Chapter 1204 here comes my brother
Open the chest, take the saphenous vein, and find the target blood vessels at the same time...
With Ling Ran's cooperation, Director Kang successfully completed a series of movements. At this time, he looked up at the time and it was more than 3 minutes faster than he usually did.
Director Kang's mood suddenly recovered a lot.
Performing surgery is actually a bit like doing woodworking. If it goes well, people will naturally feel good. Even if the woodworking work is simple, even so simple that it is just to install a set of IKEA tables and chairs, the installation process will be smooth and the mood will be relaxed. If you keep reworking repeatedly, you will feel irritable.
After calming down a little, Director Kang felt a little embarrassed again.
The so-called "eating people with short mouths and using human means" and accepting the humble cooperation of senior technicians, Director Kang always feels that he should give something, otherwise, the feeling of uneasiness in his heart will swallow him.
Thinking of this, the operation was carried out at the coronary anastomosis at the aortic end. Director Kang sighed inwardly and looked up and said, "Doctor Ling should do this? Proximal anastomosis has plenty of time. You can use needle-holding forceps, tweezers, etc. under a magnifying glass. When we are studying surgery, the teacher usually starts from here, which can help young doctors accumulate feel and can also experience the different operations of microvascular suture and usual suture."
Cardiac surgeons usually start by using anatomy at the coronary artery at the aortic end. Director Kang gave up his position and opportunity at this time, which was also a dedication to his best efforts and released his kindness.
Zuo Cidian, who had reviewed the relevant surgical consultation, smiled satisfactorily and nodded to Director Kang.
Director Kang smiled bitterly and said to himself: If this continues, it will take less than two years to continue. Ling Ran and Huo Congjun will be instructive to the cardiac surgery department.
Ling Ran naturally agreed, moved two steps, stood at the position of the main surgery and began to observe the operation position.
The attending agent Li Liang actually tasted a little bit, and said in a jealous voice in half truth and half falsehood: "Director, you are better to Dr. Ling than to me. I gave you more than a year to get you, and you asked me to touch the anterior wall of the aorta."
"Doctor Ling has been with us for so long today. If you want to touch it, just touch it." Director Kang sighed helplessly.
Li Liang was stunned for a moment, and a real sense of jealousy arose. He had to spend a long time with him, from the beginning of the year to the end of the year. No matter how long Ling Ran stayed with him today, he did not have as much effort as he did. However, does he have to work hard for one year to be able to withstand others one day?
"Sidewall pliers." Ling Ran reached out and started asking for equipment.
Director Kang subconsciously wanted to stop him, but hesitated for a moment and didn't say anything. He felt a little helpless. This is how he taught a doctor like Ling Ran. You can't be as serious and demanding as teaching a young doctor, and you have to have a better attitude.
If his doctor had done such an operation for the first time, he would have to observe it before he could ask himself and get permission to do it.
Ling Ran took action after observing it. Although it was normal, Director Kang was not as relieved.
At this time, Ling Ran, who had the side wall clamp, decisively clamped part of the ascending artery wall and reached out to ask for scissors.
Director Kang's expression couldn't help but become serious.
This action is nothing special, but it shows one thing: Ling Ran is familiar enough with bypass surgery itself, and his understanding of the anatomy of the heart is also clear and accurate.
Thinking that Ling Ran could have had a lack of room surgery before, Director Kang was relieved and sighed: If this continues, it will take less than a year and a half, and Ling Ran and Huo Congjun will be instructive to the cardiac surgery department.
"Scissors."
"knife."
"gauze."
Ling Ran quickly cut off the fat in the anastomosis part of the renal artery, then made an incision on the aorta and made a full-layer incision.
Heart bypass is the clearest concept among medical terms. Its surgical process is like a bypass, which passes through a transplanted blood vessel to cross the severely blocked coronary artery blood vessel. The bridge built is more like an viaduct.
At the development of heart bypass technology, doctors will also remove the old coronary artery below.
What Ling Ran is doing now is to make an intersection for the viaduct.
Compared to the bridge, this work is very basic, and the location of the intersection is designed by the surgeon in advance.
Despite this, Ling Ran was also very excited.
This is a rare opportunity to use a knife and needle on the heart.
If he doesn't pass cardiac surgery, it will be difficult for Huo Congjun to find such an opportunity.
And what Ling Ran needs is just a chance.
He has too much experience in suturing blood vessels and his skills are even more perfect. At this time, it is not too easy to bridge the coronary artery and use the lateral anastomosis solution.
Compared with the blood vessels on the fingers, the blood vessels on the heart are not only dangerous and easily causing the patient to die. It is only easier to suture them.
After all, the thickness is not on the same order of magnitude. When you eat yellow throat in a hot pot restaurant, you can find this. Yellow throat is usually the aortic arch of a pig or a cow, which is the large blood vessel from the standard ventricle. If you suture a blood vessel like this, Ling Ran can easily complete it without borrowing a magnifying glass.
In fact, Ling Ran did that.
And this scene completely made Director Kang absent.
The main subject Li Liang even had a dripping eye.
Because Ling Ran’s current operations are very representative.
In the cardiac surgery department of Yunhua Hospital, Director Kang's requirement for whether his doctors can do bridges is to do proximal anastomosis without using a magnifying glass.
Li Liang just reached the standard level. In order to reach this level, he also made a lot of efforts, such as using toothpicks to clip beans on daily meals, which are common.
However, now, looking at Ling Ran’s operations, Li Liang himself can find a huge gap.
"People who have done surgery are really different." Li Liang muttered uneasy.
Director Kang said slowly with a "hmm" sound: "The anatomy is also very clear."
He has been paying attention to Ling Ran's understanding of this aspect. After all, Ling Ran's surgical skills have been proven long ago. The only thing that can hinder him is his proficiency in cardiac anatomy and surgery.
Ling Ran never showed any timidity.
Director Kang saw that he had a proximal coincidence and had to sigh again: "If this continues, it will take less than a year for Ling Ran and Huo Congjun to point fingers at cardiac surgery.
Thinking of this, Director Kang was a little nervous.
"Director Kang, am I going to do it?" Ling Ran stood on the main surgery position and didn't want to leave easily. He greeted Director Kang, and a smile appeared on his face.
"This..." Director Kang was embarrassed to drive the person out: "Can you do it?"
"No problem." Ling Ran agreed very readily, and at the same time reached out and asked for pliers.
Chapter completed!