Chapter 943: Secondary Replacement(1/2)
At six o'clock the next morning, Fang Han and Solis had already arrived at the hospital again. There were still two heart surgeries this morning. The two heart surgeries to be performed today were heart aortic valve replacement.
"Dr. Solis, Dr. Fang!"
After entering the ward, the patient and the patient's family hurriedly greeted Solis and Fang Han.
Two patients who needed surgery were arranged in a ward.
One patient is a middle-aged patient in his forties, and one is a young patient in his twenty-two.
Although the two patients had to undergo aortic valve replacement surgery, the situation was completely different.
Today, there are two cardiac aortic valve replacement surgeries, one is a routine arterial valve replacement and the other is a secondary operation. The patient had undergone a heart valve replacement three years ago, but the original mechanical valve fell off. This time, the mechanical valve that had fallen off must be removed first, and then a metal valve with memory function that does not need to be sewn.
Relatively speaking, this secondary valve surgery is the most difficult of the four operations this time.
"Dr. Solis, Dr. Fang!"
Zhou Chen's parents stood beside the hospital bed, looking at Solis and Fang Han with all their expectations.
Zhou Chen is the patient who needs a secondary valve surgery today.
Compared with the first valve surgery, the secondary valve replacement surgery is much more risky and more difficult.
Whether it is to remove the artificial mechanical valve that has not completely fallen off or add a new metal valve, it is more difficult than the first valve replacement and has a higher risk.
In addition, the patient had undergone a heart valve replacement surgery three years ago, and his heart function was very poor. Even after the operation, he had to take anticoagulants for a long time. The patient's heart can be said to be riddled with holes.
Taking the patient Zhou Chen's condition, for now, there has been no similar surgery in China, and even the large hospitals in Yanjing have failed to catch them.
"Don't worry, we will do our best. Dr. Solis is a top expert in the heart, and Dr. Fang is also a first-class expert in our country." Kuang Mingzhuo comforted the patient's family.
"Well, we know, we know."
Zhou Chen's parents nodded repeatedly, and their red eyes held back their tears.
My son was only twenty-two years old and had an operation at the age of nineteen. He originally thought he could spend a few years safely, but he didn't expect that he would have to experience another risk in just three years, and even the risk this time was much greater than the last time.
"Are you scared?"
Fang Han walked to the edge of the hospital bed and asked while examining Zhou Chen.
"Um!"
Zhou Chen nodded. If a 22-year-old young man was not sick, he should have gone to college in school and never entered society. Relatively speaking, he was relatively fragile in both his responsibilities and his state of mind.
"Don't be afraid, have confidence in yourself. The stronger the belief, the higher the success rate of the operation. Surgery is not just about our doctor's business, but also about your own business. Let's work together." Fang Han patted Zhou Chen's back of his hand.
"Well, I will, thank you Dr. Fang."
Zhou Chen looked at Fang Han and said, "Doctor Fang, I have heard of you for a long time. You are only three or four years older than me, right?"
"I'm more than three years older than you, and I'm still five months old to celebrate my 26th birthday." Fang Han nodded with a smile.
"Doctor Fang, I will come on and learn from you." Zhou Chen exasperated himself and said with a smile: "I don't want to have a third surgery, or have a heart transplant in the future..."
Kuang Mingzhuo next to him also felt a little sore in his nose. If the operation was not going well, Zhou Chen probably wouldn't have the chance to have another third surgery.
After encouraging Zhou Chen for a while, Fang Han then walked to the front of another hospital bed.
The patient is in his forties and middle-aged man, and is stronger than Zhou Chen.
"Dr. Fang!"
"How do you feel?" Fang Han walked up to ask.
"Fortunately, we followed the hospital's instructions completely and didn't dare to be careless."
"Yes." Fang Han nodded: "Don't worry, don't worry too much. We will do our best. Like the young man next door, you must also have confidence in yourself. Your belief is strong and more effective than any drug."
"I'm very confident that I think my surgery will definitely succeed." The middle-aged man nodded.
Walking out of the ward, Fang Han and Solis walked towards the operating area. Kuang Mingzhuo followed Fang Han and whispered: "Doctor Fang, will Zhou Chen's surgery be arranged in the first one?"
Zhou Chen is the first surgery today, and middle-aged patients are the second one.
