This kind of adhesion makes Professor Li fearful.

He carefully observed Yang Ping's operation just now, and the surface of the heart was almost attached to the inner surface of the sternum.

When sawing the sternum, the saw blade just saws the sternum without damaging the heart that adheres to it, which is by no means luck, and it is impossible to control the saw blade in the whole process without making mistakes by relying on luck alone.

Professor Li's teacher once said, "Remember, a good surgeon must be good at using the brain to compose pictures." ”

So now there is only one explanation, Dr. Yang has already sketched a three-dimensional anatomical diagram of the surgical area in his mind with the help of the image picture, and with this picture in his brain, he commands the chainsaw in his hand to act precisely.

Professor Li had a history of heart surgery in the first heart surgery of that year, but he did not know that the heart was adhesed to the inner surface of the sternum because of the previous surgery. Professor Li took the chest saw, sawed open the sternum from top to bottom, and then dark red blood gushed out.

At that time, he saw the blood, was scared, and did not know what was happening.

Fortunately, the teacher calmly commanded in the audience: "The saw blade cuts the atrium below, presses it, stops the bleeding, and then repairs it." ”

The patient's blood pressure plummeted, and the anesthesiologist instructed the traveling nurse to transfuse blood.

"Completely sawn open the sternum and the tear is underneath." The teacher yelled, and then went straight to the stage with gloves on.

Professor Li took the plunge and, in a pool of blood, picked up the chainsaw again and sawed the sternum completely.

Sure enough, with the help of the suction device, Professor Li saw the bleeding point, a 3 cm wound on the right atrium, and he reached out to hold the wound.

"Stitch it up!"

The teacher ordered, the teacher took over Professor Li's trembling hand, held down the wound to stop the bleeding, Professor Li began to repair the tear in the atrium, the teacher let go of his hand and used the suction device to create a vision that could barely see clearly, fortunately, he was usually well-trained, Professor Li quickly repaired the tear, the bleeding was stopped, and the patient's blood pressure rose.

Since then, Professor Li has been like a soldier in the face of blood, and his heart has never trembled in the face of blood.

But at this time, Professor Li couldn't help but be shocked, the heart and the large blood vessels connected to it were blurred, especially where the big blood vessels were, and there were adhesions everywhere.

Sharp knives are more precise than round knives, but they are also riskier.

First of all, open the pericardium, which is a layer of envelope on the outside of the heart, with a fibrous layer and a serous layer, and a potential cavity is formed between the two layers, and there is a lube-like slurry in this cavity.

This slurry, which can reduce friction when the heart beats, is similar to the oil of an engine.

And the entire pericardium, especially the fibrous layer, not only protects the enveloped heart, but also holds the heart in the right position and limits excessive expansion of the heart.

If there is no pericardial restriction, the intracardiac pressure rises rapidly when the heart contracts, and the heart expands unrestrictedly, causing heart rupture.

Of course, this is when the heart contracts violently.

It's like a balloon put in a cloth bag, no matter how you blow it, it will not exceed the size of this cloth bag, if there is no restriction of the cloth bag, blow hard, the balloon will expand to a certain extent, and it will burst.

The pericardium, which was originally full of positive effects, is now formed by adhesion coarctation, restricting the normal beating of the heart, which is life-threatening, and Yang Ping now wants to peel off this capsule that restricts the heart.

The pericardium must be opened to fully release the vitality of the heart, otherwise this contracture capsule will strangle the heart.

The sharp knife was replaced with a round knife, and the tip of the knife was cut across the pericardium, the depth was appropriate, and the capsule was just cut without hurting the surface of the real heart, which made Professor Li unbelievable.

The fibrous and serous layers of the pericardium have been bonded together to form a hard connective tissue.

"Be careful!"

Professor Li couldn't contain his worry and spoke up.

But Yang Ping didn't seem to hear his reminder, and the knife had already cut a long cut in the heart, forming it all at once.

Professor Li's worries are unnecessary, because the capsule of this incision is just cut through every part of the knife without harming the heart under the capsule.

The capsule is opened, and the living heart is about to emerge.

The toothless forceps lift the capsule, and the tip of the knife is almost attached to the surface of the heart, and begins to separate in all directions, and slowly, the dorsal membrane that binds the heart is separated in half, and the heart can no longer be restrained.

"The rest stays and has a fixed effect on the position of the heart." Yang Ping stopped the knife in his hand.

If the entire capsule is stripped like an egg, the smooth heart will roll and hit in the chest cavity because there is no confinement, and the blood vessels that connect it will be torn and rupture or spasm.

All the internal organs of the human body must be properly immobilized, otherwise they will run around.

The remaining pathological state of the pericardium is no longer able to restrain the heart, so that the heart can contract freely, and at the same time, compared with the normal heart, there is a risk that the heart will rupture when it contracts suddenly and violently.

Replace the blades!

The blade should be replaced every time it is separated.

Because of the poor quality of these blades, it took less than a few minutes for the blades to begin to dull and not meet the delicate anatomical requirements.

The thing surgeons hate the most --- scalpel blades are too blunt!

Switching back to the sharp knife again, along the heart, along the left ventricle, Yang Ping began to separate the aorta, the aorta and vena cava have been pulled by adhesions to the anterior side of the spine, and glued together with the anterior side.

