When the Doctor Uses A Hack
Chapter 1387 - 1390: The Grace of This Slash!

Chapter 1387: Chapter 1390: The Grace of This Slash!

Chen Cang was determined this time!

No matter if it’s a king-level or whatever level.

He must find a way to perform this surgery perfectly!

It’s not just because of the 20 million, it’s mainly for the sake of the child.

Yes, that’s right!

In principle, Tetralogy of Fallot is the most common congenital heart disease.

The so-called tetralogy actually refers mostly to four deformities:

Dextroposition or overriding of the aorta caused by the widening of the aortic root, pulmonary artery stenosis, ventricular septal defect, and right ventricular hypertrophy.

The first three are primary lesions, which are of great diagnostic significance.

While right ventricular hypertrophy is a secondary change, resulting from the aforementioned deformities.

However, although the young patient is not very old, the condition is severe, not only involving these directly but also increasing the developmental deformity of the pulmonary artery.

As a result, the difficulty of the patient’s surgery increased significantly.

In fact, the customization of treatments is most suitable for diseases, as the same disease can manifest in various ways in different people.

Li Baoshan, He Zhiqian, Xu Ziming, and Meng Xi followed behind Chen Cang.

Director Xu consciously found a suitable position to stand, preparing to act as the "second dealer," handing instruments to Chen Cang.

Chen Cang glanced at the others and said, "Watch the surgery closely. This operation... has great research value. Make sure to summarize it well afterward."

After the preoperative preparations were complete and the anesthesia checks and medication were given, the surgery formally began.

The conventional method used in surgery is deep hypothermia circulatory arrest, but this cannot be used on the patient. Moreover, after extracorporeal circulation, the heart cannot withstand the arrest.

Chen Cang decisively expanded the opening of the anterior chest.

He then directly sawed open the sternum and excised the thymus.

The family member in the operating room could not bear to watch anymore.

Rehn’s wife covered her eyes and turned away.

Old Kut, however, was watching the surgery intently.

He couldn’t understand the surgery, but he could read people. Through their eyes, Old Kut could infer a lot of information.

At this moment, Old Kut looked at everyone, including Sabrina. He clearly saw hesitation and anxiety in their eyes.

However! This feeling improved significantly after Chen Cang arrived.

But Old Kut couldn’t see through Chen Cang’s eyes!

Chen Cang’s eyes were clear and calm.

This was also Old Kut’s greatest confidence.

Chen Cang easily cut open the pericardium, keeping the extra pericardial tissue for Rehn: "Use it for patching later, rinse with saline."

Rehn nodded and started processing.

After the establishment of extracorporeal circulation.

Chen Cang said to the three: "Let’s divide it into four steps, first the heart incision, then the first step is intracardiac repair, repairing the ventricular septal defect.

Then perform a patch repair of the right ventricular outflow tract!

The third step is the reconstruction of a valved conduit from the right ventricle to the pulmonary artery.

The last step is to address the associated deformities."

Chen Cang’s thought process was clear, and those around him, who had previously viewed the deteriorated heart as a tangled mess, began to see clarity after Chen Cang’s explanation.

They were not amateurs; reaching this level was not something just anyone could do.

After briefly explaining the patient’s condition, Chen Cang picked up the scalpel and began making an incision on the heart!

This was the first step, yet also the most crucial one.

One could see him constantly adjusting the heart’s structure in his mind, forming invisible lines.

Finally, he found a suitable position.

He picked up the scalpel, making a vertical incision from the proximal pulmonary trunk to the right ventricle, ensuring the pulmonary valve was fully exposed when the incision passed through the valve annulus!

This incision changed from the small incision form Chen Cang usually used, being wide enough!

However, he carefully avoided all coronary vessels, resulting in a large incision but with minimal bleeding.

The entire incision formed an inverted "T" shape.

Once Chen Cang opened the incision, the entire heart chamber became fully illuminated.

This surprised everyone, not understanding why Chen Cang did it this way.

However, Chen Cang didn’t offer much explanation and continued the surgery.

He made an incision at the commissural fusion of the bicuspid or tricuspid valves.

This step was challenging for Chen Cang, as the heart continued to beat, and he tried his best to preserve the valve integrity while making the incision.

However, Chen Cang did not stop there, but instead extended the incision along the valve annulus to the pulmonary artery incision!

This scene caused everyone’s brow to furrow, as they couldn’t comprehend Chen Cang’s actions!

At that moment, when Chen Cang took over the needle holder, Sabrina suddenly understood!

Her eyes lit up, watching the somewhat irregularly incised heart, and she became excited!

Unexpected!

Truly unexpected.

So that’s what Chen Cang was doing!

Seeing his longtime partner’s expression, Rehn was puzzled.

Sabrina couldn’t hold back and said, "Professor Chen’s technique of heart incision really taught me a lot!"

Everyone looked at Sabrina, full of confusion.

And Sabrina went on, "Look, if here the incised valve edges and the adjacent pulmonary artery opening edges are sutured with interrupted mattress sutures, what do you think the result would be?"

Everyone looked in the direction of Sabrina’s hand gesture.

The more they looked, the more familiar it seemed!

The more they looked, the more pleasantly surprised they felt!

A moment later.

Mond Arfa awoke as if from a dream: "This could reduce post-operative pulmonary valve insufficiency!"

With one sentence, everyone was enlightened.

Unexpectedly, Professor Chen’s casual heart incision was that miraculous.

For a while, everyone was astounded.

Yet Chen Cang remained unfazed, then fully exposed the incised ventricle, preparing for intracardiac repair. Upon hearing everyone’s comments, he smiled faintly and asked, "Anything else?"

One sentence, and the surgical team calmed down!

Anything else?

Seeing everyone in this state, Chen Cang didn’t bother with suspense.

"Don’t you think extending the incision upwards to the bifurcation of both pulmonary arteries, and incising one or both pulmonary artery openings can effectively prevent pulmonary artery opening stenosis?"

Everyone looked in the direction of the sound, seeing Chen Cang’s incision extending to the pulmonary artery crossing point, and they suddenly understood.

Each of them took a long time to react!

Sabrina remained silent, then after a moment, chuckled bitterly.

This is too remarkable!

How well he must understand the heart to achieve this!

The patient’s heart deformity changed significantly after his incision.

Originally, everyone was curious why Chen Cang made such a large opening.

Now it appears...

Their vision was inadequate!

At times, insufficient elevation might mean seeing a different landscape.

Chen Cang’s previous incision technique overshadowed everyone present, including Sabrina herself!

Thinking of this, Sabrina glanced at Chen Cang, only to feel that he had eyes like an ancient well.

Unfathomable, yet calm!

...

ps: Thanks to the big shot "Shaobing Zhima Duo" for the 100000 reward, becoming the 74th Alliance Hierarch of this book, adding 3 more Chapters.

Currently... still owe 103 Chapters, hmm, cleared 51 Chapters... keep it going!

There will be 3 more Chapters tonight, asking for monthly votes!