It wasn't Feng Qingchen's first heart repair surgery, but this one was definitely the most difficult one.
There is no complete surgical team, no operating room that meets the requirements, everything is very simple, but the patient is very noble.
Feng Qingchen took a deep breath and stood in front of the operating table. Sun Sixing's slightly immature face was tense and serious.
"Master." Sun Sixing opened the microglasses case, put it on Feng Qingchen, and adjusted it according to Feng Qingchen's requirements. After doing this, he pushed all the medicine bags and instruments one by one to the side of the operating table.
These were the instruments and sutures specially used for heart surgery that Feng Qingchen had prepared in advance. Only Feng Qingchen and Sun Sixing had seen these things before.
Chi Lianshui and Guo Baoji's eyes brightened up when they saw each other, but they remembered what Feng Qingchen had reminded her before: in the operating room, no noise unrelated to the operation was allowed. If you have any questions, ask them later. Don't disturb her work. She just flashed
If you look down, the prince's life will be in danger.
"Master, it's okay." Sun Sixing had already injected the prince with the necessary medicine while Feng Qingchen was adjusting himself. Now Feng Qingchen only needed to operate the knife.
In fact, Sun Sixing didn't have much to do. During Feng Qingchen's anesthesia, he opened the peripheral veins, performed arterial and venous punctures, and connected the infusion tee to ensure smooth infusion and application of anesthetic drugs during the operation.
Everything was carefully prepared. Even without a professional team, Feng Qingchen did his best.
Feng Qingchen nodded and motioned for Sun Sixing to stand opposite her, while Guo Baoji and Chi Lianshui came to her side. Sun Sixing wanted to assist her in the surgery, while Guo Baoji and Chi Lianshui were solely responsible for the work of nurses, but even so, it was enough.
Guo Baoji and Guo Baoji were excited.
Standing in front of the operating table, Feng Qingchen put away all his emotions and acted like a cold machine. For a moment, Chi Lianshui and Guo Baoji were lost in thought.
Is this person still the same Feng Qingchen they knew, with extraordinary talents, humility and courtesy? However, it can be understood when thinking about Sun Sixing's performance when holding the knife, which is completely different from the usual two.
Both the master and the apprentice were weird people. The moment they held the sword, they were like gods, rigorous, confident, and without human emotions.
Feng Qingchen had no time to care what the two people thought, she had already started the operation.
Feng Qingchen picked up a cotton ball, dipped it in iodine solution, and applied it to the heart. The whole action flashed by in less than two seconds. After completing this step, Feng Qingchen picked up a marker to draw the surgical line.
The median sternal incision is a standard open-heart surgery incision for cardiopulmonary bypass. It has good exposure and is suitable for heart surgery at any location. The incision starts slightly below the sternal notch and reaches about 5.5 inches below the xiphoid process.
After drawing the surgical line, Chi Lianshui handed the scalpel to Feng Qingchen. Feng Qingchen's hand holding the knife was very steady without any hesitation. Feng Qingchen cut the knife decisively without making any sound. Feng Qingchen cut along the line.
Open the prince's chest.
The moment Feng Qingchen slashed the knife, Guo Baoji and Chi Lianshui were impressed. Cutting people up was completely different from cutting up rabbits. Feng Qingchen's action just now was even more agile than a first-rate killer.
Feng Qingchen opened the prince's chest, and Sun Sixing picked up two clamps and placed them above and below the incision. Feng Qingchen then picked up the electric knife and cut the sternum periosteum along the middle, from the sternal notch to the back of the sternum.
There are three ribs in the heart. When performing lung surgery, the ribs can be pulled to both sides to free up the surgical site. However, this cannot be done during heart surgery.
For heart surgery, these three ribs must be removed so as not to affect the operation and expose the heart.
Feng Qingchen first removed the xiphoid process, then separated the retrosternal space, and used an electric saw to cut the sternum lengthwise along the midline.
There was a crunching sound, and blood splashed out. The blood stained Feng Qingchen's hands, but Feng Qingchen didn't even blink.
