Chapter 1071 There Are Seven Holes in the Heart
The anesthesiologist is OK and the surgery has really started.
Jiang Tingxu calmly gave the order:
"Disinfect skin."
The assistant immediately takes action:
"yes."
After the skin was disinfected, Jiang Tingxu spoke again:
"Scalpel."
The assistant handed over the 22 # scalpel specially used for thoracotomy surgery.
Originally, everyone was still skeptical about this young female doctor from China who suddenly appeared, but laymen watched the excitement, and experts watched the door. Just by looking at this move, they knew that she was really capable.
The scalpel cut through the skin in one go, quickly and decisively. Those who can do this are basically veteran surgeons with many years of experience.
"Toothed tweezers."
"Electric knife."
The electric knife cuts through the subcutaneous tissue and muscle layer, and the sizzling sound can be heard vividly, even smelling like grilled pork belly skewers.
The assistant does not need prompting, just use dry gauze to wipe the blood.
"Right angle pliers."
Calmness, seriousness, and solemnity are all reflected on the face of the woman who is undergoing a thoracotomy at this moment.
At this moment, no one in the team had any questions.
Use right-angle forceps to separate the interclavicular ligament and pleura at the manubrium of the sternum. After separating the sternum, loosen the connective tissue.
Move fast, ruthlessly and accurately!
It is truly admirable.
"Sternum saw, one helps to fill the bone marrow cavity with bone wax to stop bleeding, and the other helps to stop bleeding with periosteal electrocoagulation."
"ok!"
"ok!"
Skillfully holding the sternum saw, after finding the right location, he started to cut the sternum lengthwise.
The moment the sternum saw started working, the smell of roasted pork belly seemed to get stronger and stronger.
No wonder you rarely see surgeons ordering grilled pork belly skewers outside.
As soon as you eat this, you can think of the scene of the skin being torn and the blood dripping during surgery. Who can eat it with a big heart?
"Breast press."
The sternum has been sawed open, and naturally it needs to be opened in order to see what's inside and proceed to the next step.
The assistant had the heart forceps, tissue scissors, and electrosurgery on the ground in an orderly manner. Although it was the first time to cooperate, all the people present were very experienced, so there was no such thing as being unable to cooperate.
Jiang Tingxu moved much more gently, and carefully used the electric knife to separate the loose connective tissue and thymus on the surface of the pericardium to the aorta-pericardial reflex. After that, the pericardium was finally completely opened.
"7x17 round needle, 4 # silk thread."
The assistant once again handed Jiang Tingxu what he needed.
The opened pericardium needs to be suspended.
Until now, the operation has really officially begun.
"Give heparin intravenously and establish extracorporeal circulation. The dosage of heparin is 3mg/kg, and it is pushed through the central vein."
"Received, heparin 3mg/kg, central vein push."
Afterwards, the aorta was cannulated, sutured and perfused, the superior and inferior vena cava were blocked, and then the purse string was sutured.
Use cardiac forceps to cut the aortic adventitia, insert the aortic cannula, tighten the purse string, fix the blocking tube and aortic tube, and after exhausting, connect to the extracorporeal circulation machine.
"Infuse cardioplegia with a volume of 10-15ml/kg, and apply ice on the heart surface to cool down."
"Received, instill cardioplegia, 10-15ml/kg, apply ice to the heart to cool down."
The assistants and nurses cooperated with each other, and some sequences were completed very quickly.
"Scalpel No. 11, heart forceps."
At this point, the incision begins and tissue scissors enlarge the incision.
When we saw that there were really seven holes in the heart, even though we already knew about it during the color ultrasound, we were all shocked when we actually saw it.
Some of the seven holes are "living holes" through which blood can pass, which requires medical surgery to seal them.