Doctor Peerless

Chapter 784 Fatty's Surgery

If a person is unlucky, drinking cold water will clog his teeth.

Christopher would never have dreamed of a fishbone lying on the operating table.

Boss Li's condition was very critical last time, but it was because of a blood vessel problem.

So minimally invasive surgery can handle it.

This time, Christopher was not so lucky.

Pericardial effusion can be treated with aspiration.

But if you want to remove the fishbone that has penetrated into the pericardium, you have to open the chest.

If he could have expected what happened today, he wouldn't have eaten that fish even if he killed Christopher.

But it was too late now, he had to lie on the operating table obediently.

Even so, he was lucky.

Because I met Zhou Sheng, I discovered it in time, and it was better to be stabbed than to lose my life.

This is also a fortune in misfortune.

Meng Guangfei began anesthesia.

After a few minutes, Christopher was in a daze.

Meng Guangfei made an OK gesture to Zhou Sheng.

Then it's time for Monday's birth.

The normal rhythm of thoracotomy is to spread the towel for disinfection, cut the skin with a No. 22 blade, change the electric knife after cutting, take the electric knife twice, cut open with the electric knife, and you can see the sternum without any blood.

This process is for ordinary people, but today's situation is a bit special.

Christopher is no ordinary man, he is very fat!

It belongs to the state where you can't see your feet when you stand up.

Looking at his chubby body, Zhou Sheng thought to himself, this guy must eat a lot of steaks in country M's hamburger.

For surgeons, operating on fat people is definitely a challenge.

Zhou Sheng frowned, his nightmare was about to begin.

Spread drape, disinfect, and cut the skin with a scalpel.

This process is still normal.

Next, it's time to switch to the surgical artifact electric knife.

For ordinary people, you can directly cut all the way down with an electric knife.

The speed is fast, and you are not afraid of bleeding. It is simply a matter of flattery.

But not for Christopher.

There is too much fat under the skin, and I dare not use electric knife to cut it.

Because the frequency of the electric knife is slightly higher, it may cause fat liquefaction.

Fat liquefaction has a great influence on postoperative wound healing.

Zhou Sheng had no choice but to give up this artifact.

Instead, use the most traditional scalpel to draw and pull in the fat.

Row and pull, and the bleeding came.

grandma's!
Here comes the surgeon's trouble.

Zhou Sheng had to press the bleeding point with gauze.

Fortunately, a lot of dungeon operations have been done.

Zhou Yisheng has also done a lot of traditional surgeries without electrocautery.

As for the control of these bleeding points, Zhou Sheng is quite handy.

If you change to a novice who doesn't use ordinary scalpels.

It will definitely be a mess at the moment.

Zhou Sheng scratched and pulled with a scalpel, and when he saw bleeding spots, he cleaned them with hemostatic gauze.

N pieces of hemostatic gauze were changed.

Zhou Sheng is still fighting against the hypertrophic subcutaneous tissue.

If it's just blood.

There is still oil!
During the operation, Zhou Sheng's gloves became greasy.

Zhou Sheng felt that the scalpel in his hand was a little slippery and began to lose control.

Helpless!

Zhou Sheng had no choice but to put down the scalpel, then spread his hands, and said to the equipment nurse, "Change your gloves."

The equipment nurse acted immediately.

But this act of changing gloves is obviously not a standard operation in normal thoracotomy.

So the equipment nurse was busy for a while before changing the gloves for Zhou Sheng.

Su Quan and Cao Xin were watching quietly at the moment.

Zhou Sheng was in the process of changing gloves.

Su Quan also helped to stop the patient's bleeding with gauze.

Su Quan thought to himself at this moment, damn it, today's cut is really hellish.

After Zhou Sheng changed his gloves, his hands became much cleaner.

He buried his head and continued to fight in the fat.

Another half day of paddling.

Count on normal time.

Should have seen the breastbone.

But in fact, Zhou Sheng is still fighting against fat.

Zhou Sheng's new gloves soon became greasy again.

Zhou Sheng sighed in his heart, and in desperation gave the doctor's order to change his gloves.

I changed two pairs of gloves.

As the incision deepens.

Bleeding points became more and more.

Using hemostatic gauze is a bit overwhelming.

Zhou Sheng had to use the electric knife.

It is useful, but Zhou Sheng only dared to use the lowest power to operate because he was worried about the liquefaction of fat.

When the electric knife touches the fat, there is a sizzling sound and the smoke is lingering.

Zhou Sheng could only continue the operation against the smoke.

After struggling for a long time, the bleeding stopped.

Finally saw the breastbone.

Zhou Sheng was relieved.

He thought that when Christopher woke up, he must lose weight.

This pass is cut open.

It took two or three times more time than usual.

But it's finally done.

Next, Zhou Sheng began daily operations.

After processing the sternum, the surgical field of view was opened, and the pericardium was cut longitudinally. There was a large amount of blood in the pericardium, about 600mL in total. After removal, a fishbone protruding from the pericardium was found, and it was stabbing the posterior branch of the left ventricle of the right coronary artery.

This thing is the main goal of Zhou Sheng today.

It's in the pericardium and could puncture the heart at any moment.

It can be described as extremely dangerous, like a time bomb placed in the heart.

Never know when something will go wrong.

Zhou Sheng carefully used the electric knife and tweezers together, and took it out from the pericardium in just over ten minutes.

At this time, Zhou Sheng saw the whole picture of the fishbone clearly.

About 3.5 cm long, and forked.

Zhou Sheng put the fishbone in the tray.

Su Quan and the others looked at the fishbone and sighed.

It was this fishbone, which was shorter than the little finger, that actually caused such a big trouble.

If you hadn't seen it with your own eyes.

It's unbelievable.

The fishbone has been removed, and the accumulated blood has been dealt with.

Both the underlying threat and cardiac tamponade were resolved.

The remaining tasks are even easier.

Rinse, drain, and do a good job of preventing infection.

After Zhou Sheng operated halfway, he looked at Su Quan who was eager to try.

Finally, Zhou Sheng decided to let him exercise too.

Not too difficult, and not dangerous.

Su Quan has independent surgical experience and is quite familiar with these basic operations.

He imitated Zhou Sheng's way of flushing and drainage, and he was also orderly.

Cao Xin was a little bit more miserable.

As the second assistant, he could only watch Su Quan's operations greedily.

But there is no way.

Surgery is about growing slowly.

No one can reach the sky in one step.

Even Zhou Sheng, who owns the system, still needs to accumulate experience in dungeons.

Right now, Cao Xin can only observe seriously.

Flushing and draining should be a simple matter.

But when Su Quan started, he was still a little nervous.

Although the basic principles of flushing and drainage are similar, Su Quan used to deal with some "insignificant" places.

Today we are dealing with such important places as the heart and the chest cavity.

So it is inevitable not to let go of your hands and feet.

Su Quan was careful, for fear of making any mistakes.

But the facts proved that Su Quan's painstaking practice in the emergency department during this period was still fruitful.

In the end, his movements became more and more relaxed.

Zhou Sheng nodded in satisfaction while watching.

It seems that it won't take long for Su Quan to be on his own.

……

(End of this chapter)