Rebirth of a Doctor Without Regrets

【Ding! 】

[An impending surgery has been detected.]

[Perfect Surgical System activated.]

Shen Hao raised the scalpel and looked at Wang Xiao.

Shen Hao has now delegated all tricuspid valve replacement surgeries in the department to Zhu Chunhua's treatment team.

Even if Wang Xiao has Director Lin's authorization, he shouldn't even think about performing a tricuspid valve replacement.

Moreover, Zhu Chunhua has always been trying to take away more surgical techniques from her and increase the workload of her treatment team.

Once she was assigned the tricuspid valve replacement surgery, it was like a lamb being led to the slaughter. She couldn't give it up easily, and Director Lin couldn't very well ask for it back.

Shen Hao realized that his actions had both done a favor and suppressed Wang Xiao's momentum.

Who said I, Shen, am a surgical machine who doesn't understand human relationships?

But this sense of triumph didn't last long.

Wang Xiao stood in the second assistant's position, his confident smile revealing a sinister intent.

Shen Hao's heart sank suddenly, and an inexplicable sense of foreboding surged up like a tide.

Wang Xiao had this same expression when we did the tricuspid valve surgery last time. Is he going to cause trouble again?

Shen Hao watched as his assistant completed the final steps of the open-chest procedure, cleared his throat, and tentatively asked Wang Xiao a question to test him: "What are the common conditions associated with aortic valve leaflet disease?"

"There is calcification, adhesion, prolapse, stenosis, or insufficiency." Wang Xiao had just finished reading the information summarized by Lin Xi.

What precautions should be taken when suturing an artificial valve at the aortic valve orifice?

"Hmm... In addition to suturing evenly and controlling tension, you also need to be careful not to suture too deeply and damage the cardiac conduction bundle."

"What should be done if the heart's conduction bundle is damaged?"

"Implanting a permanent pacemaker?" The information didn't mention this. If it damages the heart's conduction bundle, then it would be a medical malpractice.

Shen Hao nodded. Wang Xiao already had a comprehensive understanding of aortic valve replacement surgery, and he was probably here to cause trouble.

He remained silent for a few seconds, then suddenly made a decision that caught everyone present off guard.

Shen Hao stepped aside to move out of the surgeon's position, and said with a hint of defiance in his voice, "This surgery is yours to perform. Let me see what you're really capable of."

As soon as the words were spoken, the operating room fell into a deathly silence. The nurses and assistants, who were performing their duties, were all stunned, their faces filled with shock.

Everyone looked at each other in disbelief; no one could believe that Shen Hao would make such a decision.

While this surgery isn't considered extremely difficult, it's certainly not something a novice can easily handle.

Wang Xiao had never performed this procedure independently before, so Shen Hao's actions were undoubtedly playing with the patient's life.

In the corner, several resident doctors who came to observe and learn were so frightened that their hearts tightened and their faces turned pale.

One of the slightly bolder resident doctors quietly took out his phone and quickly sent a message to Wu Deyang.

He explained the situation in the operating room, repeatedly emphasizing that Shen Hao had handed over the surgery to Wang Xiao, who had no experience, because he was worried that a serious medical accident might occur.

When Wu Deyang saw the message, he was organizing medical records in his office. Startled, he immediately stood up, grabbed his phone, and dialed Lin Gaoming's number.

Meanwhile, in the operating room, Wang Xiao stood calmly in the surgeon's position.

Although it was indeed his first time performing an aortic valve replacement surgery, once the system was activated, he could practice while performing the procedure.

He raised his hand to signal the nurse to hand him the scalpel, his eyes focused and determined, as if he were surrounded by a professional aura.

Just as Wang Xiao successfully intubated the tube, established extracorporeal circulation, and was preparing for further procedures, the operating room door was stepped on.

Lin Gaoming walked in quickly with his hands raised behind his back. He had obviously washed his hands and was ready for surgery.

His gaze swept quickly across the operating table, and he immediately spotted Wang Xiao in the surgeon's position, and Shen Hao beside him.

Everyone present thought that Lin Gaoming would immediately get angry, stop Wang Xiao from continuing the surgery, and even severely reprimand Shen Hao for his absurd behavior.

To everyone's surprise, Lin Gaoming only paused for a few seconds before standing in the observation position.

His gaze fell on the stopped heart on the operating table. He observed it carefully for a moment, but did not stop Wang Xiao or reprimand anyone.

Shen Hao lowered his voice and said something to Lin Gaoming, then gave him a wink.

The moment their eyes met, they both understood each other's thoughts.

They were all prepared to take over the surgery at any time, and they could immediately step in to fix it if Wang Xiao made the slightest mistake.

But at the same time, they all harbored a sense of curiosity, wanting to see how Wang Xiao would perform when faced with this almost unfamiliar open-chest surgery and when he was doing it independently for the first time.

Now that things have come to this, they all want to verify whether this young man who always surprises people really has hidden strength.

Lin Gaoming was still somewhat worried and reminded him, "Wang Xiao, be careful. This patient has a fairly standard case of aortic valve prolapse; the lesion is clear, so it's relatively easy to treat."

But you must be extremely careful with the cardiac conduction bundles nearby. Damage to them could have dire consequences. Remember, be gentle and precise.

Wang Xiao didn't even look up, focusing intently on operating the equipment in his hands. Hearing this, he nodded slightly and said firmly, "Understood, Director Lin."

Subsequently, Wang Xiao methodically completed the setup of the extracorporeal circulation system, connected the relevant instruments, and started the circulation after confirming that all parameters were correct.

He then took the scalpel and began to consider the location of the incision.

Such a longitudinal incision must expose all three leaflets simultaneously; otherwise, the procedure will involve blood vessels and surrounding tissues, causing damage.

Generally, the suture should be placed about 1.5 to 2 centimeters above the coronary artery opening. If it is too close to the opening of the left or right coronary artery, the suture may block the coronary artery.

However, if it is too high, it can easily damage the brachiocephalic artery, causing massive bleeding.

After gesturing for a long time, Wang Xiao finally made up his mind and made an incision in the anterior wall of the ascending aorta.

The prolapsed aortic valve was exposed, and the lesion was clearly visible. The incision was very successful.

The lesion's morphology is a textbook example of prolapse, just as Lin Gaoming described, belonging to a relatively standard type, and the operation is not particularly difficult.

Wang Xiao took a deep breath, suppressing the slight ripples in his heart, and his gaze became even more focused.

He skillfully removed the diseased aortic valve, his movements swift and decisive, without the slightest hesitation.

Then, he picked up the valve measuring device, replaced it with the smallest valve measuring device head, and prepared to measure the size of the valve annulus in preparation for the subsequent implantation of an artificial valve.

But just as the valve probe touched the valve ring, a warning suddenly rang in Wang Xiao's ears.

【Ding! 】

[Risk of iatrogenic postoperative complications. Surgical failure.]

Why is that? I didn't do anything!

Wang Xiao stopped what she was doing, leaving the resident doctors who had been watching anxiously all puzzled.