Chapter 361: No Bleeding!
"I have already comforted the patient's family," Bai Chuzhang said indifferently. "You go and explain it to them again."
Bai Chuzhang did not speak too clearly; he knew the ins and outs of this "messy" affair and was slightly dissatisfied with how Deng Chaohong had handled it.
Deng Chaohong felt helpless; although he did not want to go, he still nodded in the face of Bai Chuzhang's "tyrannical power."
"Xiao Ji, you start first. I'll go explain a word to the patient's family and come right back," Deng Chaohong said, then turned and left the Operating Room.
Ji Xiang stood in the surgeon's position, for a moment unsure whether he should proceed or wait for Deng Chaohong to return.
After five months of tempering, Ji Xiang's surgical level had skyrocketed, and he had become much more steady.
If this were when he had first arrived at the Second Affiliated Hospital, Ji Xiang would have taken over without hesitation. But now, he was somewhat hesitant.
"Doctor Xiao Ji, can you do it?" Bai Chuzhang asked.
He had not gone out with Deng Chaohong, but instead stayed behind to watch Ji Xiang's surgery shoulder-to-shoulder with Liu Zhuren.
Liu Zhuren smiled slightly; the two were close friends, and the moment Bai Chuzhang suddenly appeared, Liu Zhuren already knew his scheme.
"I can."
"Then do it; the patient is lying there," Bai Chuzhang said. "I'm watching. Start with some small tasks. If you do something wrong, I'll point it out, and you can stop."
Ji Xiang reached out his hand.
Tang Yan instantly snapped to attention and slapped an arthroscopic shaver into Ji Xiang's hand.
Ji Xiang did not use the shaver directly, but instead adjusted the angle of the Endoscope, aiming the lens at the lateral angle of the Acromion. "Yan'er, help me hold this."
Tang Yan focused, first placing the necessary equipment in the sterile area on the Patient's abdomen, checking it once more, and only then reaching out to take the Endoscope from Ji Xiang's hand.
"Tsk, hearing such a young doctor say 'help me hold this,' I'm really not quite used to it," Liu Zhuren remarked with emotion.
"Old pervert," the Circulating Nurse whispered in rebuke.
Because Bai Chuzhang was there, the cheerful atmosphere in the operating room had vanished completely.
If Bai Chuzhang were not there, Ji Xiang's previous sentence alone could have elicited countless laughs. But Bai Chuzhang was like a silencer, keeping the vast majority of people in the operating room silent.
"Heh, only a badass surgeon can tell an Instrument Nurse to help hold the Endoscope. Ordinary Resident Chiefs, and even some Attending Professors, wouldn't dare. Did I say something wrong?" Liu Zhuren laughed.
The Circulating Nurse's mask moved; she glanced at Bai Chuzhang, performing a silent pantomime, pretending to be very busy.
"Radiofrequency ablation device," Ji Xiang said.
"Not using the shaver?"
"The effect of using a shaver to clear hyperplastic bursa is average; the effect of the radiofrequency ablation device is better," Ji Xiang explained.
Tang Yan's long eyelashes trembled as she secretly memorized Ji Xiang's surgical habits.
In her eyes, Ji Xiang was a walking one hundred thousand yuan, the kind that would arrive on time every month.
One must give him sufficient respect; regarding money, especially reasonable and legal income, Tang Yan knew what she was doing.
Ji Xiang held the radiofrequency ablation device and first cleared the subacromial lateral space.
Under the monitoring of the Endoscope, the radiofrequency ablation device began to advance "slowly" and decisively.
Bai Chuzhang's eyes narrowed, and Liu Zhuren also focused on the Endoscope's television screen.
The blood supply at the junction of the rotator cuff muscles and tendons is exceptionally rich, and coupled with the hyperplasia caused by repeated impact from the suture knots, the hyperplastic area was filled with an excessive amount of capillaries; a moment of carelessness would lead to bleeding.
