Chapter 76: Intraoperative Changes
……
"How's the surgery going?"
In the observation room outside the operating room, Professor Calais, who had just arrived after her, saw Shiori Tokunaga sitting inside, so he walked lightly to the seat next to her and sat down quietly.
"It's been more than an hour, I've just finished my thoracotomy, and now I'm making final preparations for the next surgery......! It's time to start doing nerve traction!"
As the screen shows the movements of Professor Uchimura's hands, Professor Uchimura is carefully adjusting the position of the intrathoracic mediastinum pleura to do his best to ensure its integrity. After this step, Professor Uchimura, with the help of his assistant, carefully adjusted the position of the left vagus nerve and the recurrent laryngeal nerve with the umbilical cord traction wire to avoid damage to the two key nerves.
As time passed, a beating heart was finally fully exposed to Dr. Uchimura's vision. At this moment, when he got up, a group of assistants hurriedly wiped the sweat from his forehead with gauze.
"Okay, now we're going to access cardiopulmonary bypass, everyone have to cheer up!"
"Hey!"
With Professor Uchimura's order, all the members who participated in this operation were in good spirits. There is a world of difference between heart surgery and ordinary surgery, and there are more than a dozen people involved in one operation alone.
Not to mention the two assistants who assisted Professor Uchimura, there are three members of the team in charge of anesthesia alone, who are responsible for the patient's anesthesia, cardiopulmonary bypass, and transesophageal ultrasound. In addition to this, there are several nurses who assist in the surgery as well as an internist who assists the catheter in completing the procedure.
"Femoral artery cannulation begins!"
"Understood, femoral artery cannulation begins!"
When Professor Uchimura gave an order to the assistant standing beside him, he quickly began to perform the femoral artery cannulation operation, only to see that the other party first carried out the disinfection process, and then used his fingers to find the location of the femoral artery, and then punctured the blood vessel wall of the femoral artery with a hollow puncture needle.
"Femoral artery cannulation complete, Professor!"
"Well done, let's do the superior and inferior vena cava cannulation separately to establish cardiopulmonary bypass!"
"Understood!"
"Inferior vena cava cannulation complete!"
"Superior vena cava cannulation complete!"
"Cardiopulmonary bypass has been established!"
Seeing the red blood flowing out of the patient's body through the catheter and then into the cardiopulmonary bypass machine, Professor Uchimura's mood is now even more nervous.
"Now I'm going to put a left heart decompression tube through the right upper pulmonary vein, and I'm ready to inject the first cardiac arrest fluid when I'm done!"
"Understood!"
……
"Left heart decompression tube is placed!"
"Ready to inject your first cardiac arrest!"
"The first cardiac arrest fluid injection is complete!"
"Okay, start the retrograde cerebral perfusion of hypothermia, open the blood supply to the brain, pay attention to controlling the blood flow, and reduce the blood temperature!"
"Hey, got it!"
When the physician in charge of cardiopulmonary bypass opened the bypass blood supply system and began to supply a small amount of blood to the brain, the patient's brain waves began to slowly weaken until they gradually disappeared, and the heart, which was still beating, began to slowly stop after the injection of cardiac arrest fluid.
At this moment...... The patient lying on the bed could already be regarded as a dead person in the truest sense of the word, not only did his heart stop, but even his brain waves had disappeared. If there is no cardiopulmonary bypass machine to maintain the blood supply to the organs and organs in the patient's body, then the patient's organs will fall into irreparable damage, so ...... The sooner he completes the operation, the better the chance he will have to restore the heart's repulse and reduce the damage to the brain.
"Now I'm going to start the repair of the aortic arch and ascending aorta, please observe the patient's condition carefully, and report to me!"
"Understood!"
When Professor Uchimura gave the order, he immediately cut the junction between the patient's ascending aorta and the aortic arch with a scalpel, and then Professor Uchimura began to carefully clean the lesion, and then from the assistant's hand, he obtained the STAR stem cell heart patch to be inserted in this clinical experiment.
……
Seeing the picture of the hand operated by the chief surgeon on TV Mountain, Hideki Calais couldn't help but be a little nervous at this time. Unlike the last retinal transplant, this cardiac surgery is the key to life and death in the true sense.
"See, patients of this level had to have ascending aorta and aortic replacement before they could. Now, thanks to our STAR stem cell heart patch, the healthy parts of the patient's aortic arch and ascending aorta can be preserved, and we only need to patch these two parts like a water pipe......"
While Hideki Calais was still in the observation room, he was explaining the many benefits of the STAR stem cell heart patch to the doctors who had come to observe today's surgery. Suddenly, several people dressed as prosecutors burst in.
Hurry up and ask the doctor inside to stop, I have the latest order to stop this clinical trial in my hand!
"Who, how did you break in......
Faced with the sudden change, Hideki Calais, after the initial surprise, suddenly roared angrily at these people.
"We are from the Tokyo District Public Prosecutor's Office, and now we suspect that there is an exchange of interests between the surgeon in charge of the operation and Sumitomo Pharmaceutical, so we ...... We need to re-examine the approval process for this clinical trial!"
"What...... Why do you ...... Why do you do that!"
Seeing that Professor Calais was about to rush over, at this moment, Lin Xiuyi suddenly took out a few photos and held them up in front of Kalai Hideki, and then said to him in a loud voice:
"Just ...... This!"
Lin Xiuyi said as he pointed to the content on the photo and questioned Kalai Hideki. In the photo, you can clearly see the scene of Shiori Tokunaga at the watch shop and the picture of her eating with the surgeon Takuya Uchimura, although the two images are not coherent, but when put together, it is inevitable that people will think about it.
"Professor Uchimura, the last time I underwent a STAR stem cell retinal transplant at Seongnam General Hospital, I had an extremely severe rejection reaction after surgery, do you still want to believe in the reliability of this technology?"
Hearing the sudden sound of making a living on the radio, Dr. Uchimura in the operating room suddenly stopped the movement of his hands, and at this moment, he felt that the uneasiness in his heart before had finally been fulfilled.
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