Chapter eight hundred and sixty-eight heart bypass surgery
(Chapter 866, Chen Yuan's thumb valgus has been upgraded to intermediate level, and he has reached the primary level before. I forgot to write it and has been modified. Thank you for the reminder)
"Director Zhang, you did this surgery beautifully."
Zhang Jiahao walked off the operating table, and the assistant next to him hurriedly flattered.
"When it comes to heart valve surgery, the doctors I know now have the best ones that are Dr. Fang Hanfang from Yanjing Hospital. When it comes to heart bypass surgery, Director Su Xuewen and Su from Shanghai Hospital are the ones that are."
Zhang Jiahao shook his head.
As a chief physician in his forties and the department director of Union Hospital, Zhang Jiahao has a clear understanding of himself.
For surgeons, the older they are, the older they are, the more experience they are, and the higher their level they are. But once they are over fifty-five, the surgeons will start to decline.
The body cannot hold on, and standing for a long time has high requirements for the body. This is why many surgeons die suddenly.
For internal physicians, even after they are over 60 years old, they can still be rehired to the hospital for positions. However, for surgeons, most of them can only do guidance after they are over 60 years old, and there are almost no chances to go on stage in person.
Zhang Jiahao is only in his early forties this year. It is necessary to have a clear mind at his current level at this age.
For most doctors, Zhang Jiahao's current level and status may be the goals they strive for, but for Zhang Jiahao, he is just the beginning now.
"Director Zhang, you are modest. You are still young. You may not be able to surpass Director Su in the future. You will definitely be the first in the domestic and foreign fields in the future." The assistant doctor said with a smile.
"If you want to be young, Dr. Fang Hanfang from Yanjing Hospital is only twenty-five years old this year."
The assistant doctor immediately didn't know how to answer the conversation. He wanted to talk about Su Xuewen. He was in his fifties. Zhang Jiahao and Su Xuewen were indeed very young, but Fang Han, who was twenty-five years old...
"By the way, has Dr. Solis from Puhawkins Hospital not undergoing surgery in Yanjing Hospital?"
Speaking of heart bypass, Zhang Jiahao thought of Solis, who did a very good heart bypass surgery.
"Doctor Solis seems to have not had surgery yet," said the assistant doctor.
"Go and go to the classroom to take a look."
Zhang Jiahao changed his clothes and stepped out of the operating room.
"Director Zhang."
"Director Zhang's surgery just now was so beautiful."
"Yes, the operation is very stable, and the rhythm is controlled very well."
There are still several doctors in the classroom now, who are just watching Zhang Jiahao's surgery. Now that Zhang Jiahao comes in, it is naturally a sound of flattery.
"Look at whether there is any live operation in Yanjing Hospital right now." Zhang Jiahao has long been accustomed to the flattering of everyone.
Since he began to emerge and has become the chief of Union Heart, Zhang Jiahao has almost grown up with the flattery and flattery of such people.
"Hey, there's a picture, it seems to be a heart surgery."
The debugger just started debugging and soon received the signal.
"It's Yanjing Hospital, the principal surgeon is a foreigner."
"It seems Solis."
"Solis has been in Yanjing Hospital for so long, and then he started his first surgery?"
"Maybe it's the first live operation?"
Other doctors whispered, but Zhang Jiahao had seen Fang Han, who was an assistant to Solis.
...........
Inside the operating room of Yanjing Hospital.
Fang Han and Solis have just walked onto the operating table.
Solis is the main swordsman, and Fang Han and Wang Zhicheng attack Solis.
"Doctor Fang, why don't you come to the previous part?" Solis politely sought Fang Han's opinion.
"Yes, I hope Dr. Solis will give me more advice."
Fang Han nodded, not polite or refuse.
After dealing with the bad guy Solis for so long, Fang Han probably knows the nature of these bad guys. These bad guys don’t understand what Chinese modesty is. If you say no, they will think you really can’t. If you refuse, the opportunity will often be gone.
Although Fang Han had never had a heart bypass surgery, his heart valve surgery level was copied from Zhang Jiahao, which was of the first-class domestic level and at a high level.
Although heart valve surgery and visceral bypass surgery are different, they are only a key part, and the rest are similar. In the chest surgery, the treasure exposes the heart, and then takes a section of meridians or arterial blood vessels outside the heart, connect the removed blood vessels to both ends of the heart blood vessels, and bypasses the narrow or blocked blood vessels, just like building a bridge on the heart, so it is called heart bypass surgery.
Since Solis was preparing for cardiac bypass surgery last time, Fang Han has also specially studied the surgery videos of cardiac bypass surgery.
As the saying goes, everything changes are the same. The basic operations of heart valve surgery and heart bypass surgery are similar. This is like addition, subtraction, multiplication and division. Although the questions are different, as long as you master the multiplication formula and problem-solving rules, you will still learn very quickly.
