Chapter 1059: Chapter 1058 looked for Ling ran
Translator: 549690339
“Pour the anesthetic solution into the heart.”
“It stopped beating.”
The doctor who performed the cardiopulmonary bypass reported the situation in a low voice. His eyes were fixed on the equipment, and he was meticulous.
There were too many people who watched the surgery today. For the doctors in the Department of cardiac surgery, it was more or less stressful.
In comparison, Lu Wenbin and Yu Yuan, who were brought by Ling ran, looked ignorant and bold.
They could only do small jobs like resident doctors who did not know what to do. However, Ling ran was in charge of the surgery, and the two of them only showed excitement in the face of the heart surgery.
As for the crowd of onlookers beside them, Lu Wenbin and Yu Yuan were already used to it.
If they were in operating theater no. 1 of the Emergency Medical Center, there would be even more doctors surrounding them.
“Come closer.”Ling ran’s voice did not change in the slightest.
Department director Kang skillfully zoomed in on the screen.
In this way, Ling ran no longer saw the panoramic view of the heart, but this was more conducive to his operation.
Department director Kang did not have much to do. When he had time, he watched Ling ran turn his right hand, turn his left hand, turn his right hand, and turn his left hand..
Left Hand?
The corners of department director Kang’s eyes lifted. ‘you’re so skilled with your left hand?’? ‘you’ve really practiced quite a lot.’.
Wei Qing and the other doctors who were watching the surgery also noticed Ling ran’s left hand.
When Ling ran performed laparoscopy, he mainly used his right hand. Therefore, the operation of his left hand was not that obvious.
However, the scope of operation of the thoracoscopy was too narrow. Sometimes, if the surgeon used his right hand as the main hand, he would have to rotate his body position. Therefore, if the operation of his left hand was equally skilled.., it would save a lot of time.
Today’s surgery was a complete demonstration of Ling ran’s left hand’s skill.
“Young Lady, you’re lucky.”Old Xu from the digestive surgery department praised.
Just the Operation Ling ran showed could probably reduce the time of cardiopulmonary bypass by about fifteen minutes. The entire surgery time might be reduced by thirty minutes.
This was obviously a good thing for the patients who were lying on the operating table.
Ling ran recalled the scene of the virtual human he saw just now, and then recalled the electrocardiogram and other examination reports that he had seen before the surgery, he said, “It can’t be considered too good. If the atrial septal defect is a little smaller, the risk of performing an intervention will be even smaller.”
Compared to the closure of the atrial septal defect, the damage caused by thoracoscopy was still a little greater.
For an ordinary patient, the memory of one extracorporeal circulation was enough to talk about thirty pubs.
“The risk of access is small, but her defect is large. She’ll need some luck to successfully complete the surgery,”old XU complimented indirectly, he then said, “Department director Kang, how long does a similar surgery usually take in our country?”
He did not ask just now because he was afraid that Ling ran would not be familiar with the operation, and he would get a reverse answer.
Now that he saw Ling ran’s operation, Old Xu was quite relieved.
Department director Kang Glanced at Old Xu and said, “A similar surgery is a full-thoracoscopic repair of an atrial defect. The surgery can be performed for three to four hours. For extracorporeal circulation, it will take one and a half hours, or more than two hours.”
“That long.”Old Xu did not know the exact time. When he heard the number that department director Kang reported, he knew that Ling ran’s plan was very different from his. He could not help but ponder for a few seconds, he said, “There will still be a big difference between an extracorporeal circulation of one and a half hours and an extracorporeal circulation of fifty minutes, right?”
In a surgery, there had to be “Talking, learning, teasing, and singing.”It was rare for the chief surgeon to not be willing to speak. If the people below supported the scene, it would also be very beautiful, and it would be very easy for them to get the chief surgeon’s praise.
Department director Kang hesitated for a few seconds before he said, “An ordinary doctor can do it for one and a half hours. If It’s fifty minutes, he must be an expert.”
“It will have a great impact on the patient, right?”Old Xu pretended to be a good student.
“It depends on what you say.”Department director Kang smiled and said, “Isn’t the cardiopulmonary bypass time of thoracoscopic surgery thirty minutes longer than the cardiopulmonary bypass time of open-heart surgery? We also have to consider the damage comprehensively.”
“So, if we complete the thoracoscopic surgery in fifty minutes, we will minimize the damage in all aspects.”Old Xu asked a question on the surface, but he said what he thought Ling ran liked to hear.
Department associate director Kang had a lot of experience with this. He looked at the host of the thoracoscopic surgery and said, “There’s no need to saw the sternum. It will naturally be easier for the surgery to recover.”
“The inflammatory reaction after the thoracoscopic surgery is earlier, and the degree of inflammation may be more severe,”Ling ran said at this moment, but it was aimed at the postoperative recovery.
Department director Kang Thought for a moment, he said, “It should be because the patient’s heart has been stimulated more. The relatively long duration of the extracorporeal circulation under the thoracoscopic surgery and the time when the aorta is blocked should increase the serum inflammatory factors early after the surgery… However, this is still better than chopping the sternum vertically. The incision will recover faster.”
