Chapter 377
Chapter 375: Chapter 178: The Extremely Difficult Clamp, Cardiac Arrest Strikes Again_2
It can be understood as half of the total volume of blood pumped by the heart.
The ascending aorta goes without saying.
It’s the equivalent of the arterial system.
The location where this arterial aneurysm has formed is extremely special, making the vascular clamping surgery highly difficult.
Some highly skilled doctors particularly enjoy taking on such challenging surgeries.
Zhou Can is still unaware of the specific treatment plan of Doctor Xue.
Since it involves vascular clamping surgery, even using three clamps may not completely close off this special aneurysm.
Moreover, it’s common for such large aneurysms to be accompanied by arterial wall sclerosis and plaque.
The most appropriate treatment is still to excise and replace it with an artificial blood vessel.
“Although this aneurysm is somewhat special, I’ve successfully completed clamping surgeries on aneurysms located at the intersection of blood vessels before. Now that we have a sufficient surgical field, the difficulty of the operation will be relatively reduced. With a good operation, two arterial clamps should be enough to complete this clamping surgery. Director Lu, you will use a temporary blocking clamp later to temporarily block this segment of the vessel.”
She made arrangements while repeatedly selecting the appropriate arterial aneurysm clamps.
These clamps come in a wide variety of styles and sizes, enough to meet the clamping needs for all arterial aneurysms.
It’s observable that Director Xue Yan conducts her work with great steadiness.
Not only did she choose the two most suitable arterial aneurysm clamps, but she also prepared three extra, in case of the need for contingency measures.
“Let’s start!”
She signaled to the first assistant.
“Dr. Guan, it’s okay to block for about a minute, right?”
She inquired about the anesthetist’s opinion.
“It’s totally possible. But to complete the clamping operation within one minute is quite difficult. And since we haven’t established an extracorporeal blood circulation pathway, I’m somewhat uneasy.”
Dr. Guan was still full of concerns.
An experienced anesthetist often witnesses many surgical accidents.
Many risks are unpredictable, and accidents often happen in an instant.
He has seen too many surgeons who were full of confidence before the operation, only to encounter accidents during surgery that put the patient in extreme danger.
“It’s okay, one minute will pass quickly. Don’t worry!”
Director Xue comforted him.
Since the surgeon had already put it this way, Dr. Guan did not say more.
Yet there was a look of worry between his brows.
“Block it!”
She signaled again to the first assistant.
Since she was years older than the assistant and giving orders during surgery, it indicated that this Director Lu was likely a Deputy Director.
Deputy Director Lu maneuvered the temporary blocking clamp with precision, implementing a precise blockage at the junction of the ascending aorta and head-arm trunk.
The difficulty of this operation was significant, a true test of the doctor’s skill.
He successfully completed the proximal end blockade.
Next, he performed a temporary blockage on the upper end of the head-arm trunk.
This effectively framed the aneurysm, cutting off any effective blood flow into it.
It equated to completely severing this section of the blood vessel’s supply to ensure greater safety during Director Xue’s clamping of the aneurysm.
The cooperation between both parties was in perfect harmony.
Director Xue’s operation was also incredibly precise.
In less than ten seconds, she had completed the task of clamping with the first clamp. However, placing the second arterial aneurysm clamp did not go as smoothly as she had anticipated.
The location itself was quite special; without completely blocking the blood flow through the entire aneurysm, the treatment would not be effective.
Hence, placing the second clamp was the toughest part.
A minute was a very short duration.
She kept adjusting but couldn’t reach a satisfactory result.
At this moment, it was equivalent to leaving the patient’s entire blood circulation…
Having no choice, as time was up, she had to place the second arterial aneurysm clamp.
“Let’s try restoring blood flow first! If it doesn’t work, we’ll adjust!”
Prolonged interruption of blood supply was very dangerous.
Any part that experiences ischemia will have cells die rapidly. A slightly longer duration can lead to extensive and irreversible tissue necrosis.
Upon restoring blood flow, everyone watched the clamped aneurysm with tension.
The main artery’s blood pressure was very strong.
As soon as the blood flow resumed, it began circulating rapidly.
A significant part of the arterial aneurysm had been clamped off, but there were still omissions.
With the blood forcefully gushing in, the aneurysm seemed to be enlarging.
Seeing this situation, Director Xue did not panic but observed the gaps in the clamping position calmly, contemplating a solution.
“We may need to use three clamps!”
It was as if she was muttering to herself, yet also discussing with other doctors.
“Using three clamps would indeed be more secure, and the operation would be easier. Sometimes Director Xue is just too kind-hearted, considering the patients too much.”
The first assistant agreed with her view.
His admiration for her character was profound.
From her actions in this surgery, it was apparent that she always considered the patients. She took all the risks upon herself.
They say appearances reflect the heart.
Her demeanor so gracious, still looking very beautiful in her forties, indeed speaks volumes about her kindness.
By using one less vascular aneurysm clamp, it could save the patient a considerable amount of expense.
“This patient’s family is under heavy financial burden, he himself is a food delivery worker and his wife is blind. They belong to the vulnerable group, we should help if we can,” she stated.
The poorer the family, the easier it is for them to encounter serious illnesses.
Some illnesses are the result of scrimping, others from overwork.
Poverty leads to them dragging their heels on seeking medical attention, reluctant to go to hospitals for check-ups, or to throw away food that has gone bad. There’s also the variety of terrible working conditions and the hard work without concern for one’s health, these easily allow serious diseases to befall them.