Chapter 34: The Rift
"Depending on the patient's condition, we choose the fourth and fifth intercostal spaces to enter."
The scalpel slowly cut through the patient's chest, and John explained in a nervous voice: "Of course, the right position and angle of inclination are conducive to opening the chest cavity and finding the wound as soon as possible...... If necessary, we can even cut off the fourth and fifth costal cartilages to increase exposure. β
Instead of responding to John's explanation, Lukka stared nervously at his every move. Despite the fact that he has been working in the Department of Surgery at Charlotte Hospital for many years, Luca has never had heart surgery in his life, or rather, he has never seen a beating heart! So for the upcoming scene, he is full of anticipation and very nervous at the same time.
Equally nervous, and John? Mr. Huntelaar.
It's not just that Luca hasn't had heart surgery, and don't forget, John hasn't had it either! In his previous life, he was only a general surgeon, but in their hospital, cardiothoracic surgery was listed separately, and John had only seen a few surgeries. It's just that compared with the doctors of this era, in addition to what he has seen, he has more advantages in that the theoretical foundation is relatively strong.
So seeing Luca's more nervous appearance, John suddenly smiled dumbly.
Afraid of what?
It was originally an operation with a very low chance of success, if John didn't make a move, it would be difficult for the patient to survive tonight, and if he did, there would be so little chance of survival, just try to do the best!
Thinking of this, John's hands immediately stabilized.
Cutting, separating, pulling, layer by layer, step by step, John laid the knife smoothly and quickly, and from time to time commanded Luca and the nurse beside him. Let them cooperate with themselves......
β¦β¦
"Strange!"
Looking at the operation behind the glass, Professor Bergman's sudden sound startled Staff.
"What's so strange? Too slow? β
Blinking, Stave asked, rather puzzled. It seemed to him that the operation inside was carried out normally, except that Mr. Huntelaar was a little slower, which was much worse than when he had other surgeries.
"It's not too slow. It's too fast! β
Frowning, Professor Bergman said in a deep voice.
"It's too fast...... Hey?! β
Stunned to look at Professor Bergman, Stafford suddenly let out a startled sigh after a brief pause, and his burning gaze returned to the operating table behind the glass!
He forgot for a moment that there was a heart operation going on on the stage!
Cardiac surgery was complicated and difficult for any surgeon of his generation, not only because of the care, but also because of the lack of experience, the whole process was bound to stumble, and even to make impromptu decisions on the operating table. But now look at John's movements. Where is the hint of hesitation?
The action was slow, but there was no hesitation!
"This ......"
After confirming that John on the stage was indeed moving very smoothly, Staff's eyes widened in surprise: "Professor, could it be that John used to ...... Have you ever had heart surgery? β
"Or maybe it's the result of countless dissections!"
Narrowing his eyes slightly, Professor Bergman replied noncommittally.
Opening his mouth, Stafford was about to say something more, but a sudden word from behind the glass made him close his mouth......
"Look, I see the heart!"
Luca's excited and nervous voice. It was quiet inside and outside the operating room at the same time!
"Oh God!"
If it weren't for the fact that he was wearing gloves at the moment and still had a pair of scissors in his hand. Helen would definitely cover her mouth or chest with her hands! Because at this moment, her heart was beating twice as fast as usual, and the churning in her chest made her scream!
That's the heart, the beating heart!
The dark red heart is beating rapidly in the chest!
Luca had dissected more than one corpse, both in medical school and after coming to Charlotte Hospital. Certainly seen many times the heart. Even after learning about animal experiments from John, he has seen many times that animals have beating hearts, but human hearts, and still beating hearts......
"Goo-dong!"
Looking at everything in front of him, Luca's vision was in a trance.
He never thought he would see such a ......
A magnificent scene!
A living beating heart. For a surgeon, it was like the most beautiful oil painting in the whole world, and Luca was hooked in an instant.
At the same time, there are two surgeons outside the glass wall.
"God!"
There was an exclamation at the same time, and Bergman and Staff's voices were so neat, as if they were coming from one person. They had never seen anything like it before, so the heart was like a giant magnet that caught everyone's attention!
"Luca!"
The only exception is that he must raise his voice to wake the assistant from his stunned state: "Don't look at it patronically, if you want to save him, you can't be in a daze, can you see the situation clearly?" β
"Good...... Good! β
Luca must be glad that the mask promoted by John made it impossible for others to see his expression at this time, and nodded hurriedly.
Upon closer inspection, Lukka soon spotted a wound in his heartβthe one on the pericardium, to be exact. The outside of the heart is covered with a membrane, which is called the pericardium. The heart needs to beat non-stop to work, so imagine that if there is no protection from the outside of the heart, frequent beating will bring friction with other tissues, so the pericardium plays a protective role. The serous fluid of the pericardium lubricates the heart muscle, so that the heart does not rub against the chest cavity and cause injury when the heart moves.
Cardiac tamponade is the cause of rapid death from heart injury.
The heart needs space to beat, but the contraction space of the pericardium is limited, so when the heart is injured and bleeding, blood will accumulate in the pericardial cavity, restricting blood return to the heart and heart beating, causing circulatory failure, and then the heart stops......
"The first thing to do is to clean the blood clot on the pericardial tear!"
Taking a deep breath, John gave his own order just in time. He knew that it would be useless to talk to Lucado now, and it was best to quickly arrange enough work for him so that he could return to the operation as soon as possible.
Sure enough, as soon as the order came out, it worked.
Both Luca and Helen, the nurse, sprang into action at John's loud command. The main operation was still John, of course, but Luca helped to keep the surgical field exposed and helped to carefully remove the blood clots, while nurse Helen listened intently to the orders of the two doctors, ready to hand over the next surgical instrument needed.
After two or three minutes, the dark red blood clots were removed one by one.
After clearing the field of vision a little, a crack no more than two centimeters at most appeared in front of everyone! (To be continued.) )