C1062 Chen's Bladder Construction
Chi Hong held the scalpel and stared blankly at the heart on the blue cloth platform. The heart that she had seen before in the same position was completely different from the ones she had seen in previous operations. It was still beating rapidly, as if it had its own consciousness, showing off its vigorous life force to everyone in the room.
Her hand eagerly stretched forward a few times and then directly fixed in the air. The surgical mask revealed bright eyes that directly swept over Miss Dongfang who was encouraging them from the side. She showed an apologetic expression and then directly expressed it to Koo Ning and Chen Qun, who were at the center of the surgical mask.
"I'm really flustered. My hands are shaking. Can you let me be an apprentice to the side and watch your movements?"
Neither Chen Qun nor Koo Ning were surprised by Female Bookworm's reaction. After all, this kind of external cardiac surgery was not something any doctor could come across. Even Chief Physician, who was experienced enough, might not be able to handle it, let alone Chi Hong, who was not very good at it.
Besides, both Chen Qun and Koo Ning had found the problem with their hearts at this time. It was much more serious than the one shown in the MRI and CT photos. It would be irresponsible for Chi Hong to do it again.
Koo Ning nodded, "Then you can leave. Actually, you don't have to, we won't let you take over. After all, this operation has long surpassed your capabilities, and it is even beyond the 3D projection calculation. The tumor's tendrils alone invade the right atrium, and you won't be able to complete this removal. "
Chen Qun also added.
"And the spread of cardiac tumors is too wide. We need to remove more tissue, which means we don't have enough tissue to reconstruct the heart's lumen," he said.
As Koo Ning walked over to take over Chi Hong's position, he started to discuss with Chen Qun.
"Maybe we can try it with the expanded PTFE artificial blood vessels?"
"No, the remaining atrium is not enough to connect the blood vessels."
"We can use the next room to complete this connection."
"It doesn't seem to work either. See, there are dense conduction fibers on the spacer rods. If there is damage, it will lead to arrhythmia. Now, we need to think of a perfect way to complete the operation right away, otherwise, if we do too much bypass surgery, it will lead to low blood pressure and abnormal bleeding. "
"Prepare platelets and fresh frozen plasma immediately, ready for transfusion at any time. Perhaps we can use the submucosa of the small intestine to reconstruct the ventricular wall, but the material is limited and cannot cover such a large area. It seems like today's surprises come one after another and finally solved one problem after another. After that, another problem appeared. If this continues, we will be exhausted. "
As Chair, a cardiologist, and a top three expert in the country, Koo Ning was well aware of the fact that uncontrollable accidents often meant a failure of the operation.
Chi Hong was also pondering over this question and couldn't help but express her opinion.
"Maybe we can see how thick the deep fascia is. If it's more than two millimeters, maybe we can replace it with this."
"..."
"No, I've already considered that. I can't cover my heart completely. We need tissue with a thickness of 2.7 mm that fully satisfies arterial perfusion and systolic pressure. In the patient, we cannot find such tissue, so we need to break the routine and search for materials in other ways. "
Chen Qun frowned and gave a conclusion.
The moment he finished, Zhou Lin, who was watching the video from a distance, immediately exclaimed.
"If it's only heart valve transplants, we can use a bovine pericardium."
Koo Ning also sighed.
"Unfortunately, that's not the case. The endurance of the heart of an ox isn't enough to make an entire heart."
After a few questions and answers, Dongfang Wenxin, who was in charge of controlling the computer, suddenly opened her mouth and gave a calculation result.
Just now, I searched the organizations that Chen Qun wanted. Little Broom gave me a few answers, the most suitable one is that the pig bladder fully meets your requirements, and in the hospital's organization procurement laboratory, there are more than a dozen that were delivered in the morning.
Koo Ning and Chen Qun looked at each other. Koo Ning was a bit moved.
"The pig bladder was only used in urology to reconstruct the human bladder, but it was never used in the heart. Miss Xin, take a look at the foreign material and see if there are any examples of heart applications. It is not limited to the bladder, but other organs can as well. I seem to have some impression of it, but compared to your database, I'd rather give up waiting for your results. "
Miss Dongfang quickly typed in the search request on the keyboard. In less than a second, she had gotten the result.
"There are more than a dozen operations on the heart of a pig's bladder, but there is no example of an atrial wall being built."
Chen Qun immediately made a decision, "Then we will be the first ones to eat the crab and use the pig bladder to rebuild the patient's atrial wall. Xin, send a message to the organization purchasing laboratory immediately and ask them to send 300 centimeters of pig bladder over as fast as possible."2
As Miss Dongfang sent the message, she did not forget to taunt Chen Qun.
"It seems like Little Broom will also have a day of meritorious service. After the surgery is completed, he should be rewarded with a big chicken leg, which is much smarter than some people with brains like pigs. This operation will be called the Chen's bladder construction! "
That damned girl wouldn't let him off, she was so angry with him on purpose. How could she be so unreasonable as to deliberately emphasize how he called her bladder?
Chen Qun completely ignored the arrogant Eldest Miss and directly stood in front of Koo Ning to begin the operation. Two meters away from the two of them, the patient was quietly lying on the operating table with a bloody hole in his chest. Looking down from above, it looked quite scary.
Chi Hong, who was currently recording the video, quickly moved the scene to the side and stopped watching the terrifying scene. It was like last time, Chen Qun and the others took out all of the organs in the patient's abdomen, completing the operation. Now, it went from the abdominal cavity to the chest cavity, and the heart was taken out. Based on this trend, Chen Qun might need to take out the brain of the Cranial Cavity for surgery.
Just the thought of it was horrifying!
However, when the brain could be taken out for surgery, the technology might have evolved to the level where the brain could be used in reality at any time.
Of course, with Chen Qun's current level of technology, there was no way for him to take out his brain to perform surgery on the basis of physics. Perhaps in another thirty to forty years, they would all be old, or even a little bit of hope. However, the complete brain could not be removed. However, a portion of the brain had to be removed. It was just that the brain had to remain connected to the nerves. That was a big problem. Perhaps in a few decades, they would be able to perform surgery on a part of the large Cranium Cerebri.
Just as Chi Hongdong was thinking about this, Chen Qun's voice sounded in the operation room.
"Surgery in vitro is really fast. I predicted that it would take 10 minutes to completely remove the tumor, but in the end, it was all completed in 6 minutes. However, this operation will teach us a lesson. The next time we have an external cardiac operation, it is best to place the operating table above the patient's chest to solve the problem of low blood pressure over a long distance during bypass surgery. "
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