Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 372: Bypass operation, successful

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However, Xinya was soon stunned.

When Wu Yuan held the scalpel in his hand, his whole temperament changed.

This Central Plains man originally gave people a very gentle and indifferent feeling, but now it makes people feel completely different.

Serious, bold, fierce.

Xinya did not expect that a person would change so much in an instant, it was simply incredible.

Then something even more unbelievable happened.

Wu Yuan began to operate the knife, making an incision on the chest of the patient Hu Xufeng. .

So steady!

Xinya has also watched many operations and knows many surgeons, but she never knew that she would be so stable.

In a blink of an eye, the incision on the chest was made.

Xinya couldn't help asking: "Is it okay if the incision is so small?"

Wu Yuan raised his head and glanced at the other party: "No problem, recovery will be faster this way."

Xinya was startled, Wu Yuan was quite right, but the size of the incision should be enough to complete the operation.

Xinya graduated from a foreign medical school. Internal medicine and surgery are not divided into details, so she also knows some surgery, and can even do some minor operations.

With such a small incision, the surgical field of view is definitely not enough. Is it really possible to do the surgery well?

If it is not done well, the incision will be enlarged, which will not only delay the time, but may also cause further harm to the patient.

However, Wu Yuan didn't seem to change his mind.

Xinya couldn't help asking: "Excuse me, are you a doctor in the chest surgery department?"

Wu Yuan did not raise his head this time, and replied softly: "I am the director of the Department of Cardiothoracic Surgery."

Although Wu Yuan has not taken up his post yet, as the director of the Department of Cardiothoracic Surgery of the Third Imperial Hospital, there is no problem with this.

Xinya didn't understand for a while: "Department director?"

Wu Yuan laughed: "I believe in the director of the Cellular Division here."

Xinya understood, showing a surprised look.

This person is so young, but he has already reached the executive level, which is really amazing.

Regardless of the level of doctors in the Central Plains, Xinya is still skeptical.

At this time, Wu Yuan had already stretched out his hand from Hu Xufeng's chest.

Wu Yuan: "Suck away the residual blood."

Xinya nodded her head and started to do it immediately.

Xinya's movements were also very skillful, and she quickly sucked the blood out of her chest.

Wu Yuan: "Hemostat, clamp."

The equipment nurse handed these two things to Wu Yuan.

The critical moment came, Xinya watched Wu Yuan's movements carefully, if he is really a master, he should be very cautious and precise.

On the contrary, if this Central Plains man was just bragging and exaggerating, he would definitely reveal his truth at this time.

However, Xinya found that she couldn't see Wu Yuan's movements clearly, she only saw his two wrists shaking left and right, and with a pull, it seemed that something inside was caught.

This, what is this number?

Xinya was stunned for a moment.

Is this really possible?

At this time, I only heard Wu Yuan say: "You take the hemostat over here, yes, that's it, don't move it for now."

Xinya followed Wu Yuan's instructions, held the hemostat in one hand, and probed over, wanting to see what was going on in the chest cavity.

Xinya finally saw clearly this time.

It really clamps the arteries.

The man from the Central Plains just now was really not joking, he clipped very quickly and accurately.

But are you sure it is this blood vessel, is this position blocked?

Wu Yuan is indeed not 100% sure, but he has the ability to make a second confirmation, and this confirmation method is very accurate.

Wu Yuan used the "key lock", looking in from the chest, you can immediately see different shades of green, and at the same time there are a few red.

Wu Yuan took a closer look, and found that the red spots are basically in the cardiovascular system, and the light color is not deep, which means that the blockage is not serious, and it can be solved with various thrombolytic drugs.

One of them is red but extremely deep, indicating that the blockage is very serious, which is also the root cause of acute myocardial infarction.

This red spot is on the coronary aorta.

Wu Yuan didn't make a mistake, he happened to be caught in this blood vessel. After all, he relied on medical experience and analysis to act, and his level is not bad after all.

It's just that the position of the clip is slightly inappropriate.

Wu Yuan slightly adjusted the position of the other hemostat, so that he could just clamp the severely blocked part.

However, Wu Yuan did not interrupt his blood supply, he still needs to make some preparations.

Xinya asked: "What do you want to do? The current situation is better to use braces."

The stent can indeed solve the problem, but it is only a temporary solution, not a permanent cure.

When encountering alternation of cold and heat, or the weather is very cold, it is easy to relapse.

