Eight minutes later, Wu Mian, who was watching Stephen TOPT''s heart beating motionlessly, nodded and reached out with Chu Zhixi at the same time.


    "Small bend, small scissors." Wu Mian said softly.


    "Little crook, hook tweezers," chuzhixi said.


    No suture to Prolene? Dr. daideli was stunned. He didn''t understand what Wu Mian and Chu Zhixi were going to do.


    Listen to the instruments they want, which may require blunt separation of some tissues.


    But now the problem is that there is bleeding at the anastomotic position of the bridge blood vessel. Do they want to cut the suture of the anastomotic opening and then anastomose again?!


    Dr. Dudley was going crazy. He shouted in a deep voice, "Wu, are you crazy!"


    "Shut up, this is the operating room, only my voice is allowed." Wu Mian said seriously with a small bend and the smallest blunt scissors in his hand.


    The previous gentle words disappeared without a trace. Even pretending to be gentle, Wu Mian was too lazy to pretend at this moment. Standing in front of everyone is no longer the amiable Wu Mian, but a serious craftsman.


    What the hell is he going to do! Although daideli wanted to catch Wu Mian''s collar and ask him, this is an operating room. Out of a doctor''s professional ethics and habits, daideli couldn''t do such a thing.


    Wu Mian''s small curved pliers fell down and clamped his pericardium... Daideli was stunned.


    Principal Stephen TOPT was caused by pericardial effusion... Impossible! He immediately thought that it was impossible to happen.


    The pericardium is not swollen, and there can be no large amount of blood accumulation in it. In addition, if the pericardial effusion leads to weak heart beat, it is impossible to get the patient after cardiopulmonary bypass.


    Wu, what the hell does he want to do?!


    Wu Mian and Chu Zhixi wore a 64x microscope for neurosurgery and operated under the microscope. First clamp the pericardial adventitia, then cut it, and gently separate the outermost pericardial membrane with blunt scissors.


    The smallest tweezers and pliers are subtly blunt separated. The four hands are intertwined with each other, but they are not messy, but contain a certain rhythm.


    A piece of pericardial adventitia was dissociated and removed. Wu Mian stretched out his left index finger and put the almost transparent pericardial adventitia on his finger. Then the instrument patted on the side of his leg, stretched out his hand and said, "10-0 Prolene line."


    For a moment, Dr. Dudley knew what Wu Mian was going to do!


    He wants to make a patch on the outer edge of the anastomosis and wrap the outer membrane carefully around the anastomosis!


    This idea is crazy. How to fix it? Stephen TOPT''s anterior descending branch is relatively thick, with a diameter of about 4mm. When anastomosing, each time the thinnest needle passes through the coronary artery and bridge vessel, it will leave a needle eye, which is the main part of bleeding.


    Wu Mian even wants to leave more needle eyes. Is there any patch like this!


    Daideli looked at Wu Mian''s action suspiciously. If he didn''t know that the young man in front of him had done countless difficult operations in the past few years, he must think he was a novice fooling around!


    "Don''t do this. We need a needle and thread for neurosurgical suture." Wu Mian took a look at the things handed over by the instrument nurse and patted them back.


    Neurosurgery,


    Microsurgery,


    Needle... Thread


    No


    It''s not a move. This time I came to China to do a coronary artery bypass grafting, and Mrs. TOPT knows that Cambridge has only prepared a series of corresponding surgical equipment for coronary artery bypass grafting.


    Neurosurgical equipment? How can I take it!


    David James stood round and round. When he heard Wu Mian''s request, he asked, "Wu, is that the set of things you asked me to prepare?"


    "David, yes." Wu Mian looked down at Shu ye, as if thinking about something, and said softly.


    David James immediately went to the corner where there was a black box. After opening it, he took out a sterile bag and handed the sterile newspaper to the itinerant nurse.


    "Wu, I thought you were joking," said David James.


    "David, you know I never joke when I treat my illness." Wu Mian said, "luckily you brought it, otherwise I would kick you into the Pacific."


    Dedley was stunned. He heard from the conversation between Wu Mian and David James that Wu Mian was ready for the operation.


    He even confidently asked the Provost to prepare neurosurgical equipment.


    Did he know early on that his operation couldn''t succeed?! How is that possible! Dr. Dudley couldn''t believe what he saw.


    The sterile bag hit the instrument table, and the instrument nurse handed the needle and thread to Wu Mian.


    This time Wu Mian didn''t take it. Chu Zhixi picked up the needle and thread like a pocket toy, exposed the operation field by Wu Mian and began mattress suture.


    The needle fell on the inner side of the pericardial adventitia with a thickness of less than 1mm, but did not penetrate, but passed through the inner side of the pericardial adventitia and through the adventitia of the coronary artery bridge.


    The technique is stable and meticulous, and the operation space is at the silk rice level. Daideli without a microscope can''t see Chu Zhixi''s movements clearly no matter how good his eyes are.


    But Dudley knew that this level of surgery would only occur in neurosurgery. Now, it is used in coronary artery bypass grafting


    But even if the continuous mattress suture at the level of silk and rice can be carried out, what about knotting? The suture end is the adventitia of blood vessels and the endocardium of pericardium, and there is no tough body tissue at all. Even with a little force, the 10-0 Prolene line will tear off the inner membrane.


    Before daideli wanted to know what Wu Mian was going to do, Chu Zhixi had finished the continuous mattress suture at the silk rice level. At the last moment, he threw off the thread and handed the thread end to Wu Mian.


    The familiar surgical knot, the finger pressed down, as if it was useless, but Dudley vaguely saw a depression in the pericardial patch.


    It was brought down by Wu Mian''s knotting power. Maybe the endocardium will tear the next second. No matter how good the continuous mattress suture at the silk rice level is, this operation can be declared a failure.


    At the moment of this idea, Dr. Dudley''s heart beat faster. There was nothing else in his vision, and all his attention was focused on the "patch".


    Broken ah, we must break. The strength is a little greater. It''s best that the 10-0 Prolene line can tear the coronary artery together.


    Dudley even imagined that if the coronary artery ruptured, the arterial blood would spray directly onto the shadowless lamp under great pressure.


    Like a fountain, and then fell from the crown, Wu became a bloodthirsty devil in hell.


    It will break, it will break, Dade judged by his own experience.


    He subconsciously took a half step back. If arterial blood gushed out, he could escape at the first time. Broken! Dudley cried in his heart, so hard. The frontal veins bulged high and looked like two horns.


    However, a few seconds later, nothing happened on the operating table.