Outside the operating room.
Qin Feng and others had already changed into blue surgical gowns, entered the operating room and began to disinfect and clean.
Surgeon: Qin Feng, First Assistant: Zhang Fan, Director of Cardiac Surgery, Second Assistant: Cao Ke, Deputy Director of Cardiac Surgery.
Device nurses: the head nurse of the cardiac surgery department and three itinerant nurses.
The observation room was full of people, and all the doctors in charge of the cardiac surgery were present to observe.
This operation is quite difficult, and it is a rare live video study for them.
"Get ready to start."
In the operating room, Qin Feng said to the two with his hands hanging on his chest.
Then put on a sterile suit and stand on the main knife position.
"Start the anesthesia."
Qin Feng nodded to the director of the anesthesiology department beside him.
Anesthesia is the key this time!
Neonates are different from adults, and play a vital role in the method and dose of anesthesia, as well as the observation of signs during the entire operation.
It can be said that all operations are divided into 7 points for anesthesia and 3 points for surgery.
If there is a problem in the anesthesia process, the skill of the chief surgeon will be useless.
Therefore, this time, endotracheal intubation combined with general anesthesia was used to avoid compressive damage to the nasal wings of infants and young children caused by nasal intubation.
Clean-mouth intubation is also used for respiratory support throughout the operation, which is a test of the anesthesiologist's skills!
Qin Feng looked at the Doppler echocardiography and chest X-rays in the light box in front of him, and finally confirmed the entire operation process.
"The anesthesia is over."
Five minutes later, the director of anesthesia looked up and said,
"Physiological signs are normal and can be operated on."
"Surgery start time, November 18, 2022 at 14:20 pm, patient..."
"Scalpel."
Hearing this, Qin Feng stretched out his palm.
Snapped!
The equipment nurse handed over the scalpel, and immediately made an incision in the middle of the chest.
The atrial septum of the right atrium can be selected for heart incision, which is closer to the mitral valve orifice, and it is easier to repair.
…
"Electric knife."
…
"A chest opener."
After mobilizing the skin and muscle tissue, a thoracotomy is performed immediately.
"Pull away."
Because the baby's heart is small, only about the size of a walnut, two ribs were opened this time.
10 minutes...
20 minutes...
Soon, after freeing the tissues around the heart, a small beating heart appeared in front of everyone.
"Attractor."
After Qin Feng absorbed the spilled blood, the surgical field of view was fully opened.
It can be seen that the frequency of the heart beat is obviously abnormal, the frequency is very fast, and the erection is strong.
"Polyester thread, hanging pericardium."
…
Bang!
"Prepare for extracorporeal circulation."
An hour later, Qin Feng put down the needle forceps, glanced at the tiny arteries, and took a deep breath.
The pericardium has been incised and suspended, and the complete heart is now in sight.
This step is very critical. After extracorporeal circulation is established, the mitral valve can be repaired.
Because the child's heart valve gap has reached 6 mm, this requires sufficient repair time.
And Qin Feng's fast hand speed also shocked Zhang Fan and Cao Ke on the side for a while, and couldn't help but look at each other, seeing helplessness.
This is simply a monster!
Since three years ago, Qin Feng's surgery level has been like a bottomless pit, improving crazily.
Especially this free level is simply a must!
Even though Zhang Fan was an expert of the provincial association, he only felt a sense of loss.
Genius seems to be the nightmare of ordinary people.
Even with decades of daily research and thousands of surgeries, he still couldn't create such a terrifying surgical ability.
It's no wonder that Qin Feng was favored by intensive care medicine within just two months after he arrived here, and became the top medical talent in the industry.
Of course, he didn't know that Qin Feng had already been recommended by the hospital for a doctorate.
If you know this news, I'm afraid you won't be able to calm down anymore!
"Start stopping."
At this time, Qin Feng had already freed the ascending aorta and the upper and lower vena cava, and raised his head and said to the two.
Soon, as cardioplegic fluid entered the heart, the heart slowly stopped beating.
"Start breaking up!"
The heart stops beating completely!
Qin Feng stretched out his hand,
"Give me the pliers."
Snapped!
The vascular clamp is slowly approached to the ascending artery above the heart, clamped, and severed.
Immediately after the superior and inferior vena cava, Zhang Fan and Cao Ke quickly started arteriovenous intubation to drain the blood out of the body through the venous tube. Basic blood circulation.
"Arterial line complete."
"Meridian intubation completed."
"The suction pipeline is complete."
"Start the cycle."
The two directors also started at the same time, connecting the small blood vessels with the pipeline, and performing intubation and suturing.
Buzz buzz!
The sound fell, the ECMO machine was turned on, and everyone was nervously staring at the pipeline inside the machine, waiting for the blood to enter.
Finally, after a few seconds.
The blood appears in the transparent tube, and the extracorporeal circulation is completed!
"Physiological indicators are normal!"
Huh~
Suddenly, there was a sound of relief in the operating room and the operation observation room at the same time.
Zhou Xianren, Chen Yuanfang and other department directors who were observing, also let out a heavy breath, and finally their hearts were slightly relieved.
"Qin Feng's technique is becoming more and more mature, and I even see the shadow of Daniel."
The chief of internal medicine couldn't help but speak.
"I heard that Qin Feng went to Xiehe Hospital?"
"Well, Xiehe's intensive care medicine, now he is the attending doctor."
"Director Qin is awesome! That's the number one department in the country!"
"That's right, you don't even look at how strong Director Qin's skills are."
"If I can achieve this step in this life, I will die without regret~"
"You'd better wait until you get off work and go back to dream."
…
Listening to the low-pitched discussion behind, several directors sitting in front looked at each other and smiled.
Qin Feng's technology, not to mention theirs, is probably the best in the country.
And he is not yet 30 years old!
If he goes on like this all the way, he will have a chance to win the title of master before the age of 40!
This point, no one dares to deny, because it is too strong.
But these are not important to them, the surgery in front of them has just begun.
…
"11# knife."
"The right atrium is pulled open."
Qin Feng raised the knife and cut open the right atrium without any hesitation, and opened the atrium with a retractor.
Subsequently, the interatrial septum was accurately incised.
"No damage."
His eyes suddenly became elliptical, and the sight in front of him instantly condensed and magnified, completely presenting the position of the ventricle in front of him.
After the needle tip passes through, two or three needles are pulled out, and the traction mosquito is fixed.
"Give me the tweezers."
Remove clotted blood spots near the interatrial septum that could later cause serious blood clots.
Bang!
"Scalpel."
Pick up a scalpel and cut along the abnormally growing mitral valve.
"Plug rules."
At this point, two hours had passed.
And the whole process of the operation is just less than halfway through.
…