When the Doctor Uses A Hack
Chapter 1118 - 1120: My turf, your call!

Yes!

Yao Lekang felt as though he desperately needed to become all hands and elbows, as Chen Cang's hands were like a constantly transforming machine.

He would use each surgical instrument for no more than 10 seconds before quickly switching to the next!

This gave Yao Lekang some illusions!

Could it be... his understanding of surgical instruments was not profound enough?

Indeed!

Chen Cang's following maneuvers immediately taught him that a curette could be used like this!

But to be honest, even after seeing it, Yao Lekang would not dare to use it recklessly!

Because this required very precise operations and steady techniques!

And precisely Chen Cang's hands were very steady and nimble, which made Yao Lekang wonder whether Chen Cang was really wearing two pairs of gloves?

Not just the curette, probe, forceps, and scalpel handle… every maneuver was an eye-opener for Yao Lekang, nearly making him exclaim!

It was not a wasted trip, truly not a wasted trip!

Yao Lekang felt that many of Chen Cang's operating techniques were unheard of to him.

"What's going on?"

At this moment, Chen Cang suddenly frowned and glanced at Yao Lekang.

Yao Lekang's face changed instantly, and he hurriedly apologized!

"Sorry, sorry! I was distracted!"

And over here, Zhang Xuan was also startled; he did not expect Chen Cang to directly criticize Director Yao!

This is our turf, okay?

Do you believe we'd lock you up and have you perform surgeries every single day?

But the most critical thing was... the Director actually apologized.

This was just too much!

However, Zhang Xuan dared not let his mind wander, or perhaps it would be more accurate to say he couldn't bear to be distracted!

Because Chen Cang's surgery was too captivating.

Even though physically he stood beside Yao Lekang!

But spiritually!

He felt himself continuously drawing closer to Chen Cang's side.

After all... skill is king!

Hmm...

At this moment, Zhang Xuan's back was soaked with sweat, and he quickly dismissed the wild thoughts in his mind.

Chen Cang's surgery had many small techniques that were really enlightening for him.

Time in the surgery ticks away.

And finally, it was time for the endarterectomy.

At this moment, it was necessary to precisely locate the subintimal space in the artery, and use an endarterectomy device or blunt curved scissors to circumferentially strip the diseased endothelium!

The entire process is the most core and crucial part of the surgery, also the biggest test of skill!

It can even be said that this is the most critical step of the surgery!

Success in this step means the operation is a success!

But if this step isn't done well, all is lost!

At this time, Chen Cang himself began to feel nervous; his aortic aneurysm surgery was of a perfect level.

But this technique was something he observed from a 2030 surgical video.

Including each small technique and function used by the instruments, were all Chen Cang's gains.

He did not expect they would all come into play so soon.

Yao Lekang and Zhang Xuan looked at Chen Cang and suddenly didn't know what to do.

They too were seeing this type of surgery for the first time and had no idea how to start.

What should they do?

But even if they wanted to help, they would only be in the way!

Or...

Maybe give some support with their eyes?

Or perhaps... shout some encouragement?

Yao Lekang was feeling uneasy inside, Chen Cang wouldn't berate someone again, right?

After all, he was the Director!

It would be really embarrassing.

But this time, Chen Cang was very calm; he tried hard to settle himself down.

"Blunt curved scissors!"

The nurse brought over the seldom-used scissors, and Chen Cang commenced the subsequent maneuver.

In this step, the media must not be damaged, and the normal endothelium of the tissues must not be destroyed.

Even Xiao Zhehai, who was performing the surgery, wanted to turn around and take a look!

Too tempting!

Pity!

During surgery, one cannot be distracted.

Xiao Zhehai has also finally succeeded in prep work, ready for the aortic replacement.

Both teams are busy yet orderly in their processes.

At this moment, Chen Cang is holding his breath, concentrating, with blunt-headed curved scissors in hand, slowly stripping the full circumference of the diseased intima!

Each pass is made just 1 millimeter at a time.

8 centimeters is no small distance!

But one cannot afford the slightest carelessness.

Each millimeter seems to be a painstaking process.

At this moment, Yao Lekang and Zhang Xuan finally understand!

However, it's precisely because they understand that the shock and surprise in their hearts become even more intense.

Chen Cang is actually going to do this!?

The two exchange looks, seeing in each other's eyes apprehension and gravity.

Even breathing feels somewhat pressured.

They look again at Director Xiao and his team, intensely at work, fearing they might disturb Chen Cang.

After all, this is a surgery where true skill is seen in the smallest of margins!

It requires a pair of hands that are deft, yet steady and precise!

Chen Cang feels the strain in this moment as well!

He opens his gaze wide.

Eyes blazing!

Staring intently at the blood vessel intima, fearing any slight damage or surgical error.

This is a race against oneself!

Even Chen Cang feels the sweat continuously soaking the back of his scrubs.

The dripping sound echoes in his ears!

Chen Cang's scissors continue to strip the intima upward and downward up to the endpoint of the diseased area!

Here, the intima is thinner, tightly adhering to the media, reaching the final point at last.

Chen Cang finally breathes a sigh of relief.

Not just him, Yao Lekang and Zhang Xuan nearby, all feel their backs soaked!

Too risky!

The operation just now was actually not much different from neurosurgery inside the skull.

Chen Cang turns around, looking at Yao Lekang: "Scissors."

Yao Lekang nods quickly, his eyes now full of respect when looking at Chen Cang!

Chen Cang has truly impressed Baoshan's junior brother with his skill!

Chen Cang first cuts off the intima at the upper end, then checks whether the distal end is stripped enough, and after triple checking with certainty, cuts it off!

At this point, the surgery is already two-thirds complete!

The most critical step is done.

"Heparinized saline to flush the vascular lumen!" Chen Cang says to Zhang Xuan.

Zhang Xuan nods hurriedly.

While Chen Cang takes the opportunity to start checking for any loose intimal tissue.

Fortunately, there is none!

After the inspection and preparation work, the distal intimal edge needs to be secured!

This step is a critical part of testing the suturing.

How effectively the distal intima is secured is key to the long-term success of the surgery!

This time, Chen Cang looks at Yao Lekang and the others and says, "Watch closely."

Upon hearing this, excitement sparks in Yao Lekang and Zhang Xuan's eyes as they nod vigorously, Teacher Chen is about to impart knowledge!

At this moment, Chen Cang begins to seriously use 6-0 monofilament non-absorbable suture to intermittently stitch and secure the intimal edge to the vessel wall, with the knots facing outward to protect the inner structure of the vessel.

Suturing is Chen Cang's greatest strength.

Soon, the distal intimal edge is successfully secured!

The short few minutes of suturing became the only part of the surgery Yao Lekang and Zhang Xuan could truly comprehend!

No, instead of saying they could really understand it, it might be more appropriate to say they more or less got it.

To boldly proclaim Chen Cang as awesome!

The surgery is now drawing to a close.

Once the arterial patch is completed, the surgery will be entirely finished.

Zhang Xuan can't help but exclaim, what a thrill!

This surgery has indeed been an eye-opener, so that's another way to clear up the dissection!

Although very challenging, at least there is a direction.