Chapter 50: Canine Thoracotomy

The spacious operating room was quiet, and the three operating tables that were being activated were illuminated by their own shadowless lights.

On one of the tables, after Gu Jun made a 15cm skin incision in the operation of the human-faced dog, he said, "Bending scissors." He took the curved surgical scissors that Cai Zixuan on the right side quickly handed over, and slowly cut through the layers of subcutaneous tissue, skin muscles, and ventral pectoral muscles. Wang Ruoxiang on the opposite side silently and seriously did the work of stopping the bleeding.

All three of them had been fully engaged in the operation, and occasionally noticed the horrible and sick human face, but it was only a background board.

Gu Jun had to cut very carefully to minimize the function of destroying these tissues, and the scissors needed to be as close to the anterior edge of the ribs as possible to avoid the blood vessels and nerves between the ribs. If you accidentally cut off any blood vessel, for the main knife, it is a terrifying scene.

But now his spirit is still very sufficient, his heart, eyesight and hand power are all online, cut layer by layer, and there is no picture of sudden blood gushing.

"Turn on a ventilator." Gu Jun said again, because he was engrossed, his face was expressionless, and his voice was not loud. Cai Zixuan knew his duty and shouted: "Itinerant nurse, come over and turn on the ventilator!" ”

There are regular instruments such as ventilators and ECG monitors next to each operating table, and some of them have been used since the previous itinerant nurses brought in the human-faced dogs. And now, a traveling nurse immediately came over when she heard the words and helped turn on the animal ventilator for positive pressure oxygen.

As the human-faced dog exhaled, Gu Jun opened its intercostal muscles and pleura.

His forehead was already oozing a little hot sweat, but his hands remained steady, "Scarf." He placed the wet sterilized towel on the edge of the incision in the operation, "Retainer." "Attach the retainer for the retractor," the retractor. He took the retractor again, expanded the incision evenly and forcefully, opened the surgical field, and hung the retainer card slot to keep it stable.

At this point, although the operation department looks like a pile of flesh and blood, the surgical access to the heart and hilar area has been completely opened.

At the same time, a group of spectators standing not far away exchanged words with Zhou Jiaqiang.

"That chief knife is Gu Jun." Team Leader Qiu looked at his aunt's smile, very satisfied but not surprised, "The future is terrifying." "Even in this current environment, there are things to be happy about – and discovering such amazing young people is one of them.

The five new chief swordsmen were all full of surprise, this was panning for silver and gold, looking for three assistants to touch two helpers.

The human-faced dog maintains the physical characteristics of the dog, the curvature of the chest side wall is large, the rib attachment edge of the diaphragm is low, and it has its technical difficulties in cutting, which is different from ordinary experimental animals. But Gu Jun's hand work is really good, steady, and fast, and they thought several times that he had to cut his blood vessels, but the result was nothing.

Many people have a so-called professional sense of smell, and surgeons will also have it, where there is something, and what kind of force needs to be used to deal with it, but these smells and skills need to be cultivated through years of experience.

Gu Jun behaved like he already had, but they heard that this was his first operation.

This kind of person is born to do the material of surgery.

"Team Leader Qiu, I thought you were exaggerating a little, but now it's a little exaggerated."

"What else do you want to cultivate after that, Gu Jun give it to me, come to my side to be a third helper."

They spoke very softly, for fear of disturbing the surgeons over there. But at this time, one of the new chief swordsmen, Zhu Ruiwen, couldn't help but shout loudly when he heard this: "Three helps? Who are you cold, he can be the second assistant with this hand, and I will let him be the second assistant. ”

"Haven't you seen how his stitching skills are!"

Team Leader Qiu looked at his subordinates almost repeating the scene of snatching people, a little funny, and stopped like Qin Lao at the moment: "Don't make noise, make a noise in the operating room." Let's see how the stitching goes, Cuong, let them do it and that's enough, don't go in any more, start stitching. ”

"Yes." Zhou Jiaqiang was about to step forward and say, his expression was quite proud.

