Anastomosis blood vessels as a debut stunt, how can it be possible to plant and fight on this.

Song Zimo took Xu Zhiliang and began to close his chest, and Yang Ping sat down indifferently to rest, chatting with Academician Wang and Professor Chen.

Li Zehui, Director He, and Xia Shu also tried to get closer to this side, although the operation has entered the chest closure link, as long as they do not take off the surgical gown, everyone does not dare to get too close and keep a distance of at least one meter.

Maybe if there is any accident, Yang Ping will come to the stage at any time.

Professor Yang has also done finger replantation in babies before? No wonder the level of vascular anastomosis is so high, Academician Wang feels that Yang Ping is unfathomable. It feels like I can do anything, and I can do everything in a state.

Li Zehui was also amazed when he saw Yang Ping's hand blood vessel anastomosis just now.

As a cardiac surgeon, there are definitely not as many blood vessels as the doctor who replantates the finger, so the replantation of the finger is the most important surgery to hone the vascular anastomosis technique, but unfortunately, it is impossible to do the replantation of the finger in the training experience of the cardiac surgeon.

Director He has a certain vigilance about the arrival of Xia Shu, this doctor is an eight-year doctor of Xiehe, and he has also completed clinical training in Xiehe Fuwai, and now he is directly employed in Sanbo General Surgery, he has to be vigilant about the reasons behind it.

Is there any arrangement from the hospital leadership? Director He had to think about it.

The younger, elitist, and doctorate of the department director is the strategic policy of Sanbo Hospital, this Xia Shu originally worked in Fuwai, if he trains in the comprehensive surgery for a few more years, and then returns to the thoracic surgery department, will he replace his position, He Xiangjun has to think so.

Academician Wang didn't expect that the baby's surgery would go so smoothly, and there was no need for even a needle after the sutures.

After the operation, the baby was sent to the intensive care unit, and Yang Ping decided to let him stay in the intensive care unit for 5 days to get through the danger period and then transfer back to the general ward.

Of course, in the future, if the large blood vessels are in a state of dysplasia, and then there is aortic dissection and the like, that is a later story, at least for now, the operation is successful.

Another patient, Song Hanhui, was a patient of Academician Wang's Fontan surgery, when he was still an infant baby, Academician Wang operated on him and performed Fontan surgery, but because Song Hanhui's heart malformation was too serious, Fontan surgery only lasted for 10 years, that is, now when Song Hanhui is 11 years old, there have been various serious complications.

The solution can only be radical cure, that is, the correction of the malformation of the heart.

This patient's heart malformation is not found in textbooks and literature at all, it has eight malformations, and theoretically, as long as the eight malformations are corrected, the patient can continue to survive.

However, the gap between theory and reality is sometimes very large.

Academician Wang also knew that it was theoretically feasible, but in reality, he was not capable enough to do all the orthopedics, so he could only retreat and use Fontan surgery for palliative care, hoping to delay the time and be able to achieve all the orthopedic methods during this time.

Now that I'm at retirement age, I still can't do it myself, so I can't help but regret it.

This time, Professor Chen also brought Song Hanhui's case data, which was installed in a mobile hard drive.

After the operation, everyone moved to Yang Ping's office and seized the time to discuss Song Hanhui's condition, the main theme of the doctor's work is to treat the disease and save people, so from morning to night, I have been thinking about this and doing it.

Academician Wang has retired, and this is still the matter in his heart.

——

Yang Ping's director's office is very spacious, not to express luxury in terms of spaciousness, but that he often has to use the office to discuss cases, and he must be able to sit a few more people.

Otherwise, sometimes when you encounter a case discussion and go to the doctor's office, everyone has to work, which is too messy, and it is too troublesome to go to the classroom and conference room.

Connect the mobile hard disk, and the case data is called up.

The case that can make Academician Wang regret is really unusual, this heart with eight malformations, can move at the age of 11, which shows that Academician Wang's medical skills are very superb.

In this case, if it weren't for Academician Wang's surgery, he would not have lived to be 2 years old, and most of them would not have survived 1 year old.

The first is the right heart, which is similar to the previous mirror man, and the heart that was originally on the left side grew on the right side.

This is followed by double outlets of the right ventricle, complete atrial ventricular septal defect, severe subvalvular stenosis of the pulmonary valve, displacement of large vessels, severe atrioventricular regurgitation, and a separate opening of the hepatic vein in the right atrium – there are eight types of cardiac malformations.

These eight malformations, any one of them alone, is very difficult to treat, and the eight malformations are put together, and the difficulty can be imagined, and the whole heart needs to be reconstructed.