The heart valve surgery that Fang Han copied from Zhang Jiahao was very high at the beginning and knew the heart well. Then he learned about the heart bypass surgery was much easier.
"Solis did not take action, but Ichisuke was operating."
"Who is this Ichisuke? He looks very young and doesn't look like a bad guy."
"The one next to you seems to be Director Wang Zhicheng, but Director Wang is not qualified to get started?"
"It's Dr. Fang Hanfang from Yanjing Hospital." Zhang Jiahao spoke slowly.
"Fang Han?"
During this time, many surgeons from Union Medical College have heard of the name Fang Han, whether it is external to the heart or external to the liver.
Fang Han is young and has a high level. Such young doctors are easily spread in internal circles, not to mention that Union Hospital and Yanjing Hospital are in Yanjing, and the two companies are often compared.
"Dr. Fang's heart valve surgery is indeed very good. With Dr. Fang's heart valve surgery level, I think the heart bypass should be done."
"The two are similar. Heart valve surgery can be as good as Dr. Fang. Even if you have never done a heart bypass and with the guidance of Dr. Solis, you can definitely do it independently."
The doctors in the classroom expressed their opinions one after another.
"Fang, you have chosen this entry point very well."
Solis stood by the side and watched Fang Han operate. The entry point for opening the chest in front of Fang Han was very good, and the operation was also very smooth.
At first, Solis was a little worried and was ready to replace him at any time, but gradually Solis discovered that Fang Han's level was very high, which surprised him.
Solis had heard that Fang Han had done a good heart valve surgery before, but he thought it was just good.
This is good or good, and it depends on who you compare with, and it depends on which level.
With Fang Han's age, even if it is very good and very powerful, Solis did not think Fang Han was so great.
But now, with Fang Han's continuous operation, Solis discovered an abnormality.
Fang Han’s one is really good, even if he is quite good.
Although heart valve surgery and heart bypass surgery are two different surgeries, fundamentally speaking, the only difference between the two lies in the heart part: one is valve replacement or repair, and the other is vascular transplantation. The other steps are not very different.
And at some point, heart bypass and valve replacement surgery are sometimes performed at the same time.
So Fang Han had no hesitation at all when the pericardium was not opened and the heart was not exposed. The only difference was that the opening point was different for the heart surgery site.
This point is not just a heart bypass, heart valve replacement, mitral valve, tricuspid valve or main heart valve are slightly different. Generally speaking, after opening the chest, the opening should be chosen to be the closest part to the surgery, so as to minimize the incision and avoid unnecessary damage.
As Solis spoke, Fang Han didn't say much and was very focused on operating.
Fang Han didn't talk much for people who were not very familiar with him, so he talked even less during the operation.
“Deep vein administration of heparin.”
Fang Han made timely instructions while making instructions. The nurse of the tour hurriedly gave the medicine as Fang Han told him.
As the sternum opened, the patient's pericardium gradually became apparent.
“Prepare to establish an extracorporeal circulation.”
Heart valve surgery and heart bypass surgery are the same. Both external circulation must be established, and external circulation should be replaced by the human body's own circulation, so that the heart stops working, and then further operation can be carried out.
The nurses who performed this operation were also the original nurses who had Fang Han performing Long Yaxin last time. The nurses also had a preliminary understanding of Fang Han's surgical style and their cooperation was pretty good.
"Doctor Solis, are you here?"
When the nurses opened the pericardium and established an extracorporeal circulation, Fang Han gave the dominance to Solis.
Although Fang Han could do this operation with Solis' guidance, with the attitude of being responsible to the patient, Fang Han still planned to observe it personally and see how Solis did it up close.
"I'm a little lost."
Solis was really surprised. Although the previous part was not very difficult, Fang Han's level really surprised him.
With Fang Han's level, even if he goes to their Puhawkins Hospital, he will definitely become the head of the medical team.
With the establishment of the extracorporeal circulation system, Solis began to take over, and Fang Han stood on the side while observing and helping.
As Solis's operation proceeded, the system's prompt sound suddenly rang in Fang Han's mind.
"Ding... Congratulations to the host's heart bypass skill for reaching the primary level."
"Ding, congratulations to the host's heart bypass skill for reaching the intermediate level..."
The two consecutive system prompts also mean that Fang Han's heart bypass surgery has been continuously improved.
Just like practicing martial arts, Fang Han, who is proficient in Baguazhang, will definitely be much faster if he learns other martial arts. With Zhang Jiahao's heart valve surgery foundation, Fang Han also learns heart bypass very quickly. But after following Solis' surgery, the heart bypass reached the intermediate level.
Chapter completed!