The deformed spine and thoracic cage lead to the narrowing of the chest cavity, the blood vessels and organs are almost squeezed together, and the large blood vessels are tortuous like the intestines, but because of the adhesions, nothing can be seen clearly.

The adherent connective tissue drowned out everything, and it was not clear which were blood vessels, and there was only one tissue under the knife, and that was the adherent connective tissue.

The sharp knife worked unswervingly, and the coiled ascending aorta slowly revealed.

Immediately afterwards, the brachiocephalic trunk, the first major branch of the aorta, begins to show its contour under the sharp knife.

As if the tip of the knife had some special detection ability, an infamous branch artery was separated, and Yang Ping did not intend to ligate, but continued to separate, until it was a satisfactory length, and would not involve the reduction of the entire aorta because of it.

"The space is too small, they're squeezed together, they're sticking to themselves, they're sticking to everything around them."

Professor Li was highly attentive and followed Yang Ping's rhythm, because every knife was unknown, so every knife was terrifying.

It's like running blindly in a minefield!

Although this surgery is not an open-heart surgery, everything is operated outside the heart, but any negligence will cause the rupture of blood vessels.

Yang Ping seems to know these anatomical structures in advance, and every time he makes a move, whether it is the coordinates of the upper and lower sides, or the coordinates of the depth, he never makes a mistake.

This is completely different from what Professor Li imagined.

He imagined that from time to time the blood vessels would be split, and blood gushing or spurting out, and then the blood vessels would be repaired quickly before he could continue.

But Dr. Yang did not do this at all, and so far, there has not been a single accidental bleeding from the root of the aorta to the trunk of the head and brachi.

A few times I thought I was going to squirt blood, but it didn't.

Does Dr. Yang have any other high-tech examination equipment to complete the imaging examination?

Impossible.

Professor Li looked up and looked around, and everything was normal.

---

Waiting area for dependents.

Zheng Baosheng's parents were worried for a while, and the worry of the blood connection could not be suppressed.

Now their son is lying on the operating table, most likely never to wake up.

Lao Zheng looked at his mobile phone from time to time and counted the time, he was afraid that the operation door would suddenly open, and the doctor said in frustration: "We have tried our best." ”

Zheng Baosheng's mother was silently muttering something, probably asking the Bodhisattva for protection.

This kind of torment is very painful.

"Lao Zheng, you say, can our son survive this?" Zheng Baosheng's mother opened her eyes.

Lao Zheng looked at the door of the operating room: "My son said that he could walk over, and he said that there are countless people who have been pulled back by Dr. Yang from the ghost gate, and he will also be one of them." ”

When my mother heard this, she was comforted a little.

This kind of thing, really, depends on fate!

---

Nurse Qin is now standing in the operating room, because the video is taken in the operating area, and she can't see the performance of the instrument nurse.

Therefore, she could only come to the operating room and observe the scene.

The silent cooperation between the chief surgeon and the instrument nurse, the seamless tacit understanding, opened Nurse Qin's eyes.

She considers herself to be the best instrumental nurse, with the best training in the best hospitals in China, and a large number of surgeries every day, but she has never seen such a good fit.

Everything is clear and orderly, and this clarity, this order, is natural, not mechanical, rigid, or deliberate.

She once invited Xiao Su to 301 to study, and now she finds that it should be the other way around, and this is the most worthwhile place to learn.

The little nurse who was on her own to deal with the operation without any help, but she was unflustered and calm, and what she did seemed to be using mathematical coordination to arrive at the best order.

The anesthesiologist, calmly sitting on the side of the patient's head, actually played with his mobile phone.

Every once in a while, he would glance at the monitor screen and then look down and play with his phone.

Perhaps, all this is under his control, and he doesn't have to worry about it at all.

The pre-perfusionist who came from the thoracic surgery department, idle, sat on the side, bored to look here and there.

---

"This is a cardiac surgery, how did Xiao Yang do it so skillfully?" Professor Liang couldn't help but ask.

Obviously, I came to see the spinal orthopedics, and at the beginning, I saw the surgery of the heart and large blood vessels.

"I don't know, he said that he was in charge of the whole operation, I thought it was a joke." Where did Professor Qin know the answer?

Talent, which can only be explained by talent.

Professor Su was silent and kept staring at the screen, although he is a master of spine surgery, but when doing scoliosis surgery, he sometimes needs thoracic surgery to deal with heart and lung problems, so he is very aware of the difficulty of this operation.

No wonder the sign of the Institute of Surgery is hung.

It seems that the ones who really understand him are Xia Changjiang and Han Jiangong.

Professor Su glanced at Professor Qin, now Professor Qin is the most persistent, he must dig Yang Ping to 301.

I really went to 301, I'm afraid I haven't done well in Sanbo, Professor Su has this feeling at this time.

But there are some things that the average person can decide.

Professor Leung was on his left and Professor Qin on his right, and he sometimes turned his head to talk to the left and right.

"The future is terrifying, does Xiao Yang have a target?"

Professor Qin nodded: "There is." ”

"Where is the subject? What's the situation? Professor Liang asked very carefully.

"The nurse in the operating room is on the stage."

Compared with Professor Liang, Professor Qin has a better understanding of Yang Ping's personal situation.

Professor Su looked sideways and thought to himself: What does it mean to ask the object? Dig the foot of the wall, do you dig this one?