Although the bleeding here would not cause the Patient to die, the surgical field under the scope would inevitably be restricted. It is one thing to look at it on a television screen after magnification, but once bleeding occurs, the entire television screen becomes bright red, and stopping the bleeding is quite troublesome.
Doctors are not very willing to touch secondary surgeries, and one of the very important factors is that they are prone to bleeding.
Doctor Xiao Ji should be able to do it; Bai Chuzhang had this confidence, which is why he encouraged Ji Xiang to start first.
Even if Deng Chaohong were to do it, bleeding would be one hundred percent certain and unavoidable.
If Doctor Xiao Ji caused bleeding, he could just wait for Deng Chaohong to return to stop it.
The head of the radiofrequency ablation device traveled near the hyperplastic bursa, pressing or picking, incomparably proficient.
Although Bai Chuzhang had expected bleeding, he watched for several minutes, and the surgical field remained clean and tidy, which was astonishing.
A simple piece of equipment was actually being played with by Ji Xiang to such an extent that it was as flexible as a finger, full of spirit.
And the bleeding he had imagined was slow to appear. Bai Chuzhang watched for another 2 minutes and vaguely had an illusion—that Ji Xiang could complete the dissection relying solely on the radiofrequency ablation device.
"Xiao Ji, you..." Deng Chaohong hurried back, stunned to see Tang Yan holding the Endoscope lens and Ji Xiang dissecting the bursa. He was shocked and hurriedly shouted.
"Shh." Bai Chuzhang raised a hand to his lips, making a gesture for silence.
"..." Deng Chaohong froze.
"Don't rush to step in, watch the surgery first."
Deng Chaohong was full of doubts, his gaze falling on the Endoscope's television screen.
At the first glance after entering, Deng Chaohong was somewhat anxious; this surgery was extremely delicate, and the probability of him being able to complete it perfectly was at most 20%.
If he couldn't do it, let alone a young doctor like Ji Xiang.
But at the second glance, Deng Chaohong felt completely unwell.
The Subacromial Bursa had already been finished with Blunt Dissection by the radiofrequency ablation device, and Ji Xiang was currently using the radiofrequency ablation device to dissect the anterior, posterior, and lateral bursa of the Deltoid Muscle.
Countless exclamation marks appeared above Deng Chaohong's head, as if he had been struck by a heavy hammer.
Blunt Dissection requires the use of a radiofrequency ablation device together with hemostatic equipment, dissecting and stopping bleeding simultaneously.
But Ji Xiang didn't use hemostatic equipment at all; the radiofrequency ablation device alone was enough to complete it. And the surgical field was incredibly clean, with no bleeding at all.
This is impossible!
A voice was screaming in Deng Chaohong's heart.
Reality and convention collided, and countless exclamation marks appeared again.
How did he do it?
Deng Chaohong quickly became engrossed.
Bai Chuzhang and Liu Zhuren could not understand the details of Ji Xiang's surgery, but Deng Chaohong could.
Ji Xiang was currently dissecting the bursa of the Deltoid Muscle, a step that is controversial in the academic world.
Many Experts believe the bursa here does not need to be treated, the reason being that it increases the difficulty of the surgery and there is no absolute necessity.
Deng Chaohong leans toward this viewpoint, not performing a wide range of dissection to avoid overdoing it.
But!
If there is not a drop of blood, a clean and neat Blunt Dissection, who wouldn't want to clear away all the bursae completely!
Without any missed bursae, the Patient's function can recover to over 80% post-surgery, with very few sequelae! It is even possible for post-surgical motor function to recover to 100%.
But, I really cannot do it, Deng Chaohong watched with tears in his eyes.
This is the surgery of his ideals.
Unfortunately, the surgery came from the hands of Ji Xiang, not completed by himself.
Very quickly, this part of the surgery ended.
Deng Chaohong is very clear that he cannot be as precise and as monstrous as Ji Xiang.
If his luck were off the charts and he barely managed to do it, it would take at least 2 hours.
But Ji Xiang only used... Deng Chaohong turned his head to look at the time.
12′12″.
(End of chapter)
End of Chapter
