Rebirth of a Doctor Without Regrets

Chapter 128 His Beam Scale Probe

[Start the time rewind module.]

[Current number of surgeries completed: 858]

Total backtracking attempts: 692

The cold system notification faded from his mind, and Wang Xiao suddenly came back to his senses.

At this point, he had not yet made the first cut to open the chest.

Wang Xiao analyzed the failure just now, which happened without any warning. It was most likely that he had accidentally touched the cardiac conduction bundle during the suturing process.

Instead of rushing to open his chest as he had before, he slowly put down the scalpel and fell into deep thought.

Time travel gave Wang Xiao a second chance, but it couldn't provide him with a direct solution.

The previous failure had clearly shown him that conventional repair methods would not work on this patient with a heart defect.

Seeing that Wang Xiao was hesitant to make a move, Li Wei's confusion gradually faded, replaced by a hint of doubt.

"Wang Xiao, what's wrong? Aren't we going to start the surgery? The patient is already anesthetized and the cardiopulmonary bypass machine is ready."

Wang Xiao shook his head helplessly: "We can't open the chest yet. This patient has a heart malformation, and the conduction tract is not in the normal position. It's completely different from the cases we usually deal with."

Opening the chest prematurely now, without seeing the exact location of the conduction tract, is no different from a blind person performing surgery by feel. If the conduction tract is damaged, the patient may need to wear a pacemaker for life.

Upon hearing this, Li Wei's expression instantly turned serious, but she couldn't come up with any good solutions.

Although she has been engaged in clinical practice for many years, she has not encountered many cases of congenital heart disease and is a complete novice in this field.

However, she was also aware of the seriousness of conduction bundle damage, which is an irreversible medical accident. Once it happens, not only will the patient suffer, but the surgeon's career may also come to an end.

"What should we do?" Li Wei was already unfamiliar with this rare level-three surgery, and now she was even more at a loss when she encountered the problem of abnormal position of the conduction bundle.

"The deputy director was taken away by the infection control department. No one is guiding us. The two of us simply can't handle this kind of abnormal case."

Wang Xiao was also caught in a dilemma.

Time travel can correct mistakes, but it cannot conjure up new clinical experience out of thin air.

Do we have to cut open the patient's heart to find the conduction bundle?

As a doctor, Wang Xiao would not allow herself to do such a thing.

After a long silence, Li Wei gritted her teeth and said, "How about we pause the surgery? Let's ask the senior doctors, Director Lin or Deputy Director Shen."

They're experienced; they might know how to locate the conduction bundles in a malformed heart. We can't just wait like this, nor can we risk open-heart surgery.

Wang Xiao nodded; this was the only thing they could do for now.

He took off his sterile gloves, casually tossed them into the medical waste bin, strode out of the operating room, took out his phone, and dialed Lin Gaoming's number.

The phone rang again and again, but no one answered. Wang Xiao grew increasingly anxious.

Meanwhile, in another operating room, Lin Gaoming was standing in front of the operating table, where a heart transplant surgery was already halfway through.

The surgical field was clear, the steps were methodical, and everything proceeded exceptionally smoothly.

Zhu Haiming snatched the anesthesiologist's swivel chair, sat down beside him, crossed his arms, and couldn't help but yawn.

The surgery went too smoothly, without any interesting unexpected situations.

For an old expert like him who had seen it all, it was rather tedious and boring.

Head nurse Tao Ping's phone suddenly vibrated. Seeing the name "Wang Xiao" displayed on the screen, she hesitated for a moment before answering the call.

After saying a few words, he quickly walked to Lin Gaoming's side and said, "Director Lin, Dr. Wang Xiao is on the phone. It seems to be urgent."

""

Lin Gaoming was focused on performing vascular anastomosis, not even looking up, and said impatiently, "Can't you see I'm performing surgery? Tell him to wait a bit before calling."

"He said it seemed to be an urgent matter related to surgery, quite urgent," Tao Ping added.

Seeing Lin Gaoming's focused expression, and fearing that it might delay the surgery, Tao Ping carefully held the phone to Lin Gaoming's ear: "Please listen to one sentence first. If you're not in a hurry, you can hang up later."

Helpless, Lin Gaoming had no choice but to temporarily stop what he was doing and listen to the phone: "Wang Xiao, what's going on? I'm having a heart transplant right now, get to the point."

On the other end of the phone, Wang Xiao's voice sounded quite anxious: "Director Lin, I have an atrial septal defect repair surgery here. The patient has congenital heart disease, heart malformation, and the conduction bundle is not in the normal position."

Li Wei and I couldn't locate the conduction bundle, so we were afraid to open her chest. We wanted to ask if you had any methods to accurately locate it?

Upon hearing this, Lin Gaoming paused for a moment, then frowned: "Why don't you ask Zhu Chunhua about this? She has read many papers on this topic and has also studied cases of congenital heart disease deformities. She should know very well about it."

"Chunhua, she—" Wang Xiao hesitated, then said helplessly, "She failed the pre-operative hand hygiene test and was punished by the infection control department. She can't come to guide me now."

"What!" Lin Gaoming's voice suddenly rose. "Hand hygiene is off the charts? Is she an intern? How could a deputy director have such a problem?"

He subconsciously turned his head to look at Zhu Haiming next to him, his eyes full of surprise.

Zhu Haiming, who was originally drowsy, knew that gossip was coming when he heard the words "excessive hand hygiene". He immediately perked up, sat up straight, and eavesdropped on Lin Gaoming's phone call.

Lin Gaoming also knew that now was not the time to dwell on Zhu Chunhua's matter; Wang Xiao's surgery was more urgent.

He composed himself and said, "Listen carefully, the location of the conduction bundle in this kind of deformed heart cannot be done randomly. First, retrieve the patient's cardiac MRI images, examine them carefully, and confirm the approximate area where the conduction bundle is located. This is fundamental."

"Then take an intraoperative His bundle mapping probe and connect it to the monitor. This type of probe is generally only used when performing complex congenital heart disease surgeries. It can accurately locate the conduction bundle."

On a normal myocardial surface, only a low-amplitude waveform can be detected. However, once the conduction tract region is targeted, a sharp H-wave will appear on the monitor.

"This way, the location of the conduction beam can be accurately found."

The principle wasn't hard to understand, and Wang Xiao relaxed a lot: "Okay, I understand, thank you Director Lin! Where is the probe located? I'll go get it now."

"The probe is in the dedicated instrument storage room. I'll have Tao Ping go get it now and bring it directly to your operating room. You can just wait there."

After Lin Gaoming finished speaking, he turned to Tao Ping and said, "Xiao Tao, go to the medical equipment department now and get an intraoperative His beam mapping probe. Take it to the operating room on the tenth floor where Wang Xiao is. Be quick, don't delay the surgery."

"Okay, Director Lin." Tao Ping nodded quickly, turned around and walked out of the operating room.

Just then, Zhu Haiming suddenly stood up, his tone showing some interest: "Wait, I want to go too."

Lin Gaoming knew that Zhu Haiming was bored and now had the interest to train the younger generation, so he nodded.

Zhu Haiming laughed heartily, turned around and followed Tao Ping's footsteps, quickly walking out of the operating room.

He wanted to see what was so special about this young resident doctor that Lin Gaoming praised so highly.