When the Doctor Uses A Hack -
Chapter 1222 - 1226: A Rich Harvest!
The next day.
In the operating room.
It was crowded with people.
The area around the operating table was surrounded by observers.
No one remembered the last time it had been this crowded.
The surgery today was bound to be a remarkable one.
Everyone was focused intensely on what was ahead.
Chen Cang was the lead surgeon, with Xiao Zhehai as the secondary lead surgeon.
Each assistant brought two people along, Chen Cang with Xu Ziming and He Zhiqian.
The surgery was about to begin.
For a patient with type 1 aortic dissection, the best outcome would be to complete the surgery in one go, as the mortality rate for a second surgery is very high, and if it comes to needing a third surgery...
Essentially, they would have to be abandoned!
Because the difficulty of the surgery was just too great.
At this moment, the patient was undergoing their second surgery.
During normal temperature surgery, Chen Cang and Xiao Zhehai exchanged a look and nodded slightly to each other.
Ready to begin the surgery.
After the thoracoabdominal incision was made, Chen Cang looked at the patient's aorta and couldn't help shaking his head!
In such a condition, it could rupture at any moment!
This was where Ruijin Hospital's cardiac surgery department excelled; they had a lot of experience dealing with Marfan patients.
They managed the patient's blood pressure and vascular condition very well.
This was where they outshone others.
Possibly, the only other places in the country that could achieve this were Ruijin and Anzhen hospitals.
Next, Chen Cang said to the anesthesiologist nearby: "Administer the drug!"
After saying that, Chen Cang placed his hand near the fragile area of the aortic dissection.
[Aortic Dissection: level 95, King-level BOSS, the condition of the aortic dissection at the second surgery is extremely critical, with a very high mortality rate!]
King-level!
Indeed!
But this time, Chen Cang had sufficient experience.
The surgery was about to begin.
After the drugs were administered, Chen Cang, wearing his sensory gloves, silently felt the throbbing pressure of the aorta and the tension of the blood vessel walls...
At this moment, Chen Cang's perceptual abilities were fully utilized!
Chen Cang could even feel the acute elasticity of the patient's vascular wall, sense the pressure required to disrupt the current state, perceive the level of damage to the different layers of the blood vessel wall, and understand how the intima could be repaired...
And so on and so forth!
At this moment, Chen Cang suddenly felt elated.
Initially, he thought that the greatest strength of these [sensory gloves] lay in palpation.
Now it seemed.
Palpation was merely the simplest part of it.
With such a pair of gloves, Chen Cang's assessment of the patient's vital signs had become direct and intuitive.
The hypotensive effect of sodium nitroprusside began to take effect.
But at that moment, feeling a sudden inspiration from the changing pressure in the patient's vascular wall, Chen Cang exclaimed:
"Increase the pressure!"
Upon hearing this, the surrounding people were stunned!
This is a dissection patient; isn't it enough to lower the body temperature and stop the circulation, and now you want to increase the patient's pressure?
Isn't this asking for trouble?
For a moment, everyone stared at him curiously.
Yet Xiao Zhehai seemed to suddenly realize something.
He nodded and said, "Do as he says, increase the pressure!"
Medical staff hurriedly asked, "What drug do we use, and how much?"
After closing his eyes and feeling for a while, Chen Cang replied, "Phenylephrine, administer..."
Chen Cang had an intuitive understanding of emergency drugs.
In terms of increasing blood pressure, norepinephrine was potent but short-lived, while phenylephrine was milder and long-lasting!
Using norepinephrine here could easily cause problems, but using phenylephrine would allow the blood pressure to rise gently, enhancing the perfusion of blood to the heart, brain, and lungs.
The administering doctor was also very nervous.
After all...
The patient's blood vessels could rupture at any moment, if the pressure rises...
But!
Once the medication entered the body, Chen Cang began the "Chen's Elephant Trunk Stent Procedure!"
At this moment, everyone could clearly feel the increased blood perfusion in the patient's heart, lungs, and brain tissue.
And the aortic pulsation remained strong and steady!
In this moment, everyone couldn't help but get excited.
In doing so, Chen Cang had almost pushed the surgical blood pressure management to its limit.
If it's too high, the blood vessels might burst!
If it's too low, there could be insufficient tissue perfusion, exacerbating the adverse reactions in patients with already impaired cardiac and pulmonary functions.
But now, Chen Cang's judicious elevation of pressure had successfully resolved the current issue!
It was truly amazing!
It seemed that this entire operation had become a one-man show for Chen Cang.
Whether it's the Chen's Elephant Trunk Stent Procedure or the dynamic changes in blood pressure, both are incredibly precise.
Tumor cavity cleaning!
Blood vessel anastomosis!
Every step of the surgery made everyone realize what it means to have master-level expertise.
It was indeed very impressive.
Even Xiao Zhehai couldn't help but feel admiration; judging solely by this operation, Chen Cang was already standing at the forefront of the world.
Xiao Zhehai might not even be able to match Chen Cang.
For a while, Xiao Zhehai was full of wonder and admiration.
However!
Thanks to Chen Cang's participation, the surgery went much smoother.
The most classic Chen's Elephant Trunk Stent Procedure became the highlight of the operation!
The only pity is that this stent was simply assembled by Chen Cang; if he could collaborate with a medical device company, they could launch a specialized surgical device.
This would save a lot of operation time and improve the surgery's efficiency.
With the clever diversion of the stent, the blood vessel pressure was maintained at a relatively stable level.
Thus!
The whole surgery was completed step by step amidst dangerous but very steady procedures.
Chen Cang dare not be careless!
This was an even more dangerous King-level boss than the last time.
Even though Chen Cang had a grip on this boss throughout, he was wary of any last-moment backlash.
Time steadily passed by.
The closer it gets to the end of the surgery!
The more tense everyone became.
The completion of this surgery could signify the efficiency of Chen Cang's Elephant Trunk Stent Procedure!
This is a boon for the development and advancement of future surgeries.
Even, everyone can foresee that once Chen Cang publishes his findings to the world's journals.
Everyone would desire to learn such a surgical technique.
Because this surgery could reduce mortality rates!
That alone would be enough!
Finally, after five hours, the surgery was completely over.
Accompanied by a clear ringing sound, the patient was saved!
[Ding! Congratulations, you have completed a lv95 King-level aortic replacement surgery and obtained rewards: 1. "Aortic Dissection Classification Methods and Standards"; 2. Elephant Trunk Stent Procedure material model.]
Upon hearing the system notification, Chen Cang was momentarily stunned!
These two rewards...
Is this pushing me to become the leading figure in the field of aortic dissection?
One is a methodology!
The other a material!
With this thought, Chen Cang couldn't help but get excited.
This trip to Ruijin today has really been exceptionally fruitful!
Chen Cang never expected to gain so much.
...
...
ps: Thanks to "Duo Duo" for the 80,000 reward, becoming the Alliance Hierarch of this book, thank you miss!
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