The Godfather of Surgery

This kind of adhesion made Professor Li terrified.

He carefully observed Yang Ping's operation just now, the surface of the heart was almost attached to the inner surface of the sternum.

When the sternum was sawed, the saw blade just saw the sternum without damaging the heart attached to it. This is by no means luck. It is impossible to control the saw blade without making mistakes in the whole process by simply relying on luck.

Professor Li's teacher once said: Remember, a good surgeon must be good at composing pictures with the brain.

So now there is only one explanation. Dr. Yang has already sketched a three-dimensional anatomical map of the surgical area in his mind with the help of the image and pictures. With this picture in his brain, he commands the chainsaw in his hand to act precisely.

Professor Li performed the first heart surgery in that year. The patient had a history of heart surgery, but he did not know that because of the previous surgery, the heart was adhered to the inner surface of the sternum. Professor Li took the thoracotomy saw and sawed the sternum from top to bottom, and then dark red blood poured out.

At that time, he saw blood and was scared, not knowing what was going on.

Fortunately, the teacher commanded calmly in the audience: The saw blade cut open the atrium below, pressed it, stopped the bleeding, and then repaired it.

The patient's blood pressure plummeted, and the anesthesiologist instructed the roving nurse to transfuse blood. In a panic, Professor Li mechanically accepted the teacher's command, but could not find where the bleeding point was.

Saw the sternum completely, and the crack is below. The teacher roared, and then went directly to the stage with gloves on.

Professor Li bite the bullet, and in a pool of blood, he picked up the chainsaw again and completely sawed through the sternum.

Sure enough, with the help of the suction device, Professor Li saw the bleeding point, a 3 cm wound on the right atrium, and he stretched out his hand to hold the wound.

Sew it!

The teacher ordered, the teacher replaced Professor Li's trembling hand and pressed the wound to stop the bleeding. Professor Li began to repair the tear in the atrium. The teacher released his hand and used the suction device to create a barely clear vision. Fortunately, he is usually well-trained, Professor Li The laceration was soon repaired, the blood was stopped, and the patient's blood pressure returned.

Since then, Professor Li has been like a soldier baptized by war. He has never trembled in the face of blood and heart.

But at this time, Professor Li couldn't help being shocked. The heart and the large blood vessels connected to it were blurred, especially where the large blood vessels were, and there were adhesions everywhere.

Sharp knives are more precise than round knives, but they are also more risky.

First, open the pericardium. The pericardium is the outer layer of the heart. It has a fibrous layer and a serosa layer. A potential cavity is formed between the two layers. There is a lubricating oil-like serous fluid in this cavity.

This slurry, which reduces friction when the heart beats, is similar to engine oil.

The entire pericardium, especially the fibrous layer, not only protects the wrapped heart, but also holds the heart in the correct position and limits excessive expansion of the heart.

Without the restriction of the pericardium, when the heart contracts, the intracardiac pressure rises rapidly, and the heart expands without restriction, causing the heart to rupture.

Of course, this is when the heart contracts violently.

Just like a balloon placed in a cloth bag, no matter how you blow it, it will not exceed the size of the cloth bag. If there is no limitation of the cloth bag, if you blow hard enough, the balloon will burst to a certain extent.

The pericardium, which was originally full of positive effects, now forms adhesions and constrictions, restricting the normal beating of the heart and endangering life. Yang Ping will now peel off the envelope that restricts the heart.

The pericardium must be opened to fully release the vitality of the heart, otherwise this contracture envelope will strangle the heart.

The sharp knife was replaced with a round knife. The tip of the knife slashed across the pericardium, and the depth was appropriate. The capsule had just been cut open, but it would not hurt the real surface of the heart. This kind of knife skill made Professor Li unbelievable.

The fibrous and serosal layers of the pericardium have adhered together to form hard connective tissue.

Be careful!

Professor Li couldn't restrain his worry and spoke out.

But Yang Ping didn't seem to hear his reminder, the knife had already made a long incision in the heart, which took shape at one time.

Professor Li's worry was unnecessary, because the capsule was just cut through at every point of this incision without hurting the heart below the capsule.

The envelope was opened, and the fresh heart was about to come out.

The toothless forceps lifted the capsule, the tip of the knife was almost touching the surface of the heart, and began to separate in all directions. Slowly, half of the capsule that bound the heart was separated, and it could no longer restrain the heart.

Leave the rest, which has a fixed effect on the position of the heart. Yang Ping stopped the knife in his hand.

If the entire capsule is peeled off like an egg, the bare heart will roll around without restraint in the chest cavity, and the blood vessels connecting it will be torn and ruptured or spasm.

All the internal organs of the human body must be properly fixed, otherwise they will run around.

The remaining pathological state of the pericardium has been unable to restrain the heart, so that the heart can contract freely. At the same time, compared with the normal heart, there is a risk that the heart may rupture when it contracts suddenly and violently.

Replace the blade!

Replace the blade every time it is separated.

Because of the poor quality of these blades, it takes less than a few minutes for them to become dull and unable to meet the requirements of delicate anatomy.

The thing that surgeons hate the most - the scalpel blade is too dull!

Switching back to the sharp knife again, along the heart, along the left ventricle, Yang Ping began to separate the aorta, the aorta and the vena cava had been pulled to the anterior side of the spine by adhesion, and were glued together with the anterior side.

