Director Duan doesn't care about other people's face when he talks back at them.
Vice President Jiang Fusheng nodded and said, "Director Lei has become increasingly conservative over the years. He refuses to perform any challenging surgeries in the general surgery department. It's no surprise that he's acting like this now!"
The general surgeons all nodded.
President Jiang hits the nail on the head.
Director Lei is unwilling to make progress and improve himself. As a junior doctor, he has little room for growth.
After all, the level of a department depends largely on the discipline leader.
Leaders must continue to improve so that junior doctors can learn and progress.
After Zhu Qidong took the scissors, he quickly cut the stitches.
Li Zheng continued to pick up the needle holder and once again placed the needle tip on the pericardium on the back wall of the heart.
This time, everyone held their breath and opened their eyes wide, afraid of missing this wonderful moment.
Li Zheng only stayed for 3 seconds.
His right hand trembled.
The needle tip came out of the pericardium again.
"No way, it's still too fast and I can't see clearly!" a doctor exclaimed.
"This hand speed can only be seen clearly in slow motion."
"I don't know how he can do it so fast! The strength and precise control of his hand muscles have reached an incredible level."
To everyone's shock, Li Zheng sewed the second stitch.
But this stitch does not require thread cutting, it is a continuous stitch.
Li Zheng then proceeded to sew the third stitch.
No one gives up and must see clearly.
In the end, Li Zheng still disappointed everyone.
Still the same operation, same speed.
After sewing the wound with three stitches, Li Zheng tied several surgical knots to ensure that it would not come loose.
Because the heart is beating constantly, it is possible that the knot will loosen over time.
Li Zheng used the same method to perform a second set of sutures to ensure that there were no mistakes.
After two groups finished sewing, everyone had given up.
After the operation, I will slowly study the video.
In the operating room.
After Li Zheng sewed up the back wall, one side of the heart was fixed.
Next, Li Zheng gently turned the heart up a little bit, revealing the bottom.
Then, pointing to a spot in the center of the diaphragm, he said, "There should be a central diaphragmatic tendon here, and at the base of the heart there's a pericardiophrenic ligament. The two are connected and form the heart's most important lower support point. However, this child's diaphragm is underdeveloped, and the ligament at the base of the pericardium is also underdeveloped, so we need to reconstruct this ligament tissue."
"How to rebuild it?" Zhu Qidong asked.
It is a big problem to obtain tendon tissue from such a small baby.
Chen Dayong and Director Lei both frowned.
Li Zheng shook his head and said, "There's no need to remove tissue. I've already reserved some tissue. All we need to do is weave and suture it."
After saying that, Li Zheng pointed to a small strip of tissue at the bottom of the heart, which was probably less than two centimeters long.
At first, no one paid attention to it, thinking that Li Zheng forgot to deal with it when separating the pericardium. Now it seems that Li Zheng had planned it long ago and left it there on purpose.
Zhu Qidong gave a thumbs up and said, "Brother Zheng, you are really thoughtful."
Chen Dayong exclaimed, "Brother Zheng must have simulated the operation several times in his mind, thinking of every detail."
The person who was most shocked was Director Lei.
He looked at the small tendon tissue at the bottom of the heart. If an inexperienced or inconsiderate doctor had cut it off during separation, he would have never expected it to be so useful.
It is definitely a lie to say that Li Zheng has experience. This kind of operation may not be performed once in the entire province or even the entire country for many years, so no one can expect to have much experience.
However, for such surgical details, the surgeon really needs extremely meticulous surgical thinking, otherwise, it is easy to fall into a passive position.
Director Lei was completely convinced by Li Zheng. He was also thankful that he had been able to perform the operation. Otherwise, he would have missed such a wonderful operation and would not have realized the top surgical skills and thinking of a top doctor.
Today's operation was a baptism for me.
"Dayong, pinch the heart and turn it over gently." Li Zheng said.
After all, Chen Dayong has performed so many major operations with Li Zheng, and his mental qualities have long been tempered.
He calmly stretched out his hand, gently pinched the delicate heart, which was no bigger than an egg, and gently flipped it upwards to expose the tissue at the bottom.
Li Zheng picked up the absorbable suture and began to suture and tie the tendon tissue together, and soon a small ligament was formed.
Then, Li Zheng inserted the needle into and out of the reconstructed ligament, and then inserted the needle into the center of the diaphragm.
Chen Dayong felt relieved.
Li Zheng tied a knot and fixed the bottom of the heart to the diaphragm.
Immediately afterwards, Li Zheng began to reinforce the surrounding stitches.
"Brother Zheng, you said that the bottom of the heart is fixed on the diaphragm, but the diaphragm moves up and down when breathing. Wouldn't that cause tension on the heart?" Zhu Qidong asked. Although it was not appropriate to ask at this time, he still couldn't help it. What if Brother Zheng's surgical method was wrong? It would be better to change it in time!
Others also expressed doubts.
Li Zheng said as he operated, "Indeed, it will pull downward when you inhale, and push upward when you exhale. But it doesn't matter. When you inhale, the lungs also expand, pressing downward, and when you exhale, the lungs contract, creating more space upward. The up and down movement of the heart is consistent with the respiratory rate of the lungs, so it won't have any effect."
This explanation made everyone suddenly enlightened.
Zhu Qidong took a deep breath, as if trying to feel the movement of his heart.
"Brother Zheng, you are so awesome!" If he wasn't in surgery, Zhu Qidong would have wanted to bow down to Li Zheng.
Director Lei also sighed, "This isn't something you can learn from static anatomy alone. This is dynamic anatomy, something you can't learn in school. Li Zheng must have been reading a lot of books and magazines!"
Chen Dayong shook his head and said, "Anyway, I didn't see what magazines Brother Zheng was reading. I don't know if he read them secretly."
Zhou Wenming, the director of anesthesia, also paid close attention to Li Zheng throughout the entire process. He couldn't help but ask, "Li Zheng, I've never seen you perform surgeries so effortlessly before. You've really impressed me this past year!"
Li Zheng finished stitching, cut the threads, stood up, and said with a smile: "People will change!"
"But you have changed so much!" Zhou Wenming said with a smile.
Li Zheng shook his head and didn't continue chatting.
After fixing the bottom, the heart has good stability.
But Li Zheng's emphasis on performing surgery is to make it as safe as possible while ensuring safety.
He picked up the 5-0 suture needle and began to sew the connective tissue membrane outside the large blood vessels connected to the heart to the mediastinum, thus further stabilizing the heart.
The lungs are sandwiched on both sides, and after the chest wall is closed in front, stability is also achieved in the front.
At this point, the main operations of the heart reimplantation surgery are completed.
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