At this time, in the office, Ge Huai and others thought the operation had been over and were about to turn off the TV.

Suddenly I saw the broadcast screen light up again!

When they saw the operation scene, the three of them were immediately happy.

A surprise!

There is nothing more exciting than seeing a surgery.

If so, then have a few more surgeries.

After seeing the pericardium incision in the picture, the three of them immediately shrank!

Ge Huai couldn't help but say, "I'm in trouble!"

Another doctoral colleague also nodded repeatedly: "Well, such an adhesion is rare. The adhesion is so tight that the pericardium is obviously thicker. It is really difficult to know the depth if you continue like this."

When the pericardium is closely connected to the outside of the heart, it is the most difficult time to constrictive pericarditis.

At this time, if you want to separate, the difficulty coefficient increases too many multiples.

At this moment, everyone was staring at Chen Cang.

Xia Gaofeng was about to speak, but Tao Mi quickly stopped him.

He saw Chen Cang thinking!

There is no way. Not only Chen Cang, but even everyone present didn't know how to start with such an operation.

More than ten seconds passed!

Chen Cang continued to act.

After Chen Cang reached into the blade, he picked it slightly. When he picked it, he felt his pericardium relaxed.

Chen Cang's face was happy!

Sure enough!

Because there is a layer of loose connective tissue between the thickened pericardial and the outer membrane, here is the interface for peeling off the pericardial adhesion.

However, if there is serious adhesion, the connective tissue and the pericardial outer membrane will be closely attached to each other, making it difficult to find.

but!

No matter how adhesion is, the properties of this layer of connective tissue are different from the pericardium and outer membrane, so Chen Cang quickly turned around.

"Pliers, lift them!"

Gao Jianxin nodded quickly. He was curious about how Chen Cang found this layer of connective tissue, but Chen Cang had already found the outside of his heart at this time. No matter how confused he was, he could only raise it quickly.

After Gao Jianxin lifted the pericardial tablets, Chen Cang quickly pressed his left hand gently on the surface of his heart!

At this time, everyone can see a beating heart!

The operation is so fucking difficult!

After all, the heart's dynamics are not so accurate. If you want to remove the adhesion between the heart and the pericardial, you don't have absolute levels and skills, but there is really something wrong with it!

In mild cases, coronary artery damage causes bleeding!

In severe cases, myocardial rupture will be ruptured and life-threatening!

At this moment, the difficulty of the operation has increased proportionally!

At this time, a small piece of the pericardium was lifted up, and everyone could see the adhesion between the outer membrane of the heart and the pericardium.

Too serious!

And it's troublesome!

Because of the adhesion of different elasticity and tightness, a decisive method cannot be chosen.

Chen Cang turned around and said lightly:

“Peanut tongs!”

"gauze!"

The nurse quickly handed over, and Chen Cang put the gauze on his fingers, held his breath, and did not dare to move.

He said to Gao Jianxin: "It's done, keep the force even, don't press it!"

Gao Jianxin took a deep breath and did not dare to move.

Everyone around was brought into it by the atmosphere at this time.

Chen Cang used a little force to carefully loosen the loose adhesions.

One by one!

One place, one place!

It’s easy to say that these loose ones are, but at this moment, a roadblock immediately appeared!

After a cable-like adhesion appeared, everyone couldn't help but widen their eyes.

Everyone sighed: Alas... Some of them did this surgery.

This kind of strong adhesion is severe adhesion and is accompanied by calcification, so it is very difficult to separate. Blunt separation is basically not feasible, so sharp separation can only be used.

Chen Cang put down the gauze, picked up the blade, and wanted to separate sharply.

But... the adhesion is getting closer and closer, how can we separate?

Chen Cang gritted his teeth and changed the place!

That's right, separating the pericardium is easy to start and then difficult to separate.

Moreover, the basic scope of stripping should be decided by cutting off the patient's situation during surgery.

Chen Cang is stripping it step by step!

However, no matter what order, the apex of the heart must be completely peeled off. The left side needs to be close to the left phrenic nerve, but it cannot damage the phrenic nerve, and dare not damage the heart.

Disaster!

At this time, Gao Jianxin was staring at the monitoring team carefully, afraid that any problems would occur, because once arrhythmia or unstable myocardial discoloration occurs, more solutions and measures are needed immediately, and the operation will be completed this morning!

The heart is different from other areas after all.

Therefore, cardiac surgery operations start at level 3, with an average of level 4...

Therefore, the doctors in cardiac surgery have also started as doctoral students and are the deputy directors at the same time.

The surgery is carried out step by step!

Finally, Chen Cang found the most critical place.

A calcified lesion embedded in the myocardium. After seeing this moment, everyone couldn't help but change their faces and their expressions suddenly became stronger!

This is a big guy!

Xia Gaofeng couldn't help but say, "This...no need to worry about this?"

Tao Mi also remained silent, and he was not sure whether this needed to be cut or not.

But it must have been cut!

This embedded myocardium has caused serious damage, which is not conducive to heart function and recovery.

but……

It's too difficult to peel it off!

Compared with the risk of peeling, although not peeling is chronic damage, the risk is much smaller, which is why Xia Gaofeng said that peeling is not needed!

Everyone was a little worried because the previous separation was made on the pericardium, and at this time it was peeled off on the heart.

And because of the serious adhesion, you can only do sharp points.

Holding a knife to gesture on the heart, you can't hurt your heart muscles.

Isn’t this a forceful way?

but!

This is the surgery!

There are always uncertain risks in surgery.

Everyone couldn't help looking at Chen Cang, but... no one saw a trace of panic in Chen Cang's eyes or face.

dull!

calm!

Calm down!

It seems as simple as cutting the appendix.

The clouds are calm and the wind is light, the favors and disgraces are not alarmed, and the calmness is so...

Generally, in this case, the island shape can be retained and cannot be peeled off.
To be continued...