The deformed spine and thorax lead to a very narrow thoracic cavity, the blood vessels and organs are almost squeezed together, and the large blood vessels are tortuous like the intestines, but because of the adhesion, nothing can be seen clearly.

The adherent connective tissue drowned everything, and it was impossible to tell which were blood vessels. There was only one tissue under the knife, and that was the adherent connective tissue.

The sharp knife made a firm effort, slowly revealing the coiled ascending aorta.

Immediately thereafter, the brachiocephalic trunk, the first major branch of the aorta, begins to outline under the sharp knife.

The tip of the knife seemed to have some kind of special detection ability. An unnamed branch artery was separated. Yang Ping did not intend to ligate it, but continued to separate it until it reached a satisfactory length. It would not involve the reduction of the entire aorta.

There's so little room to operate, they're squeezed together, they're glued to themselves, they're glued to everything around them.

Professor Li was highly focused and followed Yang Ping's rhythm. Because every knife was unknown, every knife made people nervous.

It's like running blind in a minefield!

Although this operation is not open-heart surgery, all operations are performed outside the heart, but any negligence will cause the rupture of blood vessels.

Yang Ping seemed to know these anatomical structures in advance, and he never made mistakes in the position of the knife, whether it was the coordinates of up, down, left and right, or the coordinates of depth.

This is completely different from what Professor Li imagined.

He imagined that the blood vessels should be broken from time to time, blood gushing out or spurting out, and then quickly repairing the blood vessels before continuing.

But Dr. Yang did not do this at all. So far, there has been no accidental bleeding from the root of the aorta to the brachiocephalic trunk.

Several times I thought it was going to spurt blood, but it didn't.

Does Dr. Yang have any other sophisticated inspection equipment to complete the imaging examination?

impossible.

Professor Li looked up and looked around, everything was normal.

——

Family waiting area.

Zheng Baosheng's parents were worried again and again, and the fear of being connected by blood could not be suppressed.

Now their son is lying on the operating table, likely never to wake up.

Lao Zheng looked at his mobile phone from time to time and counted the time. He was afraid that the surgery door would suddenly open. The doctor said in frustration, We have done our best.

Zheng Baosheng's mother was muttering something silently, probably asking for the blessing of the Bodhisattva.

This torment is very painful.

Old Zheng, you say, can our son survive this test? Zheng Baosheng's mother opened her eyes.

Lao Zheng looked towards the door of the operating room: My son said that he can walk over. He said that there are countless people who have been pulled back by Dr. Yang from the gate of hell, and he will be one of them.

When my mother heard this, she felt a little comfort in her heart.

This kind of thing, really, depends on fate! ——

Nurse Qin is now standing in the operating room. Because the video was shot in the operating area, she could not see the performance of the instrument nurse.

Therefore, she can only come to the operating room to observe the scene.

The silent cooperation between the chief surgeon and the instrument nurse, the seamless tacit understanding, opened Nurse Qin's eyes.

She considers herself to be the best equipment nurse, has received the most advanced training in the best hospital in China, and undergoes a large number of surgeries every day, but she has never seen such a harmonious cooperation.

Everything is clear and orderly. This clarity, this order, is natural, not mechanical, rigid, or deliberate.

She once invited Xiao Su to go to 301 to study, but now she finds that it should be the other way around. This is the most worthwhile place to study.

That little traveling nurse girl, who handled the off-stage tour of the operation alone, without anyone to help, but she was not flustered, calm, and what she did seemed to use the mathematical planning method to arrive at the best order.

The anesthesiologist, sitting calmly on the patient's head, actually played with his mobile phone.

Every once in a while, he would glance at the monitoring screen, then lower his head to play with his phone.

Perhaps, all this is under his control, and he doesn't have to worry at all.

The preparatory perfusionist who came from the thoracic surgery department was idle and had nothing to do. He sat on the side and looked bored here and there.

——

This is cardiac surgery, how could Xiao Yang be so skilled? Professor Liang couldn't help asking.

Obviously, I came to see the spinal correction, and at the beginning, I was to see the operation of the heart and major blood vessels.

I don't know either. He said he was the chief surgeon during the entire operation. I thought it was just a joke. How could Professor Qin know the answer.

Talent can only be explained by talent.

Professor Su remained silent and kept staring at the screen. Although he was a specialist in spine surgery, when performing scoliosis surgery, he sometimes needed a thoracic surgery to deal with heart and lung problems, so he was very aware of the difficulty of this surgery.

No wonder, to hang the sign of the Institute of Surgery.

It seems that the people who really understand him are Xia Changjiang and Han Jiangong.

Professor Su glanced at Professor Qin from the corner of his eyes. Now Professor Qin is the most persistent and must dig Yang Ping to 301.

I really went to 301, I'm afraid I haven't had a good time at Sanbo. Professor Su has this feeling at this time.

But some things are not for the average person to decide.

On the left of Professor Liang is Professor Su, and on the right is Professor Qin. He sometimes turns his head and talks to the left and right.

The future is terrifying, does Xiao Yang have a partner?

Professor Qin nodded: Yes.

Where is the object? What's the situation? Professor Liang asked very carefully.

The nurse in the operating room is setting the stage.

Compared with Professor Liang, Professor Qin has a better understanding of Yang Ping's personal situation.

Professor Su looked sideways and thought to himself: What do you mean by asking the subject? Digging for the foot of the wall, did you dig this up?