Although such an operation is simple, it is certainly not a solution that Wu Yuan is willing to choose.

Wu Yuan: "Since the chest has been opened, let's do a thorough operation, I will do a bridge."

Xinya's eyes widened. Heart bypass surgery is a major operation. It will take a long time to do one operation, let alone whether it will be successful.

Of course, Wu Yuan would not consider Xinya's thoughts, after all, he is the chief surgeon, he is responsible for the surgery, and he has to make surgery judgments based on the actual situation.

Bypass surgery is the best way to treat coronary heart disease, and it can minimize the possibility of recurrence to a certain extent.

The so-called heart bypass surgery is commonly known as coronary artery bypass surgery.

This is internationally recognized as the most effective way to treat coronary heart disease. It refers to coronary artery bypass grafting or heart bypass surgery when one or more coronary arteries are severely blocked or blood supply is very insufficient.

A thorough examination should be done prior to surgery to identify the exact location of the blockage.

Sounds simple in theory, but not so easy in practice.

In fact, as long as it involves heart surgery, there is nothing simple.

For example, bypass surgery requires extracorporeal circulation.

When performing surgery, it is necessary to cut off the blood supply from the heart to the body, so it is necessary to use a heart-lung machine to circulate the blood outside the body to protect the normal operation of vital organs such as the brain.

In fact, the coronary artery stenosis of general coronary heart disease is mostly distributed segmentally, and it is mainly located in the proximal and middle sections of the coronary artery, and the distal section is mostly normal.

However, Hu Xufeng's condition is a little unusual. It is indeed a segmental distribution, but there are only three segments, which are relatively close to each other, so it is actually much simpler for surgeons.

For Wu Yuan, it was easier and more relaxed.

Wu Yuan has already started to do it.

He looked at the equipment in the operating room, which was enough to support him to establish an extracorporeal circulation system.

Wu Yuan pointed to the other nurses in an orderly manner, prepared the equipment and started to do it.

Xinya didn't expect Wu Yuan to do what he said, without thinking about the consequences at all.

She had no choice but to cooperate as much as possible.

Of course, Xinya has no experience with extracorporeal circulation, she just followed Wu Yuan's instructions.

Xinya was very uncertain, if she made a mistake, it might be an irreparable mistake.

What Xinya didn't expect was that the extracorporeal circulation was established in less than half an hour and it was working normally.

Of course Xinya couldn't believe it. According to his knowledge, it usually takes hours to establish extracorporeal circulation during heart surgery!

I don't know how this Central Plains man did it, is there magic?

At this time, Wu Yuan breathed a sigh of relief and said, "Okay, let's start building the bridge."

Xinya became nervous again.

Establishing extracorporeal circulation is only the first step, the most important thing is to build a bridge.

Coronary artery bypass grafting is to establish a channel between the proximal and distal ends of the coronary artery stenosis, so that blood can bypass the narrow center and reach the distal end, just like a bridge that makes a road cross mountains, rivers and rivers unimpeded.

As for the materials used for the bridge, they were obtained locally from the patients.

For example, the patient's great saphenous vein, internal mammary artery, right gastroepiploic artery, radial artery, etc.

Of course, it is also more common to take a section of the great saphenous vein from the patient's calf or thigh and transplant it there.

So how will Wu Yuan choose?

Actually, for Wu Yuan, this is not a big problem. With his current medical knowledge and understanding of heart surgery, he can quickly determine the most efficient and highest success rate, and at the same time minimize the physical damage to the patient Hu Xufeng.

Wu Yuan chose the internal thoracic artery and others.

Although the diameter of the internal thoracic artery is slightly smaller than that of the coronary artery, it is still sufficient.

Wu Yuan's movements are so fast that Xinya is really dazzled, and even feels that she can't keep up with the speed of Wu Yuan's hands just by watching from the side.

In Xinya's impression, the bypass surgery is not a minor surgery, it is a surgery above the third level. Why does it seem to be so simple in the hands of this Central Plains man?

A moment later, Wu Yuan stood up straight and said, "The normal circulation is now restored."

Xinya was stunned: "Have you built a bridge?"

Tun Yuan nodded, removed the extracorporeal circulation, and the monitor started to alarm.

Xinya became very nervous. She didn't know how the bridge would work, whether it would work normally, would there be any problems?

Wu Yuan loosened the hemostat, and the blood began to supply the heart.

