The Surgeon’s Studio - Chapter 1445
“Su Yun, old Zhao, you’re wearing lead, right?” Zheng Ren asked.
“I’m wearing it. ”
Zheng Ren nodded and went to wash his hands.
In fact, after the filter was inserted, under normal circumstances, it would not cross the line. However, Zheng Ren was also afraid of accidents. There had been many accidents in the system’s operating theater.
It was physical work to wear lead clothes that weighed dozens of pounds for surgery. But to Su Yun and Zhao Yunlong, it wasn’t a big deal.
After getting dressed, Hu Yanhui put on the glasses for the live broadcast and the surgery officially began.
Zheng Ren made an incision on the middle of the sternum, starting slightly below the sternum, about 5 cm below the Scarecrow.
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He used an electric knife to cut open the periosteum along the middle of the sternum and separate the sternum to the back of the sternum. Then, he dissected the Scarecrow and separated the posterior sternum gap. After removing the sword protrusion, Zheng Ren said in a deep voice,”Electric saw.”
The individually sterilized electric saw was already prepared, and Xie Yiren handed it to Zheng Ren.
After adjusting the equipment, a buzzing sound reverberated in the operating theater.
“It’s been a long time since I’ve heard this sound during a cardiothoracic surgery. ” Old he sighed with emotion.
“It’ll be less and less in the future. ” Zheng Ren stuffed the head of the electric saw into the position that was separated out from the scapper, and moved it up close to the sternum. He said,”interventional surgery will complete all cardiothoracic surgeries. This is the general trend in the future.”
Zhao Yunlong was somewhat unconvinced.
……
“There’s also heart transplantation and aortic dissection replacement. ”
“Old Zhao, you’re being sarcastic.” Zheng Ren’s eyes curved into crescents. He moved the electric saw up a little to avoid causing too much damage to the tissues in the patient’s diaphragm. He said,”A heart transplant isn’t a major surgery. As for the aortic arch … Within ten years, type 1 aortic arch can be solved by using a related stent via interventional surgery. ”
Is this human language? A heart transplant wasn’t a major surgery?
If it wasn’t for Zheng Ren standing in front of her,
If he didn’t have the saw in his hand …
Zhao Yunlong wanted to just curse.
Whoosh …
The electric saw began to cut the sternum.
His sternum was sawed open, and blood and white bone fragments were constantly splashing out.
Zhao Yunlong and Su Yun both held onto white sterile gauze to block the things that splashed out.
“Boss, you’re looking down on our hearts.” Su Yun was displeased.”A lung transplant? why don’t I believe that you can perform an interventional surgery?”
“Don’t keep bringing up the transplant. It’s meaningless. ” Zheng Ren held an electric saw in his hand. He did not cut open his sternum quickly, and his hands were steady. The high – frequency vibration caused by the head of the electric saw colliding with his sternum did not affect the stability of his hands holding the electric saw.
“It’s just like how coronary artery bypass surgery is on the verge of being eliminated. In the future, other than transplant surgeries, all other surgeries will be slightly damaged. If you can’t learn minimally invasive surgery, you will be eliminated. ”
The sound of the electric saw stopped abruptly. Zheng Ren took the sterile gauze that Su Yun handed over and simply wiped off the blood clot and bone fragments on the head of the electric saw before handing the electric saw to Xie Yiren.
He stretched out his hand, and the electrocoagulation appeared on his hand.
He used electrocoagulation to stop the bleeding at the cut periosteum. He only needed to do it at around twenty spots. A burning smell spread out. Su Yun and Zhao Yunlong did not stop. They had already asked for bone wax and started to apply it evenly on the bones of the sternum.
He sawed the sternum and used electric combustion to stop the bleeding in the periosteum. For the bones, only bone wax could be applied to stop the bleeding.
“Boss Zheng, have you seen the electric saw?”
“I’ve watched it. I didn’t like the rest except for the first episode.” Zheng Ren said.
