Chapter 2459 Non-Human Surgery
Entering the operating room, Zheng Ren saw that Xie Yiren was tapping instruments with the patrolling nurse. Although Xie Yiren didn't look at him, he still gave Yiren a smiling face.
After putting on his clothes and gloves and going on stage, Hu Yanhui put on his live broadcast glasses again, and the operation officially began.
Zheng Ren thought to himself, luck must be better, then he stretched out his hand and clapped the lancet in his palm.
Only the trunk of the tattooed plum tree remained exposed in the surgical field. Zheng Ren chose to open the chest in the middle, slightly away from the scar left by the previous operation, and cut open layer by layer.
Unscrew and remove the steel wire that fixed the sternum in one operation.
In the operating room, only the singing of good luck was floating, no one spoke. The medical team is like a machine, all communication depends on tacit understanding and eye contact.
The chainsaw hummed, and bone fragments and blood droplets splashed on the sterile gauze in Su Yun's hand.
Taking care to protect the thymus, Su Yun suddenly asked: "Boss, the continuous valvular disease is caused by tattoos?"
"It's possible." Zheng Ren said while probing the pericardium: "Dr. D.K. Satchithananda of Papworth Hospital in Cambridge, UK, reported in 2001 a 28-year-old male patient with a congenital bicuspid aortic valve. One tattoo, a total of 5 years."
"There are a lot of case reports. This kid is fine, why does he have such a big plum tree tattooed on his body?" Lao He said.
Before starting the extracorporeal circulation, he still had time to chat a few words to relax his tense nerves. Lao He also regrets that Boss Zheng did not win the Nobel Prize. But he is relatively old and did not participate in the whole process, so the frustration is not very strong.
"For the sake of beauty, you old man won't think about it. If you change a girl, think about how ugly it would be with such a big scar on the chest. You can't even wear a swimsuit." Su Yun said.
Friends of women can look at this issue from a female perspective, and tattoos are quite necessary.
Zheng Ren opened the pericardium and found no adhesions in the pericardium cavity, so he took part of the pericardium and handed it to Xie Yiren.
"Glutaraldehyde," the Shay said softly.
The equipment nurse poured glutaraldehyde into the empty basin on the sterile table, and soaked the pericardium slice Zheng Ren had just cut.
Zheng Ren looked down at the "familiar" surgery area, feeling a little bit of anticipation in his heart, hoping that the luck of the surgery would be better!
"Prepare for extracorporeal circulation!" Zheng Ren said.
Lao He didn't ask his assistant to write the anesthesia record sheet, and he went all out for all operations related to Boss Zheng.
Meperidine 75 mg and scopolamine 0.3 mg were intramuscularly injected 30 minutes before the operation.
After entering the room, a face mask was given to inhale oxygen, the electrocardiogram and pulse oxygen saturation were routinely monitored, and the radial artery puncture was completed to monitor the arterial blood pressure. The blood pressure at room entry was 143/74mmHg. Anesthesia induction was given midazolam 3 mg, etomidate 20 mg, atracurium cis-besylate 10 mg, and sufentanil 150 μg.
After intravenous intubation, the patient was mechanically ventilated with a tidal volume of 500ml and a respiratory rate of 12 breaths/min.
Looking at the records on the anesthesia record sheet, Lao He felt impeccable.
Just glanced at it to rule out any problems, and his vision returned to the operation area again.
Boss Zheng rarely comes on stage now, especially rarely calls himself. But whenever he called himself on stage, the surgery was extremely difficult.
This is trust in himself, and it is not enough to go all out, how dare Lao He be distracted.
"Prepare for heparinization." Zheng Ren said in a deep voice.
As soon as the words fell, Lao He had already started to act. Systemic heparinization followed by cardiopulmonary bypass.
Cardiopulmonary bypass was established through the ascending aorta and superior and inferior vena cava respectively, the ascending aorta was blocked, and the right superior pulmonary vein was sucked.
After the establishment of extracorporeal circulation, the most important part of the operation is to free the aortic valve and strip the abscess that invades the heart and aortic wall.
Through the oblique incision at the root of the aorta, cardioplegia was perfused along the opening of the left and right coronary arteries, and the heart stopped beating satisfactorily.
Zheng Ren was fully focused, Zheng Ren stretched out his hand, and slapped the hemostatic forceps on the palm of his hand.
The aorta was detected to have three valve leaflets. A 15X10mm vegetation was seen in the left coronary valve. Abscess was formed at the fibrous junction of the aortic valve and mitral valve under the left coronary valve and non-coronary valve. The mitral valve was free of vegetation.
After 16'23", Zheng Ren asked the technician outside to call out the dynamic image of the patient's coronary angiography.
Looking up at the video, it was the same as what was displayed in the operating room of the system. He recalled that he had just done dozens of hours of surgical training, and all the operations were in the body's memory.
According to the normal surgical procedure, the diseased aortic valve should be removed first. Because it was a second operation, the local tissue had abnormal hyperplasia, plus there was a huge abscess, and the anatomical structure between square inches was extremely complicated.
Zheng Ren lowered his head, stretched out his hand, and clapped the lancet in his palm.
One cut was made, 0.62cm away from the aortic valve, and then the lancet was patted on the patient's leg, and Xie Yi patted the smallest endoscopic forceps in Zheng Ren's palm.
Zheng Ren began to dissect carefully, starting from the root of the aortic mechanical valve, skillfully dissected the heart tissue, and "picked out" all the peripheral and slightly thicker capillaries.
Su Yun didn't understand what Zheng Ren meant by having coronary angiography just now.
This method did not exist in previous surgeries.
When making a gross specimen, perfuse the antiseptic solution from the artery, and then leave a port in the vein to let the excess antiseptic solution flow out.
In this way, the general teacher's blood vessels will harden. Afterwards, skilled anatomy teachers dissected the arteries, veins, and even capillaries to life.
Of course, it is not easy to make a general specimen in this way, mainly because it is difficult to find a skilled anatomy teacher.
I didn't expect my boss to show off the dissection in front of my eyes and show off my skills.
Su Yun is speechless, can normal human blood vessels compare with the blood vessels of Mr. General who is perfused with antiseptic solution!
This level of anatomy and surgical technique is so high! This is not all, Su Yun knows that the most difficult thing is to find the capillaries in the actual anatomical position with the fleeting contrast agent images of coronary angiography.
The level of watching movies is the same as the level of surgery, they are both frightfully inhuman, Su Yun cursed inwardly.
"Electric burn, don't be distracted." Zheng Ren lowered his head, using forceps to free a capillary under the microscope. After pausing for a second, seeing that the electric burn hadn't come, he said in a deep voice.
Su Yun frowned, he was still a little surprised.
I also watched the coronary angiography images just now, and the black contrast agent disappeared in a flash, especially some capillaries at the ends had only a trace of extremely hard to see black, and then disappeared.
The boss knows it at a glance? This is incredible.
But thinking about it, Su Yun didn't delay the operation. He threw away his distracting thoughts and surprises, and gently touched the hemostat in Zheng Ren's hand with electric cauterization.
There was a tiny crackling sound, and a capillary was blocked.