Chapter 1899: 1832 Crushing the Domain (Monthly Ticket 28500 Bonus ×57)

Sense of touch? Doctor Laina has, in recent years, vaguely grasped this elusive term that Doctor Charles spoke of.

But as for how exactly to achieve it, he still doesn't know.

"Wearing sterile gloves affects the surgeon's judgment; each pair of sterile gloves has a different feel. That's why I said sterile gloves are the biggest factor affecting surgery."

Doctor Laina recalled that Doctor Charles had indeed said that.

At the time I thought Teacher was joking, never expecting it to be true.

"But we must ensure a sterile environment, so the initial stage of surgery is crucial for the surgeon to familiarize themselves with the patient's anatomy and develop a clear sense of touch." Doctor Charles continued speaking slowly.

In his view, this surgery before him is bound to be a great success.

Watching this surgery, its flawless process is truly a pleasure; Doctor Charles is somewhat immersed in it.

Except for himself and the surgeon on the operating table, no one can grasp the realm of touch; life is sometimes as lonely as snow.

"Every person's bodily tissue has unique elasticity and toughness. At the beginning of dull separation, it is the best time for the surgeon to establish communication with the unique bodily tissue." Doctor Charles said: "This communication allows the surgeon to clearly sense the organ's touch. Once communication is established and the sense of touch is clear, many complications and mistakes will absolutely not occur."

"Look, Doctor Zheng's choice of needle tip force and angle when anastomosing blood vessels is based on the information left from previously sensing the blood vessel's touch." Doctor Charles said happily: "Perfect, not a single flaw. Watching such an unparalleled surgery brings an inexplicable pleasure."

Doctor Laina was speechless.

Everything Doctor Charles said, he only vaguely sensed it was like that. But to apply it in clinical surgery, without 3-5 years of practice is completely impossible.

And after 3-5 years, I will already be old. Experience may be richer, but I will have passed the peak of surgical skill.

Some movements, my body no longer allows me to perform them flawlessly.

Doctor Laina feels some regret.

But saying 3-5 years, it's possible that even after five years I still won't grasp it, requiring another five years.

It has nothing to do with diligence; reaching this realm requires talent.

"Once this connection is established, as soon as the hand touches the brachiocephalic artery's position, one knows how much force to use for the anastomosis. Of course, this method of anastomosis must be built on the foundation of nearly flawless microsurgery."

"Perfect anastomosis, Laina, this surgery has already reached the level of my peak period, even exceeding it. After the operation, remember to copy the entire process back and study it well."

"Although your age prevents you from reaching this level, improving your surgical standard still benefits you."

Doctor Laina silently watched the surgery footage; in the time it took Teacher Doctor Charles to elaborate on 'sense of touch,' just a few sentences, the surgeon had already completed the anastomosis of the brachiocephalic artery.

After all three brachiocephalic blood vessels were completely anastomosed, full-flow perfusion began.

The proximal end of the four-branch prosthetic vessel's main trunk was end-to-end anastomosed with the distal end of the original ascending aortic prosthetic vessel; after venting, Zheng Ren opened the ascending aorta.

When the mixed venous blood oxygen saturation reached over 90%, slow rewarming began, and the heart resumed beating automatically.

At this moment, a line of numbers appeared on the screen—perfusion time 110 min, occlusion 95 min, deep hypothermic circulatory arrest selective cerebral perfusion time 84 min.

Perfect!

Flawless!

Doctor Laina looked at these similar numbers and couldn't help but be astonished.

If I performed the surgery, these numbers would basically have to double. Even doubling isn't the key; perfusion time and occlusion time would absolutely not differ so little.

A small time difference indicates one thing—the surgeon's surgery is both stable and fast.

Is this all the change brought by 'sense of touch'? Doctor Laina silently watched the surgery.

The surgeon should have finished the surgery, but when he saw the end of low-temperature extracorporeal circulation and the heart's resumption of beating, another image appeared on the screen.

An interventional guidewire entered the blood vessel, passed through the anastomotic segment, and began angiography.

At the same time, the operating field remained clean, with only a small amount of fresh blood seeping out, yet there was no trace of contrast agent.

This is the final confirmation, right?

Generally, after elephant trunk surgery, one wouldn't use interventional surgery to confirm bleeding; Doctor Laina does not approve of the surgeon's doing this.

If the guidewire touches the anastomotic segment, it could cause unpredictable changes to the anastomosis.

"Laina, this is a realm I have never reached." Doctor Charles suddenly said.

"Teacher, I think this is unnecessary here." Doctor Laina stubbornly said.

"No, keep watching and you'll find out." Doctor Charles had already guessed Zheng Ren's thoughts; he chuckled and said, "Regarding the surgical procedure, the surgeon made a bold change, all based on his thorough understanding of anatomy and the patient's condition."

"What is he going to do?"

"You surely forgot what technique this young man used to earn a Nobel Prize nomination."

"..." Doctor Laina was speechless.

Could it be that, having earned a Nobel Prize nomination through interventional surgery, one must demonstrate interventional techniques in this major surgery?

This should be a very irresponsible act, yet why does Teacher still expect it so much?

Suddenly, a thought appeared in Laina's mind.

The surgery two years ago, the patient underwent coronary artery bypass grafting and ascending aortic valve conduit replacement. Now, the replaced vessels, under the influence of Marfan syndrome, have also undergone certain changes.

This is the terrifying aspect of congenital disease; even the transplanted vessels are affected, especially the position of the coronary artery bypass graft constructed from the internal thoracic artery.

Preoperatively, looking at the images, Laina thought the patient's coronary arteries had a slight issue, but it wasn't worth noting.

Against the backdrop of a torn aorta, everything is not worth noting.

And yet the surgeon's ambition is actually this great? What is he going to do? Could it be...

Laina's speculation quickly became reality.

Interventional stent placement.

Coronary artery……ascending aortic……descending aortic……

In every vessel that could potentially tear, a membrane-covered stent was placed, with no gaps between stents, perfect and unhurried.

"Did he go and do interventional surgery?" Doctor Laina asked in a daze.

"Hmm." Doctor Charles finally shifted his posture; too much time had passed, his body somewhat unaccustomed, "Marfan syndrome causes pathological changes in the aortic media; using a stent to address it is better."

Doctor Laina felt a stifled breath in his chest that he couldn't release.

If one says that in open surgery I still have hope of reaching the surgeon's level, then the current interventional surgery...

I simply cannot do it.

This is the domain's crushing!