When the Doctor Uses A Hack-Chapter 827 - 828 Basic Maneuvers (Additional - 3
Chapter 827 -828: Basic Maneuvers! (Additional Chapter 3 for Alliance Hierarch, May You Achieve Great Things)
Chapter 827 -828: Basic Maneuvers! (Additional Chapter 3 for Alliance Hierarch, May You Achieve Great Things)
Chen Cang’s words greatly inspired everyone present!
Right!
At this time, what retreat is there?
Face difficulties head-on, just do it!
Somehow, this time, while washing their hands, everyone did it extraordinarily hard, as if they wanted to scrub off the epidermis with a brush!
Well, actually, surgical hand washing is quite troublesome, that brush, brushing against the flesh, is painfully unbearable!
For the delicate young ladies at least, it’s several times more painful than scrubbing during a bath!
Don’t ask me how I know.
Immediately after, Zhou He began to prepare, intubating the trachea, and anesthetizing with a venous compound of fentanyl!
…
Anesthesia successful!
Zhou He gave Chen Cang an encouraging look, “Go for it!”
At this time, Chen Cang began to establish extracorporeal circulation to assist the flow.
The purpose of this is simple, to empty the blood from the heart to facilitate opening the heart later.
Seeing the heart thumping and jumping non-stop, everyone was filled with emotion!
Shortly, a surgery must be completed under such conditions.
Everyone was a bit nervous and apprehensive.
Not to mention, even opening the heart now would become quite difficult.
Because when the heart beats, the coronary arteries flow through, and an inadvertent cut that pierces a coronary artery would be a disastrous thing indeed.
Chen Cang turned and took the scalpel!
Looking at the thumping, jumping young heart that was about to be operated upon, there’s some concern—what to do?
…
…
Meanwhile, outside in the large office, a group of people gathered to watch the surgical video.
Upon seeing the surgery begin, and the establishment of the artificial extracorporeal circulation, Wu Tongpu immediately frowned!
Weren’t they supposed to not use the extracorporeal machine?
Yesterday, Xu Ziming had personally reported the surgical plan to him, and he really approved of that plan!
But why did Chen Cang suddenly change the plan now?
At this moment, with a bit of thought, Wu Tongpu understood!
It might be because the patient’s heart couldn’t tolerate the situation…
They had to establish the extracorporeal circulation machine.
And now this plan… seemed even more ingenious!
Not bad, not bad!
This kid’s adaptability is really strong.
Wu Tongpu suddenly felt more appreciative inside, truly becoming more and more excellent.
However, with this change, the difficulty of the surgery all fell on the chief surgeon.
Wu Tongpu was even more looking forward to Chen Cang’s performance now.
…
…
Chen Cang held the scalpel, hesitating briefly.
If he were to follow the previous surgical plan, Chen Cang would definitely choose to enter the left atrium through a longitudinal incision behind the atrial sulcus, which wouldn’t affect much.
But now it was different, there was nothing in the heart, a direct incision from the right atrium!
2 cm above the atrioventricular groove, Chen Cang followed the beating of the heart, cutting open the right atrium in one go, and extending the incision downward and outward along the atrioventricular groove.
Everyone could clearly see the view entering the right atrium!
Then, Chen Cang proceeded to longitudinally incise the fossa ovalis, expanding upward and downward!
The whole process was flawlessly precise, as if the heart was an obedient child, left completely unharmed!
At that moment, everyone saw the mitral valve!
Chen Cang needed to trim the mitral valve while the heart was still beating, and now it was time for the more delicate phase of the surgery!
After all, those mitral valves couldn’t be trimmed just any which way you imagine, not too much nor too little, and the healthy parts had to be preserved while removing the calcified parts.
The whole process had to be meticulous!
Done with care!
Slowly!
Yet, as everyone watched Chen Cang pick up the scissors and forceps, his rapid maneuvers were fierce!
This startled Xu Ziming next to him, causing him to shudder!
Before he had a chance to speak, Chen Cang had already spoken up.
“Give me the patch.”
Everyone froze in shock!