Compared with him, Mai Zijing is just a small thing.

Fontan surgery was the only option at that time, and Academician Wang was forced to do it.

The reconstruction of the heart is very difficult, because it has a delicate live pump, and every component must ensure its anatomical precision and functional perfection.

There are many aspects to pay attention to in surgery, and they are very detailed.

The procedure should be very meticulous and not damage the conduction tracts on the heart, otherwise there will be conduction block after the operation.

The ventricular outflow tract must not be narrowed, the atrioventricular valve cannot be insufficient, the pulmonary veins cannot be obstructed, and so on, these are all problems that must be avoided after surgery.

"How? Can it be done? Academician Wang asked worriedly.

Yang Ping didn't answer immediately, but half-squinted his eyes and tapped his fingers lightly on the desk.

After a while, he asked, "There are no other contraindications, right?" ”

Professor Chan replied, "Not yet. ”

"Then you can do it." Yang Ping said without hesitation.

Everyone is a surgeon, of course, you have to ask if there are any contraindications to surgery, if there are absolute contraindications to surgery, no matter how high the level of surgery is, it is in vain.

The first thing is to get the surgery right, and the second is to do it well! This principle cannot be violated.

For example, if the problem of pulmonary hypertension is not solved, no matter how beautiful the operation is, the result will be equal to zero, or even negative.

"Can you do it? Radical cure? ”

Academician Wang just picked up the teacup, and when he heard Yang Ping say this, he put down the teacup that was brought to his mouth.

"There is no other way than radical surgery, to dismantle all the original surgeries and then rebuild them one by one, which is a relatively large, complicated and time-consuming project." Yang Ping pointed to the image on the screen.

"This case is much more difficult than Mai Zijing, all of them have to be reconstructed, and the surgical design must be very exquisite, so that they are interlocking, just like a precision aero engine, every part must be precise and match with other parts."

Li Zehui also participated in the discussion, he recently came to Sanbo Hospital twice intensively, and saw two surgeries, which made him suddenly enlightened.

Some surgeries that were thought to be impossible can be done here; Some surgeries that were thought to be done that way can be done here.

Li Zehui's understanding and vision of cardiac surgery were opened.

"If there is a flaw in one link, it may all collapse, and every step is like walking on thin ice."

Professor Chen is still very scared of this case.

Yang Ping's fingers tapped lightly and knotically on the tabletop, but it was only a movement, and no sound was made: "Yes, it is very difficult to correct the eight deformities and realize the function of all of them, but this is the only way, the shunt effect of the Fontan operation is currently close to collapse, and only reconstruction is the way out." ”

"The location of the large vessels is malformed, with the aorta anterior and the pulmonary artery posterior; The flap orifice is severely narrow, only the thickness of a pencil lead, and it is completely a small hole; Bipetal malformation, the interval should be completely repaired, the single atrium needs to reconstruct the atrial septum to reconstruct the two atrium, the ventricular septum needs to be repaired, the connection between the left ventricle and the aorta needs to reconstruct the channel, they are now too far apart, there are two groups of normal atrioventricular valves, now it is one group, we need to separate two groups - mitral valve and tricuspid valve, which must not be stenosis or incomplete closure; The pulmonary veins, vena cava and hepatic veins should be separated above the atrium, the endocardial cushion defect should be repaired, the aorta should be widened, the pulmonary valve should be formed, and the area below the pulmonary valve should be widened-——"

Yang Ping pointed to the images on the screen with the eraser tip of a pencil to explain one part at a time.

Director He sat next to him, he didn't dare to come out, just listening to this string of nouns and verbs made his scalp numb, and now Yang Ping wants to see these to achieve it, it is really more difficult than ascending to the sky.

"It seems that we need to plan for the operation well, Professor Yang, do you need any help from us?" Seeing that Yang Ping was so confident, Academician Wang decided to give it a go.

"Xia Shu is in charge of this patient, our young doctor is inexperienced, and besides, it is best to transfer an experienced doctor from your cardiac surgery intensive care unit to lead the postoperative management." Yang Ping didn't have any extra words.

Sanbo Hospital does not have a special cardiac surgery intensive care unit, but uses a coronary heart disease intensive care unit, this case is special, can not be improvised, there are too many indicators to observe, too complicated, must arrange a doctor with experience in cardiac surgery intensive care unit.

"Yue Liang, immediately go and arrange manpower and fly over as fast as possible." Academician Wang instructed Professor Chen.

"Is there anything else we need help with?"

Academician Wang asked, licking his dry lips, a little excited in his heart.

