Chapter 599: An Unsolvable Problem (Bonus chapter for alliance leader shyn307)

Interventional surgery only requires 2 doctors, but 3 people were standing at this surgery; Director Li Ming of the Affiliated Hospital became the background, standing at the table to pass instruments to Lin Jiuze and Ji Xiang.

Lin Jiuze began the surgery; his technique was extremely proficient: puncturing, inserting the vascular sheath, and beginning the super-selection.

Near the popliteal fossa of the popliteal artery, the angiography showed a thrombosis approximately 4cm long.

What was headache-inducing was that the popliteal artery was densely covered with atherosclerotic plaques of varying sizes; they existed on the vessel wall like hidden reefs, becoming one of the contraindications for thrombectomy.

Lin Jiuze's hands were steady; once he decided on the surgery, he did not hesitate in the slightest. The thrombectomy catheter smoothly penetrated the thrombus that had formed just a few hours ago and arrived beneath the thrombosis.

Opening the thrombectomy umbrella, the lower section expanded, and Lin Jiuze pulled it slightly outward.

He did not use force, but instead stared at the screen without blinking.

On the screen, after the thrombectomy umbrella opened, it touched the vessel wall, and less than a millimeter further down was an atherosclerotic plaque.

The surgery could not be forced; once brute force was used, problems would likely occur—this was the most basic common sense.

The surgery, which had been smooth until now, began to pause here, and Lin Jiuze hesitated.

"The next step is to place the catheter," Ling Tian said very firmly. "Boss, what exactly is Lin Jiuze thinking?"

"I don't know," Qin Chu said softly. He watched the screen without blinking, seeing what Lin Jiuze was actually going to do.

Although the cameraman was not a professional doctor and the angle provided had some issues, it couldn't stop Qin Chu and Ling Tian, whose professional skills were maxed out.

Such a large atherosclerotic plaque was right under the thrombectomy umbrella; Lin Jiuze's operation was extremely professional, with the thrombectomy umbrella only a fraction of a millimeter away from the plaque—it could be said to be quite impressive.

But so what!

Did he dare to pull the thrombectomy umbrella out?

As soon as he moved, the thrombectomy umbrella would pull the plaque along with it, and the plaque would tug on the arterial wall.

Either he didn't use force, and the thrombosis wouldn't be removed; or he used force, and in a few seconds, the popliteal artery would tear, requiring the Surgery Department to come and rescue the procedure.

Had he lost his mind!

Qin Chu's expression grew increasingly ugly. Originally an extremely simple, minor matter—Lin Jiuze could have just scolded Ji Xiang in the ward—but he had to go and make extra trouble.

Now it was fine; he was riding a tiger and couldn't get off.

"Strange," Ling Tian mused, resting his chin on his hand.

No matter how they thought about it, Qin Chu and Ling Tian could not understand the reason why Lin Jiuze insisted on performing this surgery.

He had clearly already refused the surgery.

On the screen, Ji Xiang lowered his head slightly, communicating with Lin Jiuze.

This scene had been seen in previous episodes, only at that time, the person Ji Xiang was communicating with was now standing to the side acting as the Instrument Nurse.

The figures of Lin Jiuze and Ji Xiang in front of the operating table were motionless, there was no sound in the program, and there wasn't even any commentary from the Review Room.

It was quiet, not at all like a variety show.

At this moment, it was more like watching a surgical video at an academic conference; the doctors in front of the screen were all holding their breath, imagining how the next step should be done.

The thrombectomy catheter from Boston Scientific only passed FDA approval in '21, and currently, no one in the country was performing similar surgeries.

But the principle of thrombectomy was very simple; it was understandable at a glance.

The problem lay in the atherosclerotic plaque.

Ji Xiang and Lin Jiuze communicated for over ten seconds; Lin Jiuze seemed to be hesitating, but time waited for no one. Every minute delayed would lead to a change in the outcome of the surgery.

"What are they talking about?" Liu Zhuren asked, puzzled.

