Good compression.”

The operation basically involves peeling off the periosteum, and then creating a space structure between the rib periosteum + pleura and the ribs. It is much simpler than the original spinal surgery performed on the old marshal, and the process is also very simple. It is mainly a matter of skill.

"You must be careful when performing paraspinal dissection, which is very close to the superior vena cava and trachea. If the dissection is too much, the filled golf balls will squeeze against these two tubes, which will instead compress blood flow and breathing." Carvey carefully used the dissection technique.

The spoon scraped off the periosteum and said, "After finding the approximate location, cut off the intercostal muscles."

By cutting off the posterior end of the intercostal muscles, all the connections between the lungs and ribs are released, and the lung atrophy further increases, making room for the golf ball.【2】

"You need to preserve the blood vessels when cutting off the muscles. Bring warm water and rinse it."

Kawei found the space between the first and second ribs and began to stuff the ball in. However, there was still a big difference between the golf ball and the plastic ball he used originally. The most obvious thing was that it was larger in size: "Find a spreader.

We need to open up the intercostal spaces."

As long as you forcefully pull the ribs apart, the next step is not difficult. Just adjust the packing intensity appropriately according to the thickness of the pleural fat.

"Although the diameter of the golf ball is relatively large, considering that there is a certain degree of mobility in the rib gap, we still need to take some measures to prevent prolapse for safety reasons." Carvey briefly tested the contact surface between the ball and the ribs, and said, "Sew it up for me.

Wire."

Sutures are used to bind the two ribs to reduce the intercostal space, and then a large dose of diluted methylene blue is used for irrigation to prevent incision infection.

"This is a very important step, otherwise the cavity left behind will cause ulceration." Kawei looked at the tissue that had been dyed blue, exited the operating position, and took off his gloves, "Rinse it twice more, especially

The incision must be carefully cleaned. Pay attention to the alignment of the chest wall while waiting for suturing, and pay attention to controlling the mobility of the right upper limb after completion."

The operation took less than half an hour, and the vital signs were stable throughout. The patient had no hemoptysis except for the last mouthful of blood he coughed up at Sneijder.

The first case of extraperiosteal golf ball packing was successful.
Chapter completed!