49 Perfect fit
Zhou Congwen sighed secretly, and was embarrassed now.
I am not the only king in the operating room that was standing on the top of all living beings in the past, but a young doctor from a "grassroots" hospital.
"Professor Chen, you... can you see my suggestions?" Zhou Congwen asked in a low voice as he looked at Professor Chen.
"The patient doesn't even have a pericardial, and the aortic straddles are more than 50%. What's the effect of this surgical procedure... where do you know?" Professor Chen asked.
"Oh." Zhou Congwen sighed softly again.
Professor Chen looked at the young doctor in front of him in confusion. He vaguely felt that Zhou Congwen was very dissatisfied with the diagnosis of the Medical University.
It’s the opposite. The professor of the Medical University should be very dissatisfied with the diagnosis and treatment of lower-level municipal hospitals. When will it be a grassroots doctor turn to point fingers?
"Professor Chen, I just took a look and the patient has Goldenhar syndrome."
"What's the matter?" Professor Chen blurted out.
"Also known as pediatric eye, ear and spinal syndrome, is a congenital disease first named in 1952."
“…”
“It is rare for patients with Goldenhar syndrome to be accompanied by tetralogy of Fallower. It can be said that we have won the big prize this time.”
"The typical characteristics are abnormal development of the eyes, ears, unilateral faces, and spine, which can simultaneously cause deformities in the cardiovascular system, urinary system, and central nervous system. The main problem of the small patient in front of him is... Professor Chen, you... didn't you find that he looks weird?"
Professor Chen was stunned for a moment when he looked weird.
There are some weird things, but when I checked the patient before, I thought the child had poor heart function and was caused by hypoxia since childhood.
And it's not his own patient, Chen Houkun didn't study it carefully.
"In the journal Lancet in 1998, Dr. David Thompson gave a postoperative summary of 14 cases of Goldenhar syndrome with cardiovascular disease."
“…”
Everyone in the operating room looked at each other.
"The Lancet", at least half of the top journals in 2002, didn't know what they were. The remaining half had only heard of the magazine's names, but had never read them.
The name of a tall and superior magazine was so weird from a doctor in a lower-level city hospital. Coupled with strange words like Goldenhar syndrome, people can't understand what he is saying at all.
No one believes Zhou Congwen's words, even if they sound quite real.
"There is no other way, unless it is closed now. How about the patient's family? Can you understand?" Zhou Congwen lowered his head and looked at the operation area and asked softly.
One sentence touched everyone's uneasy hearts.
"Oh." Professor Chen sighed, "Do it."
"Xiao Chen, start?" Director Zhang You asked nervously.
"There is no way, just follow the procedure of tetralogy of Farrow's disease first." Professor Chen said helplessly, then looked up at Zhou Congwen, "Doctor Xiao Zhou, just help me pull the hook."
Zhou Congwen nodded silently.
To establish an extracorporeal circulation, Director Zhang You and other doctors stood behind and watched the operation.
It’s strange that the young doctor in Jianghai City clearly did nothing, but the process of establishing an extracorporeal circulation was very smooth.
The director and professor who had not had 1,800 surgeries in their presence knew the importance of assistants.
Although this young doctor talks a lot, he really has something on hand. Let's continue to see that the operation has just begun.
Block the ascending aorta, and HTK fluid is perfused at the root of the aorta. After the child's heart stops, the right atrial incision is incision, and the left heart drains through the atrial septum.
The operation was carried out step by step, and each step was fine and smooth.
The more Zhang You looked, the tighter his brows became. He stared at Shu Ye without blinking.
When did Chen Houkun's surgery reach this level?!
An inexplicable sense of crisis suddenly rose from the bottom of my heart.
Once upon a time, Zhang You knew that Chen Houkun had done a good job in the surgery, and he had reached a level comparable to himself.
But this is not enough. As the chief director, a professor in the group under him would not pose a threat to him if he was only at this level.
After all, he occupies the position of director, and as long as he has a better relationship with the institute, it is easy to suppress a professor in the group. Moreover, Chen Houkun is an ordinary person in his own family and has no chance to meet a big shot.
But Zhang You never expected that Chen Houkun's surgery was almost at a level that he could not understand.
Fallow's tetralogy, this is Fallow's tetralogy!
Chen Houkun's movements were not fancy. They were simple and clean. They soon repaired the ventricular septal defect through the right atrium-tricus petal path.
Zhang You began to regret what he promised Chen Houkun before.
If Chen Houkun was asked to set up a heart ward, it would be like a tiger returning to the mountain!
“Gore-Tex single-flap.”
Zhang You's thoughts were suddenly interrupted.
"What do you want?" the instrument nurse asked in a daze.
Zhou Congwen paused for a moment, "Is the patch a cow pericardium?"
"yes."
"Prepare."
There are no various high-value consumables in 2002, and the patches are all beef pericardial patches. The effect is that, but it is always better than nothing.
Zhou Congwen repeatedly warned himself that it is 2002 and not to reveal any flaws. Although doctors nowadays cannot understand or remember things like Gore-Tex single-flap patches, it is not good at all.
Chen Houkun was completely immersed in the operation and felt that mysterious experience.
The operation was countless times smoother than expected. It seems that Dr. Xiao Zhou on the opposite side is not only diligent in his hands, but also has life in his eyes, but he is also his lucky star!
With him as his assistant, his level has improved by leaps and bounds!
Chen Houkun was completely unaware that his inexplicable surge in his surgery level had attracted Director Zhang's hostility, and he was immersed in the pleasure of going further and further.
The operation went smoothly. Chen Houkun made a longitudinal incision for the right ventricular outflow tract of the child, cut off the abnormal hypertrophic muscle bundle of the right ventricular outflow tract, and observed the anatomy of the pulmonary artery.
Usually this step takes at least 30 minutes, but he completed the entire operation in less than 10 minutes.
No matter what he wanted to do, the assistant exposed his sword in advance, as if Dr. Zhou was a roundworm in his stomach. There was no need to communicate, and he didn't even need to look at him.
This feeling of blending is amazing!
If this was a female assistant, I met her when I was young, I would definitely marry her home even if I die.
After making preliminary preparations, the reconstruction method should be decided based on the deformity of the longitudinal two-leaf deformity or the deformity of the transverse two-leaf deformity.
The vertical sequence... Professor Chen was still thinking that the little hook in Zhou Congwen's hand had exposed the martial arts field to him.
OK! No need to think about it, it feels comfortable!
The junction is located directly below the incision, which is the center of the anterior wall of the pulmonary artery.
Chen Houkun directly incited the annulus at the junction and fused the junction. He just slapped the scalpel on the patient's guess that the small hook and hemostasis forceps have continued to expose the junction and fusion site.
When the contralateral valve junction is incised and fused to the annulus, Chen Houkun carefully ensures the integrity of the leaflets and junctions during the incision process. The assistant is also very powerful, and the hand is very stable without a trace of trembling.
Chapter completed!