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Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 222 - 146: The Surgery Was a Success—You’re the Real Miracle!
Time waits for no one,
The nurse removed the electric clamp and pushed it away.
Qin Feng stepped forward and carefully took out the silver needles from Chai Zhongjun one by one, only then did Yu Biao slowly lower his head.
Of course, he didn’t touch the fine needle stabbed into the heart meridian.
This needle is currently locking the patient’s cardiac artery, and if it is removed, there is a risk of massive bleeding from the damaged artery.
This needs to wait until after the chest is opened, to be removed along with the branch.
"Scalpel."
Qin Feng picked up the scalpel and slowly cut open the chest surface from the right side along the esophagus...
"Retractor."
After successfully cutting open, the skin, muscle, and fat layers were opened with a retractor.
Of course, an incision was also made at the part that was pierced by the branch to expose the field of vision.
After opening the outside of the chest cavity, he saw that the branch was wedged exactly between the second and third ribs.
The next step was the most difficult, opening the sternum.
The senior director of cardiac surgery from Lianyang stood beside, also frowned upon seeing this, as this step was indeed very challenging.
Once the branch was moved, the patient could be in critical danger at any moment.
Qin Feng looked up and then glanced at the CT angiography.
The pointed end of the branch was lodged tightly into the aorta, making it impossible to handle the branch directly.
It’s important to know that the speed and pressure of arterial blood flow are very strong; once there’s an opening, it could be like a fountain!
The thoracic aorta, being the largest artery in the body, has even more terrifying internal pressure!
If it really ruptures, the blood flow speed would be such that even transfusion couldn’t keep up.
This type of massive bleeding can easily spray several meters away, making it impossible to rescue in time, with a patient mortality rate of 100%!
Very dangerous!
Generally, other hospitals can’t handle such situations and would refer the surgery to higher-grade tertiary hospitals.
Moreover, the aortic rupture was still bleeding, forming a pseudoaneurysm (a pseudoaneurysm is formed when a local rupture of the artery is sealed by clots or surrounding tissue).
In such a case, traditional surgical methods are not feasible; piercing the connective tissue sheath surrounding the aorta would be equivalent to surgical failure.
"Saw open the fourth rib to clear the view."
Qin Feng, without hesitation, spoke, and the instrument nurse immediately handed over the electric saw.
There was no other way; unable to directly handle the upper ribs, he had to saw open the ribs from below first to clear part of the view and absorb the seeping blood.
Snap~
At that moment,
The door to the operating room opened.
Zhang Fan had already gotten ready and walked in, followed by three nurses pushing the extracorporeal circulation system equipment.
"Qin Feng, I’m here."
Walking to a position visible from Qin Feng’s side, he spoke in a low voice.
"Mm, thank you, Director Zhang."
Without lifting his head, Qin Feng carefully sawed open the sternum.
Squee~ click!
With the sound of a soft, crisp noise, the sternum was successfully severed.
"Director Zhang, you will be my first assistant."
The instrument nurse quickly took away the electric saw from his hand as Qin Feng lifted his head to look at him.
Zhang Fan nodded and looked at the elderly gentleman beside him.
"Are you Director Ma?"
"Yes, I am, Director Zhang, hello."
The elderly gentleman recognized Zhang Fan at first glance; he was a top cardiac surgeon in Jiangcheng!
"Oh, Director Ma is here too, thank you for your hard work tonight, I will take over as the first assistant."
Zhang Fan also smiled politely, stepping into the first assistant position, replacing the elderly gentleman.
Although Director Ma’s skills were several levels below his, respect and politeness are due to seniors.
"Alright, I’ll just take this opportunity to learn a bit."
Director Ma appeared somewhat embarrassed but quickly adjusted.
After all, such a high-level cardiac surgery was very challenging for him and barely encountered.
Because patients directly went to the city for such cases, not wasting time here.
Listening to their superficial politeness, Qin Feng’s hands didn’t stop, successfully exfoliating and fully opening the sternum.
Sizzle sizzle~
The suction quickly absorbed the bloodstains inside the chest cavity, clearing the view at last.
Carefully loosening the chest cavity adhesion, flushing, suction absorbing...
The heart, lungs, aorta, esophagus, and other internal organs appeared in view, with an approximately one-centimeter rupture in the aorta.
"Fix the branch."
Qin Feng secured the branch in place, then made an incision around it.
Creating a bypass bridge...
Cutting off three-quarters of the aortic wall, inserting an artificial vessel...
Injecting cardioplegia solution, heart rate dropping!
Distal aorta blocked, done!
Proximal aorta blocked, done!
Extracorporeal circulation cannula, done!
"Accelerate fluid infusion, start ECMO, I’m going to remove the branch."
Clink!
Buzz buzz buzz~
As the nurse activated the extracorporeal circulation system, about 7 or 8 seconds later, a rush of blood smoothly entered the machine, starting normal circulation.
ECMO engagement successful!
"Phew~"
Everyone let out a sigh of relief, Zhang Fan couldn’t help but give a thumbs up to Qin Feng.
He admitted that if he were in such a dangerous situation, he probably couldn’t remain as calm and decisive as Qin Feng.
This really wasn’t something he could control!
Qin Feng’s operations seemed extremely calm, as if eating and drinking.
Confident!
With extracorporeal circulation in place, Qin Feng directly sawed open the third rib, fully revealing the entire surgical field.
A heart appeared right before his eyes!
As Qin Feng cut open along the aortic rupture, the branch was smoothly removed, as well as his own silver needle.
Zhang Fan had actually noticed the quivering silver needle beside the branch as soon as he took his position, and curiosity arose in his mind.


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