When the Doctor Uses A Hack - Chapter 385

Chapter 385: Chapter 385: Boss Monster!

Please continue reading on ΒOXΝʘVEL.ϹΟM .

At this moment in the office, Ge Huai and the others had thought the surgery was over and were about to turn off the television.

Suddenly, the transmission screen lit up again!

Upon seeing the surgery scene, the three of them immediately showed a look of joy.

What a pleasant surprise!

There’s nothing more exciting than watching a surgery.

If there is, then just bring on more surgeries.

When the three of them saw the pericardium being opened in the image, their eyes narrowed immediately!

Ge Huai couldn’t help but say, “This is trouble!”

The other doctoral colleagues also nodded repeatedly: “Hmm, such adhesion of the pericardium is really rare, and it’s so tightly adhered, the pericardium is clearly thickened. With such a cut, it’s really hard to judge its depth.”

When the pericardium and the outer surface of the heart are tightly connected, it’s the most difficult time for constrictive pericarditis.

At such a time, wanting to separate it, the difficulty increases by too many multiples.

Right now, everyone’s eyes were fixed on Chen Cang.

Xia Gaofeng was just about to speak, but Tao Zi quickly stopped him.

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He saw Chen Cang thinking!

There was no choice. Faced with such surgery, not just Chen Cang, they themselves did not know how to proceed.

Dozens of seconds passed!

Chen Cang continued to act.

Once Chen Cang inserted the scalpel, he gently lifted it, and felt the pericardium suddenly loosen.

Chen Cang’s face lit up with joy!

Indeed, it was possible!

Because between the thickened pericardium and external membrane, there is a layer of loose connective tissue, which is the boundary line where one strives to peel off the pericardial adhesion.

But if the adhesion is severe, this connective tissue and the outer membrane of the pericardium will adhere tightly together, making it difficult to find.

But no matter how severe the adhesion, this layer of connective tissue, pericardium, and external membrane ultimately have different properties, Chen Cang quickly turned around.

“Forceps, take it over!”

Gao Jianxin nodded quickly; he was curious how Chen Cang managed to find this layer of connective tissue, but as Chen Cang had already found the apex of the heart from the outside and he remained clueless, he could only rush to lift it out.

As Gao Jianxin lifted the piece of pericardium, Chen Cang quickly and gently pressed his left hand on the surface of the heart!

At this moment, everyone could clearly see a beating heart!

The difficulty of the surgery was damn high!

After all, the movement of the heart isn’t that precise. To excise the adhesion between the heart and pericardium without absolute skill and expertise could really cause problems!

If light, damage to the coronary arteries could cause bleeding.

If severe, myocardial rupture could threaten life!

At this moment, the difficulty of the surgery increased proportionally!

Then, as a small piece of the pericardium was lifted, everyone could clearly see the adhesion between the epicardium and the pericardium.

Too severe!

And troublesome!

Because of the adhesions’ varying tightness, a decisive treatment approach could not be chosen.

Chen Cang turned and said indifferently:

“Peanut forceps!”

“Gauze!”

The nurse quickly handed them over, and Chen Cang, covering his fingers with the gauze, held his breath, not daring to make a move.

He said to Gao Jianxin, “Make sure it’s well held, evenly, don’t apply pressure!”

Gao Jianxin took a deep breath, not daring to make a move.

And all the people around were drawn into the atmosphere of the moment.

Chen Cang’s fingers exerted a slight force, carefully loosening the loosely adhered areas.

One by one!

Area by area!

The loose ones were manageable, but right then, a major obstruction appeared!

A cord-like adhesion became visible, and everyone couldn’t help but widen their eyes.

Everyone sighed: Ah… this surgery has become quite a task.

This kind of cord-like adhesion, being severe and accompanied by calcification, presents a great difficulty in separation, with sharp dissection basically impractical, only sharp dissection can be used.

Chen Cang put down the gauze, picked up the scalpel, and wanted to perform sharp dissection.

But… the adhesion was getting tighter and tighter, how to separate it?

Chen Cang gritted his teeth and changed location!

Indeed, separating the pericardium starts with the easier parts and progresses to the more difficult.

Moreover, it depends on the patient’s condition during the surgery to determine the basic range of dissection.

