Rebirth of a Doctor Without Regrets

As the surgery began, Wang Xiao put on his scrubs and stood in the surgeon's position for the first time.

In front of him was the operating light, behind him was Shen Hao observing, and beside him were Wu Deyang with a disdainful look and a nurse with a nervous expression. The atmosphere in the operating room was extremely oppressive.

Standing in the assistant's position, Wu Deyang said sarcastically, "Wang Xiao, if you can't handle it, just say so. Don't force yourself. If you mess up the surgery, you'll drag everyone down with you."

Wang Xiao ignored him, took a deep breath, and focused her attention on the operating table.

【Ding! 】

[An impending surgery has been detected.]

[Perfect Surgical System activated.]

"Hmph, look at him, he's so nervous he's even forgotten his favorite hand-folding gesture," Shen Hao sneered from the side.

The chest opening went smoothly, the cardiopulmonary bypass was established smoothly, and the right atrium was successfully opened. We have now reached the crucial step.

Wang Xiao gestured to the nurse to adjust the operating light so that the light was focused on the incision in the right atrium.

The next step was to remove the diseased tricuspid valve, but this patient had a congenital tricuspid valve malformation, so the body compensated by causing severe adhesions between the valve leaflets and the surrounding myocardial tissue at the valve orifice.

In fact, Wang Xiao saw that the leaflets were directly attached to the right ventricular wall, papillary muscles, and valve annulus, without any gaps or boundaries.

Deciding what to cut and what not to cut requires experience.

Moreover, the surrounding blood supply is rich, and even a slight mistake could cause substantial heart damage.

"How do we do this? It's like searching for the leaflet in scar tissue and abnormally developed tissue." Wu Deyang, who was standing nearby, stopped what he was doing, clearly not believing that Wang Xiao could handle the situation.

Shen Hao frowned as he looked at the patient; the patient's condition was even worse than what was shown in the preoperative imaging.

Separating and cutting the diseased valve leaflet from such adhesions is not only very difficult, but it will inevitably damage the valve orifice and annulus. It may even require annulus reconstruction and reshaping, which clearly does not fall within the scope of a level 3 surgery.

Simply put, you need to replace a broken valve, but the valve is stuck to the water pipe. You have to use force to cut the valve off, which inevitably damages the water pipe and the connection itself.

"How about we..." Now that things have come to this, Shen Hao felt there was no need to make things difficult for Wang Xiao with this patient; the patient's life safety was the top priority.

Moreover, he was probably already dumbfounded by now, so it was appropriate for me to make a move.

At this moment, Wang Xiao reached out his hand towards the petal opening.

Lin Xi's notes clearly state that the best method for loosening and separating such adhesive tissue is a combination of blunt and sharp dissection.

Blunt separation means breaking it apart by hand or squeezing it open with a round-headed instrument.

Sharp dissection is the most common method, which involves cutting with a scalpel.

Wang Xiao took the round-tipped forceps handed to him by the nurse, and with a little force from his fingertips, tried to squeeze out a gap at the adhesion between the leaflet and the right ventricular wall using a blunt dissection method.

However, the adhesions were too tight and the tissue was tough. With a little force, he could feel the tissue under the separating forceps showing signs of tearing.

Immediately afterwards, a trace of dark red blood seeped into view.

Uncontrolled blunt dissection force leads to myocardial damage.

【Ding! 】

Iatrogenic injury occurred. Surgery failed.

"I told you you couldn't do it!" Wu Deyang's mocking voice rang out immediately.

Shen Hao also took a step forward, his brows furrowing even more. He had to take over immediately.

Wang Xiao, however, seemed not to hear or see anything, her gaze fixed on the surgical field.

[Start the time rewind module.]

[Current number of surgeries completed: 667]

Total backtracking attempts: 621

……

This time, Wang Xiao restrained his strength and slowed down his movements.

First, gently press the adhesive joint with the separating forceps, applying pressure little by little, trying to gradually loosen the adhesion.

Just as the gap was about to appear, Wang Xiao mistook the scar tissue for the edge of the flap, picked up a scalpel, and tried to use sharp dissection to cut the adhesion.