On the side of the operating table, Gu Jun was about to conduct a further pericardial examination, but at this time, the ECG monitor next to him suddenly made a dripping alarm, and Wang Ruoxiang frowned and reminded: "The animal has cardiac arrest." Gu Jun sank his mind, just an ordinary situation, and said: "Intravenous adrenaline, 0.2ml per kilogram of body weight." ”

The human-faced dog weighed 16.3 kilograms, which means 3.26 ml.

"3.26 ml......" Cai Zixuan muttered, "That's the number, right?" Gu Jun and Wang Ruoxiang said in unison: "Yes! Gu Jun said again: "It's okay to hit 3-4ml, hold on." ”

Cai Zixuan hurriedly used a disposable small syringe to prepare the liquid medicine, and at the same time called a roving nurse to inject intravenously into the hind legs of the human-faced dog.

As soon as the adrenaline was beaten, it didn't take long for the human-faced dog's heartbeat to come back and no more processing was needed.

Over there, Team Leader Qiu and the others watched Gu Jun deal with it unhurriedly, and they had another compliment in their hearts!

Cardiac arrest during surgery is a very scary thing, everyone knows that adrenaline is required, but some people sometimes just can't think about it, especially novice rookies, panic. It is really rare for an intern to be like Gu Jun.

They were also keeping an eye out for the other two surgeries, which were less interesting in comparison. In the thoracotomy of the same lateral thoracotomy, the two chief surgeons are still busy stopping the bleeding because of the problems of deep incision and cutting of blood vessels, and they are going to use electrocoagulation knives. Thankfully, this is only a lab animal.

"Ah Jun, don't go in, stitch it up." Zhou Jiaqiang went up and said what Team Leader Qiu meant.

"Okay." Gu Jun nodded, kept himself calm and focused, and began to close the incision, using all the techniques that he had worked hard for the past half a month.

He first used a rib proximator to bring the ribs on both sides of the incision close, the incisions were close but not overlapping, and then he used a single strand absorbable suture and stitched 6 stitches to tighten and tie the ribs on both sides; Then the absorbent suture is replaced, and the intercostal muscles are sutured first, and then the other muscle layers, and the double interrupted suture method is ......

Everyone looked at Gu Jun and sewed layer after layer, clearly distinguishing the main muscles and muscles of each layer, with neat techniques and smooth ligation.

It's really smooth, there is no slight tremor and no superfluous movements.

Those hands are simply veterans of surgery.

"Team Leader Qiu......" Zhu Ruiwen scrambled to look at the leader, "It's no problem for him to be the second assistant." ”

The other four new chief surgeons now know that there is no problem, and they all ask to send Gu Jun to themselves: "My suturing skills are not as good as his!" "This kid has practiced."

Zhou Jiaqiang knew that they were humbling themselves, no matter how powerful Gu Jun was, he was an intern after all, and he couldn't compare with these old fritters for the time being.

However, the main work of the second assistant is the superficial suture and ligation, and after the deep work of the main knife and the first suke, they can hand over the tail of the hand to the second assistant. Because the surgeries will be done one after the other, they need to conserve their energy for the next one. If the second assistant is like Gu Jun, he can rest assured that he will be handed over.

So Brother Qiang also nodded and agreed to let Gu Jun jump to the level of the second assistant: "Team Leader Qiu, that kid is making progress every day, and he is a serious person." ”

"Well......" Team Leader Qiu is still thinking about it, this time the main thing is to select the third assistant, and the second assistant is because of Gu Jun, "He can really do this hand, this is his advantage, but after all, he has no experience in human surgery, and he is facing a patient with Anius anyanus......"

Team Leader Qiu felt that he was now Qin Lao, and Zhu Ruiwen and the others looked like themselves and Lao Zheng that day.