Chapter 252: In Ancient Times, This Was Called

"Director, I would like to try a glans-corpus cavernosum shunt." Ji Xiang stood in the surgeon's position and said softly.

"Give it a try. I have to perform a resection anyway. It certainly won't make things worse; there won't be a worse outcome than this," Director Liu said.

Ji Xiang felt grateful; he knew that the words Director Liu had said earlier about taking responsibility were sincere.

"Scalpel!" Ji Xiang reached out his hand.

Tang Yan had been assisting Ji Xiang with surgeries for some time and understood that while this guy usually looked very low-key and gentle, once he stood in the surgeon's position, he would say "Scalpel."

The single word "Scalpel" always made people feel he was too arrogant, quite different from Ji Xiang's usual gentle and refined demeanor.

The scalpel slapped into Ji Xiang's hand, reflecting the light of the shadowless lamp, feeling slightly cold.

Ji Xiang lifted the dorsal side of the glans with his hand, aimed it at one side of the corpus cavernosum, performed a flourish with the scalpel in his hand, and with a "pop" sound, pierced it vertically.

"Ah!" The Circulating Nurse, who was watching the surgery, was startled and let out an exclamation.

"Xiao Ji, take it slow," Director Liu was also startled and said in a low voice.

In his view, Ji Xiang's surgeries, such as partial Kidney Resection and Giant Hydronephrosis surgeries, were cautious and meticulous, quite in the style of the South School.

It was no wonder; having studied at university in Yangcheng, it was only natural for his surgical technique to be delicate—this was Director Liu's understanding.

But the "reckless" cut Ji Xiang had just made, piercing and cutting through the tough White Membrane, had reached a depth of 4–5cm!

Just this one cut made Director Liu's eyelids twitch.

Although the Patient's little brother couldn't be saved, one shouldn't desecrate a corpse, right?

The most basic ethics still had to be maintained.

Even when performing dissections on an Anatomical Teacher, one wouldn't be this "brutal."

He had just been pondering how to advise Ji Xiang when he immediately saw dark red blood flowing out.

There was blood!

Seeing blood during Emergency Rescue always gave people a headache.

But the Patient before them was suffering from necrosis; as long as there was blood, it proved there was still hope!

Infinite hope rose in Director Liu's heart.

Ji Xiang did not explain; with the knife in his hand, he had already entered a state of total concentration.

Here, the surgeon was the only king.

After the resistance suddenly decreased and the dark red blood flowed out, Ji Xiang rotated the blade 90° and cut the White Membrane again, forming a "cross" shape with the previous incision.

"..."

"..."

"..."

Director Liu and the others watching Ji Xiang's surgery felt a creaking sound in their throats.

Ji Xiang had cut extremely deep, and he had done it twice, cutting a cross.

If not for the dark red blood flowing out, Director Liu would definitely have intervened and not let Ji Xiang continue.

But the blood proved that the Patient's little brother still had a breath of life and could still be saved.

The cross incision served to provide sufficient drainage, and Ji Xiang avoided squeezing the surgical area to expel the stagnant blood.

"Syringe... an 18-gauge Syringe needle." Ji Xiang reached out, but his hand met empty air, and he realized this was the real world; Tang Yan, acting as the Instrument Nurse, was countless times worse than the nurses in the System Operating Room, and their coordination was not in sync.

"Sister, get an 18-gauge Syringe," Tang Yan said to the Circulating Nurse.

A minute later, the Syringe needle was finally handed to Ji Xiang.

Ji Xiang inserted an 18-gauge thick needle into the corpus cavernosum at the root of the penis and injected Heparin and Saline for irrigation.

"Doctor Xiao Ji, there's blood, it still has a breath of life?" Tang Yan asked.

"Mm," Ji Xiang nodded.

"Should we increase the concentration of Heparin?" Director Liu asked.

"No need, normal is fine; we still need to perform Suturing in a moment," Ji Xiang smiled. He stared intently at the incision without even lifting his head.

After waiting for nearly 3 minutes, the blood flowing from the puncture site turned bright red!

Bright red!

It meant it was fresh blood, which meant the little brother that had been swollen for 6 days actually still had a breath of life.

The bright red color swept away the oppressive atmosphere in the operating room.

"It really worked! Damn it, it was saved!" Director Liu said joyfully, even swearing.

He didn't feel ashamed at all, even though he was the one who had said it wouldn't work and that the Patient needed a resection just moments ago.

The Anesthesia doctor watched in a daze.

Why didn't the cross Ji Xiang just cut with the knife pierce all the way through? This was the only question in the Anesthesia doctor's mind.

Seeing the bright red blood flow out, Ji Xiang did not pause and began cutting away the black necrotic tissue bit by bit along the incised skin.

"Doctor Xiao Ji, you've cut away so much corpus cavernosum, will it still work in the future?" The Anesthesia doctor knew that leaving it would only lead to infection, but that was the corpus cavernosum after all, so he asked with regret.

"According to research on the ultrastructure of abnormally congested corpus cavernosum, necrosis of the epithelial tissue and the formation of blood clots within the corpus cavernosum can be seen after 48 hours of congestion. It cannot be saved; 144 hours is too long. If it had been earlier, there would have been a chance," Ji Xiang said with some regret as well.

"But the amount of corpus cavernosum removed is just right; theoretically, it won't affect the Patient's future life."

"!!!"

"Director Liu, your department... the technical strength is getting stronger and stronger." The Anesthesia doctor didn't know what to say, so after holding it in for a long time, he squeezed out this sentence.

"That's right. Do you know what this is called in traditional Chinese medicine?" Director Liu was unsure himself, but after Ji Xiang said that, he was in a great mood and started gossiping.

"Traditional Chinese medicine has an explanation for this?" The Anesthesia doctor was surprised.

"You bet! Our ancestors summarized plenty of experience," Director Liu said. "This is called 'Yang-Strength-Easy-Erection.' Yang-Strength is mostly caused by yin deficiency with fire excess, liver depression turning into fire, or blood stasis and failed essence blocking the meridians."

"Awesome!" the Anesthesia doctor praised.

"It's a pity that nowadays, no matter what it is, they just call it Kidney deficiency, tsk tsk."

"Liu Zhuren, this Patient was injected with Papaverine; did it exist in ancient times too?" the Anesthesia Doctor asked in return.

"There is primary priapism, though the specific principle is unknown; I have seen little of it," Liu Zhuren said. "I reckon it was caused by that bunch of people in ancient times eating medicinal pills, like this powder or that powder."

After finishing, Liu Zhuren asked, "Xiao Ji, what should be done after going down?"

"Broad-spectrum Antibiotic, compound Danshen injection, low-molecular-weight dextran, sodium bicarbonate, and oral dipyridamole," Ji Xiang answered immediately.

Ji Xiang left behind a few decompression incisions, sutured the cross-shaped openings made by the knife with 4-0 catgut, and the surgery ended after bandaging.

This was an open surgery; getting off the table did not mean the surgery was over, as the remaining incisions had to be sutured again in about 1 week.

Although the duration was quite long, Liu Zhuren was already used to it.

In the early years, when encountering Patients with deep fat layers during laparotomy, they generally would not suture directly, otherwise fat liquefaction would be very severe; they would all reserve threads and wait until the condition was stable after 3-4 days of observation post-surgery to perform suturing.

Liu Zhuren was a bit worried, reached out and squeezed it, squeezing out bright red bloody fluid.

He nodded with satisfaction, watching Ji Xiang complete the final finishing work.

(End of this chapter)