986 During the operation...
This was not the first time Feng Qingchen had performed heart repair surgery, but this time was definitely the most difficult one.
There was no complete surgical team, no operating room that met the requirements, everything was very simple, but the patient was very noble.
Feng Qingchen took a deep breath and stood in front of the operating table. Sun Sixing's slightly immature face was tense and serious.
"Master." Sun Sixing opened the microscope case, put it on Feng Qingchen, and adjusted it according to Feng Qingchen's requirements. After doing all this, he pushed all the medicine bags and instruments to the side of the operating table one by one.
These were all prepared in advance by Feng Qingchen. They were instruments and sutures specifically used for heart surgery. Before this, only Feng Qingchen and Sun Sixing had seen these things.
When Chi Lianshui and Guo Baoji saw this, their eyes lit up, but they remembered what Feng Qingchen had reminded them before: in the operating room, no noise unrelated to the operation should be made, and if they had any questions, they could ask later, and they should not disturb her while she was working. If she was distracted for a moment, the prince's life would be in danger.
"Master, it's done." While Feng Qingchen was adjusting himself, Sun Sixing had already injected the prince with the necessary medicine. Now all Feng Qingchen needed to do was perform the operation.
In fact, Sun Sixing didn't have to do much. During the anesthesia, Feng Qingchen opened the peripheral veins, performed arterial and venous punctures, and connected the three-way infusion tube to ensure smooth infusion and the application of anesthetic drugs during the operation.
Everything was prepared very carefully. Even without a professional team, Feng Qingchen did his best.
Feng Qingchen nodded and motioned Sun Sixing to stand opposite her, while Guo Baoji and Chi Lianshui stood beside her. Sun Sixing would assist her in the operation, while Guo Baoji and Chi Lianshui would just do the work of nurses. But even so, it was enough to excite Guo Baoji and Chi Lianshui.
Standing in front of the operating table, Feng Qingchen put away all his emotions and became like a cold machine. For a moment, Chi Lianshui and Guo Baoji were stunned.
Is this still the Feng Qingchen they know, the talented, humble and polite one? However, when they think about the fact that Sun Sixing's performance when holding the knife is completely different from his usual performance, it is understandable.
Both the master and the disciple were strange people. The moment they held the knife, they were like gods, rigorous, confident, and without any human emotions.
Feng Qingchen didn't have time to care what the two people thought, she had already started the operation.
Feng Qingchen picked up a cotton ball, dipped it in iodine solution, and applied it to the heart. The whole action took place in no more than two seconds. After completing this step, Feng Qingchen picked up a marking pen to draw the surgical line.
The median sternotomy is the standard incision for open heart surgery during extracorporeal circulation. It has good exposure and is suitable for heart surgery in any part of the body. The incision starts slightly below the sternal notch and reaches about 5 cm below the xiphoid process.
After drawing the surgical line, Chi Lianshui handed the scalpel to Feng Qingchen. Feng Qingchen held the knife very steadily. Without any hesitation, Feng Qingchen cut open the prince's chest along the line without making any sound.
At the moment Feng Qingchen chopped down the knife, Guo Baoji and Chi Lianshui were impressed. Cutting a person is completely different from cutting a rabbit. Feng Qingchen's move just now was more neat than that of a first-class killer.
Feng Qingchen cut open the prince's chest, and Sun Sixing picked up two clamps and placed them above and below the incision. Feng Qingchen then picked up the electric knife and cut the sternal periosteum along the middle, leaving the sternal notch to reach behind the sternum.
There are three ribs near the heart. When performing lung surgery, the ribs can be pulled to the sides to make room for surgery, but this is not possible during heart surgery.
When performing heart surgery, these three ribs must be removed so as not to affect the surgery and to expose the heart.
Feng Qingchen first removed the xiphoid process, then separated the retrosternal space, and used an electric saw to saw the sternum longitudinally along the midline.
A crunching sound was heard and blood splattered, staining Feng Qingchen's hands red, but Feng Qingchen didn't even blink.
