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Chapter 50 Canine Thoracotomy

The spacious operating room was very quiet, and the three operating tables being used were all illuminated by their own shadowless lights.

On one of the tables, Gu Jun made a 15cm skin incision on the surgical part of the human-faced dog, and said: "Curved scissors." He took the curved surgical scissors quickly handed over by Cai Zixuan on the right and started to cut slowly.

Open all layers of subcutaneous tissue, skin muscles and ventral pectoral muscles. Wang Ruoxiang opposite is silently and carefully doing the work of stopping the bleeding.

The three of them have devoted themselves wholeheartedly to the operation, and they only occasionally notice the terrifying and sickly human face, but it is just a background board.

Gu Jun must cut very carefully to minimize damage to the functions of these tissues, and the scissors need to be as close as possible to the front edge of the ribs to avoid the blood vessels and nerves between the ribs. If a blood vessel is accidentally cut off, it will be very difficult for the surgeon.

Say, that is a terrifying scene.

But now he is still very energetic, and his mental strength, eyesight and hand strength are all online. Cutting out layer by layer, there is no scene where blood suddenly spurts out.

"Turn on the ventilator." Gu Jun said again. Because he was fully focused, his face was expressionless and his voice was low. Cai Zixuan knew his duty and shouted: "circulation nurse, come here and turn on the ventilator!"

There are ventilators, ECG monitors and other conventional equipment beside each operating table. Some of them were used when the roving nurses brought the human-faced dogs in. But now, a roving nurse heard this and immediately

He came over and helped to turn on the animal's ventilator to provide positive pressure oxygen.

When the human-faced dog exhaled, Gu Jun opened its intercostal muscles and pleura.

There was a slight sweat on his forehead, but he kept his hands steady. "Wound towel." He placed the wet sterilized wound towel on the edge of the surgical incision, "fixer." and then installed the fixator for the retractor.

, "Retractor." He took the retractor and evenly expanded the incision, opened the surgical field, and hung the retractor on the fixator slot to keep it stable.

At this stage of the operation, although the operating area looked like a pile of skin, flesh, and blood, the surgical access to the heart and hilar area had been completely opened.

At the same time, a group of onlookers standing not far away started talking to Zhou Jiaqiang.

"The chief surgeon is Gu Jun." Team Leader Qiu looked at her with a smile on her face, satisfied but not surprised, "Young people are scary." Even in this current situation, there are still things that make people happy to discover such amazing talents.

The stunning young man is one of them.

The five new chief surgeons were all full of surprises. They were looking for silver and gold, looking for the third assistant and the second assistant.

The human-faced dog maintains the physical characteristics of the dog, with a large curvature of the side wall of the chest and a low rib attachment edge of the diaphragm. It has its own technical difficulties in cutting, which is different from ordinary experimental animals. But Gu Jun's handwork is really good and stable.

The speed was so fast that several times they thought he had to cut off the blood vessels, but nothing happened.

Many people have the so-called professional sense of smell, and surgeons also have the sense of what is there and how hard it needs to be treated. However, these senses and skills require years of experience to develop.

Gu Jun acted like he already had it, but they heard that this was his first surgery.

This kind of person is born to do surgery.

"Team Leader Qiu, I thought you were exaggerating to some extent, but now you are exaggerating too much."

"What's the point of cultivating someone like this? Give me Gu Jun and be my third assistant."

They spoke very softly, for fear of disturbing the operating staff over there. But at this time, one of the new chief surgeons, Zhu Ruiwen, couldn't help but speak louder: "Third assistant? Who are you? He has the skills to be the second assistant."

That’s okay, I’ll let him be the second assistant here.”

"You haven't seen how good his sewing skills are yet!"

Team leader Qiu looked at his subordinates who were almost reenacting the scene of robbing people. It was a bit funny. He stopped it like Mr. Qin did: "Stop making noise, why are you making noise in the operating room? Let's see how the suturing goes first, Aqiang."

