Capítulo 1468: Chapter 1468: Attention
At a glance, the movents of the seasoned surgeons were practiced and adept, no different from performing adult surgeries.
The blood in the subcutaneous tissues needs to be electrically coagulated before proceeding, and at this point, two large fan-shaped muscles called the platysma can first be seen. The platysma is a superficial muscle not attached to bones, consisting of two sections, located on both sides of the neck, allowing muscles to stretch downward towards the mouth.
Do you think there are only two such muscles in the neck? No, there are many more. The muscles in the human neck not only control the neck itself but also the mouth and tongue. These muscles also connect the head to the chest, serving various functions, thus requiring a sufficient number of muscles to work. Underneath the platysma are the sternocleidomastoid, the omohyoid, the thyrohyoid, the sternohyoid, and the sternothyroid muscles, among others, which are part of the subclavian muscle group of anterior neck muscles. A small surgery can provide practical verification of surgical anatomy for a surgeon. Doctors must be very familiar with these muscle groups, using anatomical forceps to separate them, while assistants use retractors to help expose the underlying organs. Handling these muscles requires extre caution to avoid strains that could directly affect the patient’s bodily functions. The anterior neck region primarily consists of veins, with arteries and the recurrent laryngeal nerve on the sides of the trachea, and assistants must be equally careful while helping the chief surgeon retract the muscles.
The chief surgeon focuses attention on handling the fascia covering the surfaces of the organs. The superficial fascia is the fascia of the sternocleidomastoid muscle, while the deep fascia extends to the sternothyroid fascia. The fascia is cut open with anatomical scissors, and before seeing the trachea, a brownish-red structure resembling two butterfly wings is seen—the thyroid gland. The position of the thyroid gland over the trachea is called the isthmus. To perform a tracheotomy, the isthmus obstructing the trachea must be gently retracted upward with small hooks.
The surgeons present are all experienced, and their speed and steadiness in these anatomical procedures are remarkable, with uncanny precision—they only need a glance to know exactly where to cut.
Once the trachea is exposed, the main event comnces: cutting open the trachea. At this mont, the chief surgeon picks up the scalpel needed to make an arcuate incision at the tracheal ring. Suddenly, everyone saw Zhang Huayao’s hand, holding the surgical scalpel, pause for a mont.
Every unusual action by a seasoned surgeon carries significant aning. The dullness of the scalpel tip now need not be questioned; it ant the experienced surgeon sensed sothing wrong.
It was a fluctuation—the sensation of the life of the tissue conveyed to the tip of the scalpel and into the surgeon’s hand. The surgeon’s experienced intuition sensed whether this fluctuation was normal during the operation; if not, it likely ant an unforeseen complication had arisen. In that case, the surgeon needed to make the necessary preparations.
Because of this, Xie Wanying had long noticed Teacher Fu across from her, always ready with suction in preparation for bleeding.
Zhang Huayao gave a signal to the surrounding mbers of the surgical team: Stay alert. Prepare to handle the shockwave.
The others weighed it in their minds and realized there was no other option.
“Prepare for transfusion,” Liu Yu instructed, turning to the anesthesiologist.
The anesthesiologist and nurses went to fetch blood, bracing for the possible scenario of massive patient hemorrhage.
All the mbers of the surgical team were ntally prepared. Without further ado, Zhang Huayao made an incision with the scalpel.
The sharpness of the surgical blade can be imagined—the scalpel is unquestionably sharp, cutting down to the bottom with a single stroke.
Hiss, the trachea tore open like a sheet of paper, revealing inside what seed like another world, surging with flowing blood.
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