In order to ensure that Song Hanhui no longer steals snacks, the nurse emptied all the snacks in the bedside table and told Lao Song to firmly tell Song Hanhui that he must strictly abide by the time of fasting and drinking, and he must not steal food again, and he can't drink a sip of water.

In the evening, Lao Song's wife Yao Xiurong went back to Sanbo Hotel to rest, and Lao Song stayed to accompany his son, so the arduous task fell on Lao Song's shoulders.

After the nurse cleaned up the snacks, Lao Song searched carefully again, under the pillow, in the quilt, the pillow and the quilt could not be opened, Lao Song also touched it with his hands, and even looked under the bed a few times, so he was relieved.

Song Hanhui was also embarrassed, and repeatedly promised that he would not steal food again, but what is the use of guaranteeing, without strict supervision, he may relax his mind at any time and repeat his mistakes.

The little fat man had just finished making a guarantee, and the muscular man in the adjacent bed found a piece of chocolate in the cabinet under the sink in the bathroom.

This made Lao Song very speechless, and he had no choice but to prepare to stare at him all night.

"That's what I hid last time, and I forgot to take it out." The little fat man blushed and defended.

Of course, days without snacks are very sad, even if it's a short day.

The night was uneventful, Song Hanhui woke up at six o'clock, tossing and turning in bed, his mind was full of snacks, but he tried to hold back.

This obsession with snacks once made the doctor in charge think that he had diabetes, and the three symptoms of diabetics - eating more, drinking more, and urinating more, among which eating more is very consistent with the little fat man, but the blood sugar in the preoperative examination is normal, and even the increased glucose tolerance test did not find a problem.

"Daddy, hungry!" The pitiful tone of the little fat man.

"Bear with it if you're hungry!" Lao Song comforted his son.

Lao Song was about to take a belt to tie his son's stomach, when the nurse came over to hang a bottle of liquid for the little fat man, Lao Song asked, this bottle of liquid is a medicine to protect the stomach and make acid, so that he will not feel hungry on an empty stomach.

Persisting until seven o'clock, the nurse began to take preoperative vital sign measurements, and the little fat man finally waited for the operation.

"He did the standard Fontan procedure."

Academician Wang reminded,——

The poor little fat man, lying on the operating table preparing for anesthesia, kept asking when he could eat after the operation.

It was as if for him, surgery was not a big deal, what he could eat was the top priority.

This reminded Dr. Leung of his childhood memories, and it seems that people who can gain weight have one thing in common - that is, they must have a good appetite, and it is no wonder that gastric bariatric surgery is now popular.

Liang Fatzi was once more distressed about his obesity, and even asked his classmates to contact the best doctor who did the "gastric incision and weight loss" surgery, and accurately used surgery to solve the problem, but then the fat man insisted on exercising and finally lost weight, so he gave up the idea of surgery.

Dr. Liang told Song Hanhui that he could eat 6-8 hours after surgery, and Song Hanhui closed his eyes with satisfaction: "Let's go under the knife!" ”

"How long does the surgery take?"

It was also the first time for Liang Fatzi to see the professor doing this kind of operation, and he couldn't make an accurate judgment on the operation time, but Yang Ping was not in the operating room at this time, and he might have walked away temporarily.

Li Zehui, Academician Wang, Director Chen, and Director Xin next to each other looked at each other, and based on their previous experience, they did not dare to judge Yang Ping's operation time, because it would be very different from the usual operation speed.

"It usually takes more than 20 hours, I don't know -—— Professor Yang" Professor Chen can only provide an ordinary time as a reference.

Liang Fatzi said without thinking: "I understand." ”

It generally takes twenty hours, and it is conservatively estimated that the professor's operation time should be about five or six hours, so that the fat man has a reference for the dosage of anesthetic drugs and the planning of anesthesia time.

After anesthesia, set up a good position, routinely disinfect the sheet, and everyone follow the routine steps without hurrying.

Academician Wang found that in the operating room here, no matter what kind of operation, their expressions are always so plain, and they always have a normal heart, as if everyone has been accustomed to all kinds of surgeries.

The anesthesiologist is always in a good position, with his legs crossed in cropped pants, and the itinerant nurse can arrange the operating room in an orderly manner in the chat, and the whole team seems to be very casual, but the actual cooperation is very tacit.

This time, Academician Wang and Professor Chen did not come to the stage, they just watched from the audience, and Song Zimo and Xu Zhiliang were assistants.

