Famous Among Top Surgeons in the 90s-Chapter 1962: How Much to Excise

"Are you talking about Cao Yong?" Chang Jiawei was shocked and jumped up.

If Song Xueling could be drawn in by Cao Yong, then Cao Yong really has the capability.

Xie Wanying equally believed that Senior Cao was a martial arts expert with hidden skills, otherwise, it couldn’t be explained why Doctor Song would be drawn in.

The problem was that Senior Cao was very gentle with her, making it hard for her to discern where his prowess truly lay.

After lunch, Brother Hu needed to go to the hospital for an ultrasound recheck.

Senior Cao said he had to attend a meeting in the afternoon and would drive her and Student Geng to Beidou Third Hospital on the way.

Geng Yongzhe received the message and ran downstairs to join her in Cao Yong’s car.

While driving, Cao Yong asked his junior brother, "Are you ready?"

The senior brother heard the news that he was going to be an assistant, and Geng Yongzhe reported honestly to his senior brother: "I discussed the surgical plan with Yingying. Teacher Du approved it."

His junior sister is now the technical mainstay of the class. Cao Yong smiled, reminding those next to him, "Take proper rest and learn to relax."

The senior brother had sharp eyes. Xie Wanying, who wanted to take out her notes to read on the way, pulled her hand out of her bag, not daring to overwork herself in front of her senior brother.

Upon arriving at Beidou Third Hospital, Xie Wanying and Geng Yongzhe thanked their senior brother and ran up to the inpatient department to find their teacher.

Doctor Zuo Liang, seeing them, first inquired about the morning surgery; upon learning it went smoothly, said, "Teacher Du was very concerned about this matter all morning. Now it’s fine; we can confidently proceed with the afternoon surgery."

Wang Cui’s operation was scheduled as the second procedure in the afternoon, to be conducted at around 3:30.

Previously, a doctor told her that it was a local excision, which could preserve the uterus. However, from what she heard, peers said this type of surgery had a high failure rate. Wang Cui was uneasy when wheeled into the operating room.

After the patient received spinal anesthesia, Du Haiwei entered the operating room. This surgery was relatively minor, requiring only his supervision from the side. Doctor Zuo Liang took the chief surgeon’s seat.

Just like the last cervical erosion laser surgery, today’s procedure also belonged to transvaginal surgeries where instruments entered through the vagina, eliminating the need for abdominal incisions. This type of surgery, due to its narrow field, doesn’t allow for many hands, and usually one doctor can complete it. The assistant mainly stands by to assist if needed.

The surgical plan was devised by Geng Yongzhe and submitted. Zuo Liang had seen it and, before the actual operation, needed to ask this student: "How much did you plan to conize?"

For cervical conization, it’s generally about first diagnosing the extent of cervical lesions for a biopsy. If excising the lesion area is needed, similar to breast preservation surgery, sound pathology support is necessary to ensure the cut tissue margins are negative. If the cut margins are pathologically positive, the conization or total cervical excision must be repeated. 𝐟𝕣𝗲𝕖𝕨𝗲𝐛𝗻𝗼𝐯𝗲𝚕.𝗰𝚘𝐦

When performing conization, the surgeon can either use a cold knife or an electrosurgical unit. Using a cold knife is undoubtedly more demanding than using an electrosurgical unit, requiring excellent knife skills, hence clinicians naturally prefer the electrosurgical unit.

However, using an electrosurgical unit to repeat conization isn’t suitable. The edges cut with an electrosurgical unit aren’t as clear as those made with a cold knife, leading to many repercussions.

To use an electrosurgical unit, the surgeon must ensure a single precise cut with negative margins. This requires a very high technical ability from the doctor. The necessary scope for conization usually relies on visual and experiential preliminary judgments before sending the tissue for a pathological review.