Remove the mitral valve!
With the blessing of super vision, Qin Feng exposed all the details.
The delivery hook fully exposes the mitral valve, clamps it with cervical forceps, cuts off the part with tissue scissors, and trims it.
"Prosthetic valve."
This time, Qin Feng reconfirmed the degree of mitral valve defect of the child before the operation began, and decided to use an artificial valve.
Because the gap is too large, he would rather choose the artificial valve with the lowest risk to himself than direct suture and replacement of the artificial valve.
If valve surgery is needed in the future, Qin Feng will continue to operate on the child.
This is not for making money, but because if the mitral valve is forcibly repaired in this situation, accidents will occur later in the growth process.
That may even have a slim chance of being rescued!
However, artificial valves are much less dangerous under regular monitoring.
And it will not affect normal life!
Qin Feng is completely thinking about the child, even if it is worthwhile to perform a later operation for him.
"Start sewing."
"2/O slip line."
Qin Feng's sight zoomed in quickly, focused on the edge of the trimmed mitral valve, and began to suture continuously with double reverse needles.
"Trimming."
Bang!
"Valve sutures."
Snapped!
After changing the thread, 12-15 needles along the edge of the valve were divided into 4 quadrants on both sides, and each group was fixed with 4-5 real mosquito forceps.
This is a race against death, although extracorporeal circulation can temporarily guarantee the physiological signs of the child.
But a child's heart is different from an adult's heart, and its ability to withstand is very weak. The longer the ischemia time, the higher the risk, and cardioplegia cannot completely guarantee that the heart will not die.
So this time can be as short as possible, and there can be no mistakes.
Coupled with the fine-tuning of anesthesia, a little carelessness can also cause the death of the child.
This is also the reason why Zhang Fan and others dare not make a move. From the beginning of the breakup, the risk has increased exponentially.
It's not just a question of surgical ability!
1 minute...
2 minutes...
5 minutes...
Zhang Fan, the first assistant, and Cao Ke, the second assistant, both had their hearts in their throats, and this was the most critical link.
Not to mention them, in fact, before Qin Feng, they had approached the two directors of Cardiac Surgery in Jinling, namely director Liang Donglai and deputy director Jin Qiong.
But the result is,
"Zhang Fan, the risk of this operation is too high, the child is just born and it is not suitable for the operation environment!"
"Zhang Fan, if you want to have an operation, I suggest you don't let the patient come to Jinling, go to the capital."
These two answers directly wiped out their hope, and the child's current condition is extremely dangerous to be transferred to another hospital.
In the end, after negotiating with the family members, Liu Yuan contacted Qin Feng in the name of the hospital.
After all the children's materials were sent, Qin Feng's approval was given, and the situation eased up a little.
At least some people say that this operation can be done!
Bang!
"Angle pliers."
After 15 minutes, the stitching was done!
Qin Feng threw down the needle-holding pliers, but the pliers began to test the valve, and repeated water injection tests to test the valve activity and fit.
There was no mitral regurgitation.
Perfect!
Trial flap complete, no issues.
Seeing this, Zhang Fan and Cao Ke next to him didn't dare to vent their anger, their eyes were full of astonishment.
This is too fast!
This speed and technique, especially the position where the needle was just placed.
If it is said that everyone in the observation room is still in the process of dazed and terrified, then the two of them with the magnifying glass were completely controlled by Qin Feng's operation.
You know, Qin Feng has been operating with naked eyes from the beginning to the present.
As for neonatal heart mitral valve artificial valve replacement surgery, in such a high-risk situation, it is impossible for ordinary people to do it with only a pair of eyes!
This is no joke, this is a life!
After all, Qin Feng relied on a pair of eyes for super-difficult operations that even a ten-fold magnified near-end advanced surgical robot like the Da Vinci robot could not guarantee.
"Ready to sew up the atrium."
"4/o slide wire with spacer."
Qin Feng put down the right-angle pliers, took over the needle-holding pliers after confirming that they were correct.
Start sewing!
"Fuck! What just happened?"
"I don't see the stitching at all, do you?"
"I...me neither."
"That's it done? Stitching?"
"If you let me stare at it, I can't learn it!"
"Director Qin is not a monster, is he?"
…
The expressions of everyone in the observation room, especially the doctors who were out of their hearts, immediately became extremely ugly after seeing this scene.
