Chapter 1157: Chapter 1161: Absolute Master (Eighth update, asking for monthly votes!)

Meanwhile outside the operating room, Xue Dong contacted the head nurse, intending to livestream the surgery.

But after thinking about it, Xue Dong shook his head, wondering what was there to watch!

Young people, they all have a competitive spirit!

Towards Chen Cang, Xue Dong naturally felt a sense of rivalry.

However, the two were not in the same field, so there was no head-to-head confrontation.

But now, Chen Cang was about to perform a neurosurgical operation, and Xue Dong was somewhat excited.

As for Mi Di, Xue Dong really didn’t take it seriously.

He felt it was a minor matter, after all, it was consensual, not illegal, and certainly not criminal.

After hesitating for a moment, Xue Dong suddenly smiled, stood up, and left.

Don’t I have that much confidence in myself?

Meanwhile, inside the operating room, Mi Di was already intubated and under general anesthesia.

At this time, Mi Di had a mixed-type subdural hematoma, with two types of bleeding, one was a solid clot, and the other was liquid, so they directly chose to perform a craniotomy to remove the hematoma.

The craniotomy was the initial surgery,

But opening the skull should not damage the dura, which really tests the doctor’s skills.

This example is akin to the egg shell and egg membrane experiment.

Clinical doctors need to drill and grind off the eggshell without damaging the egg membrane, which requires extremely steady hands!

At this moment, after determining the incision site, they cut open the scalp, exposing the skull!

The skull is composed of multiple bone flaps, and according to the operational requirements, a large-sized frontal temporal bone flap was chosen!

After determining, Chen Cang took over the electric drill.

Honestly, this was also the first time Chen Cang was operating on a real person, which was somewhat different from training in a virtual space.

When he felt the vibration of the electric drill, Chen Cang steadied his heart.

As the electric drill slowly went down, opening up the skull required ample patience, calm and unhurried!

Old Ma, watching Chen Cang, suddenly paused and muttered to himself: How skillful!

Indeed, Chen Cang possessed a perfect level of debridement skills, which can only be honed after how many craniotomies?

As time ticked by, Old Ma and Bei Yongkang stood by to assist.

After the skull drilling was successful, Chen Cang placed the bone flap in a tray, and then prepared to start cutting the dura mater!

At this moment, Chen Cang felt the dura mater with his hands and immediately frowned!

He quickly said to Old Ma, “Team leader Ma, prepare the brain compression board!”

Old Ma heard and immediately nodded!

This kid’s good, was he just feeling the intracranial pressure?

Indeed!

At this time, the dura mater was tense, with high brain pressure.

Chen Cang took the brain compression board and inserted it through a small incision in the dura mater to gently press down the cortical brain!

Then he quickly snipped open the entire dura mater incision!

The entire process was clean and efficient, with both hands working seamlessly.

This maneuver immediately caught the admiring eyes of Bei Yongkang and others nearby!

How well-coordinated the hands were.

Indeed, Chen Cang’s hands were virtually seamless under the microscope!

This left hand was just as nimble as the right.

This must be what a natural-born surgeon looks like?

Surgical operations are highly skill-based, and the function of one hand is limited; many surgeons even start practicing with their left hand, hoping to achieve even better results!

But at that mixed moment, seeing Chen Cang’s bimanual operation, even the anesthesiologist beside couldn’t help but exclaim in amazement!

He had seen a lot but assisting surgeries with both hands wasn’t something ordinary people could achieve.

And Chen Cang’s seemingly simple maneuver immediately brightened everyone’s eyes.

This operation seemed simple, but actually required precise coordination, which usually involves assistants.

However, due to a lack of coordination, it’s easy during the cutting open of the dura mater, where severely swollen brain tissue bulges through a small incision, causing brain cortical lacerations.

And Chen Cang single-handedly did the work of two people, making Ma Yuhui feel somewhat superfluous standing by!

After opening the dura mater flap, Chen Cang said to Ma Yuhui:

“Saline wash!”

Ma Yuhui quickly nodded and used saline to wash the surgical field and cleanse the blood from the surface of the brain beneath the bone flap.

“Suction tube!”

Bei Yongkang hurriedly handed it over, Chen Cang held the irrigation tube in his left hand while his right hand began carefully cleaning the inactivated brain tissue!

This process required a lot of patience and meticulous attention!

“Bipolar coagulator!”

“Suction tube!”

“Dural separator!”

Assistant Ma Yuhui successfully transformed into a surgical nurse, but as everyone watched the image on the big screen, they couldn’t help but hold their breath and focus.

Because it was their first time seeing someone using the dural separator and bipolar coagulator together.

However, Chen Cang used them very well.

With the separator in his right hand, he carefully peeled off the necrotic tissue, whenever he encountered bleeding in the brain cortex, the bipolar coagulation forceps in his left hand were immediately in place, meticulously achieving hemostasis!

The suction device continuously removed necrotic brain tissue, and under the saline wash, they quickly reached the superior sagittal sinus!

This was also a critical step in the surgery!

To deal with the blocked superior sagittal sinus, there were many treatment methods. According to Director Hong Sheng’s idea, they were to establish a Sindou transverse sinus bridge procedure!

However, the drawbacks of this surgery were quite obvious.

That was, Chen Cang did not know how to perform it!

So, he suddenly thought of another effective method: catheter thrombolysis in the venous sinus!

This method had significant effects and less damage but required the operation of a microcatheter to make a small incision at the anterior part of the superior sagittal sinus and insert the microcatheter into the sinus!

Then they began to infuse urokinase to achieve thrombolysis!

However, this surgery had a drawback, which required using a microsurgical scalpel to navigate around complex brain tissues to reach the sagittal sinus, and then perform the microcatheter operation.

In this case, the primary surgeon needed very steady hands to complete the incision on the sagittal sinus!

Thinking of this, Chen Cang decided to just do it!

“Microsurgical scalpel!”

Ma Yuhui quickly handed it over, and at this time, Chen Cang himself began to hold his breath, calming himself down.

Next, he needed to navigate past the cerebral cortex, through the gaps of nerves, around the veins, to complete the operation with the scalpel.

This was the profound aspect of cranial surgery!

Seizing the enemy’s head accurately amid thousands of troops without harming the many soldiers!

At this moment, everyone understood what Chen Cang was about to do, Ma Yuhui initially wanted to stop him, but seeing Chen Cang’s determination, he understood that it was time to trust him!

At this moment, everyone stared at the display screen.

And at this time, Chen Cang, with the separator in his left hand and the microsurgical scalpel in his right, skillfully navigated through the middle.

Carefully, precise and steady hands were required without any slightest tremor, otherwise, it could damage the brain tissue.

Seconds passed, sweat beads appeared at the temples of several people.

And at this moment, Chen Cang quickly said: “Microcatheter!”

It was a success!

Everyone clearly saw that Chen Cang’s microsurgical scalpel successfully incised the sagittal sinus!

Both Ma Yuhui and Bei Yongkang couldn’t help but get excited.

Awesome!

So awesome!

This operation was definitely expert-level!

…

ps: Only 6 days left for the double monthly tickets, asking for monthly tickets, eight updates delivered!

Thanks to Alliance Hierarch brother “Roasted beef tendon” for the 10000 reward.