Rebirth of a Doctor Without Regrets

Chapter 140 The Old Director's Guidance

After being sternly reprimanded by Shen Hao, Wu Deyang hung his head and looked listless. However, as he walked out of the office area, he could barely suppress the smile on his face.

He suppressed a laugh as he slowly climbed the stairs to the tenth-floor operating room.

He actually knew all along why Zhu Chunhua's group was still able to maintain a high score.

If Wang Xiao still hasn't won over Director Zhu by now, then he should be the one in a hurry.

Wu Deyang quietly stepped open the airlock and peered inside.

The operating room was still bustling with activity at 2 a.m. Wang Xiao was standing at the surgeon's position, operating with focused concentration.

Zhu Haiming stood in the first assistant position, pointing out and instructing Wang Xiao on his actions.

The two are performing a level-three aortic coarctation repair surgery. The patient is in the right lateral decubitus position, and the chest is opened from the left posterolateral side.

Unlike a frontal thoracotomy, this involves making an incision from the patient's left side, which makes the procedure slightly more difficult.

Wu Deyang quietly approached the operating table, not daring to make a sound and disturb the two.

But the more he listened to their conversation, the stranger it seemed.

Wang Xiao was clearly not familiar with the anatomical structure of the aortic region, pausing from time to time as if he were thinking about the next step.

But once they start, their movements are exceptionally swift and decisive.

The patient had obvious adhesions in his chest cavity. Upon seeing this, Zhu Haiming quickly reminded him, "Xiao Wang, the adhesions here are severe. Be slow when performing blunt dissection. Be careful not to aggravate the calcified aorta next to it. The calcified part is quite brittle and can easily rupture, causing massive bleeding."

Before Zhu Haiming could finish speaking, Wang Xiao suddenly stopped the blunt dissection, took the scalpel from the scrub nurse Xue Jia, and with a slight exertion of force in her wrist, made a precise incision, directly cutting through the adhesions.

The previously tangled tissues separated instantly, and the calcified aorta was clearly exposed in the surgical field of vision without any damage.

Zhu Haiming swallowed back the words of advice that were on the tip of his tongue. After a moment of stunned silence, a smile of approval appeared on his lips: "Good lad, that was a decisive and skillful strike!"

Wang Xiao continued operating as if it were a matter of course.

Both patients were intubated, and the anesthesiologist administered heparin.

Aortic coarctation surgery does not necessarily require the establishment of cardiopulmonary bypass.

However, if the problem is more serious, the operation takes a long time, or the patient's physical condition is poor, partial cardiopulmonary bypass can be performed to ensure perfusion of vital organs.

This time, they both chose left ventricular diversion.

Left ventricular bypass is a technique that creates an artificial channel between the left ventricle and the aorta to maintain systemic blood perfusion; it is a type of extracorporeal circulation technique.

Zhu Haiming watched his movements and said, "Next, you need to block the aorta. The location is very important, so you have to be careful."

Too close to the arch can affect blood perfusion to the brain, leading to brain damage after surgery; too far away can cause spinal cord ischemia, which can lead to paralysis in severe cases.

Since this is your first time doing this, let me demonstrate it for you. Watch carefully.

As he spoke, Zhu Haiming reached out to take the blocking forceps that Xue Jia handed him, but Wang Xiao took them from Xue Jia first.

Without hesitation, he reached out and precisely clamped the aorta.

Zhu Haiming's outstretched hand froze in mid-air. He leaned closer for a closer look, his pupils contracted slightly, and he gasped.

"Wow, you—you're a natural-born surgeon! This position is perfect, avoiding all the risk points. Excellent!"

Wang Xiao smiled, without any arrogance or complacency, and as if it were the most natural thing in the world, he held the scalpel and carefully made a longitudinal incision into the narrowed part of the aorta.

His incisions were clean and the depth was just right. Every movement seemed a bit clumsy, but the result was...

It was also very precise, avoiding all the minor issues.

It gives the impression that he knew in advance that something was going to go wrong.

The patient's aortic intima was significantly thickened, and Wang Xiao used the most conventional longitudinal incision and transverse suture method.

The diameter of the blood vessel is enlarged by longitudinally cutting it open and then suturing it transversely.

The principle behind the so-called longitudinal incision and transverse suture is not complicated. It involves making a vertical incision at the narrow part of the blood vessel, and then using forceps to pull the edges of the incision horizontally to both sides. This turns the original longitudinal incision into a large transverse oval opening, and the blood vessel naturally expands immediately.

Then, the aortic wall is completely sutured transversely with a sliding suture to make it smooth and without angularity, resulting in a normal diameter vessel.

The key to this operation is the degree to which the incision is pulled horizontally.

If too little fluid is drawn, the normal diameter of the blood vessel will not be reached, and the problem of vascular stenosis will still exist.

Excessive stretching can lead to an excessively large tube diameter and overstretching of blood vessels, potentially causing tearing and bleeding even after anastomosis.

Seeing that Wang Xiao had begun the crucial steps, Zhu Haiming hurriedly put on his surgical magnifying glass, but he only had vision in one eye, making it very inconvenient for him to see things.

While Zhu Haiming was still adjusting his glasses, Wang Xiao had already completed the traction.

"Old Zhu, do you think this traction is enough?" Wang Xiao had to stop operating and wait for Zhu Haiming to adjust his glasses.

"That's enough, that's perfect—is this really your first time performing this surgery?" Zhu Haiming asked in surprise.

"Hmm—this is indeed the first time I've done this today—"

Wu Deyang stood aside, watching this scene, and sighed inwardly.

Although Wang Xiao is young and not yet proficient in these techniques, and lacks experience, his intuition and precision are truly astonishing.

They always manage to avoid common mistakes at crucial moments, as if they were born knowing how to operate in the most correct way.

Why did the patriarch grant him food but not me?

There's no point in looking any further; Shen Hao is already certain of the answer he wants.

The reason why Zhu Chunhua's team was able to maintain its surgical score is because Wang Xiao had the guidance of the senior expert Zhu Haiming, plus his own talent. Even without Zhu Chunhua and Li Wei, he could have steadily advanced the surgery.

In addition, Wang Xiao's expertise in surgery has attracted many resident doctors, and if he is skilled in the procedure, it is not difficult for him to find others to assist him.

Wu Deyang quietly stepped back, gently opened the airlock door, and turned to walk towards the stairwell.

Just as he reached the corner of the stairs, a strong smell of smoke wafted over, making him cough twice.

He subconsciously looked up and saw Lin Gaoming leaning against the stair railing, a cigarette between his fingers, his brows relaxed, as if he were enjoying some delicious treat.

"Deyang? Why aren't you taking the elevator?" Lin Gaoming heard the cough, turned around, saw Wu Deyang, and spoke in a cold tone.

He casually flicked the cigarette ash into a metal box in his hand, clearly something he had prepared in advance specifically for sneaking a cigarette.

Wu Deyang immediately stopped and approached with a fawning smile.