Because they didn't understand!
It looks like a routine operation, but this is an extremely difficult operation that even the director dare not do!
This is too outrageous?
"Don't make noise, just watch carefully."
Zhou Xianren turned his head angrily and reprimanded in a low voice.
Then everyone shut up, still unable to hide the shock on their faces.
Of course, after Zhou Xianren turned his head, he also licked his dry lips.
Because he didn't understand~~~~
…
Bang!
"Blocking forceps."
Qin Feng put down the needle holder, blocked the clamp tube, "pull out the inferior vena cava."
"Pull it out."
"Sewing."
Immediately afterwards, Qin Feng continuously sewed up the inferior vena cava incision with the suture used to sew the wall of the room.
"Extract the superior vena cava."
Cut the tubing and test for normal venous pressure.
The right atrial appendage was clamped with right-angle forceps, and the incision was ligated with 7# silk thread and 7*17 sutures.
"Pull out the perfusion needle."
Tighten the purse wire.
"Withdraw the aortic cannula."
When the last ascending aorta left the extracorporeal circulation system, Qin Feng quickly clamped the tube with short clamps, tightened the purse string, and completed the closure of the blood vessel.
"Start jumping back."
After these words were spoken, everyone's hearts suddenly stopped, as if they were pinched hard.
The final test is here!
Whether the child can survive smoothly depends on this level!
The stitches were perfect as the blood flowed slowly through the aorta into the heart with no trace of bleeding.
1 minute...
2 minutes...
Dozens of pairs of eyes in the observation room were fixed on the young heart, waiting for the moment when it jumped again.
In the operating room, Zhang Fan's palms and forehead were covered with sweat, and he didn't dare to blink.
Just after the silence, suddenly there was a beep from the instrument.
The moment the small walnut-like heart beat suddenly, everyone's hearts also jumped wildly almost simultaneously.
Drip~drip~drip~drip~
Heartbeat restored!
Blood pressure rises quickly!
Oxygen saturation!
The double jump was successful!
"Successful!"
In an instant, when the physiological indicators recovered rapidly, there was a burst of surprise in the observation room.
Everyone rejoices!
The operation was a success!
"Huh~"
In the operating room, Zhang Fan and Cao Ke looked at the beating heart in front of them, and at the same time breathed a sigh of relief, as if they had lifted a heavy burden.
This operation can be said to be a high-risk operation that they rarely experienced in their medical experience. It does not mean the degree of difficulty, but the thrill of the children.
Qin Feng was not in a hurry to be happy, but re-examined the entire heart and arteriovenous sutures with super vision.
Don't rest assured until you confirm that there is no problem.
"Close his abdominal cavity."
A drainage tube was placed, the mediastinum was fixed, bleeding was stopped, and the pericardium was sutured.
The process of closing the abdomen is very easy, and everyone has no burden, and Qin Feng moves faster.
Wire fixation of the sternum...
Bang!
With the needle-holding forceps dropped into the tray, the skin is fully sutured.
The surgery is officially over!
"Qin Feng, that's amazing!"
Before he could breathe a sigh of relief, he heard praise from around him.
Zhang Fan and Cao Ke gave him thumbs up at the same time, their eyes full of admiration.
"Hehe, it's okay, okay."
Qin Feng nodded and said modestly,
"Pay attention to the awakening of the child, 24-hour monitoring, 2-3D assisted breathing, positive muscle strength to support myocardial contraction, monitor the left ventricular blood output resistance and output, perform an ultracardiac every 2 hours, and pay attention to smooth breathing."
"Don't worry, I'll take care of it."
Zhang Fan immediately nodded in response.
He only felt that Qin Feng's return this time seemed to be even more different than last time.
His aura, speech and demeanor are all solemn.
He took off his surgical gown and mask, absorbed it, and walked out of the operating room.
On the bench outside the operating room, sat the child's parents and grandparents.
Seeing the doctor coming out, they immediately got up and rushed over.
"Doctor, doctor, how is the child?"
"Doctor, is my child okay?"
…
The four asked eagerly, panic and expiration written all over their faces.
"Don't worry, the operation was successful, but you still need to go through the dangerous period."
Qin Feng nodded and said.
Plop!
Hearing this, the child's parents froze for a moment, tears welled up in their eyes, their legs softened, and they fell to their knees.
…