Chapter 1142: Commando Surgery!

The first patient to be operated on was a woman.

He is 65 years old and underwent aortic graft replacement a few months ago.

After the operation, he recovered well and was discharged from the hospital smoothly, but since last month, he has had symptoms of recurrent fever, edema of the lower limbs, and poor eating and sleeping.

On ultrasound examination, the patient had infective endocarditis, and the bacteria had severely eroded the two most important valves in the heart.

Aortic and mitral valves, with a large number of vegetations attached to the valves, and abscesses forming around the valve.

The normal structure of the heart is severely damaged, resulting in a significant decline in heart function, heart failure, and life-threatening.

Qin Lao explained, "The patient's valve condition is very bad, simply put, the aortic valve and the mitral valve are the two doors and door frames are rotten.

In conventional valve replacement surgery, the door frame is removed and the artificial valve, which is the new door, is sewn to the original door frame.

But the door and frame of the patient's heart were severely damaged, and conventional surgery could no longer solve the problem. ”

Zhong Lao bowed slightly, "This operation Zhao Yuan decided to use the Commando operation!" ”

Known as a commando surgery, the Commando surgery is a difficult valve surgery.

Why is it called commando surgery, because you can't turn back, you can only move forward!

The full name of Commando surgery is "mitral aortic valve double annulus enlargement reconstruction + mitral valve replacement + aortic valve replacement surgery".

When you hear a large list of procedures, you know that this technique has extremely high requirements for the surgeon!

Simply put, it is a reconstruction of the door frame and the new prosthetic valve is sutured to the new door frame.

This is the famous stunt of Wu Lao, the master of the chest!

Zhong Lao's eyes fell on the patient, and he remembered the picture of standing with his mentor Academician Wu for surgery many years ago.

There is not much age difference between him and Academician Wu, he is a master and apprentice at work, and he is a very good friend in private.

Academician Wu shocked the world with an operation that was impressive, and the success of this operation received a huge response in the world, and many surgical experts did not believe that Huaguo doctors at that time could do such a difficult operation.

You must know that it was decades ago, there were not so many auxiliary equipment, and there was no way to find the corresponding information, so you could only rely on your own experience and ability to cross the river by feeling the stones.

To this day, the difficulty of surgery is still a mountain that many thoracic surgeons do not expect.

Comments floated in the live broadcast room.

"Zhao Yuan's third surgery chose Commando surgery, and he can finally calm the scene."

"The difficulty is okay! It is much stronger than the previous surgery, but the risk factor is very high. ”

"Zhao Yuan seems to want to make a name for himself, he is not only good at aortic disease, but also good at valvular disease."

"Mr. Zhao Yuan is a valve expert in Hunan Province, and Tianhua's research level in the field of valve disease has always been at the forefront of the country."

Qin Lao frowned and analyzed, "The difficulty of the Commando operation is that the operation involves two closely connected valves, namely the aortic valve and the mitral valve, and the fibrous skeleton of the entire heart needs to be reconstructed, that is to say, the two small doors that share the load-bearing wall in two different rooms of the heart should be replaced with large door frames, and then two new doors should be put in. ”

Zhong Lao nodded and explained, "During the operation, it needs to be sutured very finely to prevent bleeding that is difficult to control." Once there is a minor defect in the suture, it will be difficult to stop the bleeding after the patient, which is catastrophic for the patient. As a result, the Commando procedure is extremely technically demanding for suturing. ”

Academician Wu's talent may not be as good as that of Academician Jiang, but his level of suture is extremely high.

In the operating room, Zhao Yuan has already begun to enter the state.

In the second operation, the adhesions around the heart are severe and need to be carefully dissociated.

Beautifully cut and separated, with minimal bleeding, to the amazement of all.

This part of the operation requires not only patience but also care.

Zhao Yuan's dexterous operation tool.

The vision that used to be chaotic gradually became clearer.

It's a bit like renovating old houses in shantytowns.

Mottled walls, rubbish on the floor, broken glass, rotten doors, messy furniture.

Originally, there was no place to stand, but after careful cleaning, the garbage was cleared out of the crowded house, and the cramped and dim room gradually became brighter.

It's easy to say, but it's very complicated to do.

Sweeping garbage can be done with violence.

But the broken tissue of the structure of the heart can only be advanced slowly.

However, although it was difficult, Zhao Yuan showed amazing efficiency.

Old Qin glanced at Xia Jie and asked softly, "Tell me what you think." ”

Xia Jie was stunned for a moment, "Uncle Xiao's basic skills are too solid. If it were me, it would have been difficult to clean so thoroughly, and it would have taken more than twice as long. ”

Old Qin nodded at Xia Jie, "There is a chance to learn more from your junior uncle, and put aside the creativity of the technique, his basic skills are definitely world-class." ”

When Kong Lao heard this, he was full of emotion in his heart.

Lao Qin's words were obviously said to him.

Kong Lao glanced at Wei Xudong.

The corners of Wei Xudong's mouth showed a look of shame.

Although Kong Lao and Wei Xudong are both doctors in the general hepatobiliary department, their basic skills are not divided into disciplines.

With Zhao Yuan's solid foundation, he will be able to get started soon when he turns to any surgery, reaching the top level in the country.

There was gradually more appreciation in Kong Lao's eyes.

Yesterday's two surgeries, Kong Lao's impression of Zhao Yuan has changed, and now he is completely convinced.

As for Wei Xudong, he felt a chill down his spine.

Yesterday, I felt that Zhao Yuan was on the same level as myself, but today I realized that Zhao Yuan was more unfathomable than I imagined.

The level of cardiac anatomy determines the upper limit of cardiac surgeons.

"Hearty!"

"It's so comfortable."

"No mistakes, no damage, how did it happen!"

"Wicked!"

"Bow to the wind."

In addition to these words, there are also a large number of English messages in the comment area of the live broadcast room, such as ""Great", "Wonderful", "Shocking"!

As for the observation area, there was a brief silence.

Almost all of the doctors outside the chest were present, as well as top doctors from other departments.

This is the most sacred temple of Chinese medicine.

They are the pride of the sky who have been screened and stood out.

Their hearts were strongly impacted.

I finally realized what it means to have a sky outside the sky and a person outside the world.

Although Zhao Yuan is a doctoral student at Zhongyong University, his basic skills were practiced at Shonan Medical College.

In the last ten years, Shonan Medical College has been recognized as declining, but the appearance of Zhao Yuan seems to prove that Shonan Medical College is being reborn.

At this moment, it is no longer as simple as traveling demonstration surgery.

It is also a secret contest between two once top medical schools.

Before the operation, some doctors were more or less optimistic about Zhao Yuan's arrival.

Is Zhao Yuan a genius doctor?

In other hospitals, he may be regarded as a genius!

However, Zhongyong Hospital has never lacked geniuses!

Now Zhao Yuan slaps his face with his strength!

He proves himself to be a unique being!