“`
Time: 11:30 AM!
The injured list includes a “fractured right sternoclavicular joint,” “broken clavicle,” “second rib fracture” … several bone fractures inside the thoracic cavity!
Next is the vascular damage!
Still actively bleeding at this point.
The “damaged subclavian vein,” “torn right brachiocephalic vein entering the superior vena cava,” “aortic root tear”!
Three serious instances of vascular destruction!
The tear at the root of the aorta is the most critical, as the threaded steel currently hugs close to the aorta, barely sealed by the steel keeping the blood from gushing out in great amounts!
But it must be dealt with promptly!
Near the entry of the right brachiocephalic vein into the superior vena cava, right next to the heart and the root of the aorta, there are three huge tears, the largest nearly 2 centimeters in size!All the information is telling Chen Cang that this is quite troublesome.
However, that’s not all!
As the threaded steel penetrates deeper, the lung injuries become more exposed!
“Laceration of the right hilum,” “rupture of the azygos vein,” “destruction of the right upper lobe,” “tear of the upper right bronchus”!
Seeing the severely damaged lung, Jing Ran couldn’t help but gulp.
Even the doctors standing behind him swallow their saliva, feeling their breath stop.
Chen Cang carefully dissected further, revealing that four ribs at the posterior aspect of the right chest have comminuted fractures, with corresponding intercostal arteries being destructively severed.
The exploratory thoracotomy ended, with Chen Cang meticulously using his special vision to present all the surrounding organs and tissues to everyone, making sure they all understood the gravity of the situation.
But such severe damage left everyone feeling uncertain.
The difficulty of the surgery was, needless to say, immense.
Exploration completed, time: 11:42 AM.
Chen Cang looked at Jing Ran and Wang Qian, saying, “Prepare to ligate the blood vessels, remove the steel, and listen to my instructions!”
Both men nodded solemnly.
The process had to be carried out carefully. Threaded steel is not stainless steel; its rebar-like structure presents valleys and ridges, which to the delicate internal organs, are like a sharp weapon!
Time ticked away second by second, and this half-meter-long threaded steel had to be removed bit by bit, without exacerbating the injuries!
This required an extraordinarily steady hand!
A pair of strong, powerful hands!
Chen Cang gritted his teeth and looked at Jing Ran, “Be careful, and don’t rush!”
He then turned to Wang Qian and Zhang Xueliang, “Stop the bleeding!”
Wang Qian had already lost count of how many gauzes he had used for hemostasis!
One after another… the gauzes piled up on the surgical sheet as if they were free.
At this moment, Chen Cang also had to pay attention to the patient’s vital signs, making timely adjustments if he noticed any problems!
Chen Cang turned to the nurse:
“Keep infusing the plasma!”
The nurse nodded, starting the transfusion of the repeatedly cross-checked plasma.
Everyone was busily fulfilling their duties, organized under Chen Cang’s command.
Right then, the doors of the operating room swung open, and Li Baoshan entered, fresh from scrubbing in, followed by Tao Zi and Li Jianwei!
The three pillars of the province’s second hospital’s surgery department had all arrived!
The crowd cast sidelong glances.
Seeing the three directors brought a wave of relief!
But Chen Cang promptly admonished them, “Don’t move!”
Jing Ran jerked in response, and Wang Qian along with Zhang Xueliang dared not lift their heads, focusing intently on stopping the bleeding!
At that moment, Chen Cang couldn’t afford any carelessness.
Chen Cang’s strictness was not overdone—nothing is more important than life at this moment!
Hearing Chen Cang’s reprimand, Li Baoshan paused, glancing at Tao Zi and Li Jianwei.
Seeing that they maintained their composure without so much as a ripple, even he felt relieved!
An order from the emperor may not be obeyed when one is outside of his reach!
During surgery, a physician must not let their focus waver; they must dedicate their whole spirit to the task at hand!
At this moment, Chen Cang was like a general in battle with the enemy.
