Chapter 1038: Surgical New Approaches
Create an artificial blood vessel to connect the right atrium and the obstructed end of the inferior vena cava, bypassing the blockage.
Another doctor suggested further ideas based on the realistic scenarios.
âIt doesnât have to be atrial-caval shunt, it could also be intestinal-atrial shunt or splenic-atrial shunt. Because itâs uncertain which method is better, they use TEE to estimate which surgical procedure would be most beneficial for the patient.â
Intestinal-atrial shunt and splenic-atrial shunt, just like atrial-caval shunt, as the names imply, only differ in that the end of the inferior vena cava is replaced by the superior mesenteric vein or splenic vein to connect with the right atrium, likewise creating an artificial blood vessel to bypass the obstructed segment.
âWhat you all say makes sense, but if Dr. Taoâs team wants to try this, I think they can be a bit bolder with their thinking. They can attempt to combine these various shunt procedures.â
This speculation might be the ultimate answer.
There have been many research papers published on shunt procedures and Buja syndrome. Colleagues discussing this are by no means unfamilar with it and are confident that whatâs being done in the surgery is definitely a shunt procedure.
It seems that colleagues from the nearby hospital have reached a consensus, but the area where the Guoxie surgeons are seated is almost silentâa deep solemnity of professionalism permeates the atmosphere.
In truth, they were just as stunned internally by this unexpected surgical scene as their colleagues from outside the institution.
The main reason is they had never seen their own Hepatobiliary Surgery Department perform such bold and unorthodox surgical methods. Those in the Hepatobiliary Surgery Department are conservatives, never expect them to pull off something seemingly incomprehensible in a surgery without an emergent situation. Besides, even though not discussing Hepatobiliary Surgery, itâs unlikely anyone from other departments would dare to do so.
âIs it Tao Zhijie performing the surgery?â Yu Xuexian doubted, turning his head to quietly ask the people from General Surgery Department Two. As an internist, he rarely wandered into the operating room and wasnât as familiar with Tao Zhijieâs surgeries.
The individuals from General Surgery Department Two seem to exhibit a hesitant expression.
âItâs Student Xiao Xie,â Sun Yubo let out, then realizing he might have spoken out of turn, quickly covered his mouth and nervously glanced over at Tan Kelin, worried about being scolded.
Tan Kelin wasnât particularly fond of letting his proud disciple show off.
âWho did you say? Xie Wanying?â Yu Xuexian thought he heard wrong and turned to ask Zhu Huicang again, âThey say itâs her, do you know?â
Zhu Huicang shook his head, looking back at him: How could I know? I canât see without being in the operating room, how could I know the exact situation inside.
General Surgery Department Two is talking nonsense, Yu Xuexian thought.
Some doctors from the opposite hospital who enjoy speaking at length were very excited by the discussion, as if intoxicated by their own ideas, they continued to debate incessantly.
âDr. Tao is experimenting on different blood vessels to discern which vesselâs connection has the least impact on the heart and is most in line with the patientâs original hemodynamics. Once a new vascular connection is established, it essentially creates a major lateral circulation, which can reduce the risk of severe hemorrhage during surgery to the lowest possible. Because, apparently, there is something up with this patientâs heart.â
These speakers, one by one, seemed to turn into worms inside Tao Zhijieâs belly, believing they understood his surgical thinking very well and loudly praising Tao Zhijie.
âThis is a new thought process we hadnât considered, broadening our surgical thinking. Dr. Tao, as a nationally renowned middle-aged expert in hepatobiliary surgery, seems set to broaden our horizons today.â