However, Zhou Chen's surgery is relatively risky. If the first surgery is not smooth, it will affect the subsequent surgery.
"It is precisely because the first operation is difficult and may take a long time, so it is placed behind..."
Fang Han didn't say much, but Kuang Mingzhuo understood.
The operation is complicated and takes a long time, which consumes a lot of physical strength and energy for the doctor. Fang Han can naturally persist, but Solis, after all, he is in his fifties. If Solis is placed in the second one, if Solis is exhausted...
...........
The operation started on time at 7 a.m.
Because Zhou Chen's situation is complicated, the operation may be difficult and takes a long time, today's operation was half an hour ahead of schedule and started at 7 o'clock.
"The first surgery I want to do today is a secondary replacement of the aortic valve of the heart. The patient had a mechanical valve replacement three years ago. Now three-quarters of the mechanical valve have fallen off. This time, Dr. Solis and Dr. Fang not only have to remove the mechanical valve that has fallen off, but also replace it with a new metal valve with memory function..."
In the main venue and the observation room of the Jiang Intermediate People's Court, Lin Xintong and Zhao Manni also gave surgery introductions to the experts who came.
"The secondary valve replacement is much more difficult than the first one."
"You have also read the patient's information. The patient's condition is quite poor. There shouldn't be many hospitals in our country who can do this surgery this time, right?"
"I don't know whether Director Zhang of Union and Director Wang of Yanjing can do it. Anyway, our hospital dare not do it."
The experts who came were discussing in a low voice.
In the operating room, Fang Han, Solis and others had changed their surgical gowns and walked towards the operating table.
"Patient, name"
"Zhou Chen!"
The anesthesiologist performs routine preoperative confirmation.
Fang Han walked over to look at Zhou Chen and encouraged him: "Don't worry, just sleep and wake up."
"Yes." Zhou Chen nodded.
Fang Han nodded to the anesthesiologist, and the anesthesiologist used anesthetics, and Zhou Chen fell asleep instantly.
After walking onto the operating table, Fang Han still had a routine chest opening.
"Electric Knife!"
"gauze!"
Fang Han's voice sounded from time to time in the operating room.
"This surgery is more difficult to open the chest."
"Yes, it's full of sinuses inside, and you'll get bleeding if you touch it a little."
The sinus mentioned by several doctors discussed refers to a wrinkled part of the arterial vein, which slowly forms after the lesion. This sinus will bleed when touched slightly.
"Heparin is given in the meridians after the cervical internal examination!"
“Chain saw!”
In the operating room, Fang Han did it very seriously and was orderly in his hands.
"This Fang Han is really amazing. Today, this breast opening is quite stable."
"Yes, didn't I say that Fang Han had independently repaired the heart valve tendon chondria yesterday? It seems that his level is really extraordinary."
"The pericardium is exposed!"
After an hour and ten minutes of thoracic surgery, the patient's pericardium was finally exposed.
"The patient's heart is so big!"
"I'll go, it's so big, it's twice the size of a normal person's heart, right?"
"More than twice as hard as the heart is so big, the operation will be even more difficult."
"Fortunately, Dr. Solis took the lead in the surgery. If this situation is changed, we will be replaced by it, haha..."
"Director Wang, what do you think of this surgery?"
In the observation room, Zhang Jiahao also discussed with Wang Zhicheng.
"It's hard to say. The patient's condition is not optimistic, his heart condition is poor, and it's a secondary valve replacement, and it's a step-by-step crisis."
Zhang Jiahao nodded.
He was completely unsure of this operation, but he definitely didn't dare to say how confident it was.
"In addition to the large heart, you see, inflammatory hyperplasia is also very powerful."
"The root of the aorta will bleed every step of separation." Wang Zhicheng nodded.
“Prepare to establish an extracorporeal circulation!”
"Cooling down, left flow strengthens!"
As the pericardium opened and the external circulation was established, Solis began to become much more serious and was ready to take out the mechanical valves that had been replaced before.
"The extracorporeal circulation has been established, I hope it will go smoothly!"
"Yes, extracorporeal circulation should generally be controlled within two hours, so as to reduce the damage to the heart as much as possible. If extracorporeal circulation exceeds two hours, the damage to the patient's heart and organs throughout the body will be too great, and the patient may not bear it."
To be continued...