When the Doctor Uses A Hack
Chapter 1116 - 1119: President Chen Takes Charge!

For syphilis, Chen Cang had a profound understanding.

Syphilis, a rather contagious sexually transmitted disease, generally occurs as acquired syphilis, though congenital cases exist.

Acquired syphilis is mainly divided into three stages, actually based on the three developmental stages of the Treponema pallidum.

The complication in the tertiary stage of syphilis arises from its complex symptoms, which can affect any tissue or organ, including the skin, mucous membranes, bones, joints, and internal organs, and it has a tendency to invade the nervous system.

Thus, it often causes tissue destruction!

Regarding the patient's current condition, the cerebrospinal fluid change is not very severe, possibly related to his long-term treatment.

The main issue is damage to the endothelium of the blood vessels, which became the main factor.

However... when Chen Cang saw the imaging films showing the burst of the pseudoaneurysm of the abdominal aorta, it caused the iliac artery to narrow severely.

He noticed an issue that the blood vessels here seem... it could be preserved, the boundaries around... everything is very clear, which is a good thing!

Should they just replace it all with synthetic polyester vascular grafts?

At this thought, Chen Cang suddenly envisioned some approaches he had seen in surgeries dealing with pseudoaneurysms.

A light bulb went off!

Perhaps, the synthetic vascular graft replacement is not the only surgical method.

With this thought, Chen Cang felt excited, but he was also unsure of the feasibility of this.

At this moment, Xiao Zhehai said, "Chen Cang, my idea is that we two, each handle one, this way undoubtedly a lot of time can be saved, this is my surgical plan…"

As he spoke, Xiao Zhehai described his plan, logically and clearly.

Yao Lekang, listening, couldn't help but admire, truly bold and skilled.

After all, this increases the surgery's complexity.

He knew Xiao Zhehai could do it, but... could Chen Cang do it well?

Yao Lekang was somewhat worried!

Though he did not know why Director Xiao trusted Chen Cang so much, but… he always felt that Chen Cang was somewhat mystical, otherwise, he wouldn't have invited Li Baoshan either…

Xiao Zhehai looked at Chen Cang: "Are you confident?"

Chen Cang nodded: "I am confident."

"But... I have another idea."

With these words, both Xiao Zhehai and Yao Lekang were suddenly stunned.

Yao Lekang could not help but inwardly exclaim; this young man really is fearless like a newborn calf!

Speaking his own plan right in front of Xiao Zhehai, not to mention anything else, his courage is full marks!

However, Xiao Zhehai's eyes lit up, curious:

"Oh? What's your plan? Tell us."

Chen Cang, not the slightest bit intimidated, spread the angiography films on the table, and directly said: "My idea is to do endarterectomy and patch repair on both the abdominal aorta and the iliac arteries here."

After speaking, Chen Cang pointed to the areas on the angiography where the abdominal aortic aneurysm compressed and occluded the iliac arteries.

"If we perform a synthetic vascular graft simultaneously, although the effect could be acceptable and the operation is straightforward, it carries the risk of leaving foreign bodies and inducing infections."

"The angiographic results show, in fact, that we can see the nearby vessels are not damaged much, if we go for vascular grafting, all would need to be destructed, it's a bit of a loss indeed."

Hearing Chen Cang's words, Xiao Zhehai and Yao Lekang immediately got up to look over the angiography films.

Yao Lekang couldn't help but frown: "The endarterectomy you mentioned, is it similar to the abdominal aortic endarterectomy?"

Chen Cang hadn't had the chance to speak when Xiao Zhehai quickly interrupted!

"No! It's not an endarterectomy of the abdominal aorta, Chen Cang means directly handling and fixing the dissected intima, and then repair it with an arterial patch!"

"This idea is good, although the intima is removed, because of the patch, it allows the vessel to maintain normal function!"

The more Xiao Zhehai talked, the more excited he became!

He looked at Chen Cang and couldn't help saying: "This method is great, but can you handle the intima properly?"

Handling intima is the most challenging part of vascular surgery!

It must be done with precision, the depth mustn't be too deep to damage the media making the vascular wall too thin and prone to rupture, and it must also clean up thoroughly, not damaging the healthy intima.

This way, the accuracy of the surgery is increased!

The surgery time would naturally be extended.

But, the outcome of the surgery would be the best approach!

After listening to Xiao Zhehai's introduction, Yao Lekang suddenly realized that clearing the pathological endometrium could achieve long-term therapeutic effects.

However, the problem came back to Xiao Zhehai's earlier doubts!

Can Chen Cang handle the endometrium?

Chen Cang nodded: "I can do it!"

Xiao Zhehai glanced at Chen Cang, and after a long while, he said nonchalantly, "You lead the surgery!"

That remark scared Yao Lekang quite a bit!

Chen Cang leading the surgery?

Can he stabilize the morale of the team?

Chen Cang was not hesitant: "Okay!"

...

...

Ten minutes later, the three of them appeared in the operating room, accompanied by four attending physicians to assist in this surgery!

The impressive lineup speaks for itself.

When they reached the office outside the operating room, Yao Lekang introduced, "This is today's lead surgeon: Chen Cang! Let President Chen introduce the surgical procedure to everyone."

The four attendings were momentarily stunned and surprised upon seeing Chen Cang.

Chen Cang is the famous President Chen from the general surgery department!

Nonetheless, upon hearing that Chen Cang would be leading the surgery, everyone couldn't help but glance at Xiao Zhehai, curious as to why Director Xiao wasn't the lead surgeon.

Compared to Chen Cang, Director Xiao has a bigger name and a more profound influence.

Xiao Zhehai noticed everyone's curiosity and couldn't help saying, "You'll understand why after seeing the surgical plan."

Chen Cang, standing by the angiography images, picked up a pen and explained on the board: "This surgery is divided into two teams. Director Xiao leads one team, and I lead the other, each with two assistants. The surgical plan is as follows..."

Chen Cang began to outline the surgery.

And upon hearing Chen Cang's subsequent insight on stripping management, the attendings were initially stunned, then each closed their eyes in deep thought.

After several minutes, everyone's faces lit up with understanding!

This is not so much a surgery as it is a method of tumor cavity management, quite ingenious!

It offers a refreshing perspective!

But most importantly, the long-term therapeutic effect is much better than artificial blood vessel replacement!

Moreover, the more everyone thought about it, the higher they regarded its feasibility!

The only drawback is the high difficulty level!

This surgical video will need to be archived, as per confidentiality agreements, and cannot be copied!

Although everyone was curious about Chen Cang's surgery, considering that he is an academician like Xiao Zhehai, everyone was in a quandary.

Who to choose?

There is only one chance, and this surgery is not for casual viewing.

At this time, Yao Lekang said, "Director Zhang, come with me to assist President Chen."

"You others assist Director Xiao in completing the surgery!"

Xiao Zhehai nodded, "Everyone understands the patient's condition, be careful!"

The surgery is about to begin!

...

PS: Let's talk about the routes of transmission of secondary syphilis.

1. Sexual transmission: the most common route of transmission for syphilis;

2. Close contact: An uninfected person can become infected through contact with a syphilis patient if there are minor breaks in the skin or mucous membranes;

3. Hematogenous transmission;

4. Mother-to-child transmission;

5. Iatrogenic transmission: such as medical instruments being infected with Treponema pallidum due to inadequate sterilization.

Let's not assume that sexually transmitted diseases are only sexually transmitted.