Opening Check-In: Back To Ten Years Ago As a Surgeon - Vol 2 Chapter 372

However, Xinya was quickly stunned.

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

This Central Plains man used to give people a very gentle and indifferent feeling, but now it gives people a completely different feeling.

Serious, bold, fierce.

Xinya didn’t expect that a person’s transformation would be so great in an instant, it was simply incredible.

Then, something even more incredible happened.

Wu Yuan began to cut and make an incision on the chest of patient Hu Xufeng.

So stable!

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

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

Xinya couldn’t help but ask, “Is the incision so small, no problem?”

Wu Yuan raised his head and glanced at the other party: “No problem, it will be faster to recover this way.”

Xinya was stunned, Wu Yuan was quite right, but the size of the incision was large enough to complete the operation.

Xinya graduated from a foreign medical school, and the division between internal medicine and surgery is not too detailed, so she also knows some surgery, and can even perform some minor operations.

With such a small incision, the surgical field of view is definitely not enough. Can the operation really be done well?

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

However, Wu Yuan didn’t seem to have any intention of changing his mind.

Xinya couldn’t help but ask, “Excuse me, are you a thoracic surgeon?”

Wu Yuan didn’t raise his head this time, and replied softly, “I’m the director of the cardiothoracic surgery department.”

Although Wu Yuan has not yet assumed the post, but the director of the cardiothoracic surgery department of the Third Hospital of Imperial Medicine, there is no problem with this.

Xinya didn’t understand for a while: “Department director?”

Wu Yuan laughed: “I believe in your cell division chief here.”

Xinya understood and showed a surprised look.

It’s amazing that this person is so young and has reached the level of a supervisor.

No matter what level the doctors in the Central Plains are, Xinya is still quite skeptical.

At this time, Wu Yuan had already reached out and poked in from Hu Xufeng’s chest.

Wu Yuan: “Drain the residual blood.”

Xinya nodded and immediately started to do it.

Xinya’s movements were also very skilled, and she quickly drained the blood from her chest.

Wu Yuan: “Hemostatic forceps, fixed clips.”

The equipment nurse handed over these two items to Wu Yuan.

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

On the contrary, if this Central Plains man is just bragging and exaggerating, he will definitely reveal his secrets at this time.

However, Xinya found that she couldn’t see Wu Yuan’s movements clearly, she only saw that his two wrists flicked to the left and right, and when they were pulled, they seemed to clamp something inside.

This, what route is this?

Xinya was stunned for a while.

Can this really work?

At this time, I only heard Wu Yuan say: “You come and hold the hemostatic forceps here, yes, that’s it, don’t move for the time being.”

Xinya followed Wu Yuan’s instructions with a hemostatic forceps in one hand and probed over to see what was going on in her chest.

This time Xinya finally saw it clearly.

Really clip arteries.

Just now this Central Plains man was really not joking, he clipped quickly and accurately.

But it is definitely this blood vessel, is this location blocked?

Wu Yuan can’t be 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 his chest, he could immediately see different shades of green, as well as a few points of red.

Wu Yuan took a closer look. The red points were basically in the cardiovascular system, and the light color was not dark, indicating that the blockage was not severe and could 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 is red, right 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 based on his level, he was almost the same.

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

Wu Yuan slightly adjusted the position of the other hemostatic forceps, so that the severely blocked part was clamped.

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

Xinya asked, “What are you going to do? It’s better to have a stent in the current situation.”

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

In the case of alternating hot and cold, or the weather is very cold, it is easy to relapse.

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

Wu Yuan: “Since the chest has been opened, then a complete operation will be performed, and I will do a bypass.”

Xinya’s eyes widened. Heart bypass surgery is a major operation. It will take a long time to say whether it can be successful or not.

Of course, Wu Yuan would not consider Xin Ya’s idea. After all, he is the chief surgeon, and he is responsible for the operation, and must make an operation judgment based on the actual situation.

Bypass surgery is the best way to treat coronary heart disease, which 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 method for the treatment of coronary heart disease. It refers to coronary artery bypass grafting or heart bypass surgery when one or more coronary arteries are severely blocked or the blood supply is very insufficient.

A thorough examination should be done before surgery to confirm the exact location of the blockage.

The theory sounds simple, but it’s not easy to do.

In fact, as long as you reach the heart surgery, it is not easy.

For example, bypass surgery requires extracorporeal circulation.

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

In fact, coronary artery stenosis in general coronary heart disease is mostly segmental distribution, and is mainly located in the proximal and middle segments of the coronary arteries, and most of the distal segments are normal.

However, Hu Xufeng’s situation is a little unusual. It is indeed a segmental distribution, but there are only three segments, which are relatively close, so for the surgeon, it is actually a lot simpler.

For Wu Yuan, it was easier and easier.

