Rebirth of a Doctor Without Regrets

Chapter 127 Atrial Septal Defect Repair

Seeing Li Renzhong still standing there dumbfounded, Lin Gaoming casually asked, "Renzhong, now that you're back in cardiac surgery, have you decided which treatment group you'll join?"

Li Renzhong stammered, "Director Lin, I—I want to join Wang Xiao's group—"

Lin Gaoming couldn't help but laugh out loud, and patted Li Renzhong on the shoulder: "You've got a good eye, kid. Wang Xiao is indeed talented and hardworking, following him will definitely help you grow quickly."

However, I must remind you that Wang Xiao is not the group leader; Zhu Chunhua is the person in charge of their group. Don't get the order of importance mixed up.

O

Zhu Haiming exhaled two overlapping smoke rings, frowned, and looked at Lin Gaoming: "Wang Xiao? I've never heard of that name before."

When did our cardiac surgery department produce such a talent?

Lin Gaoming quickly explained, "Director, you'll have to see for yourself how amazing Wang Xiao is."

Zhu Haiming raised an eyebrow: "Oh? I'll have to take a good look at this child's surgery later."

At this moment, in the operating room on the tenth floor of the operating center, Wang Xiao was wearing a scrub suit and carefully performing pre-operative scrubbing.

This morning he performed an atrial septal defect repair surgery, which is a relatively rare level 3 surgery. The current standard practice is to prioritize interventional treatment.

However, this patient has congenital heart disease, which has caused a slight malformation of the heart, and does not meet the indications for interventional surgery.

Although it was a level three surgery, which wasn't particularly difficult, it was still a valuable opportunity for him to practice his basic skills.

Although Wang Xiao has become quite proficient in many common level-three surgeries thanks to the system and his own efforts, and can even challenge level-four surgeries under the guidance of Zhu Chunhua, his mastery of surgical techniques is not comprehensive.

He had never had the opportunity to perform many relatively simple routine level 3 surgeries before.

Therefore, when performing these new surgeries, he could only try them step by step according to the guidelines, and Zhu Chunhua still needed to guide him on many details.

"Be careful when scrubbing your hands. Make sure to scrub your fingertips, between your fingers, and on your wrists. Don't be careless." Zhu Chunhua's voice came from the side. She had already finished scrubbing her hands and was putting on her surgical gown.

During this period of working non-stop with Wang Xiao, although she was exhausted, she also watched her young lover grow up quickly step by step, and her heart was filled with the joy of nurturing him.

Wang Xiao nodded and sped up the brushing process: "Understood, my dear Teacher Zhu, I won't be careless."

The two put on their surgical gowns and sterile gloves one after the other and walked toward the operating room.

Two infection control staff members, dressed in blue protective suits, masks, and goggles, were standing at the door of the operating room, holding sampling swabs and sampling boxes.

"Excuse me, everyone. This is a routine infection control check. Please cooperate with us for hand hygiene sampling," one of the fully armed staff members said in a Cybertronian-style mechanical tone.

Before Wang Xiao, Zhu Chunhua, and the other nurses entered the operating room, they took turns wiping their fingertips, between their fingers, and on their wrists with sterile cotton swabs, and then placed the swabs into sampling tubes labeled with their names.

ATP was then immediately detected using a rapid fluorescence detector, a method for rapid detection of contamination.

If the test result exceeds the standard, it means that hand hygiene is not up to standard and the person must leave Taiwan immediately for rectification.

The test results for Wang Xiao and the nurses came back quickly, and all of them were normal.

When it was Zhu Chunhua's turn to take a sample, the indicator light on the detector suddenly turned red, and the screen showed that the test value exceeded the standard.

I tested it again, and the indicator light was still flashing red.

The infection control staff member's face darkened, and he announced in a serious tone, "This Dr. Zhu's hand hygiene test results are substandard, failing to meet the requirements for surgical aseptic technique. Please leave the clinic immediately to receive disciplinary action."

Zhu Chunhua was instantly stunned, her face filled with disbelief: "That's impossible! I clearly washed my hands carefully according to the regulations, how could it be excessive?"

She glanced instinctively at her hands, then looked at the infection control staff member, her voice tinged with urgency, "Could we do another test? I'm the first assistant for this surgery, and Wang Xiao—"

"Sorry, rules are rules. The test results are accurate. Please leave immediately to avoid affecting the surgery's progress and the sterile environment." The infection control staff member's tone was very firm, leaving no room for negotiation.

Zhu Chunhua's face turned pale. She wasn't worried about herself, but about Wang Xiao.

This was Wang Xiao's first time independently performing an atrial septal defect repair surgery. She still needed to guide her on many details, especially the subsequent pericardial patch cutting and defect closure, as any slight mistake could lead to errors.

She walked quickly to Wang Xiao's side and spoke rapidly: "Xiao, listen carefully, I have to leave the stage now. You need to remember the following steps clearly. Cut the pericardial film according to the results of the multi-slice CT scan of the heart, and make sure it fits the defect area perfectly;

After opening the heart, take care to protect the myocardium and avoid damaging the conduction bundles;

When occluding the pericardial patch, be gentle and ensure it is securely fixed to prevent leakage.

Seeing Zhu Chunhua's anxious expression, Wang Xiao also felt a sense of panic.

Although he was confident that the system would allow him to complete the surgery, he still felt uncertain without Zhu Chunhua's guidance.

But he suppressed his panic and comforted her, "Chunhua, don't worry, I've remembered everything."

Zhu Chunhua was still a little worried, so she gave a few more instructions before reluctantly turning to leave the operating room.

The surgery was postponed by half an hour, and Li Wei, who was catching up on sleep, was woken up.

Li Wei was fast asleep when she was woken up, looking groggy. After washing her hands, she walked into the operating room with swollen eyes.

"What kind of surgery is this? I've almost forgotten how this kind of surgery is performed—"

Clearly, Li Wei was also unfamiliar with this rare level-three surgery.

Wang Xiao successfully underwent open-chest surgery, established extracorporeal circulation, and cut open his heart.

Li Wei was carefully trimming the pericardial film, muttering, "Why isn't this surgery done by the cardiology department?"

Wang Xiao turned to look at Li Wei: "The patient in this case has congenital heart disease and heart malformation. Their anatomical structure is different from that of ordinary patients, so open-chest surgery is necessary."

When you're sealing it later, you absolutely must keep an eye on the surrounding myocardium and conduction bundles; there can't be any mistakes.

Li Wei approached the operating table and looked at the internal structure of the patient's heart; the sleepiness on her face instantly vanished.

Heart malformation means that many anatomical structures are different from those of ordinary people.

When repairing atrial septal defects, extra care must be taken to avoid touching the adjacent conduction bundles.

If the conduction bundle is damaged, a permanent pacemaker may need to be implanted.

This is a horrific medical malpractice.

But now it's hard to tell where the conduction bundle is, and Li Wei has stopped talking.

Wang Xiao refocused her gaze on the operating table. There was no turning back now; she could only rely on herself.

The trimmed pericardial flap was inserted as an occlusion patch, and Wang Xiao began suturing.

【Ding! 】

[Risk of iatrogenic postoperative complications. Surgical failure.]

"Damn it!" Wang Xiao couldn't help but curse.