signingbooks Chapter 1034: First Battle Outside the Chest (Part 1)
Chapter 1034: First Battle Outside the Chest (Part 1)
As soon as Chen Yang woke up in the morning, Wen Manlu arrived and brought him breakfast.
"Did you sleep well? Don't put too much pressure on yourself. The plan is already very complete and the team is first-class." Wen Manlu said with a smile.
Chen Yang held her hand, placed it on his lips and kissed it, then smiled and said, "I slept very well last night, but I missed you a little bit."
"Only you can talk."
Wen Manlu smiled and said, "I don't believe you had time to think about me last night. You must have been thinking about the surgery."
At the same time, in the cardiothoracic surgery department's doctor's duty room, He Yonghua was conducting the final preoperative simulation drill with core members including Tang Yan and Li Li.
Everyone gathered in the duty room at around five o'clock.
A 3D reconstruction of Zhang Tiezhu's heart was displayed on a huge screen. He Yonghua held the simulator, operating it while explaining:
"Tang Yan, you're in charge of grinding the drill. Remember! The cooling brine must be continuous and sufficient! The target area is here... the apex and bevel of the anterior protrusion. Grind layer by layer like peeling an onion, and use small amounts each time! Stop immediately if you feel a change in resistance!"
"Xiao Lin (Instrumentation Nurse), prepare three sizes of drill bits: standard, fine, and ultra-fine! Li Li, you'll be in charge of the TEE probe. Focus on the LVOT blood flow spectrum and pressure gradient changes, as well as the valvular regurgitation jet. Report any abnormal fluctuations immediately!"
Everyone looked solemn and focused. They knew that what they would see standing under the operating light tomorrow was not only the patient's life, but also the honor of the entire team.
"This is the first operation in our cardiothoracic surgery department, which means a lot to us."
He Yonghua looked at everyone and said, "The hepatobiliary medical team has already made achievements, and we must also prove ourselves.
As the operation approached, in the operating room, Gao Yingchu, He Pengjun, and Zhang Quanwu were also doing the final testing for the live broadcast.
The huge backstage screen displays a list of dozens of domestic hospitals that have been connected, as well as the logos of Berlin, Germany, and Cleveland, USA.
"Sister Ying, the international line signal is stable and the delay is controlled within 200 milliseconds, which meets the observation requirements." Zhang Quanwu reported.
"The number of domestic alliance hospitals connected has reached 87 and is still increasing." He Pengjun looked at the background data.
Gao Yingchu smiled and said, "There are so many companies. Brother Chen's appeal is really strong!"
Xia Hongliang leaned against the door frame, looking at Gao Yingchu's calm and energetic profile, his eyes a little straight.
He shook an exquisite box in his hand. "Assistant Gao, the battle is imminent. Need some energy? Top-grade Blue Mountain, freshly ground."
Gao Yingchu didn't even turn around, her fingers dancing on the keyboard. "Thank you, Dr. Xia. Excessive caffeine may affect your judgment. Leave it there. I'll treat you after the operation is successful."
Xia Hongliang encountered a setback, but he was not annoyed. Instead, he felt that Gao Yingchu, who was so focused on her work, was more attractive.
He shrugged and placed the coffee on the corner of her desk. "Okay, I'll keep it for you. I wish... our center a successful start!"
In Linlin's ward, Xu Xiuxiu and Jiang Yuan were accompanying their daughter, and Linlin was sleeping soundly.
After nearly ten days of careful treatment by Wen Manlu, her body temperature has long since stabilized to normal, her oral ulcers have healed, her joint swelling and pain have basically subsided, and her hormone-induced "moon face" has also improved significantly, revealing a delicate outline.
Xu Xiuxiu looked at the bright sky outside, rubbed her eyes, and then looked at her daughter's peaceful sleeping face, feeling sweet in her heart.
Especially after meeting Zhou Zhenguo, Xu Xiuxiu understood even more how lucky they were this time.
After breakfast, Chen Yang went to the operating area, and He Yonghua also made preparations with everyone involved in the operation.
"Director Chen." He Yonghua greeted Chen Yang.
"How is the patient?" Chen Yang asked.
"Everything is normal and we are ready." said He Yonghua.
Chen Yang nodded and went to make preoperative preparations. Just before the operation began, Zhang Tiezhu was also sent to the operating room.
Zhang Tiezhu lay quietly on the operating table, his entire body covered with a sterile sheet, leaving only his broad chest exposed.
The anesthesiologist team had already completed the complex tracheal intubation and deep venous catheterization. The wires of various monitors were connected to his body like the roots of the tree of life. Key data such as heart rate, blood pressure, blood oxygen saturation, and end-tidal carbon dioxide were beating on the screen.
The extracorporeal circulation (CPB) tubes are also ready, like a dormant silver python, waiting to take over the life cycle.
Multiple high-definition cameras above the operating room have been turned on, transmitting the images in real time.
At this moment, countless pairs of eyes are focused on this in front of hundreds of conference room screens of the National Cardiothoracic Surgery Alliance, in the observation rooms of the Berlin Heart Center in Germany and the Cardiac Surgery Department of the Cleveland Clinic in the United States.
Tension, anticipation, doubt...all kinds of emotions are intertwined in the invisible radio waves.
At the hand-scrubbing sink, Chen Yang, He Yonghua, first assistant Tang Yan, instrument nurses, circulating nurses, and other team members were performing the final, most rigorous surgical hand-scrubbing and disinfection. The water gurgled, and the brushes meticulously scrubbed every inch of skin, from fingertips to elbows. The atmosphere was so solemn that it felt like water could be wrung out of it.
"Final check: Patient Zhang Tiezhu, surgical method: mitral valve replacement (MVR) under extracorporeal circulation, focusing on the treatment of severe mitral annular calcification (MAC) and secondary left ventricular outflow tract (LVOT) obstruction." The circulating nurse's clear and loud voice sounded.
"Verified!" everyone responded in unison.
"anaesthetization?"
"Steady, you can start!"
"instrument?"
"complete!"
"Consumables (artificial valve, sutures, spacers, drills...)?"
"Model specifications verified correct!"
"Image (TEE)?"
"Clear image, always ready!"
"The operation begins!"
He Yonghua was the main surgeon, holding a sharp scalpel to cut open the skin, using the electrocoagulation pen to accurately stop bleeding, and separating the subcutaneous tissue and muscles layer by layer until... sawing open the sternum!
Bone wax sealed the bleeding from the bone marrow cavity. The expander slowly opened, revealing the heart, enduring immense pain, along with the severely calcified mitral valve area, completely exposed to everyone!
It is larger than what appears on the image (left ventricular dilatation), with a weak and feeble pulse. The calcified plaques covering the surface appear pale and hard like rock under the shadowless light, especially the bulge that presses forward on the LVOT, which is shocking.
"Establish extracorporeal circulation!" Chen Yang said in a steady voice.
Aortic cannulation and superior and inferior vena cava cannulation were completed quickly.
Following the instructions, the extracorporeal circulation machine began to operate, drawing dark red venous blood from the body, oxygenating it to become bright red arterial blood, and then pumping it back into the body. Once the ascending aorta was blocked and cardioplegic solution was administered, Zhang Tiezhu's exhausted heart finally stopped beating.
The most core and dangerous stage of the operation has officially begun!
He Yonghua also gave up his position and handed this part to Chen Yang...