Yang Ping thought about it, but couldn't think of any more assistance for the time being, so he said no.

"I asked someone to make a digital model out, and then used the digital model to simulate the pathological anatomy of the heart before surgery, the surgical process and the postoperative effect, which is more intuitive."

Yang Ping remembered and said.

"The start of our general surgery is hellish and I just looked at the other cases and there are almost no ordinary surgeries." Xia Shu sighed when he saw this case.

I just came to work, and it was our comprehensive surgery, which was very immersive.

Academician Wang also said: "This operation is also hell-level. ”

Yang Ping was quite embarrassed and said: "There is no way, from the opening of the comprehensive surgery department to the present, every day at the hell level, life is hard!" I'm used to it! ”

Academician Wang's face was stunned, and the young man said flutteringly, "Life is hard!" ”

However, Academician Wang likes this kind of confident young man, he is not only confident, but also has the ability to be confident, and the three surgeries recommended during this period of time are not hell-level.

The use of digital technology to simulate the current heart, the surgical process, and the postoperative heart is just to give everyone a visual understanding of the entire surgical process.

In order to support the digital human project, Yang Ping plans to use scientific research funds to buy a supercomputer for them.

At present, the construction of a digital muscle has been completed, and Professor He's team has also written a paper and submitted it to the journal Nature, of course, Yang Ping's name is also in it, but he is not the first author.

Now asking the team to do a 3D animation of the operation is a piece of cake.

"Professor Yang, why don't we work together to build a cardiovascular surgery institute?" Academician Wang proposed.

With Yang Ping's surgical ability, combined with the foundation of Fuwai, a strong combination, the establishment of a cardiac surgery institute, will definitely be able to achieve, Yang Ping's proposal to use dilators to treat left ventricular dysplasia, this topic can be quickly put on the agenda.

"Or, you set up a research institute, and our two institutes work together."

Academician Wang was worried that Yang Ping was unwilling to engage in cooperative research institutes, so he changed the way, in fact, they were all cooperation, but the latter way gave more prominence to the two independent teams.

The Department of Comprehensive Surgery itself is a listed surgical research institute, and then a few specialized research institutes are opened, which is very simple, to hang an extra sign at the door, a set of teams, and multiple signs.

Yang Ping felt that Academician Wang's proposal was very good, and agreed on the spot: "There is an opportunity for us to cooperate and carry out research on cardiovascular diseases." ”

"Are you going to establish a cardiovascular surgery institute? That should be started as soon as possible, and it needs the strong support of the leaders of the institute and the school, and the approval of the provincial department must also be prepared, and a lot of materials and documents must be prepared, we can assist you, and many things can refer to us. ”

Academician Wang was quite surprised that Yang Ping agreed so readily that it is difficult to establish a specialized research institute, not only because there are many conditions, but also because the process is complicated.

Yang Ping said very easily: "Don't be so troublesome, I'll find someone to write a sign tomorrow and hang it at the door." ”

Academician Wang was dumbfounded, what does this mean, to build a research institute is to hang a sign at the gate?

Yang Ping saw the surprise on Academician Wang's face, and explained with a smile: "My institute is a research institute within the hospital, and I don't need to go through any process or approval, I will call our dean and say that it can be listed tomorrow morning, if it is fast, it is estimated that it can be listed before getting off work today." ”

That's child's play, isn't it?

"You're running an in-house research institute? Would you like us to help? ”

Academician Wang didn't say the latter words, at least one Nandu Medical University, or the municipal level, of course, it would be better to do anything at the provincial and national levels.

"It doesn't have to be that complicated, as long as you have a sign, you can do research."

Yang Ping dealt with it calmly, he didn't need any level at all, as long as there was a brand, he could legally conduct scientific research, facilitate communication, and everything was simple.

Academician Wang waited for Yang Ping, who was very indifferent.

Is this the style of genius? It doesn't matter what level it is, as long as it doesn't get in the way of work.

But the resources obtained at different levels are different, so why not make a high-level one?

Academician Wang also wanted to persuade him, but he knew that Yang Ping had already begun to call Dean Xia, saying that he wanted to hang a signboard of the Cardiac Surgery Institute, so that it would be convenient for patients to identify and communicate with the outside world, such as cooperating with Fuwai now.

Dean Xia said, "I'll hang up a few signs for you, such as the Brain Research Institute, the Scoliosis Research Institute, the Sports Medicine Research Institute, and the Oncology Research Institute."

Forget it, forget it!

This gate must not be hung densely, Yang Ping hurriedly declined.

(End of chapter)