Rebirth begins in the operating room

The operation begins.

At Tang Qian's request, Ye Li found the electric coagulation knife and handed it to her.

Tang Qian took the electrocoagulation knife and first made a longitudinal incision along the midline of the sternum from the suprasternal notch to the xiphoid process, then incised the skin and subcutaneous tissue, fascia tissue to the sternum, and used electrocoagulation to stop the bleeding. The incision was protected by gauze pads.

Judging from these actions, Ye Li could feel that Tang Qian's whole demeanor changed after she put on the surgical clothes.

confidence!

Be confident!

But Ye Li noticed that there were advanced equipment in front of him, from professional surgeons to professional treatment teams.

It gave him an indescribable sense of nervousness.

"Sternum Saw!"

Tang Qian said something to Ye Li, but found that the other party was completely absent-minded.

There is no time, this guy still has time to desert!

Tang Qian was so angry that she wanted to drive Ye Li out.

For a moment, I thought that I regretted my decision just now, and I shouldn't have left this guy to help.

"Sternum Saw!"

When Tang Qian spoke again, Ye Li calmed down.

"Oh, okay..."

He quickly handed over the sternum saw.

Ye Li also discovered why this operation was so tense. It turned out that it was not because he was the surgeon.

Tang Qian's technique was clean and neat, and she had already sawed open the injured man's sternum.

A spreader will be used to spread the sternum.

Clearly see that fragile heart.

Ye Li knew very well that thoracotomy would require different surgical approaches depending on the location of the lesion or injury.

For most intrathoracic diseases, a midline sternal incision is often chosen. In some cases, posterolateral incision, anterolateral incision, bilateral thoracotomy, axillary incision and posterior incision are chosen.

Tang Qian used the most common method.

But it was the first time that Ye Li had seen such a chest opening. Wasn't he afraid that there would be a large number of them?

Thoracotomy is bound to be risky. If the incision is large, the risk of bleeding is an inevitable result. Generally, when entering the soft tissue separation, the surgeon will use sharp instruments with caution, but there will also be a certain amount of bleeding, especially when there are blood vessels in the proliferated tissue.

It's hard to predict and find.

"The heart won't hold up for long, it needs to speed up."

At this time, Tang Qian reminded everyone that in order to reduce cardiac tamponade, she would first prepare to switch to extracorporeal artificial blood circulation.

This is also the only way at present.

When the heart ruptures, a large amount of blood will accumulate in the pericardium, causing compression of the heart, which is also called pericardial tamponade.

Now as an assistant, Ye Li can only cooperate with her.

For the mission and to save people.

Although he wanted to remind him a few times, he still wanted to see this beautiful commander.

strength.

Next, Ye Li inserts the ascending aorta supply vessel at the base.

At the same time, right-angled venous drainage tubes were inserted at the entrances of the superior and inferior vena cava respectively.

Tang Qian tightened the superior and inferior vena cava bands to block the ascending aorta.

The two of them have an inexplicable tacit understanding.

Tang Qian subconsciously glanced at the monitor.

My blood pressure is all good.

But the next second, she suddenly discovered why today's surgery went so smoothly.

Unlike in the past, the process from thoracotomy to extracorporeal blood circulation took a long time.

But today it only takes less than twenty minutes.

Tang Qian felt that the whole process was smooth and smooth!

It can be said that today's surgery was very coordinated and the details were highly controlled.

Moreover, there is a feeling that cannot be put into words and cannot be expressed clearly.

So strange.

Next is the highlight. Ye Li plans to be a bystander, he wants to see how Tang Qian deals with her heart that is about to burst.

Last time, Ye Li used sterile gloves to seal the rupture, preventing the heart from eventually swelling and bleeding.

It is then repaired with the outer layer of myocardium.

This method scared Li Anjian at the time.

It was also given a strange name, called the operation of removing the east and filling the west.

"Professor Tang, the heart can rupture at any time, what should we do?"

The members of the treatment team nearby had serious expressions on their faces.

yes!

How to deal with it.

As long as the heart rupture and bleeding are prevented, there is basically hope.

The question is how to stop it!

Tang Qian looked serious at this moment, and her brain kept thinking about how to prevent her heart from rupturing.

Currently, there are two methods to prevent heart rupture. One is ventricular wall repair through cardiovascular surgery, and the other is coronary artery bypass surgery.

Either way there are surgical risks.

Also consider whether it is a subacute cardiac rupture. Thrombosis, hematoma and pericardium can all be used to block the rupture.

Although cardiac tamponade will not occur, ventricular aneurysms will gradually form.

All need to be removed and repaired quickly.

Time passed minute by minute.

Tang Qian was so anxious that the sweat on her forehead was like rain, and water mist was already rising inside the sterile cap.

So does everyone else.

Ye Li saw that everyone was helpless!

Hey~

Ye Li, who sighed deeply in his heart, wanted to repeat his old tricks today.

"Sir, I have a method but I don't know if it's feasible or not!"

"Don't make trouble for the professor..."

The others retorted rudely, thinking that Ye Li was just looking for trouble.

Tang Qian glanced at Ye Li. She originally planned to drain the blood from the pericardium.

Then make repairs.

Now that someone has some suggestions, it doesn't hurt to listen.

"you say...."

"Cut off a piece of the new sterile glove and sew it up at the rupture..."

After Tang Qian heard this method, her inner evaluation was that it was crazy and directly violent.

However, sterile gloves are sterilized so that it is also a foreign object, which can prevent the heart from rupturing.

What to do after that?

Just when Tang Qian was about to retort and scold Ye Li, she suddenly realized something.

If sterile gloves are used to prevent heart rupture, an autologous transplant is also possible.

When several people were about to watch Ye Li being scolded, Tang Qian agreed.

This was something they never expected. Tang Qian agreed with Ye Li's method.

It just tests the stitching technique.

After Ye Li saw that the other party agreed with his method, he suddenly breathed a sigh of relief.

I don't know why I'm a little nervous.

Maybe it's because I haven't had heart surgery for a long time.

Ye Li cut off a part of the sterile glove and attached it to the ruptured heart with forceps.

Tang Qian picked up the suture needle and sewed it up stitch by stitch.

The movement is slow but very steady.

The distance between the edge and the line is quite beneficial.

Ye Li could see that the other woman was a very hard-working woman.

Being able to become a second lieutenant under the age of 30 does have some foundation.

Among the same generation, except for Ye Li, there are still very few such elite talents.

Just when the last injection was given, the ruptured heart suddenly began to bulge, and the pericardium was pushed up.

It was about to burst.

Unexpectedly, I picked up a small package.

Seeing that they were about to burst, everyone quickly retreated for fear of being splashed with blood.

"It's going to burst!"

Someone shouted.

At the same time, Tang Qian was so frightened that her spine went cold.

Only Ye Li stands like an ancient pine, standing still.

He looked at the bulging blood bag expressionlessly.

"What's your blood pressure?"

"The blood pressure is normal...."

A few minutes passed, and Tang Qian confirmed that Ye Li's method was feasible and successfully prevented the heart from rupturing.

Ye Li's face was expressionless, he knew that what was coming next was a technical job.