When the Doctor Uses A Hack

Meng Xi took over the scalpel as if it were a baton!

What followed was a completely different kind of surgery from the one before!

And the difficulty increased proportionally.

Meng Xi glanced at Chen Cang, “Construct a temporary vascular bridge.”

Chen Cang immediately nodded.

During aortic constriction surgery, it is necessary to isolate the segments above and below the constriction in the descending aorta to protect the spinal cord and distal organs from ischemic damage during interruption.

One can choose hypothermia, but it’s also possible to opt for constructing a temporary vascular bridge and establishing left heart bypass.

Although choosing to construct a temporary vascular bridge would increase the difficulty of the surgery, this method was more reliable than hypothermia for safety!

Because no one could be certain how long the subsequent surgery would last.

After the vascular scarring changed, was there necrosis of the intima?

Thus, there was still much to consider.

Just as everything was proceeding steadily, Meng Xi began to pry open the aortic wall that had piled up into something resembling a tumor due to scar buildup.

Chen Cang’s expression suddenly changed; he felt there must be more than just vascular scarring!

Perhaps there was something else.

At that moment, non-invasive vascular clamps were applied to both ends of the aorta.

Meng Xi looked up and asked Jing Ran, “Was there angiography done?”

Jing Ran was taken aback and immediately shook his head, “No.”

Upon hearing this, Meng Xi began to hesitate.

Thinking of this, Chen Cang couldn’t help but caution, “Sect Leader Meng, be careful of the back, it might be an aneurysm!”

Meng Xi nodded; she had anticipated this.

If it were just scar tissue, it wouldn’t be so serious.

Meng Xi, holding the scalpel, didn’t cut through the vessel wall directly but made an incision to explore.

When the vessel was opened, Chen Cang immediately saw the presence of the aneurysm, although small, yet substantial!

[Arterial aneurysm: cystic! lv57.]

Well!

This should be good news.

It wasn’t a malignant tumor.

However, looking at the base of the aneurysm’s tumor tissue, Chen Cang saw it had begun to extend…

This meant that if the entire tumor tissue was excised, the distance for end-to-end anastomosis wouldn’t be enough!

Originally, after removing the constricted segment, end-to-end anastomosis could be used to sew the vessel wall, but the presence of the unwelcome “aneurysm” made the entire surgery’s difficulty increase proportionally.

Because it was very likely that after excising all the tumor tissue, the extension distance of the descending aorta wouldn’t be sufficient, and the possibility of an end-to-end anastomosis seemed to be impossible.

What to do now?

Vascular grafting?

Patch repair?

Or what else?

Suddenly, many problems were laid out in front of everyone.

Meng Xi took a deep breath, her brow furrowed tight!

Do a bypass graft?

If a bypass graft were performed, it would definitely cause irreversible damage to the patient’s upper limb; in effect, borrowing the vessel that supplies the upper arm to be used for the aorta. While this would work well for the aorta, it might damage the upper arm!

Just as everyone was unsure how to conclude the matter.

Chen Cang hesitated for a moment and said, “I have a suggestion.”

Meng Xi looked up at Chen Cang, her eyes lighting up, “What suggestion?”

Chen Cang said, “Let’s create another wound in the descending aorta!”

This thought from Chen Cang suddenly seemed to give Meng Xi a glimmer of an idea, but she also couldn’t quite grasp the specifics, “Be more specific.”

Chen Cang thought for a moment, now was not the time for vagueness!

Moreover, doing is more detailed than talking!

With this in mind, Chen Cang directly addressed Meng Xi, “Teacher Meng, hand me the scalpel!”

Meng Xi was startled for a moment before passing the scalpel to Chen Cang.

Jing Ran couldn’t help but swallow hard.

What exactly was Chen Cang’s specialty?

Jing Ran knew he was adept at thoracic surgery.

But… could it be that he was just as skilled in cardiac surgery?

At that moment, Chen Cang glanced at Meng Xi and sighed. Another 30 points of favorability were about to be lost.

He had just gained 5 points of favorability from the last operation, pushing his favorability with Meng Xi past 60 points.

As a result, he could now exchange for a level three operation.

Without hesitation, Chen Cang chose to exchange for “Aortic Narrowing Surgery”!

After the exchange, Chen Cang didn’t hesitate to start his training.

This operation was no longer just a simple “Aortic Narrowing Surgery.” It also included an “Aortic Aneurysm”, and now Chen Cang was about to add “Aortic Injury” to it.

What Chen Cang needed to do was precisely excise the base of the aortic aneurysm as seen by his eyes. Even with precise excision, if he were to suture it, there would certainly still be narrowing of the aorta.

What Chen Cang had to do was excise the scar tissue + remove the entire base of the aortic aneurysm + make a cut on the aortic wall.

Because merely excising the two parts wouldn’t allow for an end-to-end anastomosis of the entire vessel.

But by adding another cut, the ends would be at an even better angle for joining together!

What does this mean?

It means that it wasn’t necessary to remove both ends entirely, but only to excise the aneurysmal and scar tissues. Then, it would definitely be impossible to suture; however, Chen Cang could remove the unsuitable parts with the scalpel, making suturing a possibility.

With that thought, Chen Cang got down to business without hesitation.

Picking up the scalpel, he began to precisely excise the aneurysmal tissue from the vessel wall.

But while excising, Chen Cang intentionally cut a bit more in some areas; next came the scar tissue, requiring him to remove an entire cluster of vessel wall!

…

The operation proceeded step by step!

After Chen Cang removed all the tissue, the two ends became irregular.

Meng Xi watched the scene with a confused face!

Even Jing Ran, colleagues, assistants, and the anesthesiologist couldn’t help but offer wry smiles.

Was this gnawed on by a dog?

How to suture this!

Everyone stared at Chen Cang’s rugged and strange two ends, utterly perplexed.

This would have been better off completely removed!

At this time, Chen Cang lightly traced a cut on the upper end of the aorta, then brought the two ends together…

Suddenly!

The whole picture changed dramatically!

Everyone gasped.

How the hell does that work?

Meng Xi, especially, looked at Chen Cang in disbelief, eyes filled with shock.

Chen Cang was not a surgical doctor; he was clearly a magician!

The two ends that were gnawed on just now could actually fit tightly together!

Was this not magic?

What kind of surgeon plays like this?

By cleverly using the irregular ends, Chen Cang ingeniously saved the neighboring blood vessel from a close shave!

The blood vessel next door was spared from transplantation and couldn’t help but breathe a sigh of relief: Scared me to death, I was almost cut… thank you, big bro, for sparing me.

…

…

ps: Hehe, thanks to the big shot Hellcat for the generous reward, becoming Sect Leader, thank you!

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