Facing the heart that had stopped beating, Yang Ping carefully cut it, and the human "engine" was turned on, and the structure inside was impressively revealed in front of the surgeon.

The structures around the aortic and mitral valves were so messy and blurred that it was impossible to identify what they were, and the destroyed valves, vegetations, and abscesses were mixed together, and if it weren't for the help of ECMO, the Swedish gentleman's life would have been ended long ago.

The Swedish doctor Davenport stood in front of the screen, the details of the whole surgery field were clear, and now in front of him was a ruin in his heart, his brows were furrowed, he really couldn't think of how Yang Ping could complete this kind of operation, almost no one could pass the suture technique alone, at least not himself, and neither could the doctors he had seen and knew.

This is the second ANDO operation, the foundation of the reconstruction of the door frame is already very bad, on this bad basis, it is impossible to complete every high-quality suture, because the thickness of the myocardial wall is certain, and many parts are in the edema stage because of infection, edema will make the tissue brittle and tender, it is very difficult to suture the needle on the brittle tissue, and the risk is not enough to hold the force, which can easily lead to the cutting of myocardial tissue.

Therefore, the suture of thousands of needles can not appear a needle error, a mistake will not only cause the original brittle tissue to cut, so that the needle is loose, but also will lead to the follow-up needle has nowhere to start, secondly, the distribution of the suture needle requires extremely rich experience, the point of the needle in and out of the needle must be very precise, so as to ensure that the whole suture can withstand a certain amount of stress and will not appear weak.

All needles need to be considered holistically, so that all needles, especially those in the brittle parts, can reasonably distribute the stress and form a zipper-like uniform stress dispersion effect, which is extremely difficult to do, in theory, but no one can do it in practice.

The zipper is straight, and now the stitches of the heart are irregular of various shapes, and this intricate irregular suture route, with human experience to disperse the stress of each stitch to the most suitable, how can it be done?

Any needle stress is too concentrated, but it may be torn into a gap because of the beating of the heart and the huge pressure of the internal blood, once the gap is formed, the high-pressure blood will relentlessly expand the gap, the blood in the heart will immediately squirt out through the gap, and the whole body will die because of hemorrhage, which is more terrible and dangerous than aortic dissection tear.

Xia Shu came from Fuwai Hospital, how many complex and difficult cases he has seen, and the cases he has seen in one day in Fuwai may be more than the cases he has seen in ordinary hospitals for decades.

He Xiangjun, director of the thoracic surgery department of Sanbo Hospital, and several thoracic surgery doctors also surrounded the screen, and they didn't dare to breathe.

When he saw this situation on the screen, he couldn't help but sweat for Yang Ping, how to do this kind of surgery, and there is no heart transplant as a backup, if it can't be done, how will this end? Is it possible to wait for a heart transplant with ECMO? …。。

Yang Ping was not in a hurry, he removed all the valves that had been replaced, needle by needle, and dismantled them cleanly, cleaned up all the original valves, vegetations, and abscesses, and cleaned up some of the attachments and surrounding tissues that had been eroded by bacteria, and then rinsed them repeatedly with normal saline to make the left cavity of the heart clean.

The difficulty of ANDO surgery is that the operation involves two closely connected valves, namely the aortic valve and the mitral valve, and the fibroskeleton of the entire heart needs to be reconstructed, that is, the two small doors in the two different "rooms" of the heart that share the load-bearing wall are replaced with a large door frame, and then two new doors are put in.

In addition, it is necessary to suture very finely during the operation to prevent bleeding that is difficult to control, and once the suture quality is poor and there is a loose gap, it will be difficult for the patient to stop the bleeding after surgery, which is catastrophic for both the patient and the doctor.

Suturing is one thing, but on the other hand, the size of the valve must be extremely precise

Permit.

It requires skillful cardiac anatomy and accurate judgment of valve size, once the size of the valve is wrong, resulting in a valve that is too small or too large, it will lead to the dysfunction of the valve, resulting in cardiac dysfunction.

