Chapter 1449： Noisy with pregnancy

"Hey, boss, have you done this?" Su Yun glanced at the field of surgery, and said strangely.

"Yeah." Zheng Ren Shen said.

"Do it so fast, what do you want to do at low temperatures?"

"Worried about abnormal conditions, or ultra-low temperature, my heart is more practical. Surgery, the state has come up, it is smooth, and it is relatively faster." Zheng Ren said while doing surgery, faintly said.

In fact, in the system operating room, Zheng Ren alone is not busy.

So get used to ultra-low temperature.

I knew that assistants, equipment nurses, and anesthesiologists could cooperate so well, and I needed a super low temperature of wool.

Just chatting for a while, listening to Ringer talking about a gossip, Zheng Ren has freed the endometrium, to the position of the pulmonary valve.

The intima was dissected and the pulmonary valve was removed under direct vision.

This is not a simple operation for pulmonary stenosis, or a valve replacement procedure. It is sufficient to remove the pulmonary valve and then replace the artificial valve or the native valve.

The valve was removed and the tumor tissue attached to the intima of the vessel was cut along the valve.

Under the naked eye, his movements were slow and he could hardly feel his hands moving.

Su Yun did not speak, quietly watching Zheng Ren surgery, began to help open the pulmonary artery, assisted in the removal of tumor tissue.

Although this step was done very quickly, it took only about 30 minutes to take the tumor tissue.

Finally, with the hemostasis pliers, the tumor tissue was cut.

Throwed into the path basin, the hemostatic forceps hit the edge of the metal basin and made a crisp sound.

The main process of surgery has ended, and the rest is to replace the artificial valve.

Zhao Yunlong turned his head and talked to the nurse: "Help me wipe the sweat."

"Old Zhao, you didn't do it, how come so sweaty?"

Zhao Yunlong did not speak, and continued to perform surgery with a serious face.

"Old Zhao, you are not good at this. When you are doing surgery, you are not willing to talk." Su Yun gave Zheng Ren a hand and said with a scorn: "I will do it later, my name is Fang Lin, and it is better than looking for you." A piece of wood is good."

"Fang Lin can't do it." Zhao Yunlong concentrated on Zheng Ren and said: "Heart, can individuals come up to do it?"

"Boss, is this surgery not difficult?" Su Yun asked.

"Fortunately." Zheng Ren began to clear the calcification.

Three valve leaflets of the pulmonary valve with an edge of 2 mm. Zheng Ren removed the valve, then cleared the calcified tissue on the annulus, and measured the annulus with a flapper to determine the prosthetic valve number.

Zhao Yunlong came with all kinds of valves, Zheng Ren picked the same, the tour nurse opened, and the Xie Yi handed over.

"Line." Zheng Ren reached out.

The Xie Yi immediately took the suture needle of the nylon suture that was just opened and wore a 2-0 double-headed support needle in Zheng Ren's hand.

From the top to the bottom, the suture was sutured. After suturing the annulus, it was sewn on the suture ring of the artificial heart valve. Zheng Ren was careful.

The suture is evenly distributed on the suture ring of the annulus and the artificial heart valve, and the needle spacing is 2 mm.

"Boss, your hand is too stable, good." Su Yundao.

"Fortunately."

"The next time I let Lao Zhao give you a match, it is enough. This surgery is too depressed." Su Yun said so, but he did not stop at all, helping Zheng Ren to thread and press the valve.

The 2mm needle spacing is the same as the ruler.

"Zheng boss, you are at this level, but it is really high." Lao He looked at him and said something with emotion.

"What's the matter, Laohe? It means that my surgery is not good." Su Yun looked at Laohe.

"Dr. Su, you gave Zhao to save the station three years ago. It wasn't me anesthesia, but I saw your surgery." Laohe said very seriously. "At that time, I saw it and I was shocked."

Su Yun did not like it, and there is obviously something to say.

"But the needle spacing is consistent, and Dr. Su seems to have not reached the same level as the ruler." Lao Hedao.

"It's absolutely unnecessary." Su Yunyi said: "As long as you can sew up and not bleed, you can do a few things, and do it so carefully. Do you think I can't?"

"Hey." Lao Hegan Baba smiled, and obviously his thoughts were different.

"Prepare to get into bed." Zheng Ren suddenly interrupted the two.

"Doing valve surgery, the most unbearable of this belongs, the trouble is like to be pregnant." Su Yun muttered.

The implantation at this time is not the same as the implantation of the fertilized egg.

Zheng Ren is obviously in a state of nowhere, and he did not hear what Su Yun was saying.

He straightened all the sutures and pushed the prosthetic petals under the annulus to confirm that the bed was in place.

After repeatedly confirming that the artificial valve did not block the opening of the left and right coronary arteries, Zheng Ren was relieved.

One person and one line, one by one.

Zheng Ren finally checked again to confirm that the left and right coronary artery openings were unobstructed, and there was no coronary stenosis due to the problem of the knot.

Here you must be careful, otherwise the surgery is done, the patient will immediately have symptoms of myocardial infarction.

"Flush." ​​Zheng Rendao.

The ice brine basin was handed over.

Zheng Ren thoroughly flushed the aorta and left ventricle above and below the artificial valve, and filled the aorta and left chamber with saline.

"Sewing."

The needle holder with the 5-0 suture was shot in the hands of Zheng Ren.

The pulmonary artery incision was continuously sutured twice, and the last needle was tightened for venting.

If there is gas left here, it is an iatrogenic air embolism.

Surgery, I really can't miss a little detail. Otherwise, such a small detail will lead to the death of the patient.

After the right heart and pulmonary artery are vented, the pulmonary artery occlusion forceps are opened.

Keep the right heart circulate smoothly and avoid swelling of the right heart. Because it is ultra-low temperature, it is unlikely that the heart will jump back on its own. Zheng Ren directly used electric shock to deviate and recover.

Heartbeat recovery, see the heart beats well, everyone is relieved.

After the recovery, the heart is left unloaded for a period of time without any problems at all.

Zheng Ren opened the upper and lower vena cava blocking bands and entered the parallel cycle. After the auxiliary cycle for a period of time, it meets the shutdown conditions, and the old Hena face is shut down in time.

"Come on, come to Zheng Ren turned and stepped down.

"Boss, you are getting worse and worse." Su Yun said.

"I am not anxious to see a pulmonary valve tumor." Zheng Ren came out from the state of the sage who was dedicated to this moment, smiled and said: "Pulmonary valve tumor, have you seen?"

“No.” Su Yun started and Zhao Yunlong searched for bleeding points, sutured the pericardium, left the drainage strip, and closed the chest.

The operation was smooth, and after the patient's heartbeat resuscitated, the oxygen saturation reached 100% in the case of pure oxygen.

Nothing is wrong, Lao He directly judged.

He leaned over to Zheng Ren and asked with a smile: "Zheng boss, I thought you were going to have ultra-low temperature, and the surgery should be at least 4 hours."

"It's not that you cooperate well. The extracorporeal circulation is smooth and unexpectedly smooth." Zheng Ren held the lancet in his hand and dissected the tumor tissue in the pathological basin.

Old congratulations.