Healing Doctor

Chapter 361 No Bleeding!

"I've already reassured the patient's family," Director Bai said calmly. "Go and explain things to them again."

Director Bai didn't explain it too clearly, but he knew the cause and effect of this "scummy" matter and was slightly dissatisfied with Deng Chaohong's handling of it.

Despite his reluctance, Deng Chaohong nodded in the face of Director Bai's "tyranny."

"Xiao Ji, you stay here for now. I'll go explain to the patient's family and come right back," Deng Chaohong said, turning and leaving the operating room.

Ji Xiang stood in the position of the sorcerer, unsure whether to continue or wait for Deng Chaohong to return.

After five months of honing his skills, Ji Xiang's surgical abilities improved dramatically, and he became much more composed.

When Ji Xiang first arrived at the Second Affiliated Hospital, he would have taken on the case without hesitation. But now, he hesitated.

"Dr. Xiao Ji, can you do it?" Director Bai asked.

He didn't go out with Deng Chaohong, but stayed behind to watch Ji Xiang's surgery side by side with Director Liu.

Director Liu smiled slightly. The two were close friends. When Director Bai suddenly appeared, Director Liu already knew what he was up to.

"meeting."

"Then let's get started. The patient is lying down," Director Bai said. "I'll be watching. Let's start with some light work. If you do anything wrong, I'll point it out, and then you can stop."

Ji Xiang reached out his hand.

Tang Yan instantly snapped out of her daze and slapped an arthroscopic scalpel into Ji Xiang's hand.

Instead of using the planer directly, Ji Xiang adjusted the angle of the arthroscopy and aimed the lens at the outer angle of the acromion. "Yan'er, help me hold it up."

Tang Yan focused her attention, first placing all the necessary equipment in the sterile area of ​​the patient's abdomen, then checking it again before reaching out to take the arthroscope from Ji Xiang's hand.

"Tsk, it's a bit strange to hear such a young doctor say 'help me up,'" Director Liu remarked.

"You old scoundrel," the mobile nurse whispered.

With Director Bai present, the cheerful atmosphere in the operating room vanished completely.

If Director Bai weren't there, Ji Xiang's words alone would have elicited countless laughs. But Director Bai acted like a silencer, keeping most people in the operating room quiet.

"Hey, only top-notch surgeons would dare to ask the scrub nurse to help hold the mirror. Even ordinary residents, and even some professors leading a group, wouldn't dare. Did I say anything wrong?" Director Liu laughed.

The visiting nurse shifted her mask, glanced at Director Bai, and silently put on an act without props, pretending to be very busy.

"Radio frequency vaporization device," Ji Xiang said.

"No planer needed?"

"Using a planer to clean up hyperplastic bursae is not very effective; a radiofrequency vaporization device is more effective," Ji Xiang explained.

Tang Yan's long eyelashes trembled slightly as she silently memorized Ji Xiang's surgical habits.

In her eyes, Ji Xiang was like a walking 100,000 yuan, the kind that would arrive on time every month.

She must be given sufficient respect. Tang Yan knows her place when it comes to money, especially her legitimate income.

Ji Xiang used the radiofrequency vaporization device to first clean the space on the outer side of the acromion.

Under arthroscopic monitoring, the radiofrequency vaporization device began to advance "slowly" but resolutely.

Director Bai narrowed his eyes, and Director Liu also focused intently on the arthroscopy television screen.

The area where the muscles and tendons of the rotator cuff meet has an abnormally rich blood supply. In addition, the repeated impact of the suture knots causes hyperplasia, and the capillaries in the hyperplasia area are so numerous that bleeding can occur at the slightest carelessness.

Although the bleeding here will not lead to the patient's death, the surgical field under endoscopic surgery will inevitably be limited. It's one thing to see it magnified on a TV screen, but after bleeding, the entire TV screen will be bright red, making hemostasis quite difficult.

Doctors are reluctant to perform a second surgery, one of the most important factors being the risk of bleeding.

Dr. Ji should be able to do it; Director Bai has that confidence, so he encouraged Ji Xiang to start working on it.

Even if Deng Chaohong were to perform the procedure, bleeding would be 100% inevitable.

If Dr. Xiao Ji causes bleeding, just wait for Deng Chaohong to return and stop the bleeding.

The head of the radiofrequency vaporizer moved skillfully around the hyperplastic bursa, pressing and prying with practiced ease.

Although Director Bai anticipated bleeding, he still observed for several minutes, and the surgical field remained clean and tidy, which was astonishing.

Ji Xiang has managed to make a simple device incredibly versatile, as flexible and intelligent as a finger.

The expected bleeding did not occur for a long time. Director Bai watched for another 2 minutes and had a vague feeling that Ji Xiang could complete the freeing process with just the radiofrequency vaporization device.

"Xiao Ji, you..." Deng Chaohong rushed back and was shocked to see Tang Yan holding the arthroscopy lens while Ji Xiang was freeing the bursa. He was startled and quickly called out.

"Shh." Director Bai raised his hand to his mouth, making a shushing gesture.

"..." Deng Chaohong was stunned.

"Don't rush into it, let's see how the surgery goes first."

Deng Chaohong was filled with doubt as he looked at the television screen displaying the arthroscopy.

Upon entering, Deng Chaohong was somewhat anxious. This surgery was extremely delicate, and he had at most a 20% chance of completing it perfectly.

If even I can't do it, then a young doctor like Ji Xiang is even less capable.

But when he looked at it a second time, Deng Chaohong felt terrible.

The subacromial bursa has been bluntly dissected using a radiofrequency vaporization device. Ji Xiang is now using a radiofrequency vaporization device to separate the anterior, posterior, and lateral deltoid bursae.

Countless exclamation marks appeared above Deng Chaohong's head, as if he had been hit by a heavy hammer.

For blunt dissection, a radiofrequency vaporization device and a hemostasis device are needed to dissect and stop bleeding simultaneously.

Ke Jixiang didn't use any hemostatic equipment at all; a simple radiofrequency vaporization device was sufficient. And the surgical field was spotless, with absolutely no bleeding.

This is impossible!

A voice was shouting in Deng Chaohong's heart.

Reality and convention collide, and countless exclamation marks appear once again.

How did he do that?

Deng Chaohong quickly became engrossed in watching.

Director Bai and Director Liu couldn't understand the details of Ji Xiang's surgery, but Deng Chaohong could.

Ji Xiang is currently separating the bursa of the deltoid muscle, a step that is controversial in the academic community.

Many experts believe that the bursa in this area does not need to be treated, arguing that it would increase the difficulty of the surgery and that there is no absolute necessity for it.

Deng Chaohong leans towards this viewpoint, avoiding excessive deviation and lest he go too far.

but!

If there's no bleeding at all, and the blunt dissection is clean and efficient, who wouldn't want to clean all the bursae thoroughly!

If no bursae are missed, the patient's function can recover to more than 80% after surgery, with very few sequelae! In fact, it is even possible for the patient's motor function to recover to 100% after surgery.

But, Your Majesty, I really can't do it. Deng Chaohong was moved to tears.

This is the surgery he envisioned.

Unfortunately, the surgery was performed by Ji Xiang, not by myself.

This part of the surgery was completed quickly.

Deng Chaohong knew very well that he could not be as meticulous or as extraordinary as Ji Xiang.

If you're incredibly lucky and manage to do it, it will take at least two hours.

But Ji Xiang only took... Deng Chaohong looked back at the time.

12′12″.

(End of this chapter)