Not surprisingly, being a bystander is always helpful.
When surgeons occasionally encounter difficult problems and are really stuck in their thinking, they will also ask the anesthesiologists. Because anesthesiologists and nurses stay in the operating room every day and watch many surgeries, they may be able to come up with some ideas to inspire the surgeon.
Doctor Mo hesitated.
Shen Youhuan went closer to see what was happening inside the surgery area.
After reading it, he blinked his eyes: the mitral valve of this patient has become a strange shape. It is difficult to tell whether the original valve was not installed well enough, resulting in a bad connection after removal, or whether other lesions occurred in these parts of the patient's heart, leading to the current result.
The current surgical situation is relatively rare, so it’s no wonder that the surgeon needs to stop and think carefully about the next step.
"Yingying, what do you think?" Shen Youhuan didn't care about anything and didn't think about whether to save face or not. He directly asked his junior sister whose thinking was different from ordinary people.
The senior brother asked, and Xie Wanying said based on her own observations: "I think this patient has myocardial hypertrophy and compensatory ventricular and atrial hypertrophy. If we really want to repair this area, making a cut may be the key to solving the problem. Teacher Du may have this idea."
After hearing what she said, a group of people almost cried out in surprise: A drastic move?
...
...
Du Meng'en squinted at Zhang Shuping to express his surprise: Are you saying this person is a girl?
Zhang Shuping shook his head to indicate that he didn't know. He only remembered that his uncle could use one word to describe whether a surgeon was good or not: bold but careful.
It is a bit difficult for young doctors to be bold and careful. Young female medical students are relatively timid, but they can pay attention to details. Male medical students are prone to not being careful enough, but they are more daring to try. Xie Wanying is different. Most teachers say she is bold.
The prerequisite for being bold and daring to do something is that you must have sufficient technical skills, otherwise it will become reckless.
The most terrifying thing was that Doctor Du, who was standing next to the operating table, had a calm expression and was not surprised, which showed that Xie had once again figured out the surgeon's intentions.
Shen Youhuan nodded. The junior sister's words were supported by certain data, and it was not just nonsense. The medical record of this patient showed an enlarged heart shadow. For patients like this, as Xie Wanying said, since there is compensated pulmonary hypertension, compensatory ventricular and atrial hypertrophy is a very normal thing.
The question is whether this compensatory change is reversible, and whether the doctor needs to make a special cut to modify it. If it is excessive, the doctor will make unnecessary cuts, and what if the effect is counterproductive after the cut and the valve is installed?
For example, Zhang Huayao believed that pulmonary hypertension was reversible and did not need to be treated for the time being. During the discussion before the operation, we did not focus on this, which means that we initially judged that this place should be a reversible lesion, so there was no plan to perform unnecessary surgery.
The human body is not a simple machine and has the ability to self-repair and adjust. Doctors should not underestimate the body's own repairman.
Because of this, the surgeon was hesitant and needed to seek more evidence.
"Tell me more about why you have to make a cut." Du Yeqing asked.
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