There is a saying that the difficulty of surgery is not the technique itself, but the responsibility.

Although the current medical interpretation of the human body is not comprehensive enough and may be just the tip of the iceberg, most diseases can be solved or reduced by surgery.

Even if some problems are encountered during the operation, they can be covered up through corresponding measures, and the patient's relatives do not know what happened during the operation, they only know that the patient has successfully left the operating room and is admitted to the intensive care unit.

As for what exactly happened to the patient, God knows.

Like some small surgeries, the reason why the chief physician dares to let the assistant practice his hands is that he has the confidence to correct the deficiencies caused by the assistant during the operation.

The reason why cardiac surgery is so difficult is that after a mistake, the patient cannot get off the operating table at all, and the fault cannot be covered up, so the chief physician has a great responsibility.

The margin for error in heart surgery is so low that if you are not careful, the patient will be gone, unlike those low-level surgeries that have an extra surgical scar.

Of course, the situation that Zhao Yuan is encountering now is very special.

The well-known doctor from outside the province who operated on the patient before may not be particularly skilled, but he still has something to do in reducing the damage.

With so many incisions and more than 300 stitches, it was fortunate for the patient to avoid the vital point, and it also reduced the difficulty for Zhao Yuan.

Zhao Yuan followed the previous scheduled surgery ideas and advanced the operation step by step.

A lot of time was spent on the dismantling operation.

However, because of the great preparation, it went smoothly and the dismantling of the operation was completed an hour ahead of schedule.

There was a lot of discussion in the comment area of the live broadcast room, and they knew that this step was very critical and very difficult.

"Zhao Yuan actually removed the buttons of the four surgeries at the same time, which is really amazing."

"Being able to remove these buckles means that he knows a lot about these surgeries, knows how to do them, and understands the advantages and disadvantages."

"After the surgery, the next step is repair. I was curious about what the patient's condition was, and after three surgeries, the situation got worse and worse. ”

The well-known expert from outside the province saw that Zhao Yuan had removed the last trace of his operation, subconsciously closed his eyes, and he began to recall the scene of the operation on the child at that time.

He opened the child's heart and was bewildered by the intricacies of the situation.

Heart problems are secondary, and the various scars left by the first three surgeons have caused huge obstacles.

He didn't even dare to touch the places he had dealt with before.

In the end, he had to choose conservative surgery and only repaired the mitral valve problem.

Mitral valve surgery, although it does not cure the patient, can at least allow him to live a few more months.

He felt that this was already the best strategy.

After the operation, the child's life was indeed extended by several months, as he expected.

He thinks he's done his duty.

As for the child's recurrence later, he told the patient's parents that there was nothing they could do.

The patient's parents did not take his advice and took the child to Yanjing.

After knowing that the child had undergone four surgeries, the experts in Yanjing immediately replied and advised them not to have any more surgeries.

Well-known experts outside the province do not believe that this child still has a chance to survive.

In his opinion, it was a miracle to live a few more months.

As for insulting himself as a quack doctor on the Internet, he thinks that those netizens don't have back pain when they stand and talk.

Doctors are not immortals, and it is impossible to cure all diseases.

However, now his mind has changed.

When Zhao Yuan removed all the surgeries, he clearly realized that he might have made a big mistake.

If I had the ability and patience to remove the previous three doctors' surgeries and then take full repairs, perhaps the child's condition would not have gotten worse.

Immediately, he shook his head and said to himself, "Still no! Time is running out. ”

Generally speaking, heart surgery can only take three hours, and it takes two hours to dismantle the operation, and it is impossible to complete the full repair of the heart within an hour.

Although he could see that the young surgeon was of a very high level, he believed that with his many years of experience, it was definitely an impossible operation to be successful.

……

Li Xian and Gao Qian were outside the observation room, and their expressions were always very serious.

"Zhao Yuan has already removed the operation, although it has saved a lot of time, but it also took two hours."

"yes, cardiopulmonary bypass must be more than six hours."

"Even if it can be repaired, there will be too many variables because of the long time."

"Zhao Yuan seems to have taken this into account, and he always puts his heart in the body cavity for surgery, perhaps to delay possible problems with the heart."

"This is the most powerful operation that Zhao Yuan has performed, and I hope he can succeed."

……

"Zhao Yuan's surgery has a characteristic, no matter what the operation is, the surgical field is very clear, and he can afford the title of Tianhua's ace."

"His judgment is accurate, and his operation is not delayed."

"He is also able to adjust the rhythm of his surgery at any time according to the patient's condition, and there is no certain rule, compared to doctors who can only operate step by step, which is something that many people can't learn in a lifetime."

"And then it didn't happen. Cardiopulmonary bypass has been more than three hours. Even if the surgery is done well, more than three hours, will that greatly increase the risk? ”

After all, the cardiopulmonary bypass machine is a machine and not a heart, it only partially simulates the function of the heart, not a complete replacement, so the operation lasts too long, and it will still cause a certain degree of damage to organ function.

……

Zhao Yuan did separation without distraction and solved the problems one by one.

If the mitral valve is done, that is the tricuspid valve.

Blood vessels also have to be repaired......

He knew he was in a race against time.

But the premise is that every step has to be grounded.

It's like a race walking game, if you go fast, but you get a red card for violating the rules, even if you go fast, you will be punished for playing.

Time passes.

Internal structural problems were all resolved.

With that, move on to the suture section.

"Focus!" Zhao Yuan reminded Jiang Jing.

"Well, good!" Driven by Zhao Yuan's rhythm, Jiang Jing is also getting better.

He had the feeling that he had benefited a lot from the operation.

My level and realm have been significantly improved!

Zhao Yuan's fingers gently squeezed the wound of his heart, and his movements were gentle, as if he were treating his lover's red lips.

His dynamics are steady and even.

Strength is critical, if it's too light, the tear will open, and if it's too heavy, it will lead to crushing.

The 1-0 prillin sutures poke into the heart muscle, and the feeling is somewhat similar to the feeling of piercing the window paper, and after a little blockage, it will suddenly accelerate.

If you don't control the power well, it's easy to lose control.

Before penetrating the intimal layer, the needle is delicately pulled out.

Jiang Jing secretly sighed that this kind of suturing ability was much stronger than herself, and she still had to practice.

The finger is moved down to another cleft, and the sutures are ligated to close the cleft......

In the blink of an eye, Zhao Yuan did the same action more than a dozen times.

It is boring in the eyes of ordinary people, but in Jiang Jing's eyes, it is full of beauty.

Because the movements seem to be similar, the strength is not the same, and the position of penetration is also different.

As for the direct alignment of the rift, don't be too precise.

Before you know it, you enter the final link.

Eight hours of extracorporeal circulation?!

Can the heart beat again?

Some people died, but not completely......