Touch? In recent years, Dr. Rainer had vaguely grasped this elusive word from Dr. Charles.
However, he still did not know how to do it.
"Wearing sterile gloves will affect the surgeon's judgment. Every pair of sterile gloves has a different touch. That's why I said that sterile gloves are the biggest factor affecting the surgery. "
Dr. Rainer remembered that Dr. Charles had indeed said that.
At the time, he thought his teacher was joking. He did not expect it to be true.
"However, a sterile environment must be ensured. Therefore, the beginning of the surgery is the key to familiarizing the surgeon with the patient's anatomical structure and understanding the touch," Dr. Charles continued slowly.
In his opinion, the surgery in front of him was bound to be a great success.
It was a pleasure to watch such a flawless surgery. Dr. Charles was somewhat addicted to it.
However, other than himself and the surgeon on the operating table, no one else could understand the realm of touch. Sometimes, life was as lonely as the snow.
"Every human body has its own unique elasticity and toughness. The initial blunt dissociation is the best time for the surgeon to establish communication with the unique body tissue, "Dr. Charles said." This communication will allow the surgeon to understand the touch of the organ. As long as the communication method is established and the touch is clear, many complications and mistakes will never occur. "
"Look, when Dr. Zheng anastomoses the blood vessels, the strength and angle of the needle tip are choices made based on the information left behind by the touch of the blood vessels," Dr. Charles said happily. "Perfect, without a single flaw. Watching this kind of unparalleled surgery is an indescribable enjoyment. "
Rainer was speechless.
He only vaguely realized that everything Dr. Charles said seemed to be the case. However, it would take at least three to five years of practice to apply it to clinical surgeries.
After three to five years, he would be old. Although he would have more experience, he would have passed the peak of surgery.
There were some movements that his body would no longer allow him to complete flawlessly.
Dr. Rainer felt a little regretful.
However, even though it was said to be three to five years, it was possible that he still wouldn't be able to comprehend it after five years. He would need another five years.
It had nothing to do with diligence. To reach this realm, talent was needed.
"After establishing this connection, as soon as the hand is placed on the brachiocephalic artery, you will know how much force to use for the anastomosis. Of course, this method of anastomosis must be based on an almost flawless foundation of microsurgery. "
"Perfect anastomosis, Reiner. This surgery has reached the level of my peak, and there is even some overflow. After the surgery, remember to copy the entire process back and figure it out. "
"Although you can't reach this level at your age, it's still good for the improvement of your surgical skills."
Reiner stared at the surgical image speechlessly. While his teacher, Dr. Charles, was explaining the process of 'touch', the surgeon had completed the anastomosis of the brachiocephalic artery within a few sentences.
After the anastomosis of the three capillaries was completed, full-flow perfusion began.
The proximal end of the four-branch artificial blood vessel was anastomosed with the distal end of the original ascending aorta artificial blood vessel. After drainage, Zheng Ren opened the ascending aorta.
When the mixed venous oxygen saturation reaches 90
When it was above%, it began to slowly warm up, and the heart automatically resumed beating.
At this time, a row of numbers appeared on the screen — infusion time 110.
, Blocked 95
, Deep hypothermic circulatory arrest, selective cerebral perfusion time 84 min.
Perfect!
Flawless!
Looking at these similar numbers, Dr. Reiner couldn't help but be stunned.
If he were to perform the surgery himself, these numbers would basically be doubled. The multiplying was not the key. The difference between the infusion time and the blocked time was definitely not so small.
The small difference in time meant one thing — the surgeon's surgery was steady and fast.
Were these all changes brought about by the 'touch'? Dr. Reiner watched the surgery in silence.
The surgeon should have finished the surgery, but when the hypothermic extracorporeal circulation ended and the heart resumed beating, another image appeared on the screen.
The interventional guide wire entered the blood vessel, passed through the anastomosis, and began the angiogram.
At the same time, the surgical field was still clean, with only a small amount of blood seeping out. There was no trace of contrast agent.
This was the final confirmation.
Generally, interventional surgery was not used to confirm bleeding after elephant trunk surgery. Dr. Reiner did not approve of the surgeon's behavior.
If the guide wire touched the anastomosis, it could cause unpredictable changes in the anastomosis.
"Reiner, this is something I've never reached," Dr. Charles suddenly said.
"Professor, I don't think it's necessary," Dr. Reiner said stubbornly.
"No, you'll know if you keep watching." Dr. Charles had already guessed Zheng Ren's thoughts. He said with a smile, "The surgeon has made bold changes to the surgical method based on his thorough understanding of the anatomical structure and the patient's condition."
"What is he going to do?"
"You must have forgotten what surgical method this young man used to win the Nobel Prize recommendation."
"…" Reiner was speechless.
Did he have to demonstrate his interventional technique in such a large-scale surgery just because he had won the Nobel Prize recommendation?
This should be a very irresponsible behavior, but why did the professor have such expectations?
Suddenly, a thought appeared in Reiner's mind.
Two years ago, the patient had undergone coronary artery bypass grafting and ascending aorta valve replacement. Now, under the influence of Marfan syndrome, the replaced blood vessels had changed to a certain extent.
This was the horror of congenital diseases. The transplanted blood vessels would also be affected, especially the position of the autogenous internal mammary artery.
Based on the analysis of the radiographic films before the surgery, Reiner thought that there was a small problem with the patient's coronary artery, but it was not worth paying attention to.
With the torn aorta as the background, nothing was worth paying attention to.
And the surgeon's ambition was so great? What was he going to do? Could it be …
Reiner's guess soon became reality.
Interventional stent surgery.
Coronary artery … ascending aorta … descending aorta …
Every blood vessel that might have ruptured was covered with a membrane stent. There was no gap between the stents, perfect and unhurried.
"He went for interventional surgery?" Dr. Reiner asked absentmindedly.
"Yes." Dr. Charles finally changed his posture. It had been too long and his body was not used to it. "Marfan syndrome will cause pathological changes in the intima of the aorta. It's better to use stents to solve it."
Dr. Rainer felt a suffocating feeling in his chest.
If there was still hope for him to reach the level of the surgeon in surgery, then interventional surgery …
He could not do it.
This was a crushing defeat!
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