Chapter 1445

"Su Yun, Lao Zhao, wear lead clothes." Zheng Ren asked.

"Yes."

Zheng Ren nodded and went straight to brush his hands.

In fact, after the filter goes in, generally speaking, it will not step on the line. But Zheng Ren is also afraid of accidents. There have been many accidents in the system operating room.

Wearing dozens of kilograms of lead clothes for surgery is manual work. But it's not a big deal for Su Yun and Zhao Yunlong.

When she came back and dressed, Hu Yanhui put on live glasses and the operation officially began.

Zheng Ren took the median sternal incision, which began slightly below the sternal notch and reached about 5cm below the xiphoid process.

The sternal periosteum was cut along the middle with an electric knife, and the sternal notch was separated to reach the back of the sternum; Then dissect the xiphoid process and separate the retrosternal space. After cutting off the xiphoid process, Zheng Ren said in a deep voice, "electric saw."

The chainsaw disinfected separately has already been prepared. Xie Yi handed it to Zheng Ren.

After debugging, the buzzing sound echoed in the operating room.

"I haven't heard this in the operation of my heart for a long time." Lao he felt some emotion.

"It will be less and less in the future." Zheng Ren put the head of the electric saw into the position stripped out under the xiphoid process, closely adhered to the sternum upward, and said, "interventional surgery will complete all cardiothoracic surgery, which is the general trend in the future."

Zhao Yunlong was a little unconvinced.

"And heart transplantation and aortic arch replacement."

"Lao Zhao, you are making a stand." Zheng Ren bent his eyes and lifted the chainsaw up again to avoid causing too much damage to the tissue in the patient's mediastinum. He said, "heart transplantation is not a major operation. Aortic arch... Within 10 years, type 1 can be solved by interventional surgery and related stents."

Is this human speech? A heart transplant is not a major operation?

If Zheng Ren wasn't standing in front of me,

If he hadn't had a chainsaw in his hand

Zhao Yunlong wants to swear directly.

Hum

The chainsaw began sawing the sternum.

The sternum bone was sawn, and blood beads and white bone debris splashed out constantly.

Zhao Yunlong and Su Yun held white sterile gauze on their sternum to stop the splashing things.

"Boss, you look down on our hearts." Su Yun was unhappy. "Lung transplantation, why don't I believe you can do it with interventional surgery?"

"Don't always mention transplantation. It's meaningless." Zheng Ren held a chainsaw and saw the sternum not fast and steady. The tremor caused by the high-frequency collision between the saw head and the sternum did not affect the stability of his hands holding the saw.

"Just as coronary artery bypass grafting is on the verge of being eliminated, it will be minimally invasive except for transplantation. If you can't learn minimally invasive surgery, you will be eliminated."

The sound of the chainsaw suddenly stopped. Zheng Ren took the sterile gauze handed over by Su Yun, simply wiped the non clotting and broken bone pieces on the head of the chainsaw, and handed the chainsaw to Xie Yi.

Reach out and electrocoagulation appears in your hand.

Electrocoagulation was used to stop bleeding at the cut periosteum. It was completed in more than 20 points. The smell of burnt paste diffused. Su Yun and Zhao Yunlong didn't stop. They had asked for bone wax and began to apply it evenly on the sternum bone.

Saw sternum, periosteal bleeding, hemostasis with electric burn. Bone, you can only use bone wax to stop bleeding.

"Boss Zheng, have you seen the electric saw?"

"Yes, I don't like it very much except the first episode." Zheng Rendao.

"Boss, I've been shocked by electric saws. Well, it's the inspiration of surgery. But sometimes I'm afraid of playing too hard. I can't control it during surgery, so I started Freddy in COS ghost street." Su Yun said while smearing the bone wax in his hand.

"I haven't played. I don't think I'm interested. You won't press that machine on your head." Zheng Ren uses a brace to open the sternum, blunt separation, and expose the heart.

"How? I'm not stupid." Su yundao.

During the operation field, the heart beat with a bang. Su Yun stretched out his hand, probed with his fingers and said, "the heart is ischemic and anoxic, and the beating strength is very weak."

"Hurry up and stop talking." Zheng Rendao stretched out his hand and clapped the lancet in his hand.

Cut the open center bag longitudinally, reach the reverse folding part of the ascending aorta, lower the diaphragm, and cut one side of the lower section of the incision to both sides to facilitate the exposure of the operation field.

After that, Zheng Ren sutured the pericardial margin on the soft tissue outside the bilateral sternum, so that the assistant could save some trouble.

The operation is very big. Not only the operator, but also the assistant should be very busy, and there are not too many six hands.

After opening the pericardium, Zheng Ren began the first step of exploration.

The main objects of exploration were aorta, pulmonary artery, left and right atrium, left and right ventricle, superior and inferior vena cava and pulmonary vein.

The purpose is to explore the size, tension and tremor of these positions, as well as the presence of left superior vena cava and other extracardiac malformations.

Although Zheng Ren has been checked many times in the system operating room, in the real world, Zheng Ren still confirms and checks again.

There must be no slightest carelessness!

The operation was very standard, the process was smooth, and no details were omitted.

Su Yun and Zhao Yunlong, two guys who can independently pick up major cardiothoracic surgery, have made the operation speed a lot faster out of thin air.

Zheng Ren reached out and touched the tissue near the pulmonary valve and said, "touch it."

The tone of speaking is like that when the old professor is carrying out ward rounds, let the students experience the palpation of a certain disease.

"What did you touch?" Su Yun was curious. He knocked the hemostatic forceps on Zhao Yunlong's radial process. At the moment he withdrew his hand, his right index finger rested on the tissue near the pulmonary valve.

No force, just a ride, Su Yun understood.

"Steady!" Su yundao.

"What's stable?" Lao he looked anxious.

It's immoral for these two people to play charades on the operating table.

"The patient's diagnosis is clear. It is a pulmonary valve tumor, definitely not a large embolus." Su Yun said with a smile.

He withdrew his hand and Zhao Yunlong put his finger on it.

"Well, it's pulsatile and soft. It's the body tissue. Considering the possibility of pulmonary valve tumor." Zhao Yunlong said more and more in detail. It seems that he is used to saying more, so that his doctors can remember and write the operation records after he gets better.

But after saying that, Zhao Yunlong realized that several people on the operating table, the lowest doctor was himself!

If you want to write surgical records, you can only write them yourself.

Pointing to Su Yun, he must turn against himself.

MD, Zhao Yunlong secretly scolded.

……

……

Note: a friend of mine, patent ductus arteriosus. Twenty years ago, I told him that I carefully described the process of sawing the sternum with an electric saw, which frightened him.

More than ten years ago, he was told that minimally invasive surgery could be completed by three eyes.

Ten years ago, he was told to use interventional surgery, from the neck or wrist, or... Joked that any artery or guide wire catheter went in, and the operation ended as soon as the umbrella was opened.

But the counsellor still didn't dare to do it.