As a result, the scalpel muscle was injured during the incision, another mistake.

[Start the time rewind module.]

[Current number of surgeries completed: 667]

Total backtracking attempts: 622

……

Three times, five times, ten times...

The people in the operating room felt that Wang Xiao's movements were sometimes fast and sometimes slow, sometimes he would pause to think, sometimes he would repeatedly adjust his posture, and occasionally he would make some seemingly wrong movements, but he could always correct them in time, which was very strange.

Shen Hao's brows remained furrowed. He could see that Wang Xiao was constantly adjusting his technique, but he didn't understand why.

How can someone with no prior surgical experience quickly correct their mistakes in such a difficult operation?

Each time she reviewed the process, Wang Xiao frantically analyzed how much force to use for blunt dissection, how precise the angle of sharp cutting should be, what the adhered scar tissue was, and what the myocardium and blood vessels were that could not be touched.

The knowledge in Lin Xi's notes was repeatedly combined with practical application and ingrained into his very being.

On the twenty-third attempt, he finally managed to create a small gap using blunt dissection, but he scratched the valve ring due to the hasty action when switching to sharp dissection.

On the thirty-first attempt, he precisely avoided the valve annulus and papillary muscles, but damaged the myocardium again while separating the deep adhesions between the valve leaflets and the myocardium.

On the thirty-ninth attempt, he was just a hair's breadth away from success, but due to insufficient skill, the edges of the separated leaflets were not neat enough and did not meet the requirements for subsequent replacement.

[Start the time rewind module.]

Total backtracking attempts: 660

At this moment, Wang Xiao had completely entered a state of flow, as if the world had only consisted of himself and this adhered tricuspid valve.

Wang Xiao closed his eyes, took a deep breath, and when he opened them again, there was no trace of awkwardness or nervousness, only composure and certainty.

He reached out and took the separator clamp. His movements were still not exactly skillful, lacking the smooth and effortless ease of Shen Hao's operation, yet every step was terrifyingly precise.

Or rather, each step precisely avoided mistakes.

At this moment, his blunt and sharp separations were perfectly coordinated, sometimes gently probing, sometimes decisively cutting.

Every movement was crisp and clean, perfectly avoiding all possible pitfalls. It did not touch the papillary muscles, damage the valve annulus, or scratch the myocardium and blood vessels. Even the edges of the separated valve leaflets were impeccably neat.

Wang Xiao put down the scalpel and said softly, "Separation complete, prepare to suture the artificial flap."

The operating room fell into a deathly silence.

Wu Deyang suddenly moved closer to the surgical field of vision, and when he saw the intact myocardium, valve annulus, and neatly separated valve leaflets, he froze.

Having worked in cardiac surgery for many years, he knew better than anyone the difficulty of this procedure. Even among the attending physicians in the department, only the most skilled could complete such a separation, let alone a young man like Wang Xiao who had almost no experience in performing surgery independently.

The previous disdain and mockery had long been washed away by shock.

The most shocked person was Shen Hao.

He has always been called a "cardiac surgery genius," and his practical skills are indeed far superior to those of his peers.

No one had ever made him feel such frustration and amazement on the operating table.

He looked at Wang Xiao, who was calm and composed on the operating table, and at her precise and almost perfect operation. Only one thought remained in his mind.

This Wang Xiao is not an ordinary genius, but a monster who is even better than him.

The surrounding nurses were also in an uproar, whispering among themselves, their eyes filled with disbelief and admiration.

The remaining steps were not difficult; suturing was Wang Xiao's forte.

The heart started beating smoothly.

The chest closure went smoothly.

Wang Xiao slowly exhaled, her fingertips still feeling slightly numb.

Forty failures, forty retracings, forty reviews and lessons learned, finally led to this perfect surgery.

【Ding! 】

The surgery was successful.

[Current number of surgeries completed: 668]

Total backtracking attempts: 660

After the surgery, only Wang Xiao calmly left the operating room.

The rest of the doctors and nurses remained quietly in the operating room.

Shen Hao remained motionless, and no one dared to leave first.