Turning his head to look at the operating table again.
The surgery had now reached the critical stage.
The surgeons exerted great effort to remove the old artificial mitral valve from the patient’s stopped heart, which was stubbornly stuck with blood clots.
The doctors had to cautiously remove it to avoid leaving any clots behind. Otherwise, once the heart resud pumping, the clots could be propelled by the heart’s blood flow, inevitably causing a pulmonary embolism or cerebral thrombosis.
In the corner, Du ngen and Zhang Shuping stood until their ankles were sore; it’s not easy being dical students. Observing and learning here without working, the more they watched, the more anxious they beca, yearning for the surgery to end sooner than anyone else. In reality, during a surgery, technical displays were rare, and dical students typically saw doctors having to grind away slowly like this. They must be ticulous; a single careless mistake could bring many postoperative problems to the patient.
Doctor Du Yeqing was conservative and would execute each surgical detail more ticulously within a limited ti.
Rubbing his own sore neck, Du ngen realized he had no interest in becoming a cardiothoracic surgeon. Cardiothoracic surgeries were too long and torturous. In comparison, gynecological routine surgeries were relatively short, and obstetric procedures even shorter.
Zhang Shuping, standing beside him, had a stiff face, obviously enduring the strain.
"Sothing’s off here," murmured the surgeon on the table.
"What’s not quite right?" Du ngen asked Student Zhang, who was relatively knowledgeable.
Zhang Shuping, rely an intern and usually not interning at his uncle’s hospital, rarely saw such surgeries; after pondering for a while, he replied, "Is it, the valve opening is the issue—"
The valve opening? Student Zhang probably referred not only to the valve’s opening but more to the section where the valve was located.
While removing the faulty artificial valve, the surgeons needed to simultaneously consider what type of valve to use next, exploring the surrounding environnt of the valve site to choose the appropriate valve type was essential.
In simple terms, artificial valves are roughly divided into chanical and biological types. The previous patient had used a chanical valve that caused issues. Logically, when sothing doesn’t work, you might switch to the other type, possibly opting for a biological valve to prevent the sa problem from happening.
However, in dicine, problem-solving never follows such a straightforward thought path.
Firstly, let’s review why this patient chose a chanical valve in her first surgery.
The surgeon who perford the first surgery should have known that this patient was a young woman with pregnancy needs. chanical valves require long-term use of anticoagulants like Warfarin postoperatively, which can easily cause thrombosis and affect her ability to conceive. These disadvantages suggest that a chanical valve might not have been the best choice for a young woman with such needs.
For this patient, the special hypercoagulable state during pregnancy caused the chanical valve to beco clogged with blood clots, necessitating urgent reoperation.
Does this an the doctor who perford the first surgery was inconsiderate of the patient’s needs?
On the contrary, preoperative cardiothoracic surgeons customarily explain the various valve options to the patient. In other words, as long as the patient’s physical condition allows, the choice of valve can be entirely up to the patient. The reason for letting the patient decide first is that the patient considers the economic costs. How much they are willing to spend on treatnt is beyond the doctors’ decision.
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