With a bang, the door of the operating room was automatically opened, and Xiao Rin walked in with his hands that had been disinfected, he didn't dare to be interested in Messers' connections, believing that he would only contact him when he had no choice but to contact him, so he was not interested in who this person was at all.

In the operating room, the relevant staff have been in place, and the airborne soldier is only silent after eye contact, such an atmosphere is very accustomed, whether it is a hospital or a clinic, the xenophobia of outsiders like him is still quite obvious, it may be abroad, this situation rate is better, if your ability can convince them, this Xiao Rin is completely confident and put me.

I just learned that this patient's name is Jean. Lopis was taken to this private clinic by Messers, and on the way there, the doctor had already taken care of the wound, but at the same time he had received a message, a not-so-optimistic message.

A light sheet on the reading light showed the problem, this person's heart had obvious defects and problems, and then another question appeared in Xiao Rin's mind, of course, it had nothing to do with the operation, but why this person appeared at the scene of Wang Zhantian's crime, Yelu Shou tracked him to that bar half an hour ago, and after the fact, he tracked how the two people fought each other, and the ultimate cause of his etiology, fighting is a possibility, but the person who provoked the two people to fight will not be Ye Lushou.

"Mitral valve problem!" At this moment, a man who looked like the chief surgeon walked up to the light tablet, and he recounted the information on the light film in mellow English.

"There was some abnormal enlargement of the carotid artery while dealing with trauma. Whether there are significant signs of bleeding and the patient is not in shock due to trauma. ”

"The initial suspicion is constrictive pericarditis." The active doctor replaced the light again. "However, the patient has multiple sternal fractures, and his vital condition is currently stable."

"Let's start the operation!" After hearing Xiao Rin's hum, the active doctor was already standing in the position of the chief surgeon, and he didn't think that this operation would require others to do it.

Although the roles have been changed, Xiao Rin is still quite cooperative with the work of the chief surgeon, and skillfully carries out the auxiliary work of the chief surgeon at every step, which makes the chief surgeon quite satisfied.

The operation was carried out without hesitation, and the knife was taken up and down, and it was completed in one go. Subcutaneous fat. The fascia was suddenly cut with a sharp scalpel, and Xiao Rin wiped off the blood marks on the knife wound with what he didn't wipe, and then clamped it with a hemostat. "Line Four!" The main swordsman shouted. Take over the 4th line for rapid ligation of the bleeding point.

"Pioneer!" Xiao Rin stretched out his hand and shouted.

After stopping the bleeding and struggling, Xiao Rin installed the starter device. The technique seems to be very skillful. The root is not allowed to ask for any orders from the main blademan. Just know what you should do next.

"Next, a median sternotomy is performed." Seeing that Xiao Rin had finished installing the creation device, the chief knife hand indifferently ordered the next step. As soon as he finished speaking, Xiao Rin had already asked for the curved forceps and sternal knife from the instrument master!

Forceps open the musculature of the suprasternal fossa and peel off the loose knots that adhere to the sternal wall. "Sternal saw!"

The chief surgeon took a deep breath, although the patient's life is not in danger for the time being, the first step of the operation is the easiest and most difficult! The sternal saw cuts the middle of the sternum in the patient's chest, but this process should not be too large because it prevents damage to the internal organs, so it requires extra courage and care.

There are three types of surgery commonly used for constrictive pericarditis: a median sternal split incision, a bilateral transverse thoracic incision, and a left anterolateral incision.

The median split incision of the chest, this kind of surgery can fully show the front and right side of the heart, and it is easy to peel off the thickened pericardium of the vena cava and the right heart margin, and the postoperative respiratory function affects the cases with intrapulmonary lesions and respiratory function difference, this incision is mostly used, but the disadvantage is that the pericardial part behind the left ventricular adipid nerve is poorly exposed.

The left anterolateral incision of the left chest enters the chest through the fifth auxiliary space, and the right side needs to cut and ligate the internal thoracic artery and transcribe the sternum, and the left side reaches the midaxillary line. The advantage of this type of incision is unilateral thoracotomy. Effects on respiratory function, patients with poor condition can be used. The left heart is revealed. The left ventricle and superior and inferior vena cava are poorly exposed.

Bilateral anterior transverse chest incisionsThis incision has the advantage of being well exposed during surgery and can take care of both the left and right sides of the heart. The pericardium can be completely removed. Accidents during surgery are also easy to manage. The disadvantage is that the incision is longer. The trauma is large, and the postoperative lung function is greatly affected.

But none of this mattered, the important thing was that the task of sawing the sternum with a sternum saw had now fallen to him. "You do it!" The main swordsman glanced at Xiao Rin and opened his mouth coldly.

"Me?" Xiao Rin looked at this master knife hand hesitantly, and then he ended up with the sternal saw in his hand, and he couldn't help but have a little disdain for this person in his heart.

Although the sternal saw is not large and the weight is average, the strong vibration after the start cannot be ignored. "Pull the hook!" After the retractor handed by the chief knife technician, the muscle tissue above the patient's sternum was maximized, and the patient's sternum was suddenly revealed at a glance, showing the best fourth master to Xiao Rin.

