2460 Non-human surgery
After entering the operating room, Zheng Ren saw Xie Yiren tapping on the instruments with the circulating nurse. Even though Xie Yiren wasn’t looking at him, he still smiled at her.
He put on his clothes and gloves and went on stage. Hu Yanhui put on the live broadcast glasses for him again, and the operation officially began.
Zheng Ren thought to himself,’I must have better luck.’ Then, he reached out and the Willow leaf knife landed in his palm.
Only the trunk of the plum tree was exposed in the operating field. Zheng Ren chose to open up the chest in the middle and slightly moved aside the position of the scar left by the previous operation. He then made the incision layer by layer.
He unscrewed and pulled out the steel wire that was used to stabilize the sternum during a surgery.
In the operating theater, there was only the sound of the song “good luck comes.” No one spoke. The medical group was like a machine, and all communication relied on tacit understanding and eye contact.
The electric saw hummed, and bone fragments and blood splattered on the sterile gauze in Su Yun’s hand.
While carefully protecting his chest, Su Yun suddenly asked,””Boss, is the continuous occurrence of valve problems caused by the tattoo?”
“It’s possible. ” Zheng Ren examined the pericardium as he said,””Dr. D. K. Satchithananda from Papworth Hospital in Cambridge, United Kingdom reported in 2001 that a 28-year-old male patient with a congenital double-valve aortic valve had received a tattoo once a month for a total of five years.”
“There are a lot of reports about individual cases. Why did this child get such a big plum tree tattoo on his body?” Old he said.
The cardiopulmonary bypass had not started yet, so he still had time to chat and relax his nervous nerves. Old he also felt a little regretful that boss Zheng didn’t win the Nobel Prize. However, he was older and did not participate in the entire process, so he did not feel very defeated.
“For the sake of beauty, a man like you can’t think about it. If it were a girl, think about it. With such a big scar on her chest, it would be as ugly as it can be. She wouldn’t even be able to wear a swimsuit.” Su Yun said.
Women’s friend could look at this problem from a woman’s point of view, so tattoos were quite necessary.
Zheng Ren opened the pericardium and found that there was no adhesion in the pericardium. He took out a portion of the pericardium and handed it to Xie Yiren.
“Valkyrie.” Xie Yiren said in a soft voice.
The scrub nurse poured valhallum into an empty basin on the sterile table and soaked Zheng Ren’s cardiac slice that he had just cut.
Zheng Ren lowered his head and looked at the “familiar” operating area. He was looking forward to it. He really hoped that his luck during the surgery would be better!
“Prepare for cardiopulmonary bypass!” Zheng Ren said.
Old he did not let his assistant write the anesthesia record sheet. He did his best in all the operations related to boss Zheng.
30 minutes before the operation, 75 mg of petepin and 0.3 mg of Racecourse were injected.
After entering the chamber, an oxygen mask was put on. The electrocardiography and pulse blood oxygen saturation were done as usual. The radial artery was punctured and a tube was placed to monitor the arterial blood pressure. The chamber blood pressure was 143/74 mmHg. During anesthesia induction, he was given 3mg of mizodiazepine, 20mg of etomidate, 10mg of tracumin synthesic acid, and 150μg of shutendon.
After intravenous injection, tracheal intubation was performed, and mechanical ventilation was performed. The tidal volume was set to 500 ml, and the breathing rate was 12 times per minute.
Old he felt that there was nothing to be picky about when he looked at the record on the anesthesia record sheet.
He only took a quick glance to eliminate any problems before his vision returned to the surgical field.
Boss Zheng rarely went on stage these days, especially rarely calling him. However, every time someone called for him to go on stage, the surgery would be extremely difficult.
This was his trust in himself. If he felt that it was not enough to go all out, how could old he dare to be distracted?
“Prepare for heminification,” Zheng Ren said in a deep voice.
As soon as he finished speaking, old he had already started to move. After the whole body was heminated, it was followed by the cardiopulmonary bypass.
They established the cardiopulmonary bypass through the ascending aorta and the superior and inferior vena cava, blocked the ascending aorta, and pumped the blood through the right upper pulmonary vein.
After the cardiopulmonary bypass was established, the next step was the most important part of the surgery, which was to separate the aortic valve and strip off the pustule that had invaded the heart and the walls of the aorta.
A diagonal incision was made at the root of the aorta, followed by the infusion of cardiac arrest fluid through the opening of the left and right Coronas, and the heart stopped in a satisfactory manner.
Zheng Ren was fully focused. He reached out and slapped the hemostatic forceps in his palm.
The patient’s aorta had three valve pieces. A 15 x 10mm tumor could be seen in the left coronary valve. There was an abscess formed at the connection between the aortic valve and the atrial septal defect. There was no superfluous object on the valve.
After 16 ′ 23 “, Zheng Ren asked the technician outside to bring up the dynamic image of the patient’s coronary angiography.
He raised his head to look at the image. It was the same as what was displayed in the system’s operating theater. He recalled that he had just done dozens of hours of surgery training, so all the operations were in his body’s memory.
According to the normal surgical procedure, the infected heart valve should be removed first. Because it was the second surgery, there was abnormal tissue proliferation in the local tissue. In addition, there was a huge abscess, and the anatomical structure within a square inch was extremely complicated.
Zheng Ren lowered his head, reached out, and the Willow leaf knife landed in his palm.
The incision was made 0.62 cm away from the aortic valve. Xie Yiren then placed the scalpel on the patient’s leg, while she placed the smallest pair of forceps in Zheng Ren’s hand.
Zheng Ren began to carefully dissect the heart starting from the root of the mechanical valve of the aorta. He skillfully dissected the heart tissue and ‘picked’ out the endings and the slightly thicker capillaries.
It was only then that Su Yun understood why Zheng Ren wanted to do a coronary angiography.
It was not as if this method did not exist in previous surgeries.
When making a large specimen, they would pour anti-corrosion liquid into the artery and leave an opening in the vein to let the extra anti-corrosion liquid flow out.
This way, the cadaver’s blood vessels would harden. After that, a skilled dissection teacher dissected the artillum. The arteries and veins, and even the capillaries, were all very lifelike.
Of course, it was not easy to make a large specimen in this way, mainly because it was not easy to find a skilled dissection teacher.
He didn’t expect his boss to show off his dissection and hand skills in front of him.
Su Yun was speechless. How could a normal human’s blood vessels be compared to a cadaver’s blood vessels that were filled with anti-corrosion liquid?
This level of dissection and surgical technique was extremely high! That was not all. Su Yun knew that the most difficult part was to find the capillaries in the actual anatomical position with the instantaneous contrast agent Image of the coronary angiography.
“His level of reading scans is the same as his level of surgery. They’re both F * cking non-human,” Su Yun cursed in her heart.
“Electric burner, don’t be distracted.” Zheng Ren lowered his head and used a pair of forceps to remove a capillary vessel under the microscope. He paused for a second and said in a deep voice when he saw that the electric burner had not come yet.
Su Yun furrowed his brows. He was still a little startled.
He had seen the image of the coronary angiography just now. The black contrast agent disappeared in a flash, especially in the capillaries at the end. There was only a trace of black that was extremely difficult to see at all, and then it disappeared.
The boss knew at a glance? This was too unbelievable.
However, Su Yun did not delay the operation. He threw away all the distracting thoughts and shock and gently touched the hemostatic forceps in Zheng Ren’s hand with the electric burner.
A soft popping sound was heard, and a blood vessel was frozen.