Chapter 1052: Pericardial Foreign Body (3)

"If it's not a tumor, then what would it be?" When the chief surgeon instructed the nurse to go out to question Messes, Xiao Rin threw the valve knife and inlay into the iron plate on the side, and then his right hand went deep into the patient's chest.

The right hand that reached into the chest cavity touched the beating heart, and the main knife hand looked at Xiao Rin's movements and did not make a sound to stop it, although he was extremely reluctant in his heart, but the person who found the foreign object was the young man in front of him.

And whether this foreign body is a tumor is also unknown, if you rashly stop it now, then how will such an operation continue, judging from the attitude of this person towards himself just now, he will definitely be embarrassed, so he wisely chooses to let it go, as long as he does not go under the knife, it will not hurt to let him explore.

Xiao Rin's right hand was close to the patient's beating heart, and he stroked it on the stubborn bulge, and he found that the raised foreign body around it was not wrapped around the heart, but only attached to the right side of the heart with a piece the size of a palm.

Moved his right hand back to the most obvious protrusion, closed his eyes slightly and touched it slowly with his hand, because the feeling of touching the surface with sterile gloves was not very strong, Xiao Rin suddenly moved in his heart, and his right hand gently pinched the bulge, feeling that the tentacle was a little hard, not like the feeling of loose knotted tissue like a tumor.

I was slightly stunned in my heart, and suddenly opened my eyes and looked at the part of my right hand, and gently pinched it again to confirm the feeling of being a little hard just now.

"What's the situation?" When Xiao Rin pinched that heart for the first time, the main knife hand almost screamed out of nervousness. But when he found that Xiao Rin didn't exert himself, he exhaled quietly, but he couldn't help but ask with the doubts in his heart.

Xiao Rin waved his hand to block the questioning of the chief knife hand, and turned his head to the instrumentaturist and nurse to instruct. "Prepare warm saline and rinse the patient."

With the cooperation of the stopper, Xiao Rin turned his head and explained to the main knife hand. "I suspect it's not a tumor, because the touch doesn't have that feeling of loose knotted tissue."

When the chief knife hand heard this, he was slightly stunned, and then he also put his right hand into the patient's chest cavity and carefully moved to the bulge and pinched it gently. I also felt the stiffness there.

"It's not entirely certain that it's not. After all, some tumors are not loose knotted tissue, and we still wear gloves. The chief swordsman looked up at Xiao Rin and said rigorously.

At this time, the instrumentaturist has poured the heated sterile normal saline into the water-sealed bottle to the water line. and close the tightened cap. Clip the connecting tube and water seal bottle attachment to the instrument table. The nurse installed the movable scaffold, connected the short connecting pipes, and adjusted the range of water droplets up and down. Normal is 4 gases or liquids discharged.

Xiao Rin resulted in the saline irrigation tube prepared by the instrumentaturist, flushed against the bulge on the patient's heart, and the chief knife made a sound that the instrument was about to come, and began to suck the normal saline and blood pressure fluid in the patient's chest.

Xiao Rin and the chief surgeon operated very quickly, and the two of them operated separately in an orderly manner, and the instruments in front of the operating table were suitable for the nurse's eyes were fixed on the heart that Xiao Rin flushed, and they both wanted to see the front of the raised foreign body with some expectations.

Xiao Rin rinsed for a while and handed the saline flush tube to his left hand, and then his right hand probed into the patient's chest cavity again, and pinched it with his hand at the bulge, the tentacles felt a little soft, Xiao Rin was slightly stunned, and vaguely felt that something was wrong, why did the protrusion that was still very hard just now become soft now?

"What's wrong?" The main knife hand asked in a daze when he saw Xiao Rin stop rinsing and touch the strange thing.

"It's softened!" Xiao Rin said casually without thinking.

"Huh? How can it get soft? The main knifeman's doubts were the same as Xiao Rin's, but the latter did not continue to pay attention to him, and gently rubbed his hand on the protrusion, and saw that there were blood stains on the surface of the glove at the fingers he had just rubbed, Xiao Rin was stunned, and then handed over the irrigation tube to his right hand to continue to rinse, and his left hand held it and gently rubbed it on the bulge.

Under Xiao Rin's rinsing again, the chief knife hand finally saw clearly what the so-called 'tumor' was, and couldn't help but be surprised. "How could there be such a thing?"

Xiao Rin, who stopped flushing, withdrew her hands from the patient's chest. "This is ......" The nurses and instrumentalists standing in front of the operating table also widened their eyes in surprise, especially the instrumentamen's attention was focused on the 'tumor' on the patient's heart, and they didn't notice the irrigation tube handed over by Xiao Rin, and the saline in the irrigation tube was still flowing slowly.

"Instrumenter!" Xiao Rin frowned, such an act would never be allowed to happen during his operation.

"Huh?" Hearing the displeased voice, he suddenly saw that the flushing tube handed over by Xiao Rin was still flowing, and the instrumentaturist hurriedly apologized.

