"Su Yun, Old Zhao, are you wearing lead aprons?" Zheng Ren asked.
"Yes."
Zheng Ren nodded and went to wash his hands.
In fact, after the filter was inserted, it would not step on the line under normal circumstances. However, he was also afraid of accidents. There had been many accidents in the System's operating theater.
Performing surgery while wearing a lead apron that weighed dozens of kilograms was physically demanding. But to Su Yun and Zhao Yunlong, it was not a big deal.
After getting dressed, Hu Yanhui put on the live broadcast glasses, and the surgery officially began.
Zheng Ren made an incision in the middle of the sternum. The incision started slightly below the sternal notch and reached about five centimeters below the xiphoid process.
The sternal periosteum was incised along the middle with the electrotome, and the sternal notch was separated to reach the posterior sternum; the xiphoid process and the posterior sternum space were dissected. After removing the xiphoid process, Zheng Ren said in a deep voice, "Electric saw."
The individually sterilized chainsaw was ready and Xie Yiren handed it to him.
He adjusted it, and a buzzing sound echoed in the operating theater.
"It's been a long time since I heard this sound in a thoracic surgery." Lao He was a little emotional.
"There will be fewer and fewer in the future." "Interventional surgery will complete all cardiothoracic surgeries. This is the trend of the future," Zheng Ren said as he placed the head of the chainsaw under the xiphoid process and pressed it against the sternum.
Zhao Yunlong was somewhat unconvinced.
"There's also a heart transplant and aortic arch replacement."
"Old Zhao, you're bickering." Zheng Ren's eyes narrowed. He raised the chainsaw a little to prevent excessive damage to the patient's mediastinum as he said, "A heart transplant isn't a major surgery. The aortic arch … within 10 years, type 1 can be solved by using the relevant stents under interventional surgery. "
Was this something a human would say? Was a heart transplant not a major surgery?
If it were not for Zheng Ren standing in front of him.
If it wasn't for the chainsaw in his hand …
Zhao Yunlong wanted to curse out loud.
Buzz …
The chainsaw began to chew at the breastbone.
His sternum was cut open, and beads of blood and white bone fragments splashed out.
Zhao Yunlong and Su Yun were holding white sterile gauze on their sternum to block the things that were splashing out.
"Boss, you're looking down on us." Su Yun was unhappy. "Why don't I believe that you can do a lung transplant with interventional surgery?"
"Don't mention the transplant all the time. It's meaningless." Zheng Ren held the chainsaw in his hand. The speed at which he sawed through the sternum was not fast, and his hands were steady. The high frequency of the chainsaw and the vibration caused by the collision of his sternum didn't affect the stability of his hands that were holding the chainsaw.
"It's just like how coronary artery bypass surgery is on the verge of being eliminated. In the future, all surgeries other than transplants will be minimally invasive. Those who can't learn minimally invasive surgery will be eliminated. "
The sound of the chainsaw came to an abrupt halt. Zheng Ren took the sterile gauze from Su Yun and wiped off the blood and bone fragments on the chainsaw's head before handing it over to Xie Yiren.
Reaching out, Lightning Condensation appeared on his hand.
He used electric coagulation to stop the bleeding at the severed periosteum. After more than 20 points, the operation was completed. A burnt smell filled the air. Su Yun and Zhao Yunlong did not stop. They had already asked for bone wax and began to apply it evenly on the sternum.
Sternum was sawed, periosteum hemorrhage was stopped by electrocautery. He could only use bone wax to stop the bleeding.
"Boss Zheng, have you watched Saw?"
"I've watched it. Other than the first episode, I don't really like it," Zheng Ren said.
"Boss, I've cosplayed Saw before. Yes, it was the inspiration for the surgery. But sometimes I'm afraid that I'll play too much and can't control myself during the surgery, so I start to cosplay Freddy from Grim Reaper Street, "Su Yun said as he applied the bone wax in his hand.
"I've never played it before. I don't think it's interesting. You didn't press that kind of machine on your head, did you? "Zheng Ren used a spreader to open the sternum and perform a blunt dissection to expose the heart.
"Why would I? I'm not stupid," Su Yun said.
In the operative view, the heart was pounding. Su Yun reached in and probed with his finger. He said, "The heart is hypoxic and the strength of the pulse is very weak."
"Hurry up and stop chatting," Zheng Ren said. He reached out and slapped the lancet in his hand.
The pericardium was cut vertically in the middle, reaching the inverted part of the ascending aorta and down to the diaphragm. The lower part of the incision was cut to each side to facilitate the exposure of the operative field.
After that, Zheng Ren sutured the incised edge of the pericardium to the soft tissues outside the sternum on both sides. This would save the assistant some trouble.
The surgery was very big. Not only the surgeon, but even the assistants were especially busy. Six hands was never too many.
After opening the pericardium, Zheng Ren began the first step of the exploration.
The main targets of exploration were the aorta, pulmonary artery, left and right atrium, left and right ventricle, superior and inferior vena cava, and pulmonary vein.
The goal was to explore the size, tension, and presence of tremors in these locations. He also checked for the presence of the left superior vena cava and other abnormalities that could be detected by the cardiothoracic surgery.
Although Zheng Ren had performed countless examinations in the System's operating theater, he still needed to confirm and examine himself once again in the real world.
He could not afford to be careless!
The surgery was standard, the process smooth, and no details were missed.
Su Yun and Zhao Yunlong, two fellows who could independently carry out major cardiothoracic surgeries, made the surgery much faster.
Zheng Ren reached out and touched the tissue near the pulmonary valve and said, "You guys feel it."
His tone was like that of an old professor taking his students on a ward round and letting them experience the palpation of a certain disease.
"What did you feel?" Su Yun was curious. The hemostatic forceps in his hand knocked on Zhao Yunlong's radial process. Taking advantage of the moment when he retracted his hand, he placed his right index finger on the tissue near the pulmonary valve.
He did not use any strength. He just touched it and Su Yun understood.
"It's stable!" Su Yun said.
"What's stable?" Lao He was anxious.
The two of them were talking in riddles on the operating table. This was a very immoral thing to do.
"The patient's diagnosis is clear. It's a pulmonary valve tumor. It's definitely not a large embolus," Su Yun said with a smile.
He retracted his hand and Zhao Yunlong put his finger on it.
"Yes, there's a pulse and it's soft. It's a body tissue. The possibility of a pulmonary valve tumor is high." Zhao Yunlong said more and more in detail. It seemed that he was used to saying a few more words so that the doctors under him could remember and write down the surgery record after that.
However, after saying that, Zhao Yunlong realized that among the few people on the operating table, the lowest-ranking doctor was actually him!
If he wanted to write the surgery record, he could only do it himself.
If he pointed at Su Yun and wrote it, he would definitely fall out with him.
F * ck, Zhao Yunlong cursed in his heart.
..
..
Note: I have a friend with a patent ductus arteriosus. Twenty years ago, I told him that I carefully described the process of a chainsaw sawing open the sternum and scared him badly.
More than ten years ago, I told him that there was a minimally invasive surgery that could be done with three holes.
Ten years ago, I told him that he could use interventional surgery from the neck, wrist, or … joking, any artery. The guide wire catheter would go in and the surgery would be over as soon as the umbrella was opened.
However, that coward still did not dare to do it.
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