Chapter 2657

2558.2461 Non-human Shou Bing (Alliance Leader instant noodles flying plane extra chapter 1)

Entering the Operating Room, Zheng Ren saw Xie Yiren lightly tapping instruments with the circulating nurse. Although Xie Yiren wasn't looking at himself, he still gave Yi Ren a smiling face.

Putting on clothes, putting on gloves and going on stage, Hu Yan Hui put the live-stream glasses back on him, and the Shou Bing officially began.

Zheng Ren silently wished for better luck, then reached out, and the Willow Leaf Blade landed in his palm.

The tattooed plum tree left only its trunk exposed in the Operating Field; Zheng Ren chose to open the chest in the middle, slightly offset from the scar left by the previous Shou Bing, and cut layer by layer.

He unscrewed and pulled out the steel wire that had fixed the sternum during the previous Shou Bing.

In the Operating Room, only the song Good Luck Come floated in the air, and no one spoke. The Medical Team was like a machine, all communication relying on tacit understanding and eye contact.

The electric saw buzzed, and bone fragments and blood droplets splattered onto the sterile gauze in Su Yun's hand.

Carefully protecting the thymus, Su Yun suddenly asked, "Boss, is the continuous valvular disease from tattoos?"

"Possible." Zheng Ren, while examining the pericardium, said, "Doctor D. K. Satchithananda of Papworth Hospital in Cambridge, Yingguo reported in 2001 a 28-year-old male patient with congenital bicuspid aortic valve who received a tattoo once a month for five years."

"There are many case reports; why did this kid tattoo such a big plum tree on himself for no reason?" Lao He said.

Before cardiopulmonary bypass had started, he still had time to chat a few sentences to let his nervous Tension undergo Relaxation. Regarding Zheng Lao Ban not having won the Nobel Prize, Lao He also felt some regret. But his age being older and not having participated throughout, the sense of defeat was not strong.

"For aesthetics, you old men wouldn't think about it; if it were a girl, imagine how ugly such a big scar on the front chest would be—you couldn't even wear a swimsuit." Su Yun said.

"'Women's friend' can view this issue from a female perspective; tattoos are quite necessary."

Zheng Ren opened the pericardium, examined and found no adhesions in the pericardial cavity, took a portion of the pericardium and handed it to Xie Yiren.

"'Glutaraldehyde.' Xie Yiren said softly."

The instrument nurse poured glutaraldehyde into the empty basin on the sterile tray, soaking the pericardial piece that Zheng Ren had just cut off.

Zheng Ren lowered his head to look at the 'familiar' operating area, feeling some anticipation, hoping that the Shou Bing's luck could be better!

"'Prepare for cardiopulmonary bypass!' Zheng Ren said."

Lao He did not let his assistant write the anesthesia record; for all of Zheng Lao Ban's Shou Bing, he gave his all.

30 minutes before the procedure, intramuscular injection of pethidine 75 mg, scopolamine 0.3 mg.

After entering the room, give mask oxygen, routinely monitor ECG and pulse oxygen saturation, complete Radial artery puncture catheterization to monitor arterial blood pressure, room blood pressure 143/74 mmHg. Anesthetic induction: give midazolam 3 mg, etomidate 20 mg, rocuronium bromide 10 mg, sufentanil 150 mg.

After intravenous injection, intubate the trachea, perform mechanical ventilation, set tidal volume 500 ml, respiratory rate 12/min.

Looking at the anesthesia record, Lao He felt it was flawless.

Just a glance, after ruling out any problems, his field of view returned to the operating area again.

Zheng Lao Ban now rarely goes on stage, especially rarely calling himself. But whenever he calls himself to go on stage, the Shou Bing difficulty is extremely high.

This is trust in himself; giving his all still isn't enough, so how could Lao He dare to lose focus?

"'Prepare for heparinization.' Zheng Ren said solemnly."

As soon as his voice fell, Lao He had already started acting. Whole-body heparinization, then proceeding with cardiopulmonary bypass.

Cardiopulmonary bypass was established via cannulation of the ascending aorta and superior and inferior vena cava, blocking the ascending aorta, and draining via the right superior pulmonary vein.

After cardiopulmonary bypass was established, the next step was the key part of the Shou Bing: detaching the aortic valve and stripping the abscess invading the heart and aortic wall.

Through an oblique incision at the aortic root, and via the openings of the left and right coronary arteries, the arresting fluid was infused sequentially, and the heart stopped satisfactorily.

Zheng Ren focused completely, reached out, and the Hemostatic Forceps landed in his palm.

Examining the aorta showed three leaflets; a 15×10 mm papillary lesion was visible on the left coronary leaflet, and an abscess formed at the fibrous continuity between the aortic valve and mitral valve beneath the left and non-coronary leaflets; the mitral valve had no papillary lesion.

After 16′23″, Zheng Ren had the outside technician adjust the dynamic image of the patient's coronary angiography.

He raised his head to look at the image, which was the same as displayed in the System Operating Room; he recalled that he had just done dozens of hours of surgical training, and all the operations were in his muscle memory.

According to the normal Shou Bing procedure, the diseased aortic valve should be removed first. Because this is a reoperation, local tissue has abnormal hyperplasia, and with a huge abscess, the anatomical structure in a small area has become extremely complex.

Zheng Ren lowered his head, reached out, and the Willow Leaf Blade landed in his palm.

One cut down, 0.62 cm from the aortic valve; then he placed the Willow Leaf Blade on the patient's leg, and Xie Yiren tapped the smallest endoscopic forceps into Zheng Ren's palm.

Zheng Ren began delicate detachment, starting from the root of the aortic mechanical valve, skillfully dissecting the heart tissue, and also 'picking out' the distal and slightly thicker Capillaries.

Only then did Su Yun understand what Zheng Ren had just intended to do with the coronary angiography.

This method had not been absent in previous Shou Bing.

When making a gross specimen, inject preservative fluid into the Artery, then leave an opening in the Vein to let excess preservative fluid flow out.

Thus, the Blood Vessels of the gross specimen Title: Teacher will harden. Afterwards, a Technique-proficient anatomy Title: Teacher dissects it, and the Arteries and Veins, even the Capillaries, become lifelike.

Of course, making such a gross specimen is quite difficult, mainly because it's hard to find a Technique-proficient anatomy Title: Teacher.

I didn't expect our Boss to actually demonstrate anatomy right before our eyes, showing off his hand skills.

Su Yun was speechless—can normal human body Blood Vessels be compared to those of the preservative-infused gross specimen Title: Teacher?!

This level of anatomy and Shou Bing method is sky-high! This isn't even all of it; Su Yun knows the hardest part is using coronary angiography to locate the actual anatomical position of the Capillaries from the fleeting contrast agent image.

The level of looking at the images and the Shou Bing level are the same—both are damn inhuman; Su Yun muttered a sentence in his heart.

"Electrocautery, don't zone out." Zheng Ren lowered his head, under the microscope he used forceps to isolate a Capillary. After a pause of 1 second, seeing that electrocautery still hadn't arrived, he spoke in a low voice.

Su Yun frowned, his mood still somewhat bewildered.

I myself also just looked at the coronary angiography image; the black contrast agent flashed by in an instant, especially at the distal Capillaries, some appeared only as a faint black line extremely hard to see, and then disappeared.

The Boss just takes a glance and knows? This is too unbelievable, right?

But despite thinking that, Su Yun didn't delay the Shou Bing; he threw aside his miscellaneous thoughts and astonishment to the clouds, and used electrocautery to lightly touch the hemostatic forceps in Zheng Ren's hand.

Pap-pap, a faint sound came, and a Capillary was coagulated.