If it is the first operation, it will be easier, sometimes it can be measured with the help of CT scans, but in the second operation, I don't know what the remaining structure will look like after the original surgery is removed, so I can't estimate it before the operation, so I can only measure it with experience during the operation.

The second ANDO procedure, compared to the first, is exponentially more difficult and has more factors to consider.

When the original operation was dismantled and the infected lesions were removed, everyone looked at the broken walls of the heart, a little desperate, on this basis to rebuild, sutures, accurate judgment of valve size, this is an extremely difficult thing, no wonder Europeans do not dare to do this kind of surgery, this can not be done at all.

Yang Ping's eyes still didn't have the slightest wave, he seemed to be doing a very ordinary operation, step by step, calmly.

Reconstructing the aortic root, aortic annulus, aortic curtain, left roof, mitral valve annulus, Xia Shu assisted Yang Ping as an assistant, at first saw this kind of bad heart, his mind was completely a mess, and now he has a clear idea, and follows Yang Ping to do every detail well.

The Swedish doctor sat in front of the electronic screen, staring intently at the screen, he was glad that he had followed Mr. Karen to China, and he had the opportunity to observe such an incredible operation up close, which made him re-acquaint himself with Chinese doctors, Chinese medicine, and ANDO surgery.

Stitch by stitch, Yang Ping made every stitch perfect, and the surgical suturing skills were displayed in this operation, which is a real skill, not a simple suture.

A few hours later, the heart that looked very bad and tattered in Yang Ping's hands had returned to its normal structure and function, and when the heart was closed, it was re-beaten, not only Xia Shu, but also the Swedish doctors and everyone felt incredible, this kind of heart could be repaired.

The Swedish doctor was a little dumbfounded, as the top cardiac surgeon in Europe, he had to bow down to Yang Ping's level of suturing technology, and he was probably the only one in the world who could achieve this level of suture, at least he had never seen the second one. …。。

It is no wonder that he dared to perform this kind of surgery, and his unique suture technology and super spatial imagination ensured that this almost impossible operation was completed smoothly and avoided heart replacement.

After all, my own heart, and the vitality is not bad, and after sewing and mending, it is still much better than other people's hearts.

If you transplant someone else's heart, you will have to undergo anti-rejection treatment after all, and your own heart does not need anti-rejection treatment, Yang Ping thinks that it is no problem to use this heart for another one or two decades, of course, if there are no other diseases, it is not a matter of longer time.

Swedish doctors have heard a popular saying before, Chinese hands because of the long-term use of chopsticks so very flexible, now it seems that the rumors are true, Professor Yang's hands have just demonstrated the suture technology, no second person in the world can do, thousands of stitches, each stitch of the suture is perfect, it is the perfect synthesis of this stitch and the perfection of the whole operation.

After the operation, Karen was transferred to U for postoperative monitoring, according to the usual practice, for this kind of critically ill patient, even if it is placed in U, the Institute of Surgery will send someone to be on duty, and the most suitable doctor to send this time should be Xia Shu, because Xia Shu is the first assistant and understands the details of the whole operation.

But Xia Shu's father was still in the ward and had not been discharged, when he was hesitating, the head nurse called him to let him work with peace of mind, and she would arrange Xia Shu's father's affairs, so that Xia Shu did not have to worry, this kind of case is rare, and he must follow up with his heart.

With the help of the head nurse, Xia Shu is a lot more down-to-earth, he knows the head nurse's work style, is thoughtful and careful, and will definitely be able to take care of his father. In this way, Xia Shu went to U without worries and participated in Karen's postoperative monitoring and treatment.

Karen's biggest risk after surgery is heavy bleeding, as a single loose stitch of thousands of stitches can cause massive bleeding. Secondly, the postoperative infection worsens or cannot be controlled, and the bacteria erode the implanted valve and attachment again, and even spread throughout the body.

U's doctors are all cardiologists who lack surgical thinking, and having cardiac surgeons from the Institute of Surgery participate in the treatment, which can make up for Dr. U's shortcomings, so as to make use of his strengths and avoid weaknesses and avoid medical mistakes due to blind spots.

