“`
The chief anesthetist was honestly a bit shocked, that someone could stitch up the small vessels of the spleen so meticulously—it truly was not just a skill!
It was a matter of responsibility and conviction!
Having been an anesthetist for so many years, this was his first time seeing a doctor who would suture the small vessels of the spleen.
Setting aside the technical aspect, let’s not even start on how many are willing to do the suturing!
A ruptured spleen requires good blood supply in order to recover.
Splenectomy and spleen repair are both surgeries aimed at treating a ruptured spleen!
Those that can be repaired, undergo repair.
Those that cannot be repaired or have necrosis, undergo removal.
The ones that cannot be repaired are precisely due to ischemic necrosis.So, what Chen Cang was doing at this very moment for the patient’s spleen, keeping even the slightest part intact, would greatly benefit the patient’s future health.
The complexity of the blood vessel patterns and the twisted spleen tissue, all added to the difficulty of the surgery!
Thank goodness it was Chen Cang!
Perhaps anyone else would have bid farewell to those ruptured, damaged spleens.
Because suturing the vessels increases the risk of the surgery!
Just this one simple sentence deterred many.
Difficult? Truly difficult!
Tiring? How could it not be?
With a microscope, how long can fine work like this be continued?
But thinking of that wailing child, Chen Cang felt it was all worth it.
It is precisely for this reason that they looked on with admiration.
The goal was to preserve the spleen’s anatomy and function as much as possible.
The actions of Chen Cang were based on a variety of conditions.
Suturing small vessels of the spleen, in the eyes of some, might seem meaningless, but if it saves the spleen even slightly more, for the patient, that represents a guarantee of quality of life.
Li Baoshan, watching Chen Cang repair the vessels, had admiration clearly written in his eyes!
Tao Zi was also somewhat excited.
Their excitement and thrill were not at how amazing Chen Cang was, but at the additional assurance it provided for the patient’s recovery.
Chen Cang laid down the suture needle and said to Li Baoshan, “Let me do the removal.”
“I’m very familiar with the patient’s spleen; I know where to cut and where not to.
Li Baoshan looked into Chen Cang’s eyes, which were filled with resolve. He didn’t refuse but still cautioned, “Be careful!”
Chen Cang nodded!
He turned and picked up the scalpel.
After the spleen ruptures, not all areas can be repaired by suturing the vessels because of the spleen’s anatomical structure. Although the hilum and center have rich blood supply, the periphery of the spleen still needs to be continually removed!
Chen Cang very carefully brought the spleen up to the outside of the incision!
His eyes were like a scanner, continuously scanning the spleen, seeking the necrotic spleen tissue.
Chen Cang had the skill of spleen removal!
But its level was only basic.
Without any hesitation, he spent skill points to upgrade to master level!
Chen Cang had nearly 30 skill points and spent 6 points to raise it directly to the master level.
Chen Cang had to be extremely careful, as any small error could cause damage to the spleen and the surrounding tissues.
The main danger of spleen removal is a major hemorrhage during surgery, and at this point, due to congestion and swelling, the spleen had increased in size, its tissue was fragile, and exposure was poor; therefore, Chen Cang had to lift the spleen out of the incision.
Fortunately, the stalk connecting the spleen was quite long; otherwise, there would have been another hassle.
Li Baoshan and Tao Zi watched Chen Cang with great attention, fearing any mishap, but the spleen faced a bit of obstruction due to the congested stalk and adhesions from the significant bleeding.
“`
But the hilum of the spleen mustn’t be torn!
Otherwise, it would cause massive bleeding again!
In a way, the entire spleen was like a soup dumpling with a thin skin and lots of filling, but now the thin outer layer was already somewhat necrotic. It was necessary to remove the necrotic tissue, but it had to be done carefully to avoid causing heavy bleeding!
This required highly delicate and subtle maneuvers.
Caution!
Carefulness!
That’s why Li Baoshan had the peace of mind to let Chen Cang do the surgery, because he knew that Chen Cang’s hands were incredibly steady.
Chen Cang held the scalpel, bit by bit excising the areas of the perimeter that appeared blackish-red in his vision.
The process had everyone in the operating room feeling anxious and tense!
The two directors standing by Chen Cang’s side didn’t dare to let out a loud breath.
Time, once more, was consumed with caution
Nearly two hours had passed since the surgery began.
The two hours of meticulous operation that Chen Cang performed was impressive to anyone watching.
After the removal, blood vessel ligation was needed, for which Tao Zi had to assist.
Chen Cang excised while Tao Zi ligated. The two of them complemented each other well, and the surgery progressed quickly!
Finally, the spleen removal was complete, and it was time for suturing.
Chen Cang was indeed tired by now, his bent-over posture numbing his back and waist. After putting down the scalpel, he twisted his body. He didn’t immediately use the recovery ability from Bai Qiuen’s surgical gown ties as this emergency rescue could still last a while.
Seeing this, Li Baoshan said, “Let me do it.”
Chen Cang didn’t refuse.
Li Baoshan had performed several hundred spleen sutures without any surprises.
After dealing with the spleen, it was necessary to repair the other organs and tissues within the abdominal cavity.
Bowel anastomosis became the next task.
At this moment, Li Baoshan suddenly put down the sutures he was holding, looking at Chen Cang with some hesitation…
After all, he had seen Chen Cang’s bowel sutures, which were very well done.
Thinking this, Li Baoshan couldn’t help but shake his head, mocking himself internally.
As a director, when had he learned to push responsibilities onto the younger generation?
He, Li Baoshan, one of the Emergency Four of Dongyang Province, was not usually like this.
It was all because this kid was simply too outstanding.
Upon this thought, Li Baoshan couldn’t help but smile, radiating a sense of confidence.
Right at this moment, the situation inside the abdominal cavity was anything but reassuring; the intestines were disordered, some parts even protruding into the chest cavity!
The diaphragm was ruptured!
At that time, Li Baoshan’s heart sank. Bad news—the diaphragm and intestines needed to be repaired simultaneously, and he was not skilled at repairing the diaphragm.
What should be done?
And in that moment, after resting for more than half an hour and regaining some strength, Chen Cang took the initiative and said, “Director, I’ll repair the diaphragm while you repair the intestines. How does that sound?”
At Chen Cang’s words, something clicked inside Li Baoshan: “You know how to repair the diaphragm too?”
Chen Cang nodded: “Yep! I do.”
Tao Zi and the anesthesia department director who were standing aside were already dumbfounded.
This kid…is he really just a resident?
If Chen Cang claimed he was a director, they would have no choice but to believe him. Except for having more hair than a director might typically have, lacking nothing in terms of demeanor.
Moreover, this resident was quite formidable!
He knew how to do everything: spleen repair, pericardial surgery, vascular suturing, and, unexpectedly, even diaphragm repair!
What kind of monster was this!?
Visit and read more novel to help us update chapter quickly. Thank you so much!
Use arrow keys (or A / D) to PREV/NEXT chapter