, just let them do this, don’t go in any more, and start suturing.”

"Yes." Zhou Jiaqiang was about to step forward and said, looking quite proud.

At the operating table, Gu Jun was about to perform further pericardial examination when the electrocardiogram monitor next to him suddenly sounded an alarm. Wang Ruoxiang frowned and reminded: "The animal has suffered a cardiac arrest." Gu Jun lost his mind.

Shen, it was just a normal situation and said: "Intravenous injection of epinephrine, 0.2ml per kilogram of body weight."

This human-faced dog weighs 16.3 kilograms, so it requires 3.26 ml.

"3.26 ml..." Cai Zixuan muttered and calculated, "Is that the number?" Gu Jun and Wang Ruoxiang said in unison: "Yes!" Gu Jun added: "You can take 3-4 ml, hurry up."

Cai Zixuan quickly mixed the solution with a small disposable syringe, and at the same time called the circulating nurse, who made an intravenous injection into the human-faced dog's hind legs.

As soon as the adrenaline was injected, the human-faced dog's heartbeat returned to normal within a short while, and no further treatment was needed.

Over there, Team Leader Qiu and the others saw that Gu Jun was responding calmly, and they felt another compliment in their hearts!

A cardiac arrest during an operation is very scary. Everyone knows that epinephrine is needed, but some people sometimes just can't think of it, especially the novices, who panic. Interns can do this like Gu Jun

It's really rare and valuable.

They were also paying attention to the other two operations, which were less interesting in comparison. It was also a lateral thoracotomy, but both surgeons had problems such as deep cuts and severed blood vessels.

While I was busy trying to stop the bleeding, I had to use an electrocoagulation knife. Fortunately, this was just an experimental animal.

"Ajun, don't go in, just sew it up." Only then did Zhou Jiaqiang go up and tell Team Leader Qiu what he meant.

"Okay." Gu Jun nodded after hearing this, keeping himself calm and focused, and began to close the incision, using all the techniques he had practiced hard in the past half month.

He first used a rib approximator to bring the ribs on both sides of the incision close to each other. The incisions were closely connected but not overlapping. He then used single-strand absorbable sutures and sewed 6 stitches to tighten and knot the ribs on both sides. Then he replaced the absorbable sutures.

, suture the intercostal muscles first, then other muscle layers, double interrupted suture method...

Everyone watched as Gu Jun sewed layer after layer, clearly distinguishing the main muscle parts and each layer of muscles, with neat techniques and smooth ligation.

It was really smooth and smooth, with no slight tremors or unnecessary movements.

Those hands are like surgery veterans.

"Team Leader Qiu..." Zhu Ruiwen rushed to look at the leader, "He has no problem being the second assistant."

The other four new chief surgeons now knew that there was no problem, and they all asked to assign Gu Jun to them: "My suturing skills are not as good as his!" "This kid has practiced it."

Zhou Jiaqiang knew that they were being self-effacing. No matter how powerful Gu Jun was, he was still an intern, and for the time being he was incomparable to these veterans.

However, the main job of the second assistant is to perform superficial suturing and ligation. After the chief surgeon and the first assistant have finished the deep work, they can hand over the end to the second assistant. Because the operations will be performed continuously one after another, they need to save their energy for the next step.

During an operation, if the second assistant is like Gu Jun, he can safely hand over the operation.

So Brother Qiang also nodded and agreed to let Gu Jun be promoted to second assistant: "Team Leader Qiu, that guy is making progress every day and is a serious person."

"Hmm..." Team Leader Qiu was still thinking about selecting the third assistant this time. He continued to say that the second assistant was because of Gu Jun, "He is indeed good at this. This is his advantage, but after all, he has no

The experience of human surgery, and I have to deal with patients with metamorphosis..."

Team Leader Qiu felt that he had become Mr. Qin now, and the look of helpless eyes on Zhu Ruiwen and others really looked like him, Lao Zheng and the others that day.


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