Prev
Ch. 719 / 318223%
Next

Chapter 719: line with translation of title

~7 min read 1,326 words

Hey hey, can you hear me? Zheng Ren's voice came out from the loudspeaker.

Doctor Zheng, I can hear you, go ahead. Director Jiang also looked stunned; this Doctor Zheng not only could do embolization surgery, but his thrombectomy recanalization was also so smooth!

Being able to do recanalization surgery, the vascular intervention team must be awesome—no need to even think about it.

So Director Jiang directly knelt, his tone filled more with respect and admiration than the previous gratitude.

Oh, Director Sun, this clot has been removed; when you do the surgery, try to preserve the part below the knee joint as much as possible. Zheng Ren said: I'll wait ten minutes, then do an angiography and bring the images over to you.

Zheng Ren said it simply: he would wait ten minutes for to let the capillaries reopen, then do an angiography, letting the orthopedic doctors judge whether a certain spot could be preserved.

As for compartment syndrome, which troubles clinical doctors endlessly, it now seems utterly unimportant.

At worst, we can do a decompressive incision and change dressings daily; as long as we handle it carefully, with the blood vessels opened, recovery is possible.

Zheng Ren planned to wait for the capillaries to open, then take an angiographic image, and have Director Sun bring it over; they would refer to the vessels shown on the image.

In Zheng Ren's view, the surgery could preserve the knee joint.

This is completely different from the pre‑operative plan of amputating the thigh.

The difference between them is as vast as heaven and earth.

Director Sun stared, stunned: Can we really preserve the knee joint?

Is there really that much room?

Amputation cannot be cut right along the necrotic surface; at least 2–3 cm upward is needed, with blood flow to ensure the skin can grow. This is already the most conservative estimate; if only that much distance is available, the surgeon…… at the very least Director Sun dares not be sure whether necrosis will appear post‑op.

2–3 cm, preserving the knee joint… these key data spun in Director Sun's mind, and he immediately realized his own level was insufficient.

He truly could not reach it.

Those capable of this surgery are at least team‑leading professors; not all team‑leading professors have this level. In fact, he could responsibly say that the team‑leading professors who could reach this level…… have all been retained by Huaxi.

His complexion gradually turned grim.

Boss, outside is the Orthopedics Inpatient Chief; he can't handle the surgery. Su Yun spoke frankly, not caring at all how much hurt this would cause Director Sun.

Oh, not being able to do it is normal. Without a tourniquet, doing an amputation—ask if Pengxi Township Hospital has anyone who can do it; if not, I'll go do it myself. Zheng Ren's voice remained flat, even a bit cold, merely stating facts.

At this point, surgeries have gone crazy; there's really no need to worry about anyone's face.

No one's face is as important as preserving the injured person's knee joint.

So… what they said was really true… Director Sun recalled the earlier cutting, sarcastic remark from that effeminate person beside him, and sighed inwardly.

My own ability really isn't enough.

But what did the surgeon just say? He said, if Pengxi Township Hospital lacks an orthopedic doctor who can do a similar procedure, he can go do it?

Is that really true?

An intervention department doctor performing a high‑difficulty orthopedic amputation that preserves the knee joint?

Director Jiang also stared, stunned; he never imagined an intervention department doctor would utter such an awesome statement.

If no one does it, I'll do it.

Tsk tsk, what kind of skill is that.

However, Director Jiang merely envied this a bit; he knows he probably won't get the chance in his lifetime to perform coronary intervention, and if a vessel ruptures during it, he'd have to open the chest to deal with cardiac tamponade.

Cross‑specialty surgery is no small matter.

Um… it's not about the scale of the matter; the key is being able to do it.

Who is this person inside? How can they do interventional procedures well and also perform orthopedic amputations?

Director Sun gave an embarrassed smile and said, I'll go find my teacher.

Having said that, he turned and left.

Su Yun was about to say something when Xie Ning suddenly interjected, asking, Su Yun, what would you like to eat? I'll have someone get it.

This was to avoid offending him; Su Yun knew that.

He was just habitually contrarian, and now he's so tired that if he didn't retort, he'd probably fall asleep soon.

The speaker was Xie Ning, and Su Yun didn't want to offend him for no reason.

This person looked familiar, and with an aura about him, one could tell he wasn't ordinary. Su Yun smiled and said, Uncle Ning, what you said doesn't matter now about what to eat; I'm just exhausted and really want to get a good sleep.

While saying that, he kept looking at Xie Ning, seriously pondering who this person was.

Looking at his brows and eyes, he seemed increasingly familiar.

Right before his eyes, …?

Hmm? Why does he look so much like Xie Yiren?

Xie Ning's smile changed slightly; Su Yun read the meaning therein. He gave a hehe laugh and said nothing.

Hmm, not bad, all pretty good. Xie Ning said lightly.

Mainly because the boss taught well. Su Yun steered the topic toward Zheng Ren; Xie Ning glanced at him, and the smile at the corner of his mouth deepened a bit.

From now on when you speak, don't be so fiery. Xie Ning said.

This is just an elder lecturing a junior; no matter who it is—even if Director Kong were included—Su Yun wouldn't put up with it.

But Xie Ning said that, and Su Yun obediently smiled and said, Uncle Ning, as you said—I'm not just tired; I retorted a couple of times, which refreshed me, so I can handle the next surgery.

Xie Ning looked at Su Yun with a hearty laugh and nodded.

Soon, Director Sun returned with an elderly doctor in his fifties.

This is my teacher, Director Guo. Director Sun introduced.

What director? At this time, just call me Old Guo. Director Guo was straightforward and blunt.

That one sentence won everyone's goodwill.

Are we waiting for the blood vessels to open, then doing an angiography? Director Guo asked.

Mm. Director Jiang responded.

Let me observe the surgery. Director Guo scanned the surroundings, his eyes sharp as a hawk's, then said, Then I won't stand on ceremony.

After saying that, he sat down in front of the operating table.

Everyone else was standing, only he himself was sitting, so he gave a greeting. This person is meticulous despite being rough, and this station is also very thorough.

Xie Ning nodded inwardly.

The surgery was played at double speed, and Director Guo's expression grew increasingly astonished.

Soon, the surgery playback finished, and Director Guo calmly said, 'To be honest, I can't do it.'

…… Director Jiang's heart sank.

If it were an ordinary surgery, I could still try; at worst, the surgery time would be prolonged, but it could be done. But this kind of newly opened blood vessel, I've only done it a few times, and it's hard to control the blood supply to the skin flap. Moreover, without a tourniquet, I've never done it once.

The patient is in a state of infection and toxic shock, plus a femoral artery thrombosis; the capillaries in the leg are all occluded. Even if opened, blood flow would be scant, and certainly not rapid.

Orthopedic surgery requires long-term observation of blood circulation. Even some small capillaries that have been opened show no observable blood flow after opening.

At this point, determining whether the blood vessel is open requires imaging assistance.

Unfortunately, this is not a hybrid operating room.

◈

End of Chapter

Prev
Ch. 719 / 318223%
Next
Prev
Ch. 719 / 318223%
Next