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 methodically pointed to the other nurses, prepared the equipment, and started working.

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

She had to cooperate as much as possible.

Of course, Xinya had no experience with cardiopulmonary bypass, she just followed Wu Yuan’s instructions.

Xinya was very clueless. If something went wrong, it might be an irreversible mistake.

To Xinya’s surprise, it only took less than half an hour for the cardiopulmonary bypass to be established and work normally.

Of course Xinya couldn’t believe it. As far as he knew, it usually took several hours to establish cardiopulmonary bypass during heart surgery!

I don’t know how this Central Plains man did it. Is there magic?

At this moment, Wu Yuan breathed a sigh of relief and said, “Okay, let’s start the bridge.”

Xinya got nervous again.

The establishment of extracorporeal circulation is only the first step, and 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 coronary stenosis, so that blood bypasses the stenosis and reaches the distal end, just like a bridge that makes a highway across a mountain and a river as unobstructed.

As for the materials used for the bypass, the materials are taken from the patient’s body.

Such as the patient’s great saphenous vein, internal mammary artery, right gastroepiploic artery, radial artery and so on.

Of course, it is also relatively common to take a section of the great saphenous vein on the patient’s calf or thigh for transplantation.

So how will Wu Yuan choose?

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

Wu Yuan chose the internal thoracic artery and so on.

Although the internal thoracic artery is slightly smaller in diameter than the coronary arteries, it is sufficient.

Wu Yuan’s movements were very fast, making Xinya really dazzled, even feeling that she couldn’t keep up with the speed of Wu Yuan’s hands just by looking at her.

In Xinya’s impression, bypass surgery is not a minor surgery, it is a level 3 or above surgery, how could it seem to be so simple in the hands of this Central Plains man?

After a while, Wu Yuan stood up straight and said, “Now the normal circulation is restored.”

Xinya was stunned: “Have you made a bridge?”

Tun Yuan nodded, removed the cardiopulmonary bypass, and the monitor started to alarm.

Xinya became very nervous. She didn’t know what the effect of the bridge would be, whether it could work normally, and there wouldn’t be any problems, right?

Wu Yuan released the hemostatic forceps, and blood began to supply the heart.

The monitor’s alarm sound disappeared.

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

Blood pressure, blood oxygen, and heartbeat have all returned to normal, and it depends on whether they can be maintained.

One minute, two minutes, three minutes…

After five minutes, Xinya was completely relieved, and it seemed that there was 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, admiring this man from the Central Plains.

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

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

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

What surprised Xinya again was that, of course, it was Wu Yuan’s suture technique.

If it is someone who has seen Wu Yuan’s magical skills, it would be fine. If he has not seen it, it can only be described as shock.

To be honest, Xinya’s eyes were so wide that she could only be described as dumbfounded.

It’s just that Xinya is wearing a mask, so she can’t see it.

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 speed was accelerated, and the time spent was even less.

When it was nearly 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 done bypass surgery, she also graduated from a famous medical school. She not only watched the surgery, but also watched some surgery videos.

I have seen several bypass surgeries, and the operation time is really no less than four hours.

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

Xinya even felt that the Central Plains man seemed to be helping him.

Wu Yuan finished 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 glanced at Hu Xufeng, his complexion was relatively normal, only a little pale, and it would be fine to recover.

There is no problem with the performance of various values ​​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 all right?”

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

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

Wang Yajing: “Then he…”

Wu Yuan: “I’ll wait for the anesthetic to wear off in a while, and I’ll be able to push it out when I wake up.”

Xu Mengyuan patted her chest: “It’s great, it’s great, it’s good that the operation is successful.”

Wang Yajing: “Sister Meng Yuan, didn’t you say that Dr. Wu’s level is high, there will be no problem, so you are still worried.”

Xu Mengyuan rolled her eyes at Wang Yajing: “It’s a different matter. I trust Dr. Wu completely, but this is surgery or heart surgery, so of course I’m worried.”

Wu Yuan laughed: “Okay, I’m really tired, I’ll go find a cup of coffee.”

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

I got up early in the morning and took the plane for more than five hours. Before I even entered the room, I went to the hospital for another operation.

Thinking about it carefully, UU reading www.uukanshu.com Wu Yuan was simply too tired this day. If it was placed on others, it would be a disaster. I didn’t expect that he would just say that he was a little tired.

Xu Mengyuan was a little embarrassed and said, “Dr. Wu, let Xiaoyajing buy you coffee. You can rest here for a while.”

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

Wu Yuan laughed: “Okay, let me try the coffee from Tyrande Hospital, is it fragrant?”

Xu Mengyuan said, “Doctor Wu, you can go, we can just wait here.”

Wu Yuan waved his hand: “Okay, hard work.”

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

I have to say, Wu Yuan feels very fresh.

This layout is completely different from the hospital office in China.

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