Chapter 35
"In estimate, it's about fifteen millimeters."
After carefully observing the crack, John gave his own judgment.
It should be because the tip of the knife was just pierced, and the wound was not very big, otherwise the patient on the operating table would have died long ago. However, although the wound was small, it still kept seeping outwards, condensing into blood clots, causing the patient's condition to continue to worsen. If not treated, death would happen soon.
"Let's start!"
Taking a deep breath, John said to his assistant Luca in a deep voice: "Next, you cooperate with me to suture the wound. Remember, the principle is to operate during the diastolic period. Be careful when the movements are done, but quickly!"
"good!"
Luca's answer was simple and clear, and most of his energy was spent on nervousness. The obsession and excitement that had just seen the heart disappeared when he was about to start the next step.
However, the stitching process is actually not good.
The stitching of the heart sounds very high-end, and it is indeed very dangerous under technical conditions at this time, but there is nothing to say in detail. When the heart is diastolic, the needle is taken from the other side of the wound in the next diastolic period, and then the knots are tied in the diastolic period - it seems that there is no difference between sewing clothes. However, because the heart beats very fast, grasping this timing requires keen observation, accurate judgment and a stable mentality.
Fortunately, John is not short of these points.
Even so, a terrifying scene occurred during this process, that is, when every needle is tied, the patient's heart will stop beating. Even if it is just a brief stop, it still makes John, Luca and others stop breathing instantly!
Fortunately, the bleeding stopped after only three injections.
"call……"
While seeing this scene, John and the other two breathed a sigh of relief almost at the same time. The suture wounds and the sewing clothes seemed the same, but they were still different in essence. At least it was not that the denser the needle, the better. Now that the bleeding has stopped, it is enough for so long.
But now is not the time to relax. I just took a two or three seconds to relieve my high tension. John immediately said in a deep voice: "Luca, check the patient's reaction!"
"OK."
With Helen's assistance, Luca immediately began to test the patient's various indicators, and then quickly replied happily: "Hard rate and breathing have improved, and we seem...successful!"
"No, it's not time to flush your chest when you say this!"
Shaking his head, John immediately directed the two to start rinsing the chest cavity with normal saline. Postoperative rinsing is extremely important, which can remove most of the contaminants and debris in the chest cavity and reduce adverse reactions after the surgery. Fortunately, during this process, the patient's heart was beating regularly and there was no dangerous signal, so John and Luca worked closely together and then completed the closure of the chest cavity.
Stitch, clean and disinfect, cover with sterile dressing.
After finishing everything, John observed his patient again. Although his face was still extremely pale, both breathing and heart rate had been significantly improved, and the surgical effect was displayed so timely and obvious!
"Then it's all up to you."
After breathing a sigh of relief, John looked at the young man on the operating table and said quietly. He had never had a heart surgery, and with the extremely simple conditions now, John was really sure of it at all. He could only hope that this guy has a better physique and can survive the next level of infection...
...
"How is the situation?"
As soon as he came out of the operating room, John was surrounded by Bergman and Staff.
"The operation went smoothly, but it was up to him next."
After a moment of pause, John shook his head and explained: "But judging from the current situation, the patient's condition is pretty good. If there is no accident, I think I can handle it!"
"This... means it's successful?"
Bergman and Staff looked at each other, and then the professor of surgery asked with some uncertainty.
"Of course, the operation must have been successful!"
With a raised brow, John replied seriously: "The wounds on the pericardium and ventricle have been sutured, the bleeding has stopped, we have also cleared all the blood clots, and the patient's heart rate and breathing have also improved... Of course it was successful!"
"Hiss..."
After hearing the last sentence, Bergman and Staff took a sip of air conditioning at the same time!
Because of John's previous persistence and his performance when he first went on the operating table, Bergman and his two guessed that the operation might be successful, but what they didn't expect was that it would be so fast and so smooth! If you calculate carefully, if you remove the time for opening and closing the chest, clearing the blood clots and suturing the ventricular wall, it will be only a few minutes at most, and the suture process will not exceed two minutes! If you think about John's operation decision in the early morning, two or three hours ago...
I dare not think too much, thinking too much makes people feel at a loss!
"This guy... must have been ready!"
Looking at John, who was slightly tired on his face, Bergman couldn't help but take a breath again!
At this time, Bergman and Staff were thinking, and John must have no interest in knowing. He took a short break and recovered his fatigue caused by high tension. He immediately said to Luca who came out: "Please use sulfamide on the patient and pay attention to the wound! In addition, you must pay close attention to the drainage tube..."
"Don't worry, John!"
Luca, who had just completed a "milestone" operation, was obviously still excited, and immediately nodded and said excitedly: "I will stay in the hospital tonight and observe his situation closely, so you will be relieved!"
"Yeah, that's fine."
Seeing Luca's extremely excited look, John didn't say much.
But after a moment of pause, Luca suddenly said in a vain again: "John, when are you going to publish this surgery today?"
“Splite it out?”
When John was slightly stunned when he heard Luca's words.
Bergman and Staff next to him immediately reacted, and the professor of surgery immediately frowned and said in a deep voice: "This is absolutely not possible, because we have not yet determined what the patient will end up with!"
"Yes, don't worry!"
Staff instantly understood what Professor Bergman meant and nodded immediately.
Whether it is for the sake of maintaining the reputation of Charlotte Hospital's surgical department or the honor of John himself, it is best not to announce this surgery before the patient's final result comes out. Otherwise, if the patient dies, he will probably attract more criticism and ridicule.
After listening to the two big bosses, John finally understood what Luca meant.
Although he disagrees with their concerns, John is not an ungrateful person. Finally, he shook his head and smiled: "Luca, just do what Professor Bergman said. But I still think it's too thin if you have only one surgery. If you are interested, whether you write a paper or publish it at a medical conference, it's fine..."
Chapter completed!