Rebirth of a Doctor Without Regrets

Chapter 88 Angle of Vascular Anastomosis

Wu Deyang wore a deliberately concerned expression as he looked at Zhu Chunhua and Wang Xiao.

"Oh dear, Deputy Director Zhu, I'm so sorry, I'm a step too late." Wu Deyang walked quickly to the observation area and shook his head, feigning surprise.

"I just found out in the office that Zhao Zhao actually assigned this complex tricuspid valve replacement combined with coronary artery bypass surgery to your treatment team. Isn't that ridiculous?"

As he spoke, he clenched his fist, feigning anger. "That Zhao Zhao is getting worse and worse at handling things. He has no sense of propriety whatsoever. I'll go find him and give him a good talking-to. How could he joke around with the patients' lives and cause you so much trouble!"

No one spoke, and Zhu Chunhua also lowered her head and remained silent.

At this point, Wu Deyang changed the subject, looking at Wang Xiao on the operating table, his tone tinged with a hint of provocation: "Deputy Director Zhu, you see, this surgery has just begun and is so difficult. It's also Dr. Wang's first time performing a bypass surgery. Should I go and call Deputy Director Shen over now?"

With him there to oversee things, he can lend a hand and prevent any mistakes from happening, which would be difficult for everyone to explain later.

The contempt and provocation in those words were clearly heard by everyone present.

Li Wei stopped what she was doing, her brows furrowed, and was about to retort when Zhu Chunhua stopped her first.

Zhu Chunhua looked at Wang Xiao, who was busy at work, and said in an unyielding tone, "Dr. Wu is overthinking it. Zhao Zhao did a good job. This case was taken on by our treatment team."

Wang Xiao responded with a firm look, and she spoke with more confidence: "During this period, our team has been honing our practical skills in complex surgeries. Everyone has witnessed Wang Xiao's surgical talent and progress. Now our team is fully capable of undertaking these types of complication surgeries."

Not only that, I also hope that Zhao Zhao can assign more complex cases like this to our group in the future, so that our group's clinical capabilities can be further improved.

Wu Deyang's fake smile froze instantly, and a hint of surprise flashed in his eyes.

After a moment of stunned silence, Wu Deyang's face gradually darkened, and his cold gaze fell on Wang Xiao, staring intently at his every move.

That gaze was deliberately searching for faults, as if it couldn't wait to catch Wang Xiao in the act and see him make a fool of himself.

Zhu Chunhua ignored him and turned to Wang Xiao, her tone both reassuring and admonishing: "Focus on the surgery, do it the way we practiced before, I believe in you."

Wang Xiao nodded slightly, picked up the great saphenous vein that Zhu Chunhua and Li Wei had prepared, and began to perform distal anastomosis according to the techniques he had practiced on pig hearts.

His movements were gentle and precise, with each stitch carefully controlled in terms of spacing and pressure.

Zhu Chunhua stood beside him, her eyes fixed on the surgical field, occasionally whispering reminders: "Make the stitches more even, avoid the weak points of the blood vessel walls—good, keep it up."

Li Wei worked closely alongside them, cutting the thread ends and absorbing the fluid, not daring to slack off in the slightest.

The operating room fell silent once more, save for the soft clatter of instruments and the hum of the extracorporeal circulation machine.

Only Wu Deyang, in the observation area, kept staring at the operating table with a cold gaze and a sinister expression.

Soon, the distal anastomosis was successfully completed. Wang Xiao carefully checked it to make sure there was no blood leakage or damage to the blood vessel wall, and then began the proximal anastomosis.

He sutured the other end of the graft vessel to the aortic wall.

Just as he was focusing on the precision of the stitches and preparing to complete the last few stitches, a system notification sounded in his ear.

【Ding! 】

[Risk of iatrogenic postoperative complications. Surgical failure.]

Wang Xiao's movements froze instantly, and he quickly looked down to check.

"The bypass graft has been twisted, which will affect its patency. It must be re-sutured," Zhu Chunhua observed the problem.

Sure enough, the bypass vessel had a slight torsion. Although it was not obvious to the naked eye, the consequences would be unimaginable if the suture were completed in this way.

The patient's great saphenous vein was already somewhat distorted, and after being exposed to the outside for a period of time, the blood vessels constricted slightly.

Wang Xiao made a momentary lapse in attention and subconsciously twisted the angle of the blood vessel slightly while suturing, but this was not the natural shape of the patient's blood vessel.

Just like a rubber hose, if you twist the hose too hard, it's essentially the same as squeezing the hose – both will clog it.

Wang Xiao nodded, but the perfect surgical system does not allow itself to make mistakes.

We can only go back in time.

Wang Xiao looked at Wu Deyang beside him. Surprisingly, Wu Deyang didn't say anything sarcastic. In fact, he looked a little panicked, which was strange.

[Start the time rewind module.]

[Current number of surgeries completed: 667]

Total backtracking attempts: 650

While performing the procedure, Wang Xiao repeatedly reminded her, "Be sure to keep the bypass grafts moist."

Li Wei added some saline solution to the sterile tray.

Soon the surgery moved on to the proximal anastomosis step. Wang Xiao adjusted the angle and looked up to confirm with Zhu Chunhua.

Zhu Chunhua examined the twisted blood vessels and said, "Use your hands to check the vascular tension; the blood vessels must maintain their natural, unobstructed shape."

Wang Xiao nodded, put down the needle holder in his right hand, slightly rotated the angle of the blood vessel with his left hand, and gently pinched the blood vessel with his right hand to feel the tension on the blood vessel.

"Found it!" Wang Xiao twisted left and right, tried several times, and finally felt the angle with the lowest tension.

"Help me control myself!"

Li Wei used vascular forceps to clamp the blood vessel and keep it still.

Wang Xiao picked up the needle holder again and began the proximal anastomosis.

Time ticked by, and Wang Xiao finally finished. She cut off the excess sutures, carefully checked twice to confirm that the bypass graft was normal in shape, tightly anastomosed, and without any leakage. Only then did she feel completely relieved.

"Bridge construction complete, good fit, no abnormalities." Wang Xiao's voice carried a hint of relief.

Zhu Chunhua breathed a sigh of relief, a relieved smile appearing on her face: "Well done. Next, we'll begin the tricuspid valve replacement procedure, following our previous steps. Keep it up."

Wang Xiao nodded, adjusted his breathing, picked up the instruments again, and began the tricuspid valve replacement procedure.

Compared to his first coronary artery bypass grafting surgery, Wang Xiao is now quite proficient in tricuspid valve replacement surgery.

The diseased valve was removed, the size of the valve annulus was measured, an artificial valve was implanted, and the valve was precisely sutured without any errors.

The atmosphere in the operating room gradually calmed down.

Wu Deyang, who was in the observation area, looked increasingly gloomy.

Soon, the tricuspid valve replacement surgery was nearing its end.

Wang Xiao completed the final stitch, confirming that the artificial valve was functioning normally and there was no bleeding.

The cardiopulmonary bypass machine was removed, and the heart successfully resumed beating.

Everyone in the operating room breathed a sigh of relief.

Wang Xiao left the task of closing the chest to Li Wei. The attending physician ate what the resident physician had left over, and no one found it strange.

Like many institutions within the system, hospitals like to flaunt seniority and hierarchy, and often engage in petty and despicable acts.

But on the operating table, technique comes first.