Academician Wang understands that as a surgeon, aging is a huge disadvantage, which means that both the reaction speed of the brain and the sensitivity of the hands have declined, which will only delay the operation.

Since Academician Wang took the initiative to be offstage, Professor Chen had no reason to go on stage again, and he also followed Academician Wang on the stage.

Because of his stay in Sanbo Hospital for the past few days, Professor Chen has seen the surgeries of Song Zimo and Xu Zhiliang, and compared with them, Professor Chen has to classify himself as "old" even if he is only in his forties.

The surgical ability of these two young people is really strong, especially Song Zimo, his basic surgical skills and proficiency in anatomy seem to have undergone some kind of special training.

Yang Ping and his team really had a lot of tacit understanding, and between a few small talks, the operation had begun.

The engineering of this surgery is huge, and Yang Ping still chooses the brightest sternal median approach, and the thoracotomy is stretched open, and the bilateral lungs and the pericardium located in the right thoracic cavity are exposed in the wide surgical field.

"I've had three surgeries before, and there must be adhesions and anatomical blur, pay attention!"

Academician Wang kindly reminded that adhesion is the mortal enemy of surgeons.

The pericardium is the coat of the heart, it wraps the heart in it, Yang Ping adjusted the direction of the electric knife in his hand, and with a wisp of light smoke drifting into the straw, after a sizzling sound, the pericardium was opened, and it was completely opened at one time.

A small amount of the burning smell of the electric knife leaked out, and the stench could be smelled through the mask.

Academician Wang's experience does not seem to be of much help to Yang Ping, even if there is adhesion, the cutting of the electric knife is merciless, and it will not suffer from gains and losses, but it is in place at one time, but it is just right, just cut the heart bag, and stay on the surface of the epicardium.

The electric knife is the use of thermal effect for cutting, its damage has a range, if the grasp is not accurate, it is easy to cause unnecessary secondary damage.

Therefore, when using the electric knife for cutting, you must be familiar with the damage range of the electric knife, the thermal damage range of the electric knife decreases with the distance, and it has a certain relationship with the type of target tissue, few people can use the electric knife for precise cutting, because it is not a precision cutting tool at all, and the cheapest precision cutting tool is the ordinary sharp knife, and the high-end laser knife.

With the crude tool of the electric knife, Yang Ping has also been able to cut the heart bag without damaging the epicardium, which shows that the electric knife has reached a certain level.

After opening the pericardium, Yang Ping replaced the electric knife with an ordinary sharp knife, because the defect of the electric knife may lead to serious consequences in the next operation.

The beating of the heart relies on a series of electrophysiological support, and the "wires" responsible for electrical signal transmission -—— conduction bundles, they are buried inside the myocardium, and cannot be seen by the naked eye.

At this time, in order for the heart to beat, only a permanent pacemaker can be installed.

That is, the heart loses the ability to beat itself and must rely on a pacemaker to help, and it needs the help of a pacemaker for the rest of its life.

If the heart is normally dissected, an experienced doctor can rely on the knowledge of normal anatomy to make a rough judgment about the direction of the conduction tract and try to avoid the conduction tract.

However, this is a malformed heart, and it has been operated on three times, and the large blood vessels are translocated after three operations, so normal anatomical knowledge is of little use.

In order to avoid the conduction beam as much as possible, Yang Ping used a finer sharp knife to cut and separate.

Sharp separation is the most accurate way to separate, and sharp knives are the best tool for sharp separation, precision means sharpness, which can be difficult to control.

Therefore, the use of sharp knives in dangerous areas requires advanced surgical skills.

Originally, the laser knife is more accurate than the sharp knife, but the laser knife also has thermal damage, although it is very weak, which Yang Ping cannot tolerate, even a slight thermal damage may theoretically damage the conduction beam.

The sharp knife in Yang Ping's hand lightly picked open the adventitia of the heart, and the myocardium was exposed from the open adventitia, and the situation inside was very complicated, the heart and large blood vessels were originally deformed, and then after three surgeries, the relationship between various positions has been complicated.

Academician Lian Wang himself saw the heart on the screen, and his eyebrows were locked, which was very tricky and made people's scalp tingle.

Removing all of the original surgeries and reconstructing eight structures is a terrifying and inaccessible cardiac surgeon.

"He did the standard Fontan procedure!"

Academician Wang reminded in time.

