Doctor: It's reasonable to perform surgery on yourself.

"Huh..."

Omid took a deep breath, came back to his senses from his fantasy, and looked at the operating table again.

The next moment, his knife fell again.

...

Competition committee, judges' office.

"Lahar, the score summary is complete..."

"The first judge scored 89 points."

"The second judge scored 91 points..."

"..."

"The final comprehensive score is 89.5 points!"

The score recorder's voice sounded, but the judges present did not react at all.

They all stared at one of the screens, and several judges almost stood up excitedly several times.

Bei Mudong's eyes were trembling, "Xu, Xu Qiu... Can he really do heart, liver and lung transplants?!"

The other judges were even more shocked.

"The heart transplant of patient No. 1 is completed!"

"This is not a traditional whole-atrial heart transplant. It uses everted sutures. Why?"

"Yes, it looks like a traditional in situ heart transplant, but many details are different, and he actually performed a bicaval anastomosis!"

Xu Qiu's surgery shocked the judges... Behind the seemingly familiar operation, there are many subtle differences in the details, and the difficulty of many places is much higher than that of traditional in situ heart transplants.

"Is it for show?"

"You deliberately increased the complexity of the operation in the details, and want us to give them a higher score?"

The difficulty of the combined heart, liver and lung transplant has reached the top, but Xu Qiu is still raising the upper limit, provoking the acceptance limit of all judges...

"It's just for show, I can't give him a high score." A judge shook his head.

"He is different. Omid and Rahal both performed the surgery to get high scores, but Xu Qiu completely forgot that this was an assessment, and performed it as a real surgery, without considering the score at all... You can say that Xu Qiu is not capable, but you must not insult his white coat!" A righteous judge immediately defended.

"If it's not a show of skill, what else is it?" A black judge looked dissatisfied... Xu Qiu's ability is indeed outstanding, but he wants to show himself too much.

Heart, liver and lung combined transplantation is so difficult that it has been perfected by doctors in Miaoyou Clinic from generation to generation.

Although there are still some shortcomings, this is the result of the efforts of countless geniuses and experts.

He doesn't believe that Xu Qiu, a nobody, can improve heart, liver and lung transplantation to a more perfect level.

"Is this surgery one of those pediatrics he did in Daxia?" The black judge sneered.

"It's just showing off!"

"To modify the standard of whole heart transplantation for the sake of operating difficulty, in my opinion, it should be given a low score!"

Everyone was arguing, and they were about to reach a consensus.

But at this time, Bei Mudong suddenly slammed the table, he stood up angrily, but his eyes were still fixed on the No. 1 screen, and he said in a low voice: "You can't understand it, it's showing off your skills?"

"Chairman, what do you mean?" The black judge suppressed his anger... He is also the director of the department of Massachusetts General Hospital and the top surgical master in the country of berries. How can he not understand it?

Bei Mudong said slowly: "Do you know that there are several shortcomings of whole atrial heart transplantation that are still difficult to solve?"

"This... Of course I know. The first is that it is easy to have arrhythmia, and the second is that it is easy to have thrombosis. Both are unavoidable complications after heart transplantation. Especially the first one, it is one of the most important factors affecting long-term survival rate."

This is common sense in heart transplantation.

Healthy normal people will not have this problem because they only have one sinoatrial node.

This is the core structure that sends out impulses to control the heart, completes cardiac contraction and ejection, and is also called the cardiac pacemaker, or simply the starting gun.

However, after transplantation, the donor heart has a sinoatrial node, and the recipient itself has its own sinoatrial node...

It's like having two starting guns, which will seriously affect the pacing and contraction of the heart, leading to asynchronous atrial contraction, and sequelae such as arrhythmia in the long term, and even cause mitral and tricuspid valve regurgitation.

Thrombosis is also one of the complications.

The internal mechanism is that the edge of the suture protruding into the atrium will cause vortexes in the atrium, increasing the rate of thrombosis.

Bei Mudong's eyes became deeper and deeper, and he said in a low voice: "Xu Qiu has completed the improvement.

"The bicaval anastomosis allowed him to remove the extra sinoatrial node of the recipient, leaving only the healthy one in the donor heart...

"And the eversion suture method also places the suture buried in the atrium on the outside - although the difficulty of the operation has increased sharply, it has completely solved the complications of thrombosis caused by vortex flow!"

At this moment, the office was quiet.

Everyone was stunned. They carefully recalled everything Xu Qiu had done, and suddenly woke up after a long time.

"Really...improved?"

"In the 70 years of Miaoyou Clinic, countless renowned human geniuses have been working hard for this, but Xu Qiu has taken such a huge step alone?"

"Why, why!"

"He can really do the operation on Patient No. 1!"

At this moment, no words can describe the shock in everyone's hearts.

The original sentence "Could he be better than all the doctors in Miaoyou Clinic" is now about to become a reality...

...

In the sixth hour of the operation, the heart transplant was completed.

Then came the double lung transplant.

However, additional treatment is required before this.

This is also one of the differences between heart, liver and lung transplantation and separate heart transplantation and double lung transplantation.

After heart transplantation, the patient's circulatory function has two characteristics.

First, the donor heart is completely denervated after transplantation, just like the lungs are completely denervated after double lung transplantation. At this time, the corresponding organs will not release neurotransmitters at the nerve endings within twelve hours.

The second point is that the donor heart has experienced complete ischemic damage before transplantation, and the heart will inevitably be depressed due to ischemia, resulting in a decrease in myocardial contractility...

If the subsequent operation is performed according to the original anesthesia plan, the patient will inevitably die on the stage.

However, it is a severe test for anesthesiologists to reverse the defects of the hemodynamic system!

Each patient's condition is different, and the changes during the operation and the state after the completion of the heart transplant are very different. It is extremely difficult to judge the amount of drugs to be used in a short time.

"Central venous pressure 6mmHg..."

"Blood pressure 93mmHg..."

"Heart rate 86 beats per minute."

"Urine volume 73ml per hour..."

The anesthesia team stared at various instruments and data. Several people sat together and discussed and calculated fiercely, studying which drugs to match and what dosage.

Just when the anesthesia team was in a state of panic, Xu Qiu's voice sounded again.

——

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