Heart surgery is a physically demanding job, and bone sawing is even more strenuous, so there are very few women in cardiac surgery because there are many things women cannot do.
The action of sawing the sternum was not really beautiful, and was even a bit violent. However, Feng Qingchen, who was holding the electric saw, did not look cruel at all. Her serious look made people feel that she was doing something great.
In fact, Feng Qingchen was indeed doing something extremely great, something that no one had ever done before in the eyes of Chi Lianshui and Guo Baoji.
Cutting open a person's heart is completely different from cutting open a rabbit's heart. When Sun Sixing conducted experiments on rabbits, they would be amazed and admire him, but when they saw Feng Qingchen operating on the prince, they were just shocked. This scene was too irritating.
It turns out that healing can be done this way, and violence is also a kind of beauty.
After sawing off three sternums, Feng Qingchen was already sweating profusely. Fortunately, although Chi Lianshui was shocked, he did not forget his job. He quickly picked up a clean handkerchief and wiped Feng Qingchen's sweat.
Feng Qingchen took out the three sternums and put them away. He used electrocoagulation to stop the bleeding of the periosteum and bone wax to stop the bleeding of the sternum.
After the sternum is removed, it does not mean that the heart is exposed. The pericardium still needs to be cut open to see the heart.
Feng Qingchen made a longitudinal midline incision through the pericardium, up to the fold of the ascending aorta and down to the diaphragm. He then made two incisions on each side of the lower section to facilitate exposure.
The pericardial cut edge was then sutured to the soft tissue outside the bilateral sternum, and the sternum was pried open with a expander. Only then was the prince's heart revealed to everyone.
The heart was beating softly in front of everyone. There was no obstruction and everyone could touch it with their hands. But at this time, no one had the time to look at the prince's heart.
Feng Qingchen put down the scalpel and performed extracardiac exploration on the prince, checking the size, tension, and tremor of the aorta, pulmonary artery, left and right atria, left and right ventricles, superior and inferior vena cava, and pulmonary veins, and checking for the presence of the left superior vena cava and other malformations that could be found outside the heart.
The effect of taking X-rays was good, but it was not as direct as opening the heart. After repeated examinations, Feng Qingchen was confirmed to have no problems with the prince's heart, and heaved a sigh of relief.
If there are no other symptoms, it means the operation can proceed as planned. After opening the heart, the most feared thing is to discover diseases that were not detected before.
Accidents mean a lower success rate for surgery.
After checking that there are no problems, the next step is to perform extracorporeal circulation. Open heart surgery requires blocking the heart circulation and cutting open the heart to provide bloodless surgery for intracardiac operations.
During the period of blocked circulation, the human body's venous blood is drained outside the body to an artificial heart-lung machine that replaces the heart and lungs for oxygenation and excretion of carbon dioxide, and then returned to the body by a blood pump to maintain systemic circulation. This method of bypassing the heart and lungs to assist blood circulation is called extracorporeal circulation.
Feng Qingchen meticulously performed the work required for extracorporeal circulation, including the vena cava cuff, arterial cannula, vena cava cannula, cold cardioplegia infusion cannula, and left heart drainage cannula. After making sure that the artificial heart-lung machine system was connected, Feng Qingchen did not start working immediately, but instead checked whether all the pipes and their connections were correct.
At this moment, any slight error could cost lives, so Feng Qingchen could not afford to be careless. He had to make sure that there were no obstacles in each channel before he started extracorporeal circulation.
Words to readers: Fourth update on Beauty Day, I wish all the sisters good mood, good luck and smooth things every day. Well... Heart surgery is extremely complicated and professional, and Acai doesn't understand it either. I wrote this recently after cramming some information. If there are any discrepancies, please ignore it, after all, Acai is not a medical student.
Extracorporeal circulation is very complicated, and the bunch of professional terms are quite boring, so I won’t write more. If you are interested, you can send me a private message, I have the information!