Standing opposite the main knife hand is very awkward, the body presents a ninety degree angle, irregular bending, holding the sternal saw in both hands, cutting on the patient's sternum little by little, for a while, the rustling bone tearing sound echoed between the eardrums of everyone, two minutes passed, Xiao Rin's forehead was secreting beads of sweat, and the nurse on the side immediately picked up gauze to wipe his sweat, this time lasted for more than ten minutes, Xiao Rin finally slowly sawed Huan Ze's sternum.

Although the process was very simple, Xiao Rin was always in a stalemate, and when he finally cut the sternum completely, the placket behind him was also soaked with sweat, and beads of sweat the size of beans were also secreted on his forehead. He handed the sternal saw back to the instrumentalist and reached out for the 'bone wax' and carefully applied it to the sawn surface of the sternum. "It's time to get started!"

"Bone step!" The chief knife hand also immediately sought the tools he needed, and two long strips were handed to him, and the main knife hand took the long strips to protect the sternal incision, and the chest support was obviously the corner of the thymus and heart. "Retractor!"

Xiao Rin and the chief surgeon quickly fixed the retractor on the operating table, and then pulled it on the patient's sternum and slowly adjusted it to expand the surgical field of view, revealing the patient's heart.

Xiao Rin instinctively glanced at the patient's chest. "There is blood in the chest!" After speaking, he looked up at the main knife and asked him what was going on.

The surgeon also seemed a little puzzled, he glanced at the patient's chest and turned his head to look at the nurse who was in charge of recording on the side. "Report the situation."

"The patient did not have a blood test."

"Belly light?" Xiao Rin then asked.

"Here!" The nurse immediately took out a piece of light and hung it on the reading lamp, and at the same time opened the record and reported it again. "The results of the emergency radiograph showed that the patient had minor fractures of the eighth, ninth and tenth ribs of the chest, including an open fracture of the tenth rib.

The main knife hand and Xiao Rin looked at the belly light piece on the reading light sheet at the same time, Xiao Rin's brows furrowed slightly, and the main knife hand pondered for a moment, and then said. "On the light film, there is no trace of blood, does it mean that the patient has it?"

"Don't think about the light film first, suck blood for investigation." Xiao Rin glanced at the main swordsman, then stretched out his hand and shouted. "Straws!"

The instrumentaturist handed the straw to Xiao Rin and turned on the suction switch. "There is not a lot of blood in the patient's chest, and the patient's broken ribs do not seem to cause damage to the organs." The main knife hand regained a little bit of his place from the gaffe just now, and he said as he watched the straw suck up less and less blood.

Xiao Rin finished sucking the blood in the patient's chest, handed the straw back to the instrument, and raised his head to the chief surgeon. "Judging from the radiograph, it may be the spleen, and the patient is reported to be severely injured."

"Do you need to do an abdominal probe first?" The surgeon looked at the blood slowly collecting in the patient's chest, and although it was slow, he could still see that the blood in the chest was slowly accumulating.

"You're the main sword!" Xiao Rin coldly threw a sentence to the main swordsman, and immediately made the other party speechless.

"Pay attention to the patient's signs and conditions, and report anything to me immediately." The chief swordsman then gave another order. "Now for the pericardial dissection, scalpel!"

"Pliers, gauze!" Xiao Rin was laughing, and after he took the equipment he needed, he took the lead in lowering his head to look at the beating heart in the patient's chest.

The chief surgeon carefully held the patient's beating heart with his hand, and Xiao Rin was also on the side ready to wipe off the blood stains at any time, after all, operating on the beating heart requires great calmness, requiring every knife to be precise and stable, and at the same time, the consumption of mental power is huge, after all, a careless will leave a wound on the heart, leading to irreparable consequences.

The chief knife hand carefully cut a small gap on the pericardium, and Xiao Rin immediately wiped off the blood stains on it with gauze, because Xiao Rin had to ensure the surgical vision of the chief knife hand at any time, and the two had no verbal communication, but they seemed so tacit, more precisely, Xiao Rin could cooperate with every movement of the chief knife hand in the first time.

After Xiao Rin finished cleaning the surgical field for himself, the scalpel reached into the patient's chest again, carefully held the heart, followed the gap on the pericardium that had just been opened by himself, continued to extend down, opened the pericardium, and just cut a little more.

Suddenly, Xiao Rin raised his right hand slightly to signal that the operation of the main knife hand was stopped, and the corner of the eye of the main knife hand saw that Xiao Rin's raised right hand carefully operated on the centrifugal bag, and pulled the right hand holding the scalpel out of the patient's chest, and looked at Xiao Rin suspiciously.

Xiao Rin saw that the scalpel of the chief surgeon was withdrawn from the patient's pericardium, so he dared to explain the reason. Because when the pericardium is dissected, the main knife cannot be disturbed by any external force, otherwise the slightest mistake will not be borne by the patient lying on the operating table. (To be continued.) )