the chest.

The crossed-out broadcast symbol on the screen has somehow returned to normal, and some sounds can be heard from inside.

"Send it to the CCU for observation for a few days, ask the ward to send the next one, and make the next one as soon as you finish lunch."

"Who's in charge of the bed?"

"Doctor Qi."

"Let him send the patient to the CCU, focus on blood pressure and heart rhythm after the operation, notify me as soon as the blood pressure slips, and similarly, once the heart stops, rescue us on the spot and notify us."

"Professor, are we thinking about setting up a cardiac surgery intensive care unit in the future?"

"Now there are more and more cardiac surgery patients and they are thinking about it."

"Li Guodong! The ward was told to send the next surgery, and we took turns eating in two groups. ”

Then the screen turned off and there was no sound from inside.

Now Academician Wang no longer questions Yang Ping's work attitude, because it is not that Yang Ping's work attitude is not good, nor that he lacks a sense of responsibility, but that the level is indeed too high, and he does not need to allocate too much energy and time to this kind of patient.

"How?" Director Xin Weicong asked with a smile.

Academician Wang gave a thumbs up: "If you hadn't seen it with your own eyes, no matter what you said, I wouldn't believe it." ”

Professor Xin said: "So I asked you to come and see, no one can believe that heart surgery can be done so well without witnessing it with their own eyes, and I was too, at all, I didn't believe it at all, his previous specialty was orthopedics, and he had only done heart surgery for more than a year, and he couldn't explain this thing." ”

Academician Wang not only couldn't help but sigh: "My forty years of surgical training is far from his level, this young man's familiarity with anatomy is beyond my imagination, whether it is normal anatomy or pathological dissection, he is already familiar with it, he must have dissected many corpses, many hearts." ”

"The adhesion heart has just been revealed, he is not afraid, he seems to be confident, the speed of the sharp knife is very fast, three times five divided by two to open the adhesion tissue, cut the heart bag, and reveal the heart." Director Xin has also paid attention to this.

"If we were to do this surgery, it would have been at least four or five hours wasted to reveal this step." Academician Wang is very realistic.

At this time, several graduate students and trainees came in with boxes and began to distribute boxed lunches to everyone, because it was almost two o'clock at this time, and after lunch, according to the order of seats, from front to back, row by row, whether it was experts or students, each person had a boxed lunch and a bottle of mineral water.

"Everyone is hungry, hurry up and eat, I told you that the boxed lunch of the General Surgery Department is very precious and difficult to eat, but this is the first time I have eaten it." Professor Cao picked up a boxed lunch and handed it to Academician Wang.

Academician Wang couldn't understand Professor Cao's words: "How is this box lunch a precious method?" ”

Professor Cao said with a smile: "With Professor Yang's surgical speed, how can I wait until I hurriedly eat a boxed lunch, today is special, it took five hours before and after, and I actually mixed it into a boxed lunch, do you say it is precious?" It's the first time I've come to Sanbo Hospital to eat it anyway. ”

It turned out that this was the meaning, Academician Wang opened the lunch box and began to eat it, as if it was really this rice because it was precious and very fragrant.

In the whole conference room, everyone was eating a boxed lunch, some people were sitting and eating, some people were standing and eating, and some people were squatting on the ground to eat.

A few students made a garbage bag and spread it out on the ground, everyone gathered around, and from time to time they "clinked glasses" with mineral water, and ate the boxed lunch out of the banquet atmosphere.

Anyway, this is a classroom, and you don't have to pay attention to it, wipe your mouth after eating, and throw the garbage into the big trash can.

At this time, Yang Ping, Song Zimo, Xu Zhiliang and other surgical members also came to the classroom and picked up the lunch box to eat.

Yang Ping came to Academician Wang with a boxed lunch, greeted Academician Wang, everyone gave up their seats to Yang Ping, Yang Ping asked everyone to sit, and Song Zimo moved a plastic stool for Yang Ping to sit next to Academician Wang.

"Eat a light meal at noon, and bear with me." Yang Ping said politely.

Academician Wang disagreed: "I've heard that your simple meal is not simple, it is precious, and ordinary people can't eat it, I am lucky, and I ate this precious lunch box lunch for the first time I came to Sanbo Hospital." ”

"Professor Yang, let me see your operation once, I am willing to starve my stomach for three days, it is really good and fast, I can't find a good word to describe it."

Academician Wang's easy-going attitude made everyone feel reverence.

The surgeon pays attention to the speed of eating, gobbling it up, sweeping all the boxed lunches, Academician Wang's appetite is also good, and the boxed lunches are also eaten cleanly.

The operation over there was still under anesthesia, Yang Ping chatted with Academician Wang for a while, and it was not easy for the old-timers to come here.

"We'll talk when you're done, you're busy with yours, don't worry about me." Academician Wang is very generous.

"Mr. Wang, shall I pour you a cup of tea?" Xin Weicong got up.

Academician Wang waved his hand: "I'll come by myself, I'll come by myself-"

PS: I'm too busy today, so I'll post so much for the time being, try to post a little more tomorrow.

(End of chapter)