With the help of the nurse, Li Baoshan and his colleagues donned their surgical gowns and gingerly approached the surgical field, observing as Chen Cang supported the steel with one hand and carefully dissected with the other.
His left hand, holding the steel, was as solid as Mount Tai, not budging a fraction!
Even Li Jianwei was astonished.
Chen’s hands are so steady!
Such strong arms.
But still…
“`
“`
One minute… Ten minutes… Thirty minutes… Sixty minutes…
Li Jianwei was stunned!
Was Chen Cang not tired?
This was rebar, not a piece of paper; wouldn’t you be tired even if it were just paper to hold it so steady for thirty minutes?
The key point is that on the operating table, you must ensure the threaded steel doesn’t tilt in the slightest.
The dozen or so pairs of eyes surrounding Chen Cang were staring intently at him, feeling moved!
The three directors had been in for an hour, and Chen Cang, motionless, as steady as a bell!
Their hearts were tumultuous with emotions!
The most deeply affected was Jing Ran, who was completely won over by Chen Cang’s spirit.
What kind of perseverance was this?
What kind of strength was this!
What kind of courage was this!
Jing Ran was convinced!
He was utterly convinced from the bottom of his heart!
At this moment, the time was 1:15 PM.
The approximately 60-centimeter-long blood-stained rebar was finally slowly extracted from the patient’s body.
Everyone’s heart leaped with joy, and suddenly they even felt like applauding and cheering!
But!
Before everyone could get excited, the aorta ruptured!
A jet of blood spurted out!
Chen Cang’s eyes and hands moved quickly, “Directly use your hand to plug it!”
“Ligate the blood vessel, give me the suturing thread, prepare for suturing immediately!”
Chen Cang spoke rapidly, while Jing Ran quickly prepared the hemostat, and Wang Qian had already taken the suture needle from the nurse’s hands.
Chen Cang: “Ligate!”
“Hemostatic gauze!”
The seamless teamwork between Jing Ran and Wang Qian allowed Chen Cang to promptly take over the needle holder!
Chen Cang’s reaction was incredibly quick!
The three directors standing behind him were taken aback, this level of emergency responsiveness was exactly what an outstanding and experienced attending physician needed to possess!
And Chen Cang had it at that moment!
On the operating table, things change in the blink of an eye, and without such adaptive capability, it’s easy to be at a disadvantage!
Just like in military campaigns, where circumstances on the battlefield change instantaneously, a general must make the most appropriate adjustments in a timely manner!
Without a doubt, Chen Cang possessed this ability, and after taking the needle holder.
He couldn’t even rest before he began the tense task of blood vessel suturing.
Arterial suturing has to be tight and swift!
Chen Cang was highly skilled in vascular suturing.
Jing Ran was a little worried, he opened his mouth wanting to speak, but after glancing at Chen Cang, he ultimately didn’t say anything.
However… there was still some uneasiness. After Chen Cang’s hands had been so tired, could he hold steady now?
Vascular suturing is a delicate task, not a joke at all.
It wasn’t just Jing Ran; Tao Zi, Li Baoshan, and others also frowned.
Tao Zi was about to step forward when he suddenly saw that Chen Cang had already started the suturing work!
His hands were still very agile, and during the suturing, they were precise and orderly, rigorous yet flexible!
Tao Zi watched in disbelief.
He had seen Chen Cang’s suturing before, knew it well, and knew he was great.
But this was different from usual!
How was it different?
Think about it – if you’d been moving bricks for an hour and someone suddenly gave you a thread to sew clothes, could you control the strength and finesse properly?
Very difficult, very difficult!
However, looking at Chen Cang, it seemed to have no impact at all!
At this moment, the three bigwigs’ eyes were fixed on Chen Cang’s hands and arms in shock.
After the aortic suturing was complete, Chen Cang began repairing and suturing the venous damage.
Time ticked away second by second!
At this time, it was 2 o’clock in the afternoon!
The surgery was only one-third complete!
The work that followed was even more critical…
Could Chen Cang keep going?
“`
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