NovelNext Chapter 1071
Chapter 1071
The anesthesiologist is OK and the operation has really begun.
Jiang listened to Xu calmly give orders:
"Disinfect the skin."
The assistant immediately:
"Yes."
After skin disinfection, Jiang Tingxu spoke again:
"Scalpel."
The assistant handed over the 22# scalpel for thoracotomy.
Originally, we still had doubts about the sudden emergence of a young Chinese female doctor, but the layman watched the excitement and the expert looked at the doorway. Just watching this move, we knew that people really have strength.
The scalpel cuts the skin at once. It's fast and decisive. Basically, it's the old master scalpel with many years of experience.
"Toothed tweezers."
...
"Electric knife."
The electric knife cuts through the subcutaneous tissue and muscle layer. The sound of Zizi rings vividly, and even has the smell of roasted pork kebabs.
The assistant doesn't need a hint. Wipe the blood with dry gauze.
"Right angle pliers."
Calm, serious and solemn, at this moment, they all jump on the face of the woman who is undergoing thoracotomy.
At this moment, no one in the team questioned anything.
Right angle forceps separate the clavicular ligament and pleura of the sternal handle quotient method. After separating the sternum, loosen the connective tissue.
Move fast, hard, accurate!
People admire it from the bottom of their hearts.
"The sternum saw helps to fill the bone marrow cavity with bone wax to stop bleeding, and the second helps periosteal electrocoagulation to stop bleeding."
“ok！”
“ok！”
Skillfully set the sternum saw, find the location and orientation, and directly cut the sternum longitudinally.
The moment the sternum saw began to work, the taste of roast pork seemed to be getting stronger and stronger.
No wonder it's rare for surgeons to order kebabs outside.
This TM once you eat it, you can think of the bloody picture during the operation. Who can eat it with a big heart?
"Chest brace."
The sternum has been sawn, and the next step naturally needs to be opened to see the situation inside, so as to proceed to the next step.
The assistant has a non catchy ground heart forceps, tissue scissors and electric knife. Although it is the first time to cooperate, all the personnel present are very experienced. Therefore, there is no situation that they can't cooperate.
Jiang listened to Xu's actions and lightened a lot. He carefully separated the loose connective tissue on the surface of the pericardium and the reverse fold of the thymus to the aortic pericardium with an electric knife. After that, the pericardium was finally completely opened.
"7x17 round needle, 4# silk thread."
The assistant handed Jiang Tingxu what he needed again.
An open pericardium needs to be suspended.
Until now, the operation is the real official start.
"Heparin was given intravenously to establish cardiopulmonary bypass. The dosage of heparin was 3mg kg and pushed through the central vein."
"Roger, heparin 3mgkg, central vein push in."
After that, aortic intubation, suture perfusion, superior and inferior vena cava occlusion, and then suture the purse.
Cut the adventitia of aorta with cardiac forceps, insert aortic intubation, tighten the purse string, fix the blocking tube and aortic tube, and connect the cardiopulmonary bypass machine after exhaust.
"Infuse cardiac arrest fluid with an infusion volume of 10-15mlkg, and apply ice on the heart surface to cool down."
"Received, infusion of cardioplegia, 10-15mlkg, ice on the heart to cool down."
The assistant and nurse cooperate with each other, and some columns are completed very quickly.
"Scalpel 11, cardiac forceps."
At this time, the incision is started and the tissue scissors expand the incision.
When I saw that there were really seven holes in the heart, although I already knew it in color Doppler ultrasound, I was shocked when I really saw it.
Seven holes, some "living holes" will have blood through, which needs to be blocked by medical surgery.