Dr. Jiang's Daily Adversities Chapter 1071

Chapter 1071: Seven Holes in the Heart
The anesthesiologist was done. The surgery had begun.
Jiang Tingxu calmly gave the order.
“Sterilize the skin.”
The assistants immediately made their move.
“Yes.”
After the skin was sterilized, Jiang Tingxu spoke again.
“Scalpel.”
The assistants handed over scalpel #22 which was especially used for open-heart surgery.
Initially, everyone still had some doubts about this young Chinese female doctor who had appeared out of the blue. However, the laymen were just watching the show, while the professionals knew the ropes. Just by looking at this move, they knew that Jiang Tingxu was capable.
The scalpel cut through the skin in an instant. It was swift and decisive. Those who could do this were experienced chief surgeons who had many years of experience.
“There are teeth tweezers.”
“Electric knife.”
The electric knife cut through the subcutaneous tissue and muscle layer. The sizzling sound was vivid, and it even had the smell of roasted pork skewers.
The assistants did not need to be reminded. They used dry gauze to wipe the blood.
“Right-angle forceps.”
Calm, serious, and solemn. They were all at once on the face of the woman who was leading the surgery.
At this moment, no one on the team questioned anything.
The right-angle forceps separated the interclavicular ligament and the pleura of the sternum handle. After separating the sternum, the connective tissue was loosened.
The action was fast, ruthless, and accurate!
It was admirable to those looking on.
“Sternum saw. One to help stop the bleeding with bone wax stuffed into the marrow cavity, and two to help periosteum coagulation to stop the bleeding.”
“OK!”
“OK!”
After skillfully setting up the sternum saw and finding the right location, she began to cut the sternum lengthwise.
The moment the sternum saw began to work, the smell of roasted pork belly seemed to become stronger and stronger.
No wonder surgeons rarely ordered roasted pork belly skewers and the like outside.
The moment they ate it, they would immediately think of the bloody scene during surgery. Who would dare to eat it?
“Chest brace.”
The sternum had already been sawed open. Naturally, the next action was to open it up so that they could see the situation inside and proceed to the next step.
The assistants had a pair of heart forceps, tissue scissors, and an electric knife. Although it was the first time they were working together as a team, the people present were very experienced. Therefore, there was no situation where they could not cooperate.
Jiang Tingxu’s movements were much lighter. She carefully used the electric knife to separate the loose connective tissue on the surface of the pericardium and the thymus to the reverse part of the aorta pericardium. With that, the pericardium was completely opened.
“7×17 round needle, #4 silk thread.”
The assistants once again handed over the surgical items that Jiang Tingxu needed.
The open pericardium needed to be suspended.
Only now did the surgery officially begin.
“Give heparin intravenously and establish cardiopulmonary bypass. Use 3 mg/kg of heparin and push it in the central vein.”
“Roger. Use 3 mg/kg of heparin and push it in the central vein.”
After that, the aorta was intubated, sutured, and perfused. The superior and inferior vena cava were blocked, and then the purse-string was sutured.
The cardiac forceps cut open the outer membrane of the aorta and the aorta intubation was inserted. The purse-string was tightened, and the blocking tube and the aorta were fixed. After the exhaustion, it was connected to the cardiopulmonary bypass machine.
“Perfusion of cardiac arrest fluid, perfusion volume 10-15 ml/kg, ice on the surface of the heart to cool it down.”
“Roger. Perfusion of cardiac arrest fluid, 10-15 ml/kg, ice on the heart to cool it down.”
Assistants and nurses cooperated with each other, and some of the sequences were completed very quickly.
“Number 11 scalpel, cardiac forceps.”
At this time, the incision was started, and the tissue shear expanded the incision.
Although they already knew that there were seven holes in the heart from the color Doppler ultrasound, they were still shocked when they saw it.
Of the seven holes, some of the “living holes” would allow blood to pass through, and this needed to be sealed by internal surgery.