Healing Doctor

Chapter 477 Stasis During Surgery

The operation begins.

With Ji Xiang's cooperation, everything went smoothly under Director Li's guidance.

After superselection, the guidewire is used to enter the external iliac artery along the femoral artery, and then the superior mesenteric artery is located.

This surgery needs to be performed with extreme care, otherwise the patient will suffer extensive intestinal necrosis.

During the imaging, when the "smoking" area was seen, Director Li continued to move the guide wire downwards to continue the superselective process.

"Teacher Shen, what did that smoke mean?" a guest asked.

"That's contrast agent," Professor Shen replied. "Normally, the contrast agent would travel in the blood vessels, but there was a ruptured small artery in that area, which is a bleeding point. During the contrast procedure, the contrast agent 'leaked' out of the blood vessel, and we could see the smoke, which is how we found the bleeding point."

Professor Shen's explanation was somewhat vague, and he didn't know the specific details very well either.

Professor Shen's ability to explain so much demonstrates his extremely solid foundation in clinical knowledge. After all, at least 90% of doctors in hospitals cannot clearly explain what interventional surgery actually is; it's a niche field.

"The next step is to locate the branches of the blood vessels at various levels. This is where the surgeon's skills are truly tested," Professor Shen continued. "The ideal approach is to embolize the arteriole at its terminal branch. The lower the embolization point, the less intestine needs to be removed, and the less trauma and impact on the patient."

"Then..." A guest was about to ask why not do it that way, but as soon as he said it, he realized that it wasn't that the practitioner didn't want to do it, but that the practitioner simply couldn't do it.

Although he didn't know how the surgery should be performed, the principle should be the same.

"Director Li's skill level is very high; he has already selected a grade 4 blood vessel." Professor Shen looked at the surgical screen and made his own judgment. "Next, we will probably start embolization. The surgical resection of the intestine will be around 40cm."

He paused for a moment, then glanced at the guests present.

"This is already at the top level in China. Director Li's level is similar to, or even slightly higher than, the level of our hospital's interventional radiology department."

Professor Shen then gave a definite answer.

Top-tier domestic standard!

As for his comment that it was a bit high, it was probably just mutual flattery in business. The guests ignored it and no one took it seriously.

The problem is that the explanation was too technical, and everyone in the commentary room, including Mao Mao, only vaguely understood it.

The other guests couldn't get a word in edgewise, and even the bald host didn't know what to say next. After all, this was a highly specialized surgery, and asking random questions was pointless and wouldn't get to the heart of the matter.

Seeing the lukewarm reception, the bald host forced himself to ask, "Professor Shen, you mentioned earlier that your hospital can perform similar surgeries. How often are these surgeries performed?"

"It can be done. Our interventional department director's skill level is about the same as Director Li's," Professor Shen smiled. "I've seen him perform this kind of surgery, so I know a little about it. There aren't many similar surgeries, after all, it's a destructive procedure."

How many doctors nationwide are capable of performing similar surgeries?

"Not many, or rather, very few," Professor Shen said.

He hesitated for a moment, then didn't continue explaining why.

The explanation would be health reasons, physical reasons, and income.

With enough money, people will do even more dangerous things. But now, hospital performance evaluations... although the very mention of performance evaluations in hospitals is ironic, it's unavoidable.

So I'll just leave it at that.

This is a variety show, so it should still be positive, even if Professor Shen looks down on the term "positive energy".

"The First Affiliated Hospital is still at a high level." One guest, though unable to understand the words, still praised it.

While we were chatting, the screen suddenly froze for a moment.

The signal had been smooth the whole time, but the sudden lag startled everyone.

In the video, Director Liu remained motionless, while Ji Xiang's head was slightly tilted to the side, close to Director Liu's ear.

The two remained still, like a painting, like a sculpture.

The images convey the professional "beauty" of doctors and the solemnity of healing and saving lives.

The bald host paused for a moment, wanting to find someone to check the situation, but the camera lens moved slightly, probably because the cameraman carrying the camera on his shoulder shook.

The photographer was able to move around normally, and the footage would move; only Ji Xiang and Director Li remained still.

What's going on...?

The bald-headed host looked at Professor Shen.

Professor Shen was also bewildered, wondering what Director Li and Ji Xiang were doing on the operating table. Was this some kind of ritual for interventional surgery?

Many doctors believe in metaphysics, but these kinds of mystical actions during surgery are a bit outrageous.

But before Professor Shen could figure out what had happened, the screen returned to normal.

Director Li moved closer to the patient's head, and Ji Xiang stood in Director Li's position to continue the procedure.

Professor Shen was dumbfounded.

This action signifies one thing—the upcoming surgery is extremely difficult, beyond the capabilities of Director Li, but Ji Xiang still wants to try.

Although this is the most reasonable explanation.

Professor Shen found it hard to believe, so much so that he completely ignored a question asked by the bald host.

I stared blankly as the guide wire continued to move in, and an extremely thin right-angle bend appeared before my eyes.

The small artery branch ahead was extremely narrow; this must be the point where Director Li gave up. Professor Shen stared intently, having no time to think about any program effects.

In Professor Shen's view, this was already the limit for the practitioner.

Ji Xiang still wanted to try, which was ridiculous, perhaps for the sake of the show.

Professor Shen does not agree with this.

Even if Director Fan covered the patient's continued treatment costs, he still did not approve of using the patient as an experiment.

Although in clinical practice, teachers will let students try things out, otherwise where would clinical experience come from, and how would there be a passing down of knowledge?

That's not the case right now. Continuing the surgery is pointless and will only prolong the patient's operation time.

Professor Shen believes this was the production crew's arrangement.

To let that kid who got a perfect score and ranked first in the country show his face.

but!

The patient is still bleeding!

Can't we cut down on the unnecessary procedures and just stop the bleeding quickly?

Thinking of this, Professor Shen's face turned extremely ugly.

Doctors tend to be rather rigid, although many are quite shrewd and diplomatic. You can get a glimpse of the whole picture by looking at the higher-ups in the medical department.

Professor Shen was displeased, one might even say quite unhappy. If he were there, Professor Shen feared he might have opened his mouth and started swearing.

"Teacher Shen, this is..." the bald host asked again.

Professor Shen was about to say something unpleasant with a stern face, but before he could say it, an image suddenly flashed across the narrow right-angle bend of the blood vessel.

As if it had a mind of its own, the guide wire used the force of hitting the wall to make a slight turn, and the right-angle bend was passed without any hesitation.

This is……

Professor Shen rubbed his eyes, finding it hard to believe what he was seeing.

(End of this chapter)