Chapter 2306

In Duomingge·Baoluo's view, the day's sunshine was no longer bright and lovely.

He had just become the king of Shou Bing in cardiac surgery, yet he hadn't had time to stir up a big wave in academia and crown his own king before having to face the challenge of another practitioner whose skill was not inferior to his.

It was just that Duomingge·Baoluo's curiosity outweighed his worry.

In his view, interventional surgery could absolutely not accomplish the treatment of dilated cardiomyopathy.

He began to review the video materials left by the practitioner in the livestream room; various Shou Bing were extraordinarily brilliant.

Although the percentage of Shou Bing related to cardiothoracic surgery was not high, the fact proved that whether the practitioner in the Surgery Livestream Room was an individual or a team, the level was extremely high.

If one were to perform the Baptista surgery, Duomingge·Baoluo thought the other side had a chance of success. But interventional surgery for end-stage dilated cardiomyopathy…

As for this kind of procedure, Duomingge·Baoluo had never figured out how to do it.

As dusk fell, he didn't even have an appetite for dinner; the fire of curiosity in his heart had already ignited his whole being.

He had a laptop in front of him; he had looked at the patient's data countless times. The patient's condition was extremely severe; Duomingge·Baoluo calculated that if he were to perform the Baptista surgery, he would need to cut away about 400 grams of myocardium.

This fell within the forbidden zone of Shou Bing; a 20% mortality rate had already surged to almost 100%.

If it were him choosing, he would definitely refuse to give this patient surgical Shou Bing. No matter how much money the patient's family donated to his medical center, he would unhesitatingly refuse to perform this Shou Bing with a 100% mortality rate!

After all, no one hopes that the patient they painstakingly perform Shou Bing on will not only fail to prolong life, but will die during the postoperative critical period.

How should the practitioner in the Surgery Livestream Room do it? This question kept swirling in Duomingge·Baoluo's mind.

After thinking about it countless times, he finally judged that this was an impossible procedure.

Interventional surgery, applied to the heart, mainly involves dilating the coronary Blood Vessel, sealing insufficient valve closure, and opening narrowed valves.

These Shou Bing all have internal logic; interventional surgery is a Shou Bing technique that does not cause major trauma.

However, end-stage dilated cardiomyopathy requires removing a large amount of dilated and hypertrophic myocardium; logically speaking, interventional surgery is fundamentally unsuitable.

He refused all administrative activities, didn't go home, and instead quietly waited for the start of the Shou Bing.

Time ticked by; at 21:50, the image of the Surgery Livestream Room lit up.

Double Operating Fields appeared before Duomingge·Baoluo.

According to the earlier brief introduction, Duomingge·Baoluo knew that the Shou Bing was performed under DSA guidance, combining Interventional surgery with a small incision open-chest approach.

Two Operating Fields were as expected.

Although he thought interventional surgery could not accomplish everything that the Baptista surgery could, he still had a bad premonition in his heart.

It's nothing else; it's just because this is a livestream Shou Bing!

If the operator lacks absolute confidence, who would dare to perform a Shou Bing destined to be a "failure" before the whole world's peers?

Duomingge·Baoluo sent all his assistants home and stayed alone in the studio. The quiet night let him almost hear his own heartbeat.

There are still several Minute before the Shou Bing starts, Duomingge·Baoluo stood up and brewed a cup of coffee.

Returning to the computer, a number came into view.

The number of people entering the live broadcast room has already exceeded six figures, meaning that over 100,000 doctors worldwide are watching this Shou Bing.

And as the time approached, this number continued to surge.

Almost every second the number was rapidly refreshing; this was the most simultaneous viewers of a Shou Bing in Duomingge·Baoluo's memory.

It seems everyone is very interested in the novel technique of Interventional surgery.

Duomingge·Baoluo watched silently; to him this was a reckless Challenge, a Challenge to the dignity of his own king.

Time finally arrived at 22:00 sharp, the Shou Bing began.

The first Operating Field remained still, while the second Operating Field first performed an opening-chest Shou Bing.

A small incision on the left chest, about 6 cm, the sharp surgical knife cut the skin, fresh blood slowly oozed out, making the whole scene look more textured. At that moment, Duomingge·Baoluo almost smelled the scent of fresh blood.

The surgical knife is not standard; every time Duomingge·Baoluo saw the graceful arc of the Willow Leaf Blade, he felt a bit envious.

Such a blade is worth 233 dollars, and moreover it cannot be used just because one wants to; this kind of blade needs to be custom-made.

What a luxurious operator, Duomingge·Baoluo thought to himself.

The fresh blood had just welled up, and the assistant's gauze fell onto it. Soaking up the blood, wiping clean, the electrocautery went papapa a few times, and the hemostat began Blunt Dissection of the subcutaneous tissue and muscle.

Just from the opening-chest view, everything was perfect.

Opening the pleural cavity, expanding the Operating Field, single-lung ventilation had already been carried out.

At the same time, the first Operating Field lit up; as the surgery opened the mediastinum and exposed the heart, a guidewire entered the Vein from the neck Vein, then reached the right atrium, and passed through the tricuspid valve into the right ventricle.

From the operator's perspective, Duomingge·Baoluo saw a huge heart before his eyes. Because the incision was relatively small, he could not see the heart in its entirety.

Duomingge·Baoluo immediately placed himself in the Shou Bing process; if it were him, he estimated he would already have begun preparing extracorporeal circulation.

At that moment, in the first Operating Field the guidewire had already reached the part of the right ventricle near the ventricular septum.

The Gaiding tube with a J-shaped curvature was placed on the ventricular septum; the operator of the Interventional surgery then placed a fixed anchor and immediately began puncture.

What did they want to do? Duomingge·Baoluo was stunned.

On the DSA-guided screen, with Clarity one could see the huge left ventricle beating vigorously. And the Puncture Needle had already pierced the ventricular septum and entered the left ventricular cavity.

Because of dilated cardiomyopathy, the patient's left ventricular cavity could be called huge.

How childish, Duomingge·Baoluo thought.

It seemed the operator intended to use the Puncture Needle to penetrate the entire left ventricle; Duomingge·Baoluo still had no idea how to do it.

But this step, he judged the chance of success to be extremely slim.

Because the puncture needs to enter the J-shaped tube, the Puncture Needle has strong elasticity and is not a straight, rigid steel needle.

Although the patient has dilated cardiomyopathy and the ejection fraction Score is reduced, with the heartbeat the blood flow speed inside the left ventricle remains extremely fast.

Under the impact of high-speed blood flow, the flexible Puncture Needle absolutely cannot stay straight to reach the position the operator wants.

Duomingge·Baoluo truly had no idea what the operator was thinking!

Although he didn't understand the operator's meaning, just from this step, at least an extracorporeal circulation needs to be established, letting the heart stop beating, for the puncture to succeed.

What the operator did was simply too childish!