Ling ran nodded lightly. The surgery he was performing now could be said to be the most minimally invasive surgery that required cardiopulmonary bypass.
Ling ran gently cut open the patient’s right atrium. After he checked the size of the atrial defect, he also asked for a 4-0 priline suture. After a series of continuous sutures, the patient’s atrial defect was repaired.
Department director Kang did not say anything else. He looked at Ling ran’s sutures with a calm expression.
Suturing was a basic operation in basic operations. However, if one were to look at it from another perspective, the purpose of three to four hours of surgery and one hour of cardiac arrest or even longer was to suture these few stitches.
In that case, it seemed reasonable to regard suturing as the core of this surgery.
In order to suture as perfectly as possible, the doctors in the Department of cardiac surgery had also thought of all kinds of methods.
They sutured the wound from the lower part to the higher part. They tied the knot with the exhaust of the last needle. When they tied the knot, they had to use either a slip knot or a square knot. They also had to check the degree of tightness of the lungs..
Department director Kang looked at Ling ran as if he was an old cardiologist. The various thoughts that he had in his mind had gradually faded away.
No matter where Ling ran learned the cardiology technique, this technique really made people unable to fight back. It could also really help people. If he was suddenly so angry that his ventricle exploded, his last words would probably be to “Look for Ling ran.”.
Department director Kang raised his head and looked at the thoracoscopic surgery host. He could not help but sigh in his heart.
He had wanted to buy a thoracoscopic surgery more than ten years ago.
If it had been carried out in the past, Yun Hua Hospital’s cardiology department might still not have been able to perform any large-scale surgery, but small-scale surgeries performed with a thoracoscopic surgery could also support the department.
Unfortunately, the purchase applications in the past few times had not been approved. Of course, it was also because he did not push for it forcefully. After being delayed for so many years, the Emergency Medical Center had managed to seize the initiative.
If Ling ran performed poorly in his surgery, department director Kang could still console himself, but Ling ran’s surgery had to be done so… perfectly..
Department director Kang looked at the clock in the operating theater again. He saw that the electronic timer had only reached 35 minutes, and Ling ran had already begun suturing the right atrium.
Department director Kang sighed and said, “Prepare the protamine.”
The surgery had only lasted for forty minutes. It meant that Ling ran had completely used his skills to make up for all the flaws in the thoracoscopy.
Department director Kang could not help but think that if Ling ran performed happy surgeries, he did not know how much time he could shorten the surgery.
The specialty of the heart surgery department meant that the doctors in the heart surgery department were the most fastidious in their skills.
Department director Kang looked at Ling ran at that moment, and he could no longer muster any intention to fight back.
He was thinking more about the patient in front of him. He wondered how the patient would recover after performing a thoracoscopy with this level of skill.
When he thought of this, department director Kang took the initiative to say, “Doctor Ling, after the surgery is over, I’ll take care of the patient.”
Zuo Cidian was about to object, but Ling ran had already agreed. “Okay.”
Once the surgery outside the heart was over, they could not let their guard down. They often needed a doctor to take care of the patient for a long time to determine the patient’s blood clotting condition, incision status, quality of the pleural fluid, and so on.
With department director Kang’s ability, it was naturally not a problem for him to complete these tasks.
Zuo Cidian thought more about it, but since Ling ran had agreed, he did not nag anymore. At worst, he could just send another resident doctor to accompany the patient.
Outside the door.
The patient’s family members had been waiting anxiously for a long time, and they were extremely exhausted.
The patient’s parents, grandparents, grandparents, two pairs of uncles and aunts, a pair of uncles and aunts, a single uncle, a single aunt, and a few cousins and cousins were scattered in every corner of the waiting hall, they were like the seeds of dandelions, floating around.
The operating time in the hospital was calculated from the moment the patient was anesthetized.
For the patient’s family, the moment the patient was pushed out of the ward, anxiety and nervousness began to grow.
Not to mention, it was a heart surgery that made one shudder just thinking about it.
“Say, shouldn’t we treat it conservatively?”The patient’s mother muttered in her husband’s ear for the umpteenth time.
She didn’t really ask for an answer, almost subconsciously.
Her husband knew this, so he replied in a low voice, “We won’t regret our decision.”
“We can choose not to regret it, but what if Jiao Jiao regrets it?”This time, her mother’s emotions erupted. “She can’t even regret it even if she wants to. If the surgery… if the surgery…”
As she spoke, she choked up.
“Don’t say such depressing words. The surgery is still ongoing. Why Are You Crying?”Grandma walked over in two steps and snatched away the right to speak.
“It’s all my fault for not taking good care of the fetus when I was pregnant. I should have quit my job back then.”The mother could no longer control her emotions and her tears flowed uncontrollably.
“You were leading the graduating class back then. It wasn’t like what you said. It wasn’t easy for the students to study, so it wouldn’t be good for them to change at the last minute,”the husband comforted her softly.
The mother, on the other hand, cried even louder. She kept shaking her head, unable to speak.
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