Chapter 1612: 1560 Directly Scared Stupid (Alliance Leader Xiao Xiao 515 Bonus Chapter 5)

Zheng Ren quickly inserted the aortic stent.

The airtight lead door opened; Chu Yanran held the endotracheal tube, and Su Yun and Wang Zong positioned the patient.

The patient was placed supine, and Su Yun took a pillow pad to elevate the left side of the body.

"Boss, is one enough?" Su Yun glanced, thought it was about right, and asked again.

The assistant thought it was not good, but ultimately the decision on positioning still had to be made by the surgeon. However, under normal circumstances it is a set routine, so there is no need to ask.

This patient's situation is special, so Su Yun asked a couple more questions; being cautious does no harm.

"Hmm, no problem." Zheng Ren nodded, turned and went to scrub his hands again.

"Next time don't take off the gloves, so you won't have to scrub up again." Su Yun said while positioning the patient.

"Not rigorous." Zheng Ren said: "I still scrubbed my hands; it makes me feel at ease."

"Boss, you have a mental condition; when you have time you should get it checked. Let me introduce you to a better psychiatrist, how about that?" Su Yun said.

"I'm mentally fine; it's your narcissism and talkativeness that need checking." Zheng Ren ignored Su Yun's nagging and went straight to scrub his hands.

"Coming back to do surgery, there's no background music; it's really quiet." Su Yun finished positioning, glanced, and felt quite satisfied.

"What music do they play in the capital?" Manager Zhou asked.

Speaking of this, he began to miss 912.

"Old He, that thing, as long as it keeps up with the boss's beat, we play Good Luck Come. The first time I heard it, it was okay; hearing it a lot is really maddening." Su Yun selected the spot, turned back and asked, "Boss, entry at the left fifth rib?"

"Okay." Zheng Ren's voice came from the washing area.

Manager Zhou was somewhat surprised; the two seemed unchanged, yet also seemed greatly changed.

To perform thoracic surgery, Su Yun naturally asked Zheng Lao Ban about positioning and incision.

What has happened in the capital recently? Even thoracic surgery Yun Ge'er actually has to ask Zheng Lao Ban.

Manager Zhou glanced at Su Yun with some surprise, feeling it was very strange.

He had previously seen Su Yun perform surgery; that style could be described as arrogant and domineering. Zhao Yunlong would make him curse until he spat blood, then after a bout of nagging, he would never ask him to do surgery again.

It can be said that a good surgeon is absolutely unilateral and decisive on the operating table.

But seeing the situation before him, Manager Zhou formed a guess in his mind. Although it seemed baseless, he had considered it; what remains is the factual truth.

Yun Ge'er, that guy, has inwardly admitted defeat.

Lay the sterile drapes, surgery begins.

Manager Zhou didn't go up on stage; what Su Yun said was also truly not needed by him.

Watching Zheng Ren and Su Yun stand on the operating table, Manager Zhou felt some emotion. Zheng Lao Ban's demeanor is becoming ever more calm and steady.

Last time he came back, I still called him Chief Zheng; this time I involuntarily called him Zheng Lao Ban.

Zheng Ren reached out, and the knife slapped into his hand.

Along the fifth intercostal space, he made an arc-shaped incision, achieved hemostasis, then cut layer by layer with blunt dissection, entering the chest.

Zheng Ren first found the internal thoracic artery, cut it off, and ligated it.

The retractor opened the chest cavity, and Su Yun said: "This pericardium! Really awesome."

About 800 ml of fluid was visible to the naked eye in the pericardial cavity.

And the most striking thing is that the distal free end of the Kocher needle is not far from the pericardium.

"This is the most well-behaved pericardium I've ever seen." Su Yun said.

"If it weren't for the pericardium protecting it, the heart would probably have been stabbed to shreds." Manager Zhou stood behind Zheng Ren and nodded as he said.

It's a pity that the stimulation lasted a while; the inner pericardium is like wrapped in a fibrous board, so the heart's beating is somewhat restricted.

And the pericardium is no longer soft, slightly angular, already showing signs of chronic constrictive pericarditis.

Chronic constrictive pericarditis is a chronic inflammatory process affecting both the parietal and visceral layers of the pericardium. It causes fibrosis and thickening of the pericardium, restricting the heart's diastolic activity, thereby reducing cardiac function.

But in this patient, the constricted pericardium is like armor protecting the heart, to prevent the Kocher needle from causing fatal injury.

But not saying the Kocher needle is like the Sword of Damocles that could kill at any moment; just the constricted pericardium itself is a deadly disease.

Once symptoms and signs of chronic constrictive pericarditis appear, the patient's survival after losing general activity capacity is about 5 to 15 years. When ascites etc appear, the disease progresses rapidly, especially in children.

Zheng Ren used a sharp knife to make a small opening in the pericardium; at the instant of withdrawal, the pericardial fluid had not yet gushed out, and Su Yun shoved the suction device in.

Watching the pale reddish bloody pericardial fluid be drawn out, while the pericardium did not collapse with it, taking on a strange shape.

"Forceps." Zheng Ren reached out, and as he spoke, a pair of forceps slapped into his palm.

"Zheng Lao Ban, what kind of forceps is this?" Manager Zhou asked.

He is a gastroenterology doctor who doesn't understand thoracic surgery; he asked casually, so he wouldn't have to guess, and also to liven up the operating room air a bit.

"Find the left phrenic nerve." Zheng Ren said,

Together with as much fat as possible, pericardial tissue, and the left phrenic nerve were separated out; Zheng Ren opened the pericardium from the position of the left ventricle, leaning toward the posterior lateral side.

"Chief Zheng, when did you come back?"

Orthopedics Manager Zhou entered the operating room and greeted warmly.

"Manager Zhou, long time no see." Zheng Ren only gave a half greeting, then immediately said: "Take a look at the Kocher needle."

"What's wrong?" Manager Zhou looked at the incision, knew it was a thoracic surgery, came over for a glance, and his face turned white with fright.

"I... there really is a case of distal migration of the Kocher needle!" Manager Zhou exclaimed.

"How? Haven't you seen it?" Zheng Ren is not an orthopedics specialist, nor has he upgraded his orthopedics skill tree to any level.

He is not clear on the probability of distal migration of the Kocher needle.

"It's in the preoperative instructions; I learned it just as my master taught me. Every time I brief the patient's family, I go through a series of gestures." Manager Zhou's face kept changing; just as he eagerly leaned forward to look at the surgical field, he suddenly remembered something.

"Chief Zheng, where was the patient's clavicle fracture fixation surgery performed?" Manager Zhou asked anxiously.

If I had done it myself, this matter would be totally screwed.

Although it was mentioned preoperatively, this postoperative complication does truly exist, but the probability is so low that I myself have never encountered it.

But once it appears on a certain patient, it's a 100% chance. Dealing with reasonable people is still okay; dealing with unreasonable ones...

Manager Zhou had been thinking a lot; the excitement he felt upon seeing the special case just now was instantly doused. He felt uneasy inside, and his gaze wandered a bit.

"Not asked." Zheng Ren said: "Looking at the incision, I estimate it's been at least three years."

"Why didn't you ask?" Manager Zhou sighed, slightly resentful.

"What's the matter? You've knocked out the Kocher needle, the aorta is about to be cut, and you still have the nerve? We're rushing to save them—who has time to ask about irrelevant things?" Su Yun heard the resentful tone in Manager Zhou's words and fired back directly.