WHEN THE DOCTOR USES A HACK

Chapter 596: Chapter 596: Very well done!

Chapter 596: Chapter 596: Very well done!

Teacher Meng’s words directly dumbfounded the “Chen Cang Support Group”!

Director Tao closed his eyes to rest, not uttering a word, while Xia Gaofeng had a face that said I don’t know, ask him.

And Cui Yuanwu, looking at Meng Xi, said, “Director Meng, there’s no need to deceive us.

Director Tao has told us everything, Chen Cang is conserving his strength to burst out at the crucial moment, right?”

At that, Cui Yuanwu lowered his voice and said with a smile, “Don’t worry, we are tight-lipped!”

Upon seeing this, Meng Xi rolled her eyes!

How could this group be so blindly confident in Chen Cang!

Meng Xi had just turned around when she saw Cui Yuanwu and Teacher Yang Jianshu had already started taking bets.

Meng Xi couldn’t help but sigh.

…

…

As soon as Chen Cang entered, the two examiners were momentarily stunned, for they had seen Chen Cang yesterday!

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Yesterday, Chen Cang had performed a procedure for ascending aortic injury that kept the two examiners debating all night, unable to sleep, and now they had encountered Chen Cang again today!

The examiners were both surprised and delighted!

Even…

there was a little bit of anticipation in their hearts.

However, under the surveillance cameras, they couldn’t show their excitement too openly.

The chief examiner Sun Gaoxing looked at Chen Cang, feeling somewhat joyful inside, yet still spoke indifferently, “Candidate please note, at this moment, another surgery is taking place in the emergency surgery room, and there are not enough centrifugal pumps available.

Please begin your procedure with the instruments at hand!”

Upon hearing this, Chen Cang immediately nodded.

“Is the candidate ready?”

Chen Cang: “Ready!”

“Begin now!”

As soon as the words fell, the sound of the heart monitor already began to beep, with blood continuously flowing out from the descending aorta!

Upon seeing the wound, Chen Cang was immediately shocked!

This…

this wound is completely different from what he encountered yesterday…

The difficulty of surgery has already increased significantly.

Although both are procedures for repairing the descending aorta, the damaged location and the size of the wound are different, and the methods needed for repair are not the same.

Today’s surgery was clearly no longer simply vascular repair and stitching – the difficulty had soared!

Chen Cang’s eyes were fixed on the bleeding point of the wound; he didn’t hastily stop the bleeding nor did he directly use a hemostat!

In his mind, he continuously thought through all the surgical methods!

The tear in the wound was large, with multiple areas of damage.

The direct blood flow obstruction suturing method was only suitable for small tears in emergency situations, allowing for direct repair but with strict time control!

Similarly, clamping the aorta to suture the tear also had this requirement, as the aorta’s tolerance for occlusion was very limited!

Chen Cang’s stitching speed was very fast, but this was not necessarily the most optimized choice.

Sometimes, the method you choose must have a margin for error – that is the best choice for surgery!

It’s not that such risky rapid suturing is bad, only that when no other surgical methods are available, it becomes the only choice.

Keep in mind, doctors are human and there is a chance of error; they are not machines, and human randomness can be significant.

After a few seconds of consideration, Chen Cang instantly made a decision!

In this state, choosing to apply a centrifugal pump for partial diversion was now the best choice!

There was no need for heparinization, only the necessity to divert the blood from the left atrium or the left superior pulmonary vein to the far end of the torn descending aorta according to the patient’s condition.

Regrettably, there were no centrifugal pumps available on-site for Chen Cang to use!

This was a test of a doctor’s ability to improvise!

After a brief thought, Chen Cang turned around without hesitation and said to the nurse:

“Hemostat!”

The nurse immediately handed it over.

Sun Gaoxing watched Chen Cang’s operation, frowning slightly.

What exactly was Chen Cang going to do?

“`

The deputy examiner Hou Liang also fell deep into thought.

Should he challenge his own limits by leveraging his advantage in quick suturing and choose to suture rapidly while clamping the blood vessel with a hemostat?

In doing so, even if successful, the two examiners might not give the highest score because, in terms of surgical option, Chen Cang did not apply the optimization principle in his approach.

After achieving hemostasis, Chen Cang said to the nurse, “Prepare the shunt for heparinization!”

Upon hearing this, the two examiners finally breathed a sigh of relief and nodded in approval.

He wasn’t taking any risks!

He chose the Gott shunt method!

When the surgery began, Chen Cang promptly cut open the pericardium in front of the left phrenic nerve, exposing the ascending aorta from within!

He meticulously separated the ascending aorta from the arch-descending part, isolating and clamping the distant and proximal ends of the thoracic aorta and the proximal end of the left subclavian artery.

Although the anatomy of the simulation mannequin is not very similar to that of a human, Chen Cang still pretended as if there were nerves, carefully avoiding them…

Well, although it’s a simulation mannequin, one must still pretend it’s much like a real person.

Chen Cang felt like he was indeed “Chen the Great Actor” at the moment!

Chen Cang inserted the proximal end of the plastic tube into the ascending aorta and the distal end into the distal descending aorta, then sewed two layers of purse string suture lines with 3-0 atraumatic thread, carefully tightening them!

After expelling air from the tubing, he opened the flow through the shunt!

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This way, the injury site was perfectly isolated, and naturally, there was ample time to repair the descending aorta!

But!

The Gott shunt method has one fairly fatal flaw!

That is the inability to control the shunt flow.

What does that mean?

Once the shunt is opened and there is sufficient blood flow through the tubing, it not only hinders the progress of the surgery but can even cause coagulation!

Even if the shunt flow is too fast, it can have some effects.

Chen Cang’s previous maneuvers were precise, resembling textbook Gott shunt surgery.

However, the chief examiners Sun Gaoxing and Hou Liang watched Chen Cang with great interest, because what lay ahead for Chen Cang was not merely a challenging surgery!

There could be complications!

That’s right!

Did you think that simulations couldn’t produce complications?

These are all programmed, you know…

After all, complications can happen during surgeries on human bodies, and this kind of high-cost simulation mannequin can simulate them happening.

Indeed!

Just as Chen Cang was about to perform the suturing, the surgery immediately encountered a complication: the patient’s blood pressure was already very low, causing issues with the shunt flow!

Even…

causing backflow!

Sun Gaoxing looked on with interest to see how Chen Cang would handle it.

But…

All of a sudden, Chen Cang remained unflustered and gently adjusted the angle of the shunt tube, and a check valve appeared!

The two examiners were dumbfounded!

When did this guy install a check valve inside the shunt tube!

Could it be that he had anticipated it?

Sun Gaoxing keenly realized that Chen Cang hadn’t merely guessed, but had designed it based on the patient’s blood pressure situation.

This was the fundamental professional competence that a great surgeon should have.

It was a high level of mastery and control of the surgery!

One should always be prepared for any eventuality.

However, at this moment, Chen Cang said to the nurse, “Give me two silk sutures!”

Sun Gaoxing and Hou Liang exchanged glances.

What did he need silk sutures for?

“`

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