Needless to say, just this one sentence, so that Yang Ping knows how the surgery was done at that time, which parts of the operation were operated on, what treatment was done, and what state it may be now.

"Preparation, cardiopulmonary bypass, cardiac arrest!"

Yang Ping ordered.

In fact, the cardiopulmonary bypass team of Sanbo Hospital did not have much experience before, because there were relatively few heart surgeries, but since Yang Ping carried out heart surgery, they have received more and more jobs, and they are all high-quality jobs, so they have accumulated more and more experience.

Feeding is the only way for any doctor to grow.

Soon, cardiopulmonary bypass was turned on and the heart was arrested.

"I'm going to start dismantling the original surgery!" Yang Ping told his assistants to be mentally prepared.

——

Family waiting area in the operating room.

Song Hanhui's mother, Yao Xiurong, was restless, always walking around, sometimes bowing her head to wipe the tears from the corners of her eyes.

But Lao Song's nerves are relatively big, and his attitude towards his wife is diametrically opposed, and he is now sitting in the family waiting area humming, shaking his head, as if he is not in a hurry at all.

At this time, normal parents must now be as anxious as ants on a hot pot, restless, and restless.

This is because the child will most likely not be able to get off the operating table.

"Why aren't you in a hurry?"

Yao Xiurong was very dissatisfied with Lao Song's "bad" attitude, but he couldn't help it, he was like this every time, no matter what he was anxious about.

"What's the use of being anxious, it's good if you're in a hurry? What kind of things can be solved in a hurry? Isn't there a doctor in there, let's just wait. Lao Song felt that his wife was a little ineffective and anxious, and it was useless to be in a hurry, and sometimes he was unhelpful.

"Then you can't hum a song."

Yao Xiurong complained, her heart was up and down, Lao Song was good, humming here, as if it was not his son who had surgery inside.

Lao Song said disdainfully: "I don't hum songs, I'm crying and grabbing the ground, that's a qualified father?" What's the use of me being in a hurry? Whether the operation was successful or not has nothing to do with whether I am in a hurry or not, but I have to stay calm, do you understand? If I hadn't calmed down, my son would have been able to find such a good doctor now? What kind of relative said that going to South Korea for surgery can be cured, you still urge me all day long, I don't agree, you also say that I am afraid of spending money, and I don't have to think about it, South Korea is so big that a country with mung beans can have a few high-level doctors, even if there are, how many surgeries can be done a year, breast augmentation and the whole butt are almost the same, and the heart is done? Can they? I don't want to scold you and make trouble all day long, it's not that I have strategic determination, and I've been looking for Professor Fuwai Wang to see how I have the opportunity to come here for surgery. ”

"This is not called humming, this is called strategic determination, do you understand."

"Are you still angry?"

Yao Xiurong is not easy to scold, because the old Song sentence is reasonable.

At that time, Yao Xiurong was in a hurry, desperately urging Lao Song to take the child to South Korea as soon as possible, but they also went, the Korean doctor suggested that the operation should be done quickly, Lao Song resolutely disagreed, coming to South Korea is just his wife's wish, saving every day, he still believes in the level of Chinese doctors.

So Lao Song asked how many such surgeries there were in South Korea every year, and they were hesitant.

Later, Lao Song ignored his wife's crying and resolutely refused to operate in South Korea.

"In the past, when we bought a house in the magic capital, what did our relatives say, what did we say to buy a house in the magic capital, it was so expensive, it was a waste of money, it was better to save money to eat interest, retire and go back to my hometown to buy a house for the elderly, it's not that I bought a house with a loan, and stayed up for so many years to pay off the mortgage, how much does the house go up now? This is called strategic vision, don't be blind all day, you must have strategic determination and strategic vision, you, just listen to me about anything, your husband's head is still good. Old Song pointed to his round head.

"Wife, don't worry, don't mess up, you know? Now leave everything to the doctor, we wait patiently, whether it will work or not, it is not up to us to say whether it will work or not, you can be quiet for a while, you know no. ”

Lao Song crossed Erlang's legs again and began to hum.

"Can I not be in such a hurry? Why don't I knock on the door and ask? Why don't you call Professor Wang and ask about the situation inside? Yao Xiurong asked worriedly.

Lao Song Xun said: "You are adding chaos, how long have you been in, we are waiting quietly now, cooperating with the doctor at any time, you should sign and sign, understand?" ”

Yao Xiurong nodded, but she was still panicked.

(End of chapter)