"That's where the exaggeration comes in."

"But how can there be gauze in the patient's pericardium?" The main knife hand reached out to the tweezers that the instrument master had asked for, and slowly flicked it on the bulge.

"When I peeled off the centrifugal bag just now, I found that there were stitches on the pericardium, although it was not very obvious, but it could still be seen." Xiao Rin still coldly returned to the question of the main swordsman.

At this time, the phone in the operating room rang suddenly, and the nurse in charge of recording walked over, listened quietly, and hung up the phone. "This patient had a mitral valve replacement operation before."

The chief knife man sighed, the current situation is already obvious that this is a sequelae caused by a medical accident, but it seems that it can be adhered to this extent at an interval of two years, and it seems to be too fast

"Let's get ready for gauze peeling surgery!" Xiao Rin didn't have the slightest sense of being an assistant, and he had already issued an order for the next operation to the people on this side.

"Young man, do you know what the situation is now? The gauze has been left in the pericardium for two years, and when the mitral valve replacement surgery was done at that time, the surgeon at that time must have been forced to stop the bleeding before entering the gauze and placing it on the surface of the heart. ”

"Because that's why you don't do it?" Xiao Rin asked coldly. "If that's what you think, you can step aside. Instrumentaturist, prepare warm saline and perform rinsing peel later. Anesthesiologist, prepare for anesthesia. "Xiao Rin completely ignored the face of the chief knife man, and has already begun to issue orders to the medical staff." I hope that when the gauze is peeled later, you will be able to return the patient's data to me as quickly as possible. ”

"No problem."

Time passed very slowly, Xiao Rin carefully tried to scrub off the residual blood stains while rinsing, revealing his true face, carefully separating the gauze from the heart adhesion part, and finally after salt water rinsing, gauze, with his hands only separated less than one-third of the adhesion parts, but the blood scar on the gauze and the heart adhesion site has been completely rinsed and rubbed off, and the best vision of gauze peeling surgery has been fully displayed.

"Let me do it!" The main swordsman suddenly spoke, and his voice reached Xiao Rin's ears, which seemed to have a firm and uncompromising meaning. "I'm the main knife hand, and I'll do the final stripping."

"Can you?" Xiao Rin asked without emotion, if this operation was successful, it would be a legend, and it was quite obvious what the man was thinking in his heart. "This person can't die, can you?"

Shocked by Xiao Rin's coldness, the main swordsman nodded. "Gauze stripping, start now, inlay, valve knife!" From the instrumentaturist's hand, the instrument was handed over to the chief surgeon, and seeing that the chief surgeon was already preparing for stripping, he also continued to suck the mixed fluid of normal saline and blood in the patient's chest cavity.

As soon as the main knife hand was on the instrument, the side immediately held the tweezers in his left hand to pull the gauze, and the valve knife in his right hand began to carefully peel off the part of the gauze that was adherent to the heart, without the slightest hesitation, and began to peel off directly.

For a while, the operating room was quiet, without a sound, for fear of disturbing the main knife hand who was carefully peeling off, he locked intently on the part where the heart was adherent to the gauze, and carefully peeled off as if no one was around.

Xiao Rin lowered his head and silently sucked the fluid in the patient's chest, because the bottom of the gauze was still soaked in the effusion, he had to help the chief surgeon consolidate the surgical field as soon as possible, but the medical staff were watching the chief surgeon, they were all new to the difficulty of this peeling operation, the surgical scalpel tilt even one millimeter would cause damage to the heart, resulting in the death of the patient with cardiac hemorrhage in the process.

Xiao Rin stared at the gauze at the bottom of the heart, and found that the silly fortune at the bottom was a little ring-shaped, and pondered in his heart that after the gauze was left in the pericardium, the heart pacing caused the gauze to slide down to the bottom as the pericardium compressed loosely and tightly? Will it eventually form such a shape under the compression of the pericardium and the heart?

He probed his hands into the patient's chest, slightly supported the patient's heart with his left hand, and carefully played with the gauze adhesion at the bottom of the heart with his right hand, but it was a ring adhesion and the adhesion surface was particularly wide.

Seeing that the main knife hand mastered the law of heart beating, and then the heart fluctuation on the tip of the heart peeled off the gauze, Xiao Rin also had to secretly praise the skill of the chief knife hand, and at this moment, as the heart muscle fluctuated, he seemed to see something when he peeled off the last piece of gauze of the leftmost ventricular adhesion.

The heart valve held in the right hand paused for a moment, and when the chief surgeon found that it was too late to withdraw the valve knife backwards, the beating of the heart followed by myocardial fluctuations, dragging the Tibetan valve knife, deeply cutting the patient's heart under the left ventricle, and a stream of blood spurted out from the patient's left ventricle, splashing the main knife hand and Xiao Rin's sterile clothes, splashing blood red. (To be continued.) )