“Boss, I’ve cosplayed as a hacksaw. Yes, it was the inspiration for the surgery. But sometimes, I’m afraid that if I go too far, I won’t be able to control myself during the surgery, and I’ll start cosplaying as Freddy from Nightmare on Elm Street. ” Su Yun said as she applied the bone wax on her hand.
“I’ve never played it before, so I’m not interested. Don’t tell me you’ve pressed that machine on your head. ” Zheng Ren pried open his sternum with a defibrillator and performed blunt separation to reveal his heart.
“Why would I? I’m not stupid.” Su Yun said.
In the surgical field, the heart was beating rapidly. Su Yun reached in and touched it with her finger,””The heart is lacking in blood and oxygen, and the beating is very weak.”
“Let’s hurry up and stop chatting. ” Zheng Ren said. He reached out and the Willow leaf knife landed on his hand.
He made a vertical incision on the pistachiole in the middle, up to the inverted ascending aorta, and the lower diaphragm. He made an incision on both sides of the lower section to facilitate the exposure of the surgical field.
After that, Zheng Ren sutured the pericardium incision on the soft tissue outside the sternum on both sides. This would save the assistant some trouble.
The surgery was very big, and not only the surgeon, but even the assistant would be very busy. Six hands would not be too many.
After opening up the pericardium, Zheng Ren began the first step of the exploration.
The main subjects of the exploration were the aorta, pulmonary artery, left and right atriums, left and right ventricles, superior and inferior vena cava, and pulmonary vein.
The goal was to check the size, tension, and whether there was any tremor in these positions. They also had to check for the existence of the left superior vena cava and other abnormalities that could be discovered outside the heart.
Although Zheng Ren had done countless examinations in the operating theater, he still wanted to confirm and check again in the real world.
He couldn’t be careless!
The surgery was very standard. The process was smooth, and no details were left out.
Su Yun and Zhao Yunlong, who could independently handle major cardiothoracic surgeries as assistants, made the surgery speed a lot faster.
Zheng Ren touched the tissue near the pulmonary artery and said,””You guys touch it.”
The way he spoke sounded like an old professor who was doing a ward round and wanted the student to experience palpation of a certain disease.
“What did you touch?” Su Yun was curious. She used the hemostatic forceps in her hand to hit Zhao Yunlong’s radial process. Taking advantage of the moment when Zhao Yunlong withdrew his hand, she placed her right index finger on the tissue near the pulmonary artery valve.
He didn’t use any strength, just a touch, and Su Yun understood.
“It’s stable!” Su Yun said.
“What’s stable?” Old he was anxious.
The two of them were speaking in riddles on the operating table. It was a very immoral thing.
“The patient’s diagnosis is clear. It’s a pulmonary valve tumor, and definitely not a large thrombosis.” Su Yun said with a smile.
He retracted his hand, and Zhao Yunlong placed his finger on it.
“Yes, there’s a pulse, and it’s soft. It’s body tissue, so the possibility of a pulmonary valve tumor is high.” Zhao Yunlong spoke more in detail. It seemed like he was used to saying a few more sentences so that his subordinate doctors could remember them and write down the surgery records after he was done.
However, after he finished speaking, Zhao Yunlong realized that among the few people on the operating table, he was actually the lowest – ranking doctor!
If he wanted to write down the surgery records, he could only do it himself.
If he pointed at Su Yun, he would definitely fall out with him.
Sh * t, Zhao Yunlong cursed in his heart.
……
……
[Note: I have a friend who has a atrial septal defect.] Twenty years ago, I told him that I had described in detail the process of using an electric saw to cut open his sternum. He was scared out of his wits.
More than ten years ago, he was told that there was a minimally invasive surgery that could be completed with three eye shots.
Ten years ago, he was told to use interventional surgery from the neck, the wrist, or … Jokingly, he could just go into any artery with a guide wire, and the surgery would be over as soon as the umbrella was opened.
But that coward still didn’t dare to do it.
