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Chapter 1781

~7 min read 1,335 words

"……" Zhang Jiaoshou was stunned, he looked at the operative field; the heart hadn't been opened yet, they had just set up extracorporeal circulation—was the Shou Bing procedure already done quickly?

Director, who are you looking for?! Can he do heart Shou Bing?

Zhang Jiaoshou screamed inwardly, pitifully looking at Director Mao.

"Watch the Shou Bing carefully." Director Mao neither confirmed nor denied, said lightly.

Zhang Jiaoshou had no choice but to watch the Shou Bing.

A gleaming Willow Leaf Blade was slapped into the operator's hand; Zhang Jiaoshou felt it was strange. Looking at the blade's appearance, it didn't resemble the few disposable blades he was familiar with.

What is this?

Turning his head to look at the instrument table, the nurse herself didn't recognize it; on the instrument table lay a box, opened on all sides, taking up almost half of the table's space.

This is……

He too knew his stuff— the larger the area this box could open, the higher-end, precise, expensive, and usable it was.

And the box before his eyes could unexpectedly transform like a Gundam, its expansion reaching an astonishing degree.

Besides, on every surface were placed surgical instruments of different styles; even handles and hemostatic forceps, this kind of Da Lu goods, had different classifications, Zhang Jiaoshou wondered, what the hell is this?

"Director Mao, who wrote the surgical record on this side?" Zheng Ren suddenly asked, raising his head.

Mao Chi glanced at Zhang Jiaoshou, seeing him staring blankly at the instrument box, and instantly felt unhappy.

"Look at your clueless appearance!" Mao Chi thought, completely forgetting that when he first saw this set of surgical instruments, his expression was just as ordinary.

"Xiao Zhang!" Mao Chi said in a low voice.

"Huh?" Zhang Jiaoshou replied dazedly.

"Zheng Lao Ban, Xiao Zhang wrote the surgical record." Mao Chi said.

"Oh. Teacher Zhang, that's right." Zheng Ren still politely said: "During the operation, a displaced stent was seen in the right atrium, about 10 cm long, one end extending along the inferior vena cava downward, the other end embedded in the superior part of the interatrial septum's oval fossa; the interatrial septum shows wear, the embedded site almost perforated, no obvious thrombus attachment observed."

Zheng Ren dictated, yet his hands were not slow at all, beginning to separate the large frame located in the right atrium, embedded in the oval fossa of the atrium.

Mao Chi could see the operative area, feeling in his heart that it was no wonder he couldn't remove it with interventional surgery; the large frame had already been embedded inside, and if he forcibly pulled it again, the heart would surely rupture.

He knew that watching the surgery now was simple, but back when there was still a sliver of opportunity to remove the large frame via interventional means, any doctor would try a few more times.

The interatrial septum showed wear, and the embedded site was almost perforated.

Looking at the changes in the right atrium, Mao Chi felt a chill run through him.

Fortunately, he made a quick decision and directly called Zheng Lao Ban to have him come save the case. Fortunately, Zheng Lao Ban arrived early and directly called off his own risky attempt.

The wall of the right atrium had worn to this state; if he tried again, even just once, there could be a heart rupture, and the patient would die directly on the operating table.

Lucky!

Mao Chi's heart skipped a beat, and he secretly felt relieved.

Zheng Lao Ban was still reliable, and he kept thinking this over in his mind.

Soon, Zheng Ren carefully removed the stent, using a pericardial patch to repair the heart. The repair suturing was somewhat awkward, because he needed to avoid the cardiac conduction bundle branch.

Not avoiding it wouldn't matter either, but postoperative there would always be this or that minor complication; the patient's postoperative survival quality would decrease by about three percentage points.

Zhang Jiaoshou looked at the removed large frame and almost cried.

For this thing, I almost damn fell into a bottomless abyss.

Fortunately it was removed; now looking at the patient's stable condition, the supraventricular rate gradually slowed down, which should mean everything's okay, right?

Zhang Jiaoshou prayed in his heart, hoping desperately that nothing would go wrong.

Insert a tube into the inferior vena cava to restore its flow and establish extracorporeal circulation. Perform a 2-0 suture in an "8" shape embedded in the interatrial septum for reinforcement, check that the tricuspid valve closes, then suture the right atrial incision with a 4-0 suture.

The Shou Bing was done lightning fast, in less than 10 minutes the right atrial incision was already sutured; Zheng Ren began to withdraw the extracorporeal circulation, while Lao He reduced the medication dosage on his side.

"Boss, I suggest we still shouldn't let the patient wake up; send him to the ICU for a night." Su Yun said.

"Huh?" Zheng Ren blinked, then realized this was the International Hospital, not 912.

Without even a thoracic department, the patient would be extubated immediately after coming down, and any complication could not be handled.

"Lao He, do as Su Yun said." Zheng Ren said.

"Oh, okay!" Lao He immediately restored the medication infusion dosage, without hesitation.

"Zheng Lao Ban, the surgery should be fine, right?" Mao Chi worried a bit.

"The surgery is definitely fine; I'm worried that there might be a problem with the nursing on this side." Zheng Ren said.

"Boss, it's me who's worried, okay? You didn't even think about it just now." Su Yun corrected Zheng Ren's mistaken statement.

"Hmm, it's Su Yun who's worried that the technique on this side isn't up to par." Zheng Ren rephrased.

But... saying it like this seems rather awkward.

Zhang Jiaoshou felt that these two young doctors were biased against the International Hospital, believing that its technical strength was insufficient.

But... they came to save the case; what can I say?

Not even daring to fart.

Let them say whatever they want; the heart Shou Bing ended in less than an hour, and they also have the right to look down on us.

Not mentioning the International Hospital, this private hospital; even speaking of 912, who could complete a heart Shou Bing with nonstop extracorporeal circulation within an hour?

Thinking of this, Zhang Jiaoshou suddenly recalled that while just now performing heart suturing and repairing the right atrium, he seemed not to have used a heart stabilizer...

Without a heart stabilizer, how could a perfect suturing be achieved under the heart's powerful beating?

He stared blankly at the surgeon and, subconsciously, asked: "Zheng Lao Ban, why didn't you use a heart stabilizer?"

"We don't have one here." Zheng Ren said.

Otherwise, saying that in the future we can't just come out to save the case, with slightly inferior skill we'd be thrown onto the case today. Not even having a heart stabilizer, private hospitals... seem to have everything that foreign private hospitals have." Su Yun, while irrigating the mediastinum with Zheng Ren, glanced at the ECG monitor and retorted casually.

Zhang Jiaoshou was speechless.

No heart stabilizer, yet they dare to perform a nonstop-beating heart Shou Bing!

Is there any justice in this damn thing?

No wonder Director Mao said from the start that we should find Zheng Lao Ban to save Taiwan; it turns out they really are capable.

"Boss, the patient's heart rate has dropped, and the supraventricular tachycardia has disappeared." Su Yun said.

"Hmm." Zheng Ren had already sensed this from the heart's beating.

Without any foreign stimulus, the disappearance of supraventricular tachycardia is to be expected. If it didn't disappear, then we should carefully examine what's going on.

"Still, doing thoracic surgery is refreshing." Su Yun began to close the sternum, thread the steel wire, and fix it. This kind of surgery is similar to orthopedic surgery—bold and heroic.

"By the way, did you tell Massachusetts to have them give the patient a thyroid ultrasound?"

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End of Chapter

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