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- Chapter 1158 - Chapter 1158: Chapter 1162: It's Very Simple! (Request for Monthly Tickets)
Chapter 1158: Chapter 1162: It’s Very Simple! (Request for Monthly Tickets)
Chen Cang’s operation just now was so nerve-wracking that everyone around him broke out in a sweat!
Although everyone knew Chen Cang was the leading surgeon,
such an operation was undoubtedly too risky.
Couldn’t the relatively simpler Sindou transverse sinus bypass procedure be used?
The feeling of maneuvering a microanatomical scalpel through the brain, it’s really damn thrilling!
Old Ma genuinely felt an adrenaline rush; initially terrified, he now couldn’t help but clench his fist and excitedly cheer.
Fantastic!
Indeed, success meant an adrenaline surge, but failure would undoubtedly raise insulin levels.
In fact, not just everyone else, even Chen Cang himself was sweating!
This venous sinus cannulation thrombolysis could even be considered a “targeted treatment”!
After all, I’ve delivered the medication right to your head, if it doesn’t dissolve, that would really be unacceptable!
Just now, it was really perilous.
A slight relaxation of the microanatomical scalpel or a tremor in the dissecting forceps meant trouble!
Fortunately, his hands were steady, and both the left and right hands were equally stable!
Chen Cang couldn’t help feeling proud.
However, this pride was indeed well-deserved!
After all, not to mention anything else, less than 5 people in the entire emergency center hospital could perform the operation just demonstrated!
That’s no exaggeration.
“4000U/min urokinase infusion!” At this moment, Chen Cang hastily spoke.
Bei Yongkang promptly nodded!
He was genuinely excited because the operation just now truly proved one thing: Chen Cang really has no bias against neurology!
Just think about it! A leading figure in surgery, you actually don’t learn a bit about neurosurgery, the pinnacle of the medical hierarchy!
That’s unreasonable!
Turns out Professor Chen has really been hiding his skills deep!
Tsk tsk tsk, thinking about this, he couldn’t help but feel emotional, are good days coming? Are the tough days finally passing?
A short while after administering the medication, Chen Cang and several doctors around him suddenly frowned!
Because they discovered that the embolism was unresponsive!
At this time, should they continue the urokinase infusion?
If thrombolysis is used for a long time, urokinase can cause body temperature increase and bleeding complications at the wound site.
The patient himself already had cerebral hemorrhage, should they use it now?
Suddenly, it became a problem!
Yet, now that the incision was made and medication administered, it would be extremely embarrassing if it were ineffective!
At that moment, this problem once again stumped everyone!
Even Chen Cang couldn’t help but furrow his brows, wondering how to handle it?
Just then, Chen Cang had a bold idea!
Thus, he habitually glanced at Old Ma.
Ma Yuehui was immediately nervous: “What… what are you going to do?”
Chen Cang leisurely said: “Thrombectomy!”
Hearing this, Old Ma’s face turned pale!
Grandpa, can’t we think carefully before acting?
Bei Yongkang was also a bit dazed by Chen Cang’s statement: “Professor Chen… think it over, please!”
Chen Cang nodded and said: “Hmm, I’ve thought it over three times.”
“If we don’t deal with this thrombus, it will keep recurring!”
“Moreover, look, we don’t need to take risks like we did just now, just expose the occluded segment of the venous sinus, make a 2cm incision at the lateral angle of the venous sinus, then use sutures to pull both sides of the incision, insert a large-caliber suction device into the incision, and suction out the thrombus!”
After Chen Cang finished speaking, he couldn’t help but say: “Hmm, just like this, it’s very simple!”
“””
A simple sentence left everyone around feeling a bit disheartened.
Simple?
How is this simple!
This is clearly even more difficult than before!
Is your definition of simple the same level of difficulty as ours?
At this moment, Bei Yongkang suddenly felt an alignment in spirit with Ma Yuehui and could empathize with Ma Yuehui’s inner anxiety!
With a kid like this, it’s a miracle Ma doesn’t have heart problems from the stress!
At this time, saying that making an incision to remove the clot is a simple procedure, normally Bei Yongkang would start questioning life.
But right now, Chen Cang has already picked up the micro-dissection knife!
Seeing this, Old Ma sighed, ‘Well, it’s come to this point, let’s just do it!’
The dural venous sinuses are channels for venous return formed by the folds of the dura mater, with the cross section of the superior sagittal sinus forming a triangle, which maintains the venous blood flow.
If Chen Cang chooses to make an incision at the lateral angle of the sinus, indeed, it causes minimal damage to the sinusal cavity, and the incision site is easy to compress for hemostasis!
However, the only flaw is that this operation can only be performed by one person.
Due to the limited space and the unique location of the surgery, Chen Cang needs to make an incision 2cm at the lateral angle of the sinus, and retract the sides of the incision, then a large-bore suction device must be inserted into the incision to aspirate the thrombus!
In this way, all the burden is actually on Chen Cang, making it easier for the rest of them.
But… this kind of ease made them feel uneasy.
It’s just like driving; sitting in the passenger seat watching the driver drift on mountain roads makes you feel… more secure driving yourself!
But they don’t realize that Chen Cang is an experienced driver, the kind who welds the doors shut!
While speaking, Chen Cang handed the suction device to Old Ma, saying, “You pass it to me later, I’ll handle it first!”
After speaking, he took the long forceps in one hand and carefully probed inside with the micro-dissection knife.
Bei Yongkang and the others watched the screen anxiously!
They felt somewhat apologetic toward Yu Yonggang, as they came to assist, but so far, their role was still just “spectators”!
There’s no other way!
Watching is much better than causing more trouble.
At this time, Chen Cang had made the incision, and then quickly opened the forceps, as due to the blockage and Old Ma clamping the sinus section nearby, not much blood came out.
“Pass the suction device!”
Chen Cang removed the dissection knife and quickly switched to the suction device.
Then, the aspiration work began!
All of this happened so fast, even Bei Yongkang and Old Ma couldn’t see clearly.
But indeed, the suction device had aspirated the thrombus!
At this moment, everyone was ecstatic.
It was a success!
This was a real success.
Awesome!
This time it was truly an incredible feat!
After aspirating, Chen Cang quickly began the suturing work!
The entire procedure was handled very expertly, not something one would expect from a young doctor.
But!
Chen truly did it.
After Chen Cang finished the procedure, he closed the suture to prevent reformation of the thrombus.
At this moment, everyone breathed a sigh of relief!
This surgery, up to now, was finally a success.
Chen Cang was also shocked by his own seamless operations, he didn’t expect such smooth coordination between his hands!
Just like… having two right hands!
It was extremely convenient.
“””
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