Chapter 784: Fat Man's Surgery
If people are unlucky, they will stuff their teeth when they drink cold water.
Christopher never dreamed that a fish bone would allow himself to lie on the operating table.
Last time, Boss Li's condition was very critical, but because of vascular problems.
So minimally invasive surgery can be handled.
This time, Christopher didn't have that good luck.
Pericardial effusion can be treated by puncture.
But if you want to remove the fish bone that has been pierced into the pericardium, you have to open your chest.
If you could have expected what happened today, killing Christopher wouldn't have eaten that fish.
But now it's too late, and he has to lie down on the operating table.
Even so, he was lucky.
Because I met Zhou Yi, I found it in time, and it was better to take a knife than to lose my life.
This is also a blessing in disguise.
Meng Guangfei got anesthetized.
After a few minutes, Christopher was in a daze.
Meng Guangfei made an OK gesture towards Zhou Sheng.
Then it's Monday time.
The normal rhythm of thoracotomy is to spread the towel for disinfection, take the No. 22 blade to cut the skin, change the electric knife after cutting, directly take the electric knife twice, and the electric knife will be cut, and the sternum can be seen without any blood.
This process is for the average person, but today the 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 Zhou looked at his fat body and thought to himself, this guy is in the M country burger, and the steak must not be less.
It is definitely a challenge for surgeons to operate on fat people.
Zhou Yi frowned, his nightmare was about to begin.
Spread the towel, sterilize, and cut the skin with a scalpel.
This process is fairly normal.
Next, it's time to change the surgical artifact electric knife.
For ordinary people, you can cut all the way down with an electric knife.
It's fast, and I'm not afraid of bleeding, it's a beautiful thing.
But not with Christopher.
There is too much fat under the skin, and I don't dare to cut it with an electric knife.
Because the frequency of the electrosurgical unit is slightly higher, it may cause fat liquefaction.
Liquefaction of fats has a significant impact on the healing of postoperative wounds.
Zhou Sheng had no choice but to give up this artifact.
Instead, use the most traditional scalpel to scratch through the fat.
Scratch and pull, and the bleeding comes.
Grandma's!
The surgeon's trouble came.
Monday had to press the bleeding point with gauze.
Fortunately, there are many copies of the operation.
Traditionally, surgery without an electric knife has been performed on Monday, and many have been done.
For the control of these bleeding points, Zhou Yi is quite handy.
If you are a beginner who does not use a regular scalpel often.
It's going to be a mess at this point.
Zhou Zhou was scratching with a scalpel, and when he saw a bleeding spot, he cleaned it up with hemostatic gauze.
Changed the N pieces of hemostatic gauze.
Monday was still fighting against the hypertrophic subcutaneous tissue.
If it's just blood, forget it.
There's still oil!
As I went through surgery, my gloves became oily on my life.
Zhou felt that the scalpel in his hand was a little slippery, and he began to lose control.
Helpless!
Zhou Zhou had to put down the scalpel, then spread his hands and said to the instrument nurse, "Change the gloves." ”
The instrument nurse sprang into action.
However, this act of changing gloves is obviously not a standard operation in normal thoracotomy.
So the instrument nurse was also busy for a while before changing the gloves for Zhou Yi.
Su Quan and Cao Xin were quietly watching from the side at this moment.
Monday in the process of changing gloves.
Su Quan also helped to stop the bleeding with gauze.
Su Quan thought to himself at the moment, damn it, this is really a hell-level cut today.
After changing his gloves on Monday, his hands became much fresher.
He buried his head and continued to fight in the fat.
It took another long time.
Calculated according to the normal time.
The sternum should have been seen a long time ago.
But in fact, Monday is still fighting fat.
Monday's new gloves quickly became oily again.
Zhou Zhou sighed in his heart, and in desperation, he gave the doctor's order to change his gloves.
Two pairs of gloves were replaced.
As the incision deepens.
The bleeding spots became more numerous.
It's a bit too busy to use hemostatic gauze.
Monday had to turn on the electric knife.
I use it, but I am worried about fat liquefaction, and I only dare to operate it with the lowest power on Monday.
When the electric knife hits the fat, it is sizzling and smoky.
Zhou Sheng could only withstand the smoke and continue the operation.
After struggling for a long time, the bleeding stopped.
I finally saw the sternum.
Monday was relieved.
He thought that when Christopher woke up, he would make him lose weight.
This pass is incised.
It took two or three more time than usual.
But it's finally done.
The following Monday begins daily operations.
After the sternum was treated, the surgical field was opened, the pericardium was slitted, and a large amount of blood in the pericardium was seen, totaling about 600mL, and a fish piercing the pericardium was found to be piercing the posterior branch of the left ventricle of the right coronary artery.
This thing is the main goal of today's Monday.
It is in the pericardium and can puncture the heart at any time.
It's dangerous, like a ticking time bomb in your heart.
I don't know when it's going to go wrong.
Zhou Zhou was careful, using electric knife and tweezers together, and it only took more than ten minutes to take it out of the pericardium.
At this time, Zhou Zhou saw the whole picture of the fish bone clearly.
It is about 3.5 cm long and has bifurcations.
Put the fish bones in the tray on Monday.
Su Quan and the others looked at the fish bones and sighed.
It's this fish bone, which is shorter than a little finger, that actually caused so much trouble.
If you hadn't seen it with your own eyes.
It's unbelievable.
The bones have been removed and the blood has been disposed of.
Both the potential threat and the condition of cardiac tamponade have been resolved.
The rest of the task is much easier.
Rinse, drain, and do a good job of preventing infection.
After half of the operation on Monday, he looked at Su Quan, who was eager to try.
In the end, Zhou decided to let him exercise as well.
It's not difficult, and it's not dangerous.
Su Quan has independent surgical experience and is very familiar with these basic operations.