Heart surgery is a physical job, and sawing bones is even more strenuous. Therefore, there are very few women in cardiac surgery because women cannot do many things.
The action of sawing off the sternum is not really beautiful, and is even a bit violent. However, Feng Qingchen, who is holding the electric saw, does not look violent at all. Her serious look makes people feel that she is doing something great.
In fact, Feng Qingchen was indeed doing something extremely great, something that no one had ever done in the eyes of Chi Lianshui and Guo Baoji.
Cutting open a human heart is completely different from cutting open a rabbit's heart. When Sun Sixing experimented with rabbits, they would be amazed and admired. But when they saw Feng Qingchen operating the knife on the prince, they were shocked. This scene
It's so irritating to people's nerves.
It turns out that this can be done to treat illnesses, and it turns out that violence is also a kind of beauty.
Three sternums were sawed off, and Feng Qingchen was sweating profusely. Fortunately, although Chi Lianshui was shocked, he did not forget his job and quickly picked up a clean handkerchief to wipe Feng Qingchen's sweat.
Feng Qingchen took out the three sternums and put them in place. He used electrocoagulation to stop the periosteum from bleeding and bone wax to stop the sternum from bleeding.
After the sternum is removed, it does not mean that the heart is exposed. You still have to cut the pericardium to see the heart.
Feng Qingchen incised the pericardium longitudinally from the midline, up to the reflex of the ascending aorta, and down to the diaphragm. The lower part of the incision was made on both sides to facilitate exposure.
Then the pericardial incision edge was sutured to the soft tissue outside the sternum on both sides, and a spreader was used to open the sternum. Only then was the prince's heart revealed to the public.
The heart was beating softly in front of everyone. There was no obstacle and you could reach out and touch it. But at this time, no one had time to look at the prince's heart.
Feng Qingchen put down the scalpel and performed an extracardiac exploration on the prince, exploring the aorta, pulmonary artery, left and right atria, left and right ventricles, superior and inferior vena cava and pulmonary veins, their size, tension, and whether there was tremor, and checking whether there was left superior vena cava and other extracardiac injuries.
Deformities that can be discovered.
The results of the X-ray were good, but it was not as straightforward as opening the heart. After repeated inspections, it was confirmed that the prince's heart did not have these problems, and Feng Qingchen breathed a sigh of relief.
If there are no other symptoms, it means that the operation can proceed as planned. After cutting the heart, the biggest fear is to discover symptoms that have not been detected before.
Accidents mean that the success rate of surgery is lower.
After checking that there are no problems, the next step is to perform extracorporeal circulation. Open-heart surgery requires blocking the heart circulation and cutting the heart to provide bloodless surgery for intracardiac operations.
During the period of blocking circulation, the body's venous blood is drained outside the body into the artificial heart-lung machine that replaces the heart and lungs for oxygenation and carbon dioxide removal, and then is returned to the body by the blood pump to maintain systemic circulation. This method of bypassing the heart and lungs to assist blood circulation is
Extracorporeal circulation.
Vena cava cuff, arterial cannulation, vena cava cannulation, cold cardioplegia infusion cannulation, left heart drainage cannulation, Feng Qingchen meticulously performed the work of extracorporeal circulation and made sure to connect the artificial heart-lung machine system.
Finally, Feng Qingchen did not take action immediately, but checked whether all the pipes and their connections were accurate.
At this time, any slight error would cost a person's life. Feng Qingchen could not be careless. Only after making sure that there were no obstacles in each channel, Feng Qingchen started extracorporeal circulation.
Message to readers: The fourth update on Beauty Day, I wish all my sisters a good mood every day, good luck every day, and everything goes smoothly. What about... heart surgery is extremely complex and professional, and A Cai doesn’t understand it. I wrote it out recently by supplementing the information. If there is any discrepancy,
Please ignore it. After all, A Cai is not a medical student.
Extracorporeal circulation is quite complicated, and a bunch of professional terms are quite boring, so I won’t write more. If you are interested, you can send me a private message, I have information!