CHAPTER XXXV
"It's about fifteen millimeters."
After taking a closer look at the rift, John gave his own judgment.
It should be because the tip of the knife has just been pierced, and the wound is not very large, otherwise the patient on the operating table should have died a long time ago. However, although the wound is small, it still keeps seeping blood outward, coagulating into blood clots, making the patient's condition worse, and if it is not treated, death will be a matter of not long after.
"Let's get started!"
Taking a deep breath, John said to his assistant Luca in a deep voice: "Next, you cooperate with me to suture the wound, remember, the principle is diastolic operation, the action should be careful, but fast!" “
"Good!"
Luka's answer was simple and straightforward, and most of his energy was spent on tension. The obsession and excitement that I had just seen my heart were all gone when I really started the next step.
However, the process of stitching is actually lackluster.
The stitching of the heart sounds lofty, and it is indeed dangerous under the technical conditions at this time, but there is really nothing to say in detail. The needle is placed during diastole, the next diastolic is removed from the other side of the wound, and then another diastolic knot is tied – it looks no different from sewing clothes. It's just that because the heart beats fast, the timing of this requires keen observation, accurate judgment, and a stable mindset.
Luckily, John didn't lack any of these points.
Even so, there was a frightening scene in the process, that is, when each needle was knotted, the patient's heart would stop beating, even if it was only a brief stop, it still made John and Luca and others stop breathing instantly!
Fortunately, after only three injections, the bleeding stopped.
"Hoo ......"
Seeing this scene, John and the other two breathed a sigh of relief almost at the same time. Stitching up a wound and sewing clothes seem to be the same, but the essence is still different, at least not the denser the stitches, the better, now that the bleeding has stopped, so long is enough.
But now is not the time to relax, just rest for two or three seconds to relieve the high tension, John immediately said in a deep voice: "Luca, check the patient's reaction!" ”
"Okay."
With Helen's help, Luca immediately began to check the patient's indicators, and then quickly replied happily: "Heart rate and breathing have improved, we seem to be ...... It worked! ”
"No, no, it's not time to say this, rinse your chest!"
Shaking his head, John immediately instructed the two to begin flushing their ribcages with saline. Postoperative irrigation is extremely important to remove most of the contaminants and debris in the chest cavity and reduce postoperative adverse effects. Luckily, the patient's heart was beating regularly during this process, and there were no signs of danger, so John and Luca worked closely together to complete the closure of the chest cavity.
Suture, clean and disinfect, and cover with a sterile dressing.
When it was all over, John revisited his patient. Although his face is still extremely pale, both breathing and heart rate have improved significantly, and the results of the surgery are so timely and obvious!
"Then it's up to you."
After a long exhale, John looked at the young man on the operating table and said silently. He had never had heart surgery, and now the conditions were extremely simple, so John really didn't have any certainty in his heart, so he could only hope that this guy's physique would be better and he would be able to survive the next infection......
……
"How's it going?"
As soon as he came out of the operating room, John was surrounded by Bergman and Staff.
"The operation went well, but the rest is up to him."
After a moment's pause, John shook his head and explained: "But judging from the current situation, the patient's condition is not bad, if there is no accident, I think it should be able to carry it!" ”
"This ...... Meaning success? ”
Bergman and Stafford looked at each other, and then the professor of surgery asked with some uncertainty.
"Of course, the operation must have been a success!"
Raising his eyebrows, John replied seriously: "The wound on the pericardium and ventricles has been sutured, the bleeding has stopped, we have also removed all the blood clots, and the patient's heart rate and breathing have also improved...... Of course it worked! ”
"Sizzle......"
After listening to the last sentence, Bergman and Stafford took a light breath of cold air at the same time!
Because of John's previous persistence and his performance when he first got on the operating table, Bergman and the others guessed that the operation might be successful, but what they didn't expect was that it would be so fast and so smooth! If you calculate carefully, if you remove the time of chest opening and closing, the blood clot removal and suturing the ventricular wall add up to a few minutes at most, and the suturing process does not take more than two minutes! If you think about John's decision to operate in the early morning, that is, two or three hours ago......
Don't dare to think too much, thinking too much makes people at a loss!
"This guy...... It must have been prepared for a long time! ”
Looking at John, who was slightly tired on his face, Bergman couldn't help but take another breath!
At this time, Bergman and Stafford were thinking about something, John must not be interested in knowing, he rested for a while, recovered the fatigue caused by the high tension, and immediately said to Luca, who came out: "Give sulfonamide to the patient, pay attention to the condition of the wound!" Also, be sure to pay close attention to the drain ......"
"Don't worry, John!"
Luca, who had just completed a "milestone" operation, was obviously still excited, and immediately nodded and said excitedly: "I will stay in the hospital tonight and closely observe his condition, you can rest assured!" “
"Well, that's fine."
Seeing Luca's extremely excited appearance, John didn't say much.
However, after a short pause, Lukka suddenly said again, "John, today's operation...... When are you going to publish it? ”
"Publish it?"
Hearing Luca's words, John was slightly stunned.
Bergman and Staff, who were next to him, reacted immediately, and the professor of surgery immediately frowned and said, "This is absolutely not possible, because we have not yet determined what the outcome of the patient will be!" “
"That's right, don't be in a hurry!"
Stafford instantly understood what Professor Bergman meant, and immediately nodded.
Whether it was for the sake of protecting the reputation of Charlotte Hospital's surgery or for John's own honor, it was best not to make the final results of the operation public until the patient's final results were available. Otherwise, if the patient dies eventually, it will attract more blame and ridicule.
After listening to the words of the two bigwigs, John finally understood what Luca meant.
Although he was a little unimpressed with their worries, John was not a bad person, and finally shook his head and smiled: "Luca, just do what Professor Bergman says." But with only one operation, I still felt that it was too thin. If you're interested, write a paper, present it at a medical conference, whatever you want......" (To be continued.) )