Dr. Jiang’s Daily Adversities

The anesthesiologist is ok, and the operation has really started.

Jiang listened to Xu calmly giving instructions:

"Disinfect the skin."

The assistant started immediately:

"Yes."

After the skin was disinfected, Jiang Tingxu spoke again:

"Scalpel."

The assistant handed over the 22# scalpel dedicated for thoracotomy.

At first, everyone still had doubts about this young Chinese female doctor who suddenly appeared, but the outsiders watched the excitement and the insiders watched the doorway. Just by looking at this shot, they knew that people were really powerful.

The scalpel cut through the skin at once, quickly and decisively. Basically, the old surgeons with many years of experience can do this.

"Toothed forceps."

"Electric knife."

The electric knife cut through the subcutaneous tissue and muscle layer, and the sound of sizzling sounded vividly, even with the smell of grilled pork belly.

The assistant did not need to prompt, and wipe the blood with dry gauze.

"Right angle pliers."

Calm, serious, and awe-inspiring, at this moment, they are all on the face of the woman undergoing thoracotomy.

At this moment, no one in the team questioned anything.

Use right-angle forceps to separate the interclavian ligament and pleura of the sternal stem quotient method. After separating the sternum, loose connective tissue.

Act fast, ruthless and accurate!

People are sincerely admired.

"The sternum saw firstly helps the bone wax fill the bone marrow cavity to stop bleeding, and secondly helps the periosteum to stop bleeding."

"Ok!"

"Ok!"

Skillfully set up the sternum saw, after finding the correct location, he directly began to cut the sternum longitudinally.

The moment the sternum saw started to work, the roasted pork belly seemed to get stronger and stronger.

No wonder it is rare for surgeons to order pork belly skewers outside.

When you eat this tm, you can think of the **** and **** scene during the operation. Who can eat it with great heart?

"Breast support."

The sternum has been sawn open, so naturally you need to open it in the next step to see what's inside and move on to the next step.

The assistant has a line of ground heart forceps, tissue scissors, and electrosurgical knife. Although it is the first time to cooperate, all the personnel present have very rich experience, so there is no such thing as a failure to cooperate.

Jiang Tingxu's movements were lightened a lot, and he carefully separated the loose connective tissue on the surface of the pericardium and the thymus to the aortic pericardial reflex with an electric knife. After that, the pericardium was finally completely opened.

"7x17 round needle, 4# silk thread."

The assistant gave Jiang Tingxu what he needed again.

The opened pericardium needs to be suspended.

Until now, the operation is the real official start.

"Give heparin intravenously to establish cardiopulmonary bypass. Heparin is administered at a dose of 3 mgkg and inserted into the central vein."

"Received, heparin 3mgkg, central vein push."

After that, the aorta was cannulated, sutured and perfused, the upper and lower vena cava were blocked, and the purse string was sutured.

Heart forceps tissue scissors cut the adventitia of the aorta, insert the aortic cannula, tighten the purse-string, fix the blocking tube and the aortic tube, and connect the cardiopulmonary bypass machine after exhaust.

"Perfuse cardioplegia with 10-15mlkg, and apply ice on the surface of the heart to cool down."

"Received, cardioplegia perfusion, 10-15mlkg, apply ice to the heart to cool down."

The assistant and the nurse cooperated with each other, and the sequence was completed very quickly.

"Scalpel No. 11, heart forceps."

At this time, the incision is started, and the tissue is cut to expand the incision.

When I saw that the heart really had seven holes, even though I knew it in color Doppler ultrasound, when I saw it, I was shocked.

Among the seven holes, some of the "live holes" will have blood passing through them, which requires medical surgery to seal them.