In fact, he already had the answer in his heart—copying the previous dialogue between Ji Xiang and Director Li Ming, and then Ji Xiang would complete the operation.

But the situation this time was completely different.

Since the thrombectomy catheter was invented, it had been tempered by operators at many world-renowned hospitals, including Massachusetts General Hospital, constantly finding problems and then improving them, only then reaching its current form.

And these operators included Lin Jiuze.

As for Ji Xiang, Liu Zhuren even suspected that this was Ji Xiang's first time seeing a thrombectomy catheter.

What kind of advice could he offer?

"Lao Bai, I didn't understand it," Liu Zhuren said in a deep voice.

"I didn't understand it either," Bai Chuzhang said.

"..." Ding Laoban was stunned. "You two, didn't you always think highly of Ji Xiang? Now it's obvious they've encountered a difficult problem, and Ji Xiang wants to step in to solve it; what is there not to understand?"

Liu Zhuren gave a bitter smile.

Ding Xiang was a layman, so he felt there was no problem.

Any doctor, any operator, wouldn't say such things if they had just a little bit more to drink.

"Drink, drink," Ding Laoban raised his glass. "You two are overthinking it. Didn't Liu Zhuren just call Ji Xiang earlier? There's nothing wrong on that side, rest assured."

"The key is that the surgery cannot succeed."

Bai Chuzhang didn't move; Liu Zhuren raised his glass and clinked it with Ding Laoban.

"What if Doctor Ji Xiang knows magic?"

"Oh?" Liu Zhuren took a sip of wine and looked at Ding Laoban with a smile. "Men under forty only know one type of fire magic."

"Ah!" Ding Laoban was stunned; he subconsciously revealed a look of longing.

"Prostatitis," Liu Zhuren said with a smile. "How about that? Inflammatory magic, it's also fire-attribute."

"Tch," Ding Laoban said with disdain. "You've probably rubbed your own 'magic wand' bald from having nothing to do."

After a few jokes, Ji Xiang and Lin Jiuze moved slightly on the screen.

Lin Jiuze shifted half a step upward, yielding half of the operating area to Ji Xiang.

Sure enough, guessed right!

Sure enough, Ji Xiang was going to take over!

And Ji Xiang had obtained Lin Jiuze's consent; there didn't seem to be any conflict between the two.

How on earth did he convince Lin Jiuze?!

This question appeared in the minds of Liu Zhuren and Bai Chuzhang.

There was no time to complain about the production team omitting the most critical steps, or that this group of "useless people" hadn't recorded them at all; Bai Chuzhang and Liu Zhuren focused their attention on the surgery.

Ji Xiang asked Li Zhuren for two Micro-guidewires and fed them down through the Vascular Sheath.

"Won't the Guide Wire get knotted inside the blood vessel?" Liu Zhuren watched, dumbfounded.

"I don't know."

With the surgery at this stage, even Bai Chuzhang did not know what would be done next. Ji Xiang's level and concepts had already exceeded Bai Chuzhang's understanding; Bai Chuzhang even guessed that Ji Xiang's understanding of surgery and disease had already surpassed this era.

The camera aimed at the screen opposite the surgeon; Ji Xiang kept stepping on the pedal, and the two Micro-guidewires moved slowly forward in the blood vessel.

The speed at which the Micro-guidewires were moving was a bit slow, not as swift as when Lin Jiuze had inserted the Guide Wire before; every step Ji Xiang took was difficult.

When the Micro-guidewires reached the Thrombosis, after penetrating the Thrombosis, the two Micro-guidewires didn't seem to have gone well, as if they had tied a knot.

"..." Liu Zhuren's palms were sweating as he watched.

If they were knotted, that would be troublesome; it would be better to just perform an open Surgery to remove the Thrombosis.

That wasn't even the key point; the main thing was that with Liu Zhuren's Clinical level, having watched the surgery up to this point, he still hadn't figured out what Ji Xiang wanted to do.

"It's knotted..."

"No, it isn't."

(End of this chapter)