The alarm sound of the monitor has disappeared.

Xinya looked at the other values ​​and couldn't help but breathe a sigh of relief.

The blood pressure, blood oxygen, and heartbeat have all returned to normal, it depends on whether they can maintain it.

One minute, two minutes, three minutes...

After five minutes, Xinya was completely relieved, and it seemed that there was indeed no problem.

She looked at Wu Yuan, still calm and calm.

At this time, Wu Yuan said: "Check again, if there is no problem, I will start to close my chest."

Xinya nodded, she admired this Central Plains man completely.

I didn't expect the doctors from the Central Plains to be so powerful, it's amazing.

After the inspection, there was no problem, and Wu Yuan began to close his chest.

Wu Yuan was so relaxed when building bridges, and it was even easier for him to close his chest.

What surprised Xinya again was, of course, Wu Yuan's suture technique.

If you are someone who has seen Wu Yuan's magical skills, that's fine. If you haven't, then you can only describe it as shock.

To tell the truth, Xinya's eyes were so wide open that she could only be described as stunned and tongue-tied.

It's just that Xinya is wearing a mask, so she can't tell.

Wu Yuan sutured the incision quickly and with great quality.

Originally, the incision Wu Yuan made on Hu Xufeng's chest was not large, and the faster the speed was, the less time it took.

When it was almost finished, Xinya glanced at the time and was immediately dumbfounded.

It only took two hours and ten minutes!

This time is too short, ridiculously short!

This is a bypass surgery! Not just any appendicectomy!

Although Xinya has never had bypass surgery herself, she is also a graduate of a famous medical school. She has not only watched the operation, but also watched some operation videos.

I have seen several bypass surgeries, and none of them took less than four hours.

Xinya knows that people from the Central Plains work hard and are highly efficient, but it is unbelievable that it is so high.

Xinya even felt that this man from the Central Plains was helping him with divine power.

Wu Yuan sewed the last stitch, then picked up the scissors to cut, put the scissors into the tray, and said, "Okay, it's over."

Xinya: "Thank you, thank you..."

Wu Yuan took a look at Hu Xufeng, his complexion was relatively normal, except for a little paleness, it will be fine after a while.

There is no problem with the various numerical performances of the monitor.

Wu Yuan said: "The amount of anesthesia is about three hours, and I wake up after a while."

Xinya nodded.

Wu Yuan walked out, at this time Xu Mengyuan and Wang Yajing were waiting outside.

The two stood up immediately, wanting to know the situation.

Xu Mengyuan looked at the door of the operating room and said, "Doctor Wu, is Director Hu okay?"

Wu Yuan nodded: "The operation was successful, there is no problem."

When Xu Mengyuan and Wang Yajing heard this, they all showed a look of peace of mind.

Wang Yajing: "Then he..."

Wu Yuan: "After a while, when the anesthetic wears off, you can release it when you wake up."

Xu Mengyuan patted her chest: "Great, really great, as long as the operation is successful."

Wang Yajing: "Sister Mengyuan, didn't you say that Dr. Wu is a high-level doctor, so there will be no problems, so you are still worried."

Xu Mengyuan gave Wang Yajing a blank look: "It's two different things. I completely trust Dr. Wu, but it's an operation or a heart operation. Of course I'm worried."

Wu Yuan laughed: "Okay, I'm really tired, I'll go find a cup of coffee."

Xu Mengyuan came to her senses, Wu Yuan must be tired.

Woke up early in the morning, sat on the plane for more than five hours, and ran to the hospital for another operation before entering the room~IndoMTL.com~ Thinking about it carefully, Wu Yuan was simply too tired this day, if it was put on someone else, it would be a disaster, but he didn't expect that he just said he was a little tired.

Xu Mengyuan was a little embarrassed, and said, "Doctor Wu, ask Xiao Yajing to buy coffee for you, you can rest here for a while."

At this time, Xinya came out, and just heard that Wu Yuan was going to drink coffee, so she said, "Go to our office, there is a coffee machine."

Wu Yuan laughed: "Okay, let me try the coffee from Tyrande Hospital, is it good or not?"

Xu Mengyuan said: "Doctor Wu, you go, we just wait here."

Wu Yuan waved his hand: "Okay, thank you for your hard work."

Wu Yuan followed Xin Ya into their doctor's office.

I have to say, Wu Yuan thinks it's quite fresh.

This layout is completely different from that of domestic hospital offices.