Chapter 1445： Chainsaw

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

"wore."

Zheng Ren nodded and went straight to brush his hand.

In fact, after entering the filter, under normal circumstances, it will not step on the line. However, Zheng Ren is also afraid of accidents. In the operating room of the system, there have been many accidents.

Wearing a few pounds of lead clothing for surgery, but physical strength. But for Su Yun and Zhao Yunlong, it is not a big deal.

Come back to get dressed, Hu Yanhui put on live glasses, the operation officially began.

Zheng Ren took the midline incision of the sternum. The incision was slightly from the sternal notch and reached about 5 cm below the xiphoid.

The sternal periosteum was cut with an electric knife along the center, and the sternal notch was separated to the sternum; then the xiphoid was dissected and the posterior sternal space was separated. After the xiphoid was removed, Zheng Ren Shen said: "The chainsaw."

The chainsaw that was disinfected separately was already ready, and the Xie Yi handed the chainsaw to Zheng Ren.

Debugged, the sound of snoring echoed in the operating room.

"I haven't heard this in my heart surgery for a long time." Laohe felt a little emotional.

"There will be fewer and fewer in the future." Zheng Ren put the head of the chainsaw into the position where it was peeled off under the xiphoid process, and pressed it tightly against the sternum, saying, "Interventional surgery will complete all the operations of cardiothoracic surgery." This is the big trend of the future."

Zhao Yunlong is not convinced.

"There are heart transplants and aortic arch replacements."

"Lao Zhao, you are lifting the bar." Zheng Ren's eyes bent, and the chainsaw was lifted up again, so as not to cause excessive damage to the tissue inside the patient's mediastinum, "the heart transplant, not What major surgery. Aortic arch ... within 10 years, type 1 can be solved by means of interventional stents."

Is this a human word? Isn't a major heart transplant?

If it is not Zheng Ren who stands in front of him,

If he didn't have a chainsaw in his hand...

Zhao Yunlong wants to swear directly.

Oh...

The chainsaw began to saw the sternum.

The sternum bone was sawn and splashed with blood and white bone debris.

Zhao Yunlong and Su Yun both held a white sterile gauze on the sternum to block the splashing of things.

"Boss, you are looking down on our hearts." Su Yun is not happy, "Lung transplant, how can I not believe that you can use interventional surgery?"

"Don't mention the transplant thing, it doesn't make sense." Zheng Ren holding a chainsaw, the speed of sawing the sternum is not fast, the hand is very stable. The high frequency of the chainsaw head and the tremors caused by the collision of the sternum did not affect the stability of the hands holding the chainsaw.

"Like coronary artery bypass surgery is on the verge of being eliminated. In addition to transplant surgery, it will be minimally invasive. If you don't learn minimally invasive surgery, you will be eliminated."

The sound of the chainsaw came to an abrupt end. Zheng Ren took the sterile gauze from Su Yun and wiped the non-coagulated and broken bone pieces on the head of the chainsaw and handed the chainsaw to the Shei people.

Reaching out, electrocoagulation appears on the hand.

The cut periosteum was stopped by electrocoagulation, and at twenty points, the sputum was completed. The smell of a subtle burntness was dispersed. Su Yun and Zhao Yunlong did not stop. They had already ordered bone wax and began to spread evenly on the sternum bone.

Saw the sternum, periosteal hemorrhage with electric burning to stop bleeding. Bone, can only be used to stop bleeding with bone wax.

"Zheng boss, saw the chainsaw fright?"

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

"Boss, I have a screaming powersaw. Well, it is the inspiration for surgery. But sometimes I am afraid of playing too much, and I can't control it during the operation. I started Freddy on Cosmo Ghost Street." Smear the bone wax in your hand and say it.

"I haven't played it, I don't think I have any interest. You won't put that kind of machine on your head." Zheng Ren used the spreader to open the sternum, bluntly separating and revealing the heart.

"How come, I am not stupid." Su Yundao.

In the field, the heart beats. Su Yun reached in and touched it with his fingers. He said: "The heart is hypoxic, and the strength of the beat is weak."

"Hurry up, don't talk." Zheng Rendao, reaching out, the lancet is on the hand.

In the longitudinal line, the happy bag is cut in the middle, and the ascending aorta is reversed. The diaphragm is released, and the lower part of the incision is cut to the side of each side to facilitate the exposure of the surgical field.

After that, Zheng Ren sutured the pericardial margin on the soft tissue outside the sternum, which would save the assistant a little.

The operation is very big, not only the surgeon, but even the assistant is particularly busy, the six hands are not too much.

After opening the pericardium, Zheng Ren began to probe the first step.

The subjects of exploration were mainly the aorta, pulmonary artery, left and right atrium, left and right ventricles, superior and inferior vena cava and pulmonary veins.

The goal is to detect the size, tension, and tremor of these locations, as well as to check for the presence of the left superior vena cava and other abnormalities that can be found outside the heart.

Although in the operating room of the system, Zheng Ren did not know how many times to check, but in the real world, Zheng Ren still confirmed and checked again.

There must be no trace of care!

Surgery is standard, the process is smooth, and no details are missed.

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

Zheng Ren reached out and touched the tissue near the pulmonary valve, saying: "You touch."

The tone of speech, like the old professor with the rounds, allows students to experience the palpation of certain diseases.

"What did you touch?" Su Yun curious, the hemostatic forceps in his hand knocked on Zhao Yunlong's sacral spurs, licking his moment of shrinking his hand, the right index finger on the tissue near the pulmonary valve.

No effort, just a ride, Su Yun will understand.

"Stabilized!" Su Yundao.

"What is steady?" Laohe looked worried.

These two people are playing riddles on the operating table. This is a very unethical thing.

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

He shrank hands and Zhao Yunlong put his fingers up.

"Well, there are pulsating, soft, and it is the body tissue. Considering the possibility of pulmonary valve tumors." Zhao Yunlong said more, more detailed, it seems to be accustomed to say more, let the doctors under his mind remember, go on After writing the surgery record But after the completion, Zhao Yunlong realized that several people on the operating table, the lowest level of the doctor turned out to be special!

To write a surgical record, you can only write it yourself.

Pointing at Su Yun, he must turn his face with himself.

Md, Zhao Yunlong secretly sighed.

......

......

Note: I am a friend, patent ductus arteriosus. He told him twenty years ago that I carefully described the process of sawing the sternum by the chainsaw and scared him.

More than a decade ago, he was told that he had minimally invasive surgery and could do it with three eyes.

Ten years ago, he told him to use an interventional procedure, from the neck or wrist, or... jokingly said, whatever arteries, the guide wire catheter went down, and the operation of the umbrella was finished.

But the smuggled goods still dare not do it.