If a person is unlucky, drinking cold water will hurt his teeth.
Christopher never dreamed that a fish bone would actually cause him to lie on the operating table.
Boss Li's condition was very critical last time, but it was because of a blood vessel problem.
So minimally invasive surgery can handle it.
This time, Christopher was not so lucky.
Pericardial effusion can be treated by puncture.
But if you want to remove the fish bone that has pierced the pericardium, you have to open the chest.
If he could have predicted what happened today, he would not have eaten that fish even if he killed Christopher.
But now it's too late, he has to lie on the operating table.
Even so, he was lucky.
Because when I met Zhou Sheng, it was better to find out in time and get stabbed than to lose my life.
This can be considered a blessing among misfortunes.
Meng Guangfei applied anesthesia.
After a few minutes, Christopher fell into a daze.
Meng Guangfei made an OK gesture towards Zhou Sheng.
Next is the time of Monday's life.
The normal thoracotomy rhythm is to spread drapes and disinfect, use a No. 22 blade to cut the skin, and then switch to the electrosurgical knife. Directly use the electrosurgical knife twice, and the electric knife will make an incision. You can see the sternum with basically no blood.
This process is for ordinary people, but today's situation is a bit special.
Christopher is not an ordinary person, he is very fat!
It's the kind of state where you can't see your feet when you stand up.
Zhou Sheng looked at his plump body and thought to himself, this guy must have eaten a lot of burgers and steaks in Country M.
For surgeons, operating on obese people is definitely a challenge.
Zhou Sheng frowned, his nightmare was about to begin.
Drape, disinfect, and cut the skin with a scalpel.
This process is fairly normal.
Next, it’s time to switch to the surgical magic weapon, the electric knife.
For ordinary people, you can directly use an electric knife to cut all the way.
It's fast, and there's no fear of bleeding. It's just a pleasure.
But not with Christopher.
There is so much fat under the skin that I dare not use an electric knife to cut it.
Because the frequency of electrosurgery is slightly higher, it may cause fat to liquefy.
Fat liquefaction has a great impact on postoperative wound healing.
Zhou Sheng had no choice but to give up this artifact.
Instead, use the most traditional scalpel to cut and pull in the fat.
I scratched and pulled, and the bleeding started.
Grandma’s!
The surgeon is in trouble.
Zhou Sheng had to use gauze to press the bleeding point.
Fortunately, there are many replica surgeries done.
Zhou has done many traditional surgeries without electrosurgery in his life.
Zhou Yisheng was pretty good at controlling these bleeding points.
If you switch to a novice who doesn't use ordinary scalpels.
You will definitely be slow and confused at this moment.
Zhou Sheng used a scalpel to pull and pull, and when he saw bleeding spots, he used hemostatic gauze to clean them.
Changed n pieces of hemostatic gauze.
Zhou Sheng is still fighting against hypertrophic subcutaneous tissue.
If it's just blood, forget it.
There is still oil!
As he was undergoing surgery, Zhou Sheng's gloves became oily.
Zhou Shengsheng felt that the scalpel in his hand was a little slippery and he began to lose control.
have no choice!
Zhou Shengsheng had no choice but to put down the scalpel, then spread his hands and said to the instrument nurse: "Change the gloves."
The equipment nurse takes action immediately.
However, this act of changing gloves is obviously not a standard operation in normal thoracotomy surgery.
So the instrument nurse was busy for a while before changing the gloves for Mr. Zhou.
Su Quan and Cao Xin were watching quietly at this moment.
Monday was in the process of changing gloves.
Su Quan also helped use gauze to stop the patient's bleeding.
Su Quan thought to himself at this moment, holy shit, this is really a hell-level incision today.
I changed my gloves on Monday and my hands became much fresher.
He buried his head and continued to fight against the fat.
I paddled for another long time.
Calculate according to normal time.
The sternum should have been seen long ago.
But in fact Zhou Zhou has been fighting against fat all his life.
The gloves that were new on Monday quickly became greasy again.
Zhou Shengsheng sighed in his heart and gave the doctor's order to change gloves in desperation.
I changed my gloves into two pairs.
As the incision deepens.
The bleeding spots became more frequent.
I was a little busy using hemostatic gauze.
Zhou Sheng had to use electrosurgery.
Yes, I use it, but I am worried about fat liquefaction, so Zhou Sheng only dares to operate it at the lowest power.
When the electric knife touches the fat, it makes a sizzling sound and smoke fills the air.
Zhou Sheng could only endure the smoke and continue the operation.
After struggling for a long time, the bleeding stopped.
I finally saw the sternum.
Zhou Sheng felt relieved.
He thought that when Christopher woke up, he would be asked to lose weight.
This one is cut open.
It took two or three more hours than usual.
But I finally got it done.
The next Monday I will start my daily operations.
After processing the sternum, the surgical field was opened, and the pericardium was cut longitudinally. A large amount of blood, about 600 ml in total, was found in the pericardium. After removal, a fishbone was found protruding into the pericardium and piercing the left ventricular posterior branch of the right coronary artery.
This thing is the main goal of today's life.
It is in the pericardium and may puncture the heart at any time.
It can be said to be extremely dangerous, like a time bomb placed in the heart.
You never know when something will go wrong.
Zhou Shengsheng was careful and used the electric knife and tweezers together. It only took more than ten minutes to remove it from the pericardium.
At this time, Zhou Sheng could clearly see the whole fish bone.
It is about 3.5 cm long and has forks.
Zhou Sheng put the fish bones into the tray.
Su Quan and others looked at the fish bone and were all sighing.
It's this fish bone that's shorter than your little finger that's causing so much trouble.
If you hadn't seen it with your own eyes.
It's really unbelievable.
The fish bones have been removed and the blood accumulation has been dealt with.
Potential threats and cardiac tamponade conditions have been resolved.
The remaining tasks will be easier.
Rinse, drain, and take precautions to prevent infection.
After Zhou Sheng was halfway through the operation, he looked at Su Quan who was eager to try.
Finally Zhou Shengsheng decided to let him exercise too.
It's not difficult and there's no danger.
Su Quan has independent surgical experience and is very familiar with these basic operations.
He imitated Zhou Sheng's way of doing irrigation and drainage in a methodical manner.
Cao Xin is a bit more miserable.
As the second assistant, he could only watch Su Quan's operations from the sidelines.
But there is no way.
Surgery is all about growing up slowly.
No one can reach heaven in one step.
Even Zhou Sheng, who owns the system, still needs to gain experience by completing dungeons.
At the moment, Cao Xin can only observe carefully.
Flushing and draining is a simple matter.
However, Su Quan was still a little nervous when he started.
Although the basic principles of flushing and drainage are similar, in the past, Su Quan only dealt with some "insignificant" areas.
Today we are dealing with important places like the heart and chest.
So it's inevitable that you can't let go.
Su Quan was cautious, afraid of making any mistakes.
But it turns out that Su Quan's hard work in the emergency department during this period has been fruitful.
By the end, his movements became more and more relaxed.
Zhou Shengsheng watched and nodded with satisfaction.
It seems that it won't be long before Su Quan can take charge of his own business.