297 The Demon of Hell (Silver Alliance, Sanqi Mutual Entertainment, Li Yifei, Plus 19)

Eight minutes passed, and Wu Mian, who was motionless and observing Stephen Toput's heartbeat, nodded, and stretched out his hand at the same time as Chu Zhixi.

"Little bend, small scissors. Wu Mian said softly.

"Little bend, hook tweezers. Chu Zhixi said.

Didn't ask for prolene's sutures?Dr. Dudley was stunned for a moment, he didn't understand what Wu Mian and Chu Zhixi were going to do.

Listen to the device they want, it may be that blunt separation of what tissue is needed.

But now the problem is that there is bleeding at the anastomosis of the bridge vessel, do they want to cut the sutures of the anastomosis and re-anastomize?!

Dr. Dudley was going crazy, and he yelled in a deep voice, "Wu, are you crazy!"

"Shut up, this is the operating room, and only my voice is allowed. Wu Mian held a small bend and the smallest blunt scissors in his hand, and said solemnly.

The warm words before disappeared without a trace, even if he pretended to be gentle, Wu Mian didn't bother to pretend to be at this moment. Standing in front of everyone was no longer the amiable Wu Mian, but a serious sorcerer.

What the hell is he going to do! Although Dudley wanted to grab Wu Mian by the collar and ask him carefully, this was an operating room, and due to the professional ethics and habits of a doctor, Dudley could not do such a thing.

Wu Mian's small curved pliers fell, clamping the pericardium...... Dudley was stunned.

Principal Stephen Topt is caused by pericardial effusion...... It didn't happen! It immediately occurred to him that this was something that couldn't have happened.

There is no swelling of the pericardium, and there is no possibility of a large amount of blood accumulating in it. In addition, if the heart beat is weak due to pericardial effusion, it is impossible to get the patient after cardiopulmonary bypass.

Wu, what the hell does he want to do?!

Wu Mian and Chu Zhixi wore 64x microscopes used in neurosurgery and operated under the microscope. The pericardial membrane is clamped first, then incised, and the outermost membrane of the pericardium is gently separated with blunt scissors.

The smallest tweezers and pliers are delicately blunt, and the four hands are intertwined, but not messy, but contain a certain rhythm.

A piece of pericardial adventitia was free and removed, Wu Mian stretched out his left index finger and put the almost transparent pericardial epicardium on his finger, and then the instrument slapped on the side of his leg, stretched out his hand and said, "10-0 prolene line." ”

In an instant, Dr. Dudley understood what Wu Mian was going to do!

He wanted to patch the outer edge of the anastomosis and wrap the anastomosis with the outer membrane of the heart wrap!

This idea is simply crazy, how to repair it?Stephen Topt anterior descending artery is relatively thick, about 4mm in diameter, and every time the thinnest needle passes through the coronary artery and the bridge vessel, it leaves a needle hole, and the needle hole is the main site of bleeding.

Wu Mian actually wants to leave more needle eyes, is there such a patch for him!

Dudley looked at Wu Mian's movements suspiciously, if he didn't know that the young man in front of him had undergone countless difficult surgeries in the past few years, he would definitely think that he was a novice rookie fooling around!

"Don't want that, ask for the needle and thread for neurosurgical sutures. Wu Mian glanced at the things handed over by the instrument nurse and slapped them back.

neurosurgery

microsurgery,

Needle...... Line......

Didn't bring ......

It was not a move, but I came to China to do a coronary artery bypass surgery, and Mrs. Topter knew that Cambridge had only prepared a series of surgical equipment for coronary artery bypass.

Neurosurgical equipment? How could you bring it!

David James was round and "vertical" to the side, and after he heard Wu Mian's request, he asked, "Wu, is that the set of things you asked me to prepare?"

"David, yes. Wu Mian looked down at Shuye, as if he was pondering something, and said softly.

David James immediately went to the corner, and there was a black box on the side. After opening, a sterile bag was taken out, and he handed the sterility report to the itinerant nurse.

"Wu, I thought you were joking. David James said.

"David, you know I'm never joking when I'm healing. Wu Mian said, "Fortunately, you brought it, otherwise I would definitely kick you into the Pacific Ocean." ”

Dudley was stunned, and he could tell from the conversation between Wu Mian and David James that Wu Mian had been prepared for this operation.

He even confidently asked the provost to prepare the equipment for neurosurgery.

Did he know early on that his surgery would not be successful?! How could it be? Dr. Dudley couldn't believe what he was seeing.

The sterile bag was hit on the instrument table, and the instrument nurse handed the needle and thread to Wu Mian.

This time, Wu Mian didn't answer, Chu Zhixi picked up the needle and thread like a pocket toy, and Wu Mian exposed the field and began to perform mattress sutures.

The needle falls on the medial aspect of the pericardium, which is less than 1 mm thick, but does not penetrate, but passes through the medial pericardium and through the adventitia of the coronary bridge.

The technique is stable and meticulous, and the operation space is at the level of silk meters, and no matter how good his eyes are, Dry Dry, who is not wearing a microscope, can't see Chu Zhixi's movements clearly.

But Dudley knew that surgery of this caliber would only occur in neurosurgery. Now, it is used in coronary artery bypass surgery......

However, even if continuous mattress sutures can be performed at the level of silk meters, what should I do if the knots are tied up? The suture ends are the adventitia of the blood vessel and the intima, and there is no flexible body tissue at all. I'm afraid that with a little force, the 10-0 prolene line will tear off the intima.

Before Dai Deli could figure out what Wu Mian was going to do, Chu Zhixi had already completed the continuous mattress suture at the silk meter level, and the last flick of the thread was handed over to Wu Mian.

The familiar surgical knot, the fingers pressed down, as if there was no strength at all, but Dudley could vaguely see a dimple in the pericardial patch downward.

It was brought down by Wu Mian's knotted power, and maybe the pericardial lining would tear in the next second, no matter how good the continuous mattress sutures at the silk meter level were, this operation could be declared a failure.

The moment this thought came to mind, Dr. Dudley's heart beat faster, and there was nothing else in his field of vision, all his attention focused on the "patch".

Broken, must be broken, the strength is a little greater, and the best 10-0 prolene line can tear the coronary artery together.

Dudley even imagined that if a coronary artery ruptures, arterial blood would be sprayed directly onto the shadowless lamp under the tremendous pressure.

Like a fountain, and then falling from the crown, Wu became the bloodthirsty devil of hell.

It will definitely break, it will definitely break, Dade judged using his experience.

He subconsciously took half a step back, and if there was arterial blood spurting out, he could dodge it as soon as possible. Broken!, Dudley shouted in his heart, so hard. The frontal horn veins bulge high and look like two horns.

However, a few seconds passed, and there was silence on the operating table, and nothing happened.