The first surgical demonstration began under the introduction of Professor Jiang, a chief physician from the 301 People's Liberation Army Hospital in Imperial Capital.

It was a tricuspid valve atresia surgery.

The so-called tricuspid atresia, also known as tricuspid valve and tricuspid valve orifice absence, is a deformity in which there is no direct communication between the right atrium and the right ventricle.

Tricuspid atresia is a cyanotic congenital heart disease, with an incidence rate of 1 to 5% of congenital heart diseases. It ranks third among cyanotic congenital heart diseases after tetralogy of Fallot and malposition of the great arteries.

The main pathological changes are tricuspid atresia, patent foramen ovale or atrial septal defect, mitral valve and left ventricular hypertrophy, and right ventricular hypoplasia.

From 1955 to 1958, Eshakin and Glenn et al conducted arterial experiments, and then Meshakin and Glenn successively applied superior vena cava and pulmonary artery shunts to patients with tricuspid atresia, which was later called Glenn shunt.

The demonstration surgery this time was to perform a bidirectional pulmonary artery shunt.

The director of the People's Liberation Army Hospital adopted the surgical plan of right atrium-pulmonary artery connection.

On the screen was an operation that had been recorded a long time ago. After preoperative preparations, the dissociation of the common pulmonary artery and the left and right arteries began.

This chief physician is obviously very experienced, especially in the pericardial patch anastomosis. In order to prevent postoperative traction, a very narrow anastomosis was used during the anastomosis.

"What an amazing anastomosis."

In the venue, everyone was full of praise when they saw the operation of the director of the People's Liberation Army Hospital.

"Look, when Director Huang installed the extravalvular conduit between the right atrium and the pulmonary artery, he used a patch to close the atrial septal defect through the right atrium incision, which very accurately solved the pressure on the external conduit. It's amazing."

In the venue, all the doctors were naturally knowledgeable, and they were full of praise for Director Huang's operation.

"The next step is the anastomosis of the right atrium and the right ventricular outflow tract. Director Huang actually used a portal incision. The atrial wall was turned over to the right ventricular outflow tract incision and anastomosed with the lower edge of the incision. The anterior wall was covered with a pericardial patch. This

The operation is really skillful.”

In the venue, all the doctors, especially the young doctors, were really eye-opening.

"It is indeed a surgical demonstration at the China Heart Congress. This technology is really refreshing!"

"It's the separation of the superior vena cava and the anastomosis of the distal end of the superior vena cava and the right pulmonary artery. Director Huang's anastomosis technique is really amazing. Look at the evenness of the wiring and knotting, it's amazing!"

Seeing Director Huang's basic skills, many junior doctors are envious.

In the venue, several doctors from Zijingang Hospital were yawning, especially Tang Xianhu and Liu Juzi, who were not paying attention at all.

Not far away, several doctors from Imperial No. 301 Hospital naturally noticed the reaction of Zijingang Hospital. Several chief doctors were somewhat dissatisfied.

However, we were at the venue after all, so I was embarrassed to say anything, but I still felt a little unhappy.

After all, as far as they knew, Zijingang Hospital was not even qualified to be selected for the surgical demonstration at this conference. Tang Xianhu and Liu Juzi were too arrogant.

It seems that Director Huang's operating skills are completely ignored.

"Jiangxia Province, how can these poor Adou from Jiangxia Province compare with the chief physician of our Imperial Hospital? I think it may be that Director Tang and the others are a little ashamed of themselves and are embarrassed to admit it. They can only pretend to be nonchalant, but in fact they are panicking.

Let’s get a batch.”

A chief physician from Imperial Capital Hospital 301 analyzed that, after all, from the perspective of Imperial Capital hospitals, Hangzhou is just a countryside.

Just like many programmers who went to Alibaba from the Imperial Capital, they disliked Hangzhou very much and complained that Hangzhou was not as good as the Magic City and Imperial Capital.

On the screen, Director Huang continued his operation, and soon entered the anastomosis between the proximal heart and the common pulmonary artery. Due to the difficulty and length of the operation, at this step, Director Huang took a short rest and waited until his mental state and physical strength

After entering the optimal state, start the final operation.

Many doctors admire this very much. After all, controlling the rhythm of surgery is a sign of a mature doctor.

In the auditoriums of Zijingang, Harbin Medical University Second Hospital, and Union Hospital, many doctors yawned.

Some doctors even frowned. This speed was really a bit slow. After all, they had seen doctors who didn't need any trimming at all.

Three more hours later, Director Huang completed his operation.

In the video, it was obvious that Director Huang was very satisfied with his surgery.

"Carry out cardiopulmonary function testing after surgery. Keep the right atrial pressure >2.0kPa (15mmHg) in the early stage. If it cannot be maintained, blood and plasma should be transfused. In case of low cardiac output syndrome, dopamine, isoproterenol or sodium nitroprusside should be used.

drug.

When there is a lot of bleeding in the early postoperative period, fresh blood, platelets and fibrinogen should be applied promptly. Post-operative right atrial pressure increases and limited lymphatic return can cause increased drainage. Diuretics and/or digitalis can be used. Post-operative antibiotics

Set for 2~3 months..."

Director Huang was very professional and experienced. He gave the postoperative medical instructions and then went to the changing room.

In the venue, many doctors applauded to show their respect. It must be said that Director Huang's operation is still very good, and his understanding of surgical techniques is even more extraordinary.

Amidst the applause of various doctors, Professor Jiang appeared again and introduced the second demonstration operation, which was a cardiac stent operation performed by the chief physician from Fuwai Hospital.

Seeing the difficulty of this operation, the Chinese doctors at the venue were very excited and looking forward to it.

"Cardiac stent surgery is a new technology developed in the past 20 years to improve the insufficient blood supply to the myocardium and blockage of cardiac arteries caused by coronary heart disease. There are not many hospitals across the country that can maturely perform this kind of surgery."

"Professor Li's surgery is really exciting."

"Yes, cardiac stent surgery involves inserting a metal stent into the diseased coronary artery to support its wall to maintain smooth blood flow in the lumen. Among them, the operating and technical requirements for the surgeon are very high, especially for the stent

The control is very detailed, and its difficulty is slightly less than that of a heart transplant."

In the venue, all the doctors were also sighing with emotion, obviously they highly praised this surgery.

"Although cardiac stent surgery is not very complicated, the risks of surgery are indeed very high, especially if the patient is a patient with coronary heart disease, and the surgical site is the blood vessel of the heart. The stent is very likely to block or be about to block the blood vessel."

In the venue, some senior chief physicians were explaining to their doctors.

"Moreover, just because the stent is put in and propped up, it doesn't mean that the blood vessel or this part will not be stenotic or blocked again..."

Being able to be selected for surgery at the Chinese Heart Congress naturally has its merits. Director Li's operation has benefited many doctors a lot.

"Speaking of which, these demonstration surgeries are already so impressive. I don't know how the final surgery will be. I'm really looking forward to it."

Many doctors in the venue were looking forward to it. After all, in principle, the mysterious finale surgery must be more powerful than these ordinary demonstration surgeries. Although, these operations are already beyond the capabilities of ordinary surgeons.

The ceiling.

The more powerful the first three surgeries were, the more the doctors looked forward to the finale surgery of this conference.
Chapter completed!