Chapter 1444 Chainsaw Horror

"Su Yun, Lao Zhao, are you wearing lead clothes?" Zheng Ren asked.

"wore."

Zheng Ren nodded and went straight to brush his hands.

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

Wearing dozens of pounds of lead clothing for surgery, but physical labor. But for Su Yun and Zhao Yunlong, it wasn't a big deal.

After returning to get dressed, Hu Yanhui put on glasses for the live broadcast, and the operation officially began.

Zheng Ren made an incision in the midline of the sternum.

The sternal periosteum was incised with an electric knife along the median, and the sternal notch was separated to reach the retrosternal; then the xiphoid process was dissected and the retrosternal space was separated. After cutting the xiphoid process, Zheng Ren said solemnly, "Chainsaw."

The individually sterilized chainsaw was already ready, and the Xie Yi people handed the chainsaw to Zheng Ren.

After debugging a bit, the humming sound echoed in the operating room.

"It's been a long time since I heard this in the heart surgery." Lao He was a little emotional.

"There will be fewer and fewer in the future." Zheng Ren stuffed the head of the chainsaw into the position that was peeled off under the xiphoid process, pressing up against the sternum, and said, "Interventional surgery will complete all cardiothoracic surgery operations. , this is the big trend in the future.”

Zhao Yunlong was a little unconvinced.

"And heart transplants, aortic arch replacements."

"Old Zhao, you are raising the bar." Zheng Ren bent his eyes and lifted the chainsaw up again, so as not to cause too much damage to the tissue in the patient's mediastinum, and said, "Heart transplantation, no What a major operation. Aortic arch... Within 10 years, type 1 can be solved with related stents under interventional surgery."

Is this human talk? Is a heart transplant not a major operation?

If it wasn't for Zheng Ren standing in front of him,

If it weren't for the chainsaw in his hand...

Zhao Yunlong wanted to scold people directly.

hum...

The chainsaw began to saw the sternum.

The sternum bone was sawed open, and blood beads and white bone fragments were continuously spattered.

Zhao Yunlong and Su Yun held white sterile gauze on the sternum to block the splash.

"Boss, you look down on our hearts." Su Yun was displeased, "Why don't I believe that you can do a lung transplant with interventional surgery?"

"Don't always mention the matter of transplantation, it's meaningless." Zheng Ren held a chainsaw, the speed of sawing the sternum was not fast, and the hand was very steady. The high-frequency vibration of the chainsaw head colliding with the sternum did not affect the stability of his hands holding the chainsaw.

"Like coronary artery bypass surgery is on the verge of being eliminated, in the future, except for transplant operations, it will be minimally invasive. If you don't learn minimally invasive surgery, you will be eliminated."

The sound of the chainsaw stopped abruptly, Zheng Ren took the sterile gauze handed over by Su Yun, briefly wiped the uncoagulated and bone fragments on the saw head, and handed the chainsaw to Xie Yiren.

Reach out, and coagulation appears on the hand.

At the cut periosteum, electrocoagulation was used to stop the bleeding. After twenty or so points, it was completed. A scorched smell spread, Su Yun and Zhao Yunlong didn't stop, they had already asked for bone wax and began to apply it evenly on the sternum bone.

The sternum was sawed, and the periosteal hemorrhage was stopped by electrocautery. Bone, only use bone wax to stop bleeding.

"Boss Zheng, have you seen Chainsaw Horror?"

"I've seen it, except for the first episode, I didn't like it very much." Zheng Ren said.

"Boss, I've cosplayed Chainsaw Horror. Well, it's the inspiration for the surgery. But sometimes I'm afraid that I'm playing too much and I can't control it during the surgery, so I start cosplaying Freddy from Elmster Street." Su Yun Smearing the bone wax in his hand, he said.

"I haven't played it before, so I don't think I'm interested. You wouldn't press that kind of machine on your head." Zheng Ren used a spreader to open his sternum, bluntly separated it, and exposed his heart.

"How come, I'm not stupid." Su Yun said.

In the surgical field, the heart was beating thumping. Su Yun reached in, probed with his fingers, and said, "The heart is ischemia and hypoxia, and the pulsating strength is very weak."

"Hurry up and stop talking." Zheng Ren said, and as soon as he stretched out his hand, the lancet clapped on his hand.

The pericardium was incised longitudinally in the midline, ascending to the reflex part of the ascending aorta, and descending to the diaphragm.

After that, Zheng Ren sutured the pericardial incision edge to the soft tissue outside the sternum on both sides, so that the assistant could save some trouble.

The operation is very big, not only the surgeon, but even the assistants are very busy, and six hands are not too many.

After opening the pericardium, Zheng Ren began to do the first exploration.

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

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

Although Zheng Ren had been checked many times in the operating room of the system, in the real world, Zheng Ren still confirmed and checked again.

There must be absolutely no carelessness in the slightest!

The surgery was standard, the process was smooth, and no details were missed.

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

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

The tone of speech is like when the old professor is leading the rounds, and let the students experience the palpation of a certain disease.

"What did you feel?" Su Yun was curious. He tapped Zhao Yunlong's radial protrusion with the hemostatic forceps in his hand. Taking advantage of the moment he withdrew his hand, he placed his right index finger on the tissue near the pulmonary valve.

No force, just a hit, Su Yun understood.

"Stable!" Su Yun said.

"What's stable?" Lao He looked anxiously.

It's a very unethical thing for these two people to play charades on the operating table.

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

He shrank his hand, and Zhao Yunlong put his finger on it.

"Well, it's pulsating and soft. It's a body tissue. Considering the possibility of a pulmonary valve tumor." Zhao Yunlong said more and more in detail. It seems that he is used to saying a few more words, so that the doctors under him will remember that it will be better. Write the surgical record afterwards.

But after speaking, Zhao Yunlong realized that among the few people on the operating table, the lowest-level doctor turned out to be him!

If you want to write a surgical record, you can only write it yourself.

Pointing at Su Yun to write, he must turn against himself.

MD, Zhao Yunlong cursed inwardly.

...

...

Note: A friend of mine has a patent ductus arteriosus. Talking to him twenty years ago, I described the process of cutting through the sternum with a chainsaw, and he was terrified.

More than ten years ago, he was told that there is minimally invasive surgery, which can be done with three eyes.

Ten years ago, told him to use interventional surgery, from the neck or wrist, or... jokingly, any artery, go in under the guide wire catheter, and the operation is over as soon as the umbrella is opened.

But the coward still dared not do it.