The most important thing is that it does not require splitting the sternum or cutting off the ribs, causing little damage to the bones and causing little harm to the human body. These are all advantages. It can be called minimally invasive surgery.
However, this type of incision is mostly used in pediatrics, and the proportion in adults is very low. This is because the chest of adults is enlarged. When the incision is made on the right side, the heart is very deep. It is difficult for the doctor to see the deep place and it is also difficult to operate. These restrictive conditions make it impossible for obese patients and tall and strong male patients to be suitable groups for this surgical method. Thin adult male and female patients can try it.
The technical development of medical doctors is not achieved overnight, but progresses gradually. As before, this type of incision surgery was only performed on children under ten years old. Later, it gradually developed to the age of 18, and now some hospitals dare to use it on the above-mentioned types of adults. The expansion of patient age and physical fitness is one aspect. On the other hand, doctors have expanded the incisions for this type of surgery from simple heart disease surgeries to some complex heart surgeries.
Since right-side incision surgery is more difficult than median sternotomy surgery, doctors who can do this type of incision surgery must be technically superior. Not all cardiac surgeons can perform right-sided incision surgery.
Specifically, how difficult is this operation and how difficult it is. At a well-known cardiac hospital like Guozhi, it was once revealed that a doctor suggested that right-side incision surgery was not good, saying that right-side incision surgery would cause scoliosis in children.
What problem caused this? Theoretically speaking, the surgery does not involve cutting off the ribs, but only operates through the muscles between the ribs. The spine is not injured, and it is impossible to cause spinal problems.
There is only one possibility. Due to difficulties encountered during the operation, the operation time was extended and the surgical field was forced to be exposed to the maximum extent. As a result, when entering from the right side, the muscles were pulled hard and involved in the spine, causing the small joints related to the patient's spine to be damaged. If it is out of touch, postoperative complications are bound to occur. To put it bluntly, it's not that this surgery has any drawbacks, but that it's a question of whether the doctor's skills are good or not. During the operation, it is necessary not only to control the occurrence of complications, but also to successfully complete the operation in this limited surgical field. It is conceivable that this is a test of a doctor's intraoperative "eyesight".
It can be seen from the above examples that this type of surgery is so difficult that individual specialists in Guozhi cannot perform it. Therefore, Ji Ji Ba Ba said that this surgery is not good and advised colleagues not to do it. Instead, make a lower sternal incision. This is also called minimally invasive surgery. cosmetic surgery. Of course, many doctors in Guozhi continue to perform right-side incision surgery without any intention of giving up.
Like in Seoer, there are only a few doctors who can perform right-side incision surgery. The reason why Brother Shenxian is called the new pillar of children's heart is that although Brother Shenxian does few heart transplants (it is said that he is aloof from the world and does not like competing with others for donor organs), he is called a beauty in performing right incision surgery. For a sixteen-year-old patient like this, it is a more difficult right-sided incision surgery. The fairy brother just did it as he said without any further thought. After asking around, the family members took their children to the fairy brother to ask for this kind of surgery.
Speaking of which, Xie Wanying and her group of classmates were quite curious as to which mentor the immortal brother studied under. After checking the ward today, I found that Director Lu is not good at performing right-side incision surgery.