Was the repair completed just like that?
How long did it take, can you take this seriously?
If there’s damage to the posterior wall of the left ventricle, it would be a big trouble, and during valve replacement surgery, if you’re preserving the chordae tendineae and papillary muscles… shouldn’t you first avoid obstructing the movement of the prosthetic valve leaflets and the seating of the valve because of the preserved tissue?
Shouldn’t you properly repair it?
Shouldn’t you measure the patch before placing it?
But… wasn’t Chen Cang a bit too fast?
And… could this be considered a bit careless?
Xu Ziming swallowed and decided to speak to Chen Cang, “Chen… are you… maybe going too fast?”
Chen Cang didn’t lift his head, instead he continued to perform interrupted mattress sutures with a 2-0 double-armed needle with pledgets made of nylon…
After hearing Xu Ziming’s voice, a sound drifted out from beneath the mask, “Oh… this? ‘Basic procedure’!”
This single phrase left everyone in the room a bit dumbfounded.
Basic procedure?
What’s a basic procedure?
Several directors exchanged looks, full of confusion.
Then a young nurse quietly suggested, “It means ‘basic operation’!”
Everyone was stunned, somewhat speechless!
Chen Cang continued to explain, “Surgery time should not be too long, and although there is no cardiac arrest, in this situation, once circulation is restored, I’m afraid the heart may go through an uncomfortable adjustment process, so after a quick repair, I’ll still need to attend to the left atrium!”
Upon hearing Chen Cang’s words, everyone was slightly taken aback, so that was it!
But… attend to the left atrium?
How?
At this point, everyone looked at the left atrium with concern.
And as if the left atrium understood Chen Cang’s words, it beat weakly: What’s it got to do with me? Why mess with me?
Xu Ziming couldn’t help but ask, “How will you handle it?”
Chen Cang replied, “Trim it.”
The left atrium: Thump, thump, thump…
The entire process of patch repair needed to be exceedingly fine.
The mitral valve is a pivotal structure with a very high degree of mobility, demanding an extremely precise process during the repair and suture.
You must carefully remove the ruptured chordae, excessively long suture ends, and so on to avoid snagging the valve!
Before and after suturing the prosthetic valve, repeatedly flush and meticulously inspect the ventricular chamber to prevent dysfunction of the prosthetic valve due to residual broken chordae snagging the valve.
For the same reason, when trimming the excess thread after knotting the valve, you cannot leave excessively long ends.
Thus, all this must be handled with care.
And this time, Chen Cang was not careless!
His hands moved with the agility of playing a piano, constantly trimming excess material then suturing and smoothing…
This series of actions was truly an overwhelming sight for everyone present!
This content is taken from freёnovelkiss.com.
Under Chen Cang’s skilled hands, the mitral valve really seemed like a work of art, sculpted into perfect angles and structures!
Indeed, the human body is a work of art, demanding meticulous care—a little too much can impact a lot!
And Chen Cang found that his eyes were becoming increasingly handy the more he used them.
After all, this repaired mitral valve, with its structure, its opening… it seemed even better than the original.
Excess suture ends, chordae, and valvular tissue were all clearly visible, rendering the mitral valve crystal clear!
Now it was time to test the opening and closing functions of the artificial valve.
Everyone looked at the mitral valve repaired as if it were original, immediately filled with anticipation!
For a moment, all were focused intently!
At this time, by infusing saline, along with the heartbeat, the closing… the expanding of the mitral valve…
was exceedingly smooth!
There wasn’t a hint of a hitch, seemingly no different from a normal mitral valve.
At that moment, the look in everyone’s eyes as they regarded Chen Cang contained a touch more of solemn respect!
Perhaps… this was indeed ‘basic procedure’?
With the heart continually beating, quickly reconstructing and then repairing the excess patch, everyone knew very well how difficult the entire process was.
But perhaps in Chen Cang’s eyes, it really was just ‘basic procedure’…
Too strong!
Too fast!
Too steady!
…
…
PS: Thank you to “Fiery Dance Phoenix Blaze” for the 10,000 reward, thank you.