The Swedish doctor applied to take care of Karen together, but because his language was not good and did not conform to the procedures of Sanbo Hospital, and later because he was familiar with Karen's past medical history, which was of great significance to the perioperative monitoring, the medical office agreed to allow him to participate in Karen's perioperative diagnosis and treatment in the form of follow-up, but only follow-up, without any authority, lower status than interns, just an escort.

Even so, the Swedish doctor was willing, he wanted to personally participate in Karen's treatment, to see the final effect of this operation, whether this heart could turn decay into magic in Yang Ping's hands, and whether Karen could finally return to normal.

The Swedish doctor has a diary in which he writes down the entire course of treatment, and if it really succeeds, it will be a classic case.

The operation has ended, as a qualified instrument nurse, cleaning the instruments is the last step and the hardest step, Qiu Nuo followed Zhou Can to clean today's surgical instruments. …。。

Qiu Nuo's professionalism showed by Zhou Can amazed her, because she loved the equipment very much from beginning to end, cared for the equipment from the heart, and then poured the concept into every detail of her work, which is the quality that an excellent instrument nurse should have.

"This is what Sister Xiao Su taught me!" Zhou Can's face was proud.

It's Xiao Su again, Qiu Nuo can't help but sigh a little, but she can take this opportunity to learn about the love story of Xiao Su and Yang Ping.

This is not a secret, since Qiu Nuo wants to know, Zhou Can can tell everything she can know, and she can't say what she doesn't know.

Under Zhou Can's introduction, Qiu Nuo probably understood the general idea of this love story in his heart, when Yang Ping first came to Sanbo Hospital, he was also single, and he had not yet become famous, just an ordinary doctor, at that time, Xiao Su began to fall in love with Yang Ping slowly, until now he got married and had children, and this is probably the story.

Yang Ping's shadow lingered in Qiu Nuo's mind, superb surgical skills, dedicated personality, tall and handsome figure, why Yang Ping is so good, why he is married, Qiu Nuo feels that this is a distressing thing, and he will not be able to find a satisfactory person in love in the future, because no matter who it is, Qiu Nuo will compare him with Yang Ping.

Why didn't he know Yang Ping first, but Xiao Su, why was Xiao Su always so lucky, and the best things were always taken away by her.

Qiu Nuo calmed down and thought about it, if Yang Ping met him at that time, would he like him?

Probably not, what I like is the current Yang Ping.

This is the reason why he lost to Xiao Su, just like buying stocks, he can only see stocks in peak state, and it is no longer the time for him to make a move, but Xiao Su accurately fancy the most bullish potential stock in the future.

Qiu Nuo's mood is very complicated now, the more she thinks about it, the more confused her brain becomes, and she is extremely lonely, and in the end she can only comfort herself, okay, he is the husband of her best sister, thinking of this, she feels a little more comfortable.

If it weren't for his best friend's husband, Qiu Nuo really had the idea of snatching love with a knife, and sometimes once people get carried away, it is easy to ignore all other rules and regulations.

"Sister Xiao Su is really happy, our Professor Yang only loves her, and he doesn't even look at other girls."

Zhou Can said enviously that she also hoped that she would have such a husband, who was capable, and who only loved herself.

"Anyone else likes Professor Young?"

Qiu Nuo was very curious.

Zhou Can thought for a while and said, "Of course, I know a few, among them there are very good girls, whether it is appearance, figure or knowledge, they are the best, they have a deep love for Professor Yang, but Professor Yang is not tempted, he doesn't even have any ideas, his mind is all in medicine and Xiao Su, Sister Xiao Su is really happy, I really envy their dedicated feelings."

No wonder Xiao Su is not worried about her liking Professor Yang at all, her love has been tested multiple times and is very stable.

After the instruments were washed, Qiu Nuo was going to go to the second operation, which was still Yang Ping's surgery, and it was also a kind of happiness to follow Yang Ping for surgery, and Qiu Nuo even had the idea of joining Sanbo Hospital.

3931417。。

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