Chen Cang, step by step, struggled to dissect!

But regardless of the order, the apical region definitely needed to be completely dissected. The area on the left side needed to approach the left phrenic nerve, yet it could not damage the phrenic nerve, and not dare to injure the heart.

Difficult!

At this moment, Gao Jianxin was cautiously monitoring everything, fearful of any problems, because if there were any arrhythmias or unstable discoloration of the cardiac muscle, more plans and actions would need to be immediately taken, and the surgery had to be completed as soon as possible!

The heart, after all, is different from other regions.

Therefore, surgeries in cardiac surgery all start at level three, averaging at level four…

Hence, cardiac surgeons all start with a PhD degree, averaging at an associate director level.

The surgery progressed step by step!

Finally, Chen Cang found the most critical spot.

A calcified lesion embedded in the cardiac muscle, upon seeing this moment, everyone couldn’t help but turn pale, the atmosphere suddenly became heavy!

It was a big one!

Xia Gaofeng couldn’t help but say, “This… We don’t need to deal with this, right?”

Tao Zi was silent too; he wasn’t sure whether it needed to be cut out or not.

But it would definitely be better if it were cut out!

This embedded lesion had already caused serious damage, adverse to the function and recovery of the heart.

But…

Peeling it off would be extremely difficult, wouldn’t it?

Compared to the risk of removal, not removing it would cause chronic damage, but… the risk would be much smaller. This was also why Xia Gaofeng suggested not peeling it off!

Everyone started to worry because the previous separation was done on the pericardium, but now they would have to peel it off the heart.

Moreover, due to severe adhesions, they could only perform a sharp dissection.

Wielding a scalpel over the heart while ensuring not to damage the cardiac muscle.

Wasn’t this asking for the impossible?

But!

This was surgery!

There are always uncertainties and risks during an operation.

Everyone couldn’t help but look towards Chen Cang, but… nobody saw even a trace of panic in his eyes or on his face.

Calm!

Collected!

Composed!

It seemed as simple as removing an appendix.

Carefree and unruffled, serene as he was…

In such a situation, an island flap preservation could be done, and forced removal was not recommended.

However, the line of separation was unclear, and the adhesion was severe; Chen Cang had to free the surface of the cardiac muscle from its constraints.

Now, it was a dilemma whether to advance or retreat!

Advancing was best, but if a myocardial rupture occurred, it would be dangerous.

At this time, Chen Cang boldly performed a procedure.

This attribute was something he learned from Director Tao Zi: stability!

This stability was relative!

With this thought, Chen Cang’s lips curled slightly upwards.

He said to Gao Jianxin, “Be ready!”

At this moment, Chen Cang picked up a scalpel and a peanut dissector simultaneously, holding the dissector in his left hand to clamp the pericardium, and with his right hand, carefully peeled in rhythm with the beating of the heart!

This scene scared everyone stiff.

All eyes were on Chen Cang.

Could there be such an operation?

Maintaining the same motion as the heart, are you damn sure you’re not joking?

Xia Gaofeng couldn’t hold back anymore: “Holy shit, that’s awesome!”

It wasn’t just him; everyone around was stunned by the sight of Chen Cang peeling off the calcified lesion embedded in the cardiac muscle.

Yet, no one dared to disturb.

Such delicate work, no one dared to disturb, even Xia Gaofeng quickly covered his own mouth with his hand.

He really couldn’t help it!

This was the last piece of adhesion.

Once peeled, the surgery would be a success.

In this moment, who would still doubt Chen Cang?

Today, he hadn’t used any exotic or innovative surgery methods.

All were traditional surgical operations.

Yet, the more traditional the practice, the more impressive it seemed when performed.

ps: Thanks for the generous tip from Yang Chen Jiu Ri, thank you!

I want to recommend a book: Zhe Dong Pifu’s “Starting with a Small Fishing Boat”, which is a new book written by the author of “Returning to be a Big Shot in the ’80s” after the old book was blocked. It tells the story of a reborn island owner and farming, interested friends can check it out, it’s an alternate history novel by an experienced author.

In the end, remember, you can read it, but… bring the votes back with you… otherwise, I’ll really cry…

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