Sleepless Doctor
Chapter 297: Demon of Hell
Eight minutes later, Wu Mian, who was still watching Stephen Topte's heart beat, nodded and stretched out his hand at the same time as Chu Zhixi.
"Small bend, small scissors." Wu Mian said softly.
"Small bend, hook tweezers." Chu Zhixi said.
There is no suture for prolene? Doctor Da Deli was taken aback, he didn't understand what Wu Mian and Chu Zhixi were going to do.
Listen to the equipment they want, it may be what tissue needs to be bluntly separated.
But the problem now is that there is blood oozing at the anastomotic position of the bridging vessel. Are they going to cut the suture of the anastomosis and re-anastose it? !
Doctor Dedley is going crazy, he roared in a deep voice, "Wu, are you crazy!"
"Shut up, this is the operating room. Only my voice is allowed." Wu Mian said seriously, holding Xiaowan and the smallest blunt scissors in her hand.
The previous gentle words disappeared without a trace, even if he pretended to be gentle, Wu Mian didn't bother to pretend at this moment. Standing in front of everyone was no longer the amiable Wu Mian, but a serious practitioner.
What the **** is he going to do! Although Dedley wanted to grab Wu Mian's collar and ask him carefully, this was the operating room. Due to the professional ethics and habits of a doctor, Dedley couldn't do such a thing.
Wu Mian's small curved pliers fell and clamped the pericardium... Dadley was startled.
Principal Stephen Topte was caused by pericardial effusion...impossible! He immediately thought that this was impossible.
There is no swelling of the pericardium, and there is no possibility of a large amount of blood accumulation in it. Besides, if the heart beats weakness caused by pericardial effusion, it is impossible to get the patient after cardiopulmonary bypass.
Wu, what exactly does he want to do? !
Wu Mian and Chu Zhixi wear a 64x microscope for neurosurgery and operate under the microscope. First, the outer membrane of the pericardium is clamped, and then cut open, and blunt scissors are used to gently separate the outermost membrane of the pericardium.
The smallest tweezers and pliers are bluntly separated in detail. The four hands are intertwined, but they are not messy, but contain a certain rhythm.
A piece of the epipericardium was freed and removed. Wu Mian stretched out the index finger of his left hand and placed the almost transparent epipericardium on the finger. Then he patted the side of the leg with the device and stretched out his hand and said, "ene line."
In an instant, Dr. Da Deli understood what Wu Mian was going to do!
He wants to put a patch on the outer edge of the anastomosis and wrap the anastomosis with the pericardium!
This idea is crazy, how can I fix it? Stephen Topte’s anterior descending branch is relatively thick, about 4mm in diameter. When anastomosis, every time the thinnest needle passes through the coronary artery and graft, a needle eye is left, and the needle eye is the main part of the bleeding.
Wu Mian wants to leave more pinholes, did he patch them like this!
Daedley looked at Wu Mian’s movements in a puzzled way. If he hadn’t known that the young man in front of him had undergone countless difficult operations in the past few years, he would definitely think that he was a novice who was fooling around!
"Don't need this, I need neurosurgical sutures." Wu Mian glanced at what the instrument nurse had handed over, and then patted it back.
neurosurgery,
Microsurgery,
needle... thread...
Did not bring……
It’s not a move. I came to China this time for a coronary artery bypass graft surgery. Mrs. Tope knew that Cambridge only prepared a series of surgical equipment for coronary artery bypass grafts.
Neurosurgery equipment? How could it be carried!
David James chubby "vertically" on the side. After hearing Wu Mian's request, he asked, "Wu, is it the set of things you asked me to prepare?"
"David, yes." Wu Mian lowered his head and looked at Shu Ye, as if he was thinking about something, and said softly.
David James immediately went to the corner, with a black box on that side. After opening, he took out a sterile bag, and he gave the sterile report to the visiting nurse.
"Wu, I thought you were joking." David James said.
"David, you know I never make jokes when I am treating illness." Wu Mian said, "Fortunately you took it, or I will kick you into the Pacific."
Dedley was stunned. He heard from the dialogue between Wu Mian and David James that Wu Mian was prepared for this operation.
Even he confidently asked the dean to prepare neurosurgery equipment.
Could it be that he knew that his operation could not be successful? ! How can this be! Dr. Dadley couldn't believe what he saw before him.
The sterile bag was hit on the instrument table, and the instrument nurse passed the needle and thread to Wu Mian.
This time Wu Mian didn't pick it up. Chu Zhixi picked up the needle and thread like a pocket toy, and Wu Mian exposed the surgical field and started the mattress suture.
The needle falls on the inner side of the pericardium, which is less than 1mm thick, but does not penetrate. Instead, it passes through the inner side of the pericardium and through the adventitia of the coronary artery.
The technique is stable and meticulous, and the operating space is at the level of Simi. No matter how good the eyes of Daedley, who is not wearing a microscope, he can't see Chu Zhixi's movements clearly.
But Dadley knew that this level of surgery would only appear in neurosurgery. And now, it is actually used in coronary artery bypass surgery...
But even if the continuous mattress stitching at the silk meter level can be performed, what should I do if the knot is tied? The suture end is the adventitia of the blood vessel and the endopericardium~www.wuxiaspot.com~ There is no flexible body tissue at all. I'm afraid that with a little force, the ene thread will tear off the inner membrane.
Before Dedley could figure out what Wu Mian was going to do, Chu Zhixi had completed the continuous mattress stitching at the level of Si Mi. The thread was thrown at the last time and the end of the thread was handed over to Wu Mian.
Familiar surgical knot, fingers pressed down, as if a little effort was useless, but Dadley vaguely saw a slight depression of the pericardial patch downward.
It was brought down by Wu Mian's knotting power. Perhaps the endopericardium would tear in the next second. No matter how well the silk-meter-level continuous mattress sutures were done, the operation could be declared a failure.
The moment this thought appeared, Dr. Dadley's heart beat faster, there was no other thing in his vision, and all his attention was focused on the "patch".
Break, it must be broken, the more powerful it is, it is best if the ene line can tear the coronary artery together.
Daedley even imagined that if the coronary artery ruptures, arterial blood will be sprayed directly onto the shadowless lamp under tremendous pressure.
is like a fountain, and then falling from the crown, Wu becomes a bloodthirsty devil in hell.
will definitely break, it will inevitably break, Dade used his own experience to judge.
He took a half step back subconsciously, if arterial blood spurted out, he could avoid it for the first time. break! Dadley shouted in his heart, so hard. The frontal veins bulged up high, looking like two horns.
However, a few seconds passed, and nothing happened on the operating table.
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