There are two types of surgeries: one is surgery under a clear diagnosis, and the other is surgery to find out the real cause of the disease, which is equivalent to a doctor taking the patient to fight death. Due to the deterioration of the medical environment and the deepening contradiction between doctors and patients, clinical surgeons now dare not even think about the latter and would rather stay away. It is better to do nothing than to do it poorly, which has quickly become the general rule of most clinical doctors.
"Use thoracoscopy - what if nothing is found?" Cao Zhao asked.
God, this man is really like a devil when he asks questions. Pan Shihua was extremely anxious, thinking that this bastard's words were like forcing Xie to jump off a cliff.
Duan Sanbao's lips seemed to curl up as he buried his head: This is the nature of this man, otherwise how could a man who plays with others become a big boss in pediatrics.
If thoracoscopy cannot detect the disease, it will be a dead end.
Xie Wanying's face hardened for a moment, and she said, "We can definitely find out."
Junior sister, don't be so stubborn, you are so confident, Luo Jingming shouted in his heart.
It is impossible for the senior doctors to believe her "nonsense" just because of her confident words.
Wrong, what happened next was beyond everyone's expectations.
...
...
"I believe you can find it out, but I also believe that you will definitely fail." Cao Zhao said.
The air was filled with dead silence, and everyone's brain froze for a moment.
Brother Shenxian speaks like a god. His mouth is not as sharp-tongued as Boss Zhang's, but he makes people more embarrassed than Boss Zhang.
Xie Wanying quickly realized where she was wrong and asked, "Teacher Cao, can't the tibialis capitis surgery be performed under thoracoscopic surgery?"
Yes, her mind worked quickly, and she immediately realized what he meant. The black vortex in Cao Zhao's eyes sparkled.
First of all, we need to see what kind of thoracoscopic surgery it is. The so-called thoracoscopic-assisted surgery is definitely not as good as the full thoracoscopic surgery, and it is suspected of being a false propaganda. There are very few types of heart diseases that can be treated with true full thoracoscopic surgery.
The simplest example is that children under three years old whose weight does not meet the threshold can basically not expect to undergo full thoracoscopic cardiac surgery. One thing to distinguish here is that this refers specifically to cardiac surgery. Cardiac surgery is not like thoracic surgery such as lung, mediastinum, and esophagus. The first thing to do is to solve the problem of extracorporeal circulation. If the weight is too low and the diameter of the femoral artery and vein is too small, how can you meet the needs of extracorporeal circulation? Secondly, after the thoracoscope enters the patient's body, its visibility and operability for cardiac surgery are limited. This makes many types of cardiac surgery impossible. Specifically, the approach to cardiac surgery that can generally be performed with full thoracoscopic surgery is best solved by entering from the left atrium or right atrium.
For example, for this child, if it is true that his head muscle is ruptured as you said.
When it comes to the solution to a ruptured Ru capitis, the first thing that comes to mind is to directly repair the Ru capitis, but this cannot be done under full thoracoscopy as it goes deep into the ventricular wall.
Another way may be to do it with full thoracoscopic surgery, discarding the Ru head muscle. Anyway, the Ru head muscle has the greatest impact on the mitral valve activity. Simply replace the mitral valve with a mechanical valve. We have seen that mechanical valve surgery does not require the use of the Ru head muscle. It happens that the relatively simple mitral valve replacement can be done with full thoracoscopic surgery. However, in this case, the patient will need to take medication for life, and may need a second surgery like the last patient.
In comparison, repairing the Ru capitis muscle is definitely the first choice, and total thoracoscopic surgery is out of the question.
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