A new approach was introduced on Monday. I want to calm Jing Xinghai's heart.

Now the crowd is waiting patiently for the effect of this new method.

A few minutes have passed.

Jing Xinghai's heart has always been very stable.

There was no further sign of a bouncing.

It seems that Monday's re-priming of the abort fluid and ice saline cooling method has worked.

As time went by, Wang Xiaoming felt that Director Tian's trip was in vain.

He was the first to propose Director Tian to come.

At this time, he said to Director Tian with some embarrassment: "Director Tian, you are lucky, and it seems that the current situation is stable." ”

Director Tian smiled, "There is no merit, but you handled it properly, especially the method of cooling the heart with ice salt water on Monday, which made me gain knowledge." You young people, you're doing very well. Since it's okay now, then I'll take my leave. ”

The leaders praised it.

Zhou Sheng also had to say something on the scene at this moment, "Director Tian, since you are here, then don't leave, you are here, we can do the operation more at ease." ”

Wang Xiaoming also echoed at this time: "Yes, yes, Director Tian, you must stay." ”

To be honest, Director Tian is not in a hurry at this moment.

After a moment's hesitation, he nodded in agreement.

Cao Xin, who was on the side, was happy in his heart.

There is a Monday life, and now there is another Director Tian.

He felt that Jing Xinghai's operation was proper and safe.

A few more minutes passed.

Jing Xinghai's heart has been in a smooth dormant state.

Zhou felt that his approach had succeeded and that the operation could continue.

However, Director Arita was present.

Although he was the chief surgeon, he still asked politely, "Director Tian, you can remove the tumor now." ”

Director Tian said: "Today you are the chief knife, you have the final say, I, like them, are here to visit and learn." ”

Say no more on Monday.

Jing Xinghai's heart has been temporarily stabilized.

But it's hard to say how long it will last.

Therefore, the operation must be carried out against time.

"Electric knife!"

After giving a doctor's order on Monday.

Removal of the tumor immediately began.

The difficulty of removing the tumor depends on the location and size of the tumor.

Heart tumors, which are huge tumors, must be of the highest level of difficulty.

Even if Zhou Yi has superb extramental skills, he needs to be up to twelve points at this moment.

Zhou Zhou carefully lifted the tip of his heart.

I saw a round, gray-looking thing attached to the tip of my heart. This is a big difference from the dark red color of the heart.

Even if you're not a doctor.

At a glance, it can be seen that this thing should not be part of the heart.

That's right, this gray thing is the tumor that will be removed on Monday today.

This tumor is the same as the heart.

There is also a layer of film on the outside.

If the tumor is on the surface of the body or not in a very dangerous place.

On Monday, the tumor can be directly removed with the adventitia attached.

But today, such an operation is clearly not possible.

Because the tumor is growing on the heart.

So the outer membrane of the tumor must be cut first.

Find out where the contact area between the tumor and the heart muscle is, and then you can start.

Of course, Monday doesn't have to do that.

Because he's a systematic man.

With the help of the auxiliary scan, he knew the structure of the tumor at a glance.

But.

Even so, he followed the process.

Today, there is still a group of interns visiting this operation.

I can't teach this group of "children in the operating room" badly.

On Monday, use an electric knife to carefully cut open the tumor's adventitia.

Now you can see the true face of Lushan of this tumor.

I saw that the inside of the tumor was grayish-white, the tissue was dense, there was no fluid, and there was no cystic tissue.

Most of the demarcation between the tumor and normal myocardium is still clear, which brings some convenience to the resection work.

But there is good news and there is bad news.

As previously predicted, part of the tumor has penetrated the endocardium, and if the tumor were to be removed completely, it would inevitably injure the left ventricle.

But Zhou Zhou had already made up his mind that the tumor must be completely removed to prevent the tumor from recurring.

The inside of the tumor is observed.

On Monday, he began to operate on this spherical tumor.

The heart is now bloodless.

On Monday, he used an electric knife with a good hemostasis effect.

So during the excision work, there was no bleeding.

Zhou Shengsheng carefully removed a tumor with a volume of 5cm×5cm×4cm from Jing Xinghai's heart.

Inevitably, the left ventricle was left with a large defect after the tumor was removed.

The area of the defect is large, and it is impossible to repair the wound with simple sutures.

At this time, Monday must resort to artificial repair.

On Monday, a piece of felt commonly used in cardiac repair surgery, with a size of 4.5cm × 4.0cm, was taken with intermittent sutures to repair the medial side of the left ventricular defect, and then the pericardial patch was taken with continuous sutures to repair the outside of the defect.

This process is simple to say, it is a process of two stitches.

But it's a completely technical job, if the suture technique is not up to par.

Once the heart is back in operation, there is a high chance that the wound will rupture and bleed profusely.

So the two stitching processes took an hour and a half on Monday.

This is much longer than when the tumor was removed.

Slow work makes fine work.

Cardiopulmonary bypass was performed nearly 3 hours later.

On Monday, the tumor was removed and the left ventricle was reconstructed.

Everything went well.

Next, Zhou Sheng began to work on the withdrawal of cardiopulmonary bypass.

The first step, of course, is to get the heart beating again.

The process of re-jumping is much smoother than the process of stopping and jumping.

Nothing unexpected happened.

After rinsing off potassium ions with a perfusion tube.

The heart soon returned to beating.

Next, the various intubations are removed to restore the blood supply to the heart.

After some manipulation.

Cardiopulmonary bypass withdrawal.

The blood returned to the heart, and Jing Xinghai's body temperature gradually returned to normal.

At the moment, Monday was not in a hurry to suture the pericardium.

The reconstruction of the left ventricle just now is qualified or not, and it is necessary to observe it at this time.

Zhou Yi watched his heart beat with the naked eye while scanning it in the system.

After a few minutes, everything shows up as normal.

There was no abnormal heartbeat and no bleeding was observed.