When the Doctor Uses A Hack

Chapter 439: Chapter 439: Witnessing Miracles, Creating the Impossible!

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“First, stop the bleeding!”

Li Baoshan issued the order decisively.

Tao Zi turned around to grab the hemostatic forceps and ligated the actively bleeding vessel directly.

Then Chen Cang didn’t hesitate either!

Suturing!

Chen Cang’s vascular suturing technique was witnessed by all and highly trusted, so Li Baoshan and Tao Zi didn’t have anything more to say.

The hemostasis became the vanguard of this operation.

Li Baoshan carefully probed the abdomen, Tao Zi prepared for positioning and ligating, while Chen Cang provided tight and fast suturing!

Soon, the work of stopping the bleeding was carried out in an orderly fashion.

However, as Li Baoshan moved the spleen, blood from the splenic artery sprayed out suddenly.

Tao Zi reacted swiftly, clamping it down in one go!

At this point, a choice presented itself before everyone.

What should be done with the spleen?

Li Baoshan hesitated a bit, “Should we remove it completely?”

Tao Zi was somewhat anxious, “Could we preserve some… She’s still young…”

Li Baoshan fell silent as well!

But at this time, a decision had to be made.

Chen Cang spoke up, “Let’s suture the splenic artery first!”

The two looked at Chen Cang, then nodded with a meaning-laden glance.

The spleen is the ultimate immune and hematopoietic organ in the human body. During fetal development, the spleen is very active in hematopoiesis, and even after reaching adulthood, when the spleen retires and the bone marrow takes over the task of blood cell production.

However, the spleen still has the function of producing lymphocytes and monocytes!

More importantly, modern research has shown that the spleen can still produce red blood cells in conditions of significant blood loss or when bone marrow functions are impaired!

This makes it one of the most important organs in the human body.

Perhaps not everyone is clear about what lymphocytes and monocytes are.

To give an example, lymphocytes and monocytes are like the body’s police and soldiers, fighting external enemies, killing internal bad elements, and participating in the body’s defense.

Therefore, once the spleen is removed, one can imagine the state the body will fall into!

That’s why there is an advocacy for preserving the spleen as much as possible when it’s ruptured.

However, no matter how much it’s preserved, necrotic tissue definitely has to be removed.

Now, with the splenic artery also injured, suturing must be completed as soon as possible.

But the location of the splenic artery is very special; trying to suture with a needle holder is difficult due to the tricky angle, and there’s a risk of damaging surrounding tissues and organs.

Chen Cang took a deep breath, held his breath and focused, glanced at Tao Zi, and without another word, they began the work of ligating and suturing.

Maybe each second saved might reduce some of the spleen’s necrosis?

Chen Cang’s suturing once again astounded the two senior directors!

Chen Cang’s mastery of the needle was as skilled and familiar as his own hands.

The splenic artery was not thick, but suturing was very difficult. It required maintaining a thread’s thickness for suture spacing, remaining steady, and without damaging the vascular endothelium, to prevent late vascular wall injuries.

Time trickled away, second by second.

One minute later, the suturing was complete!

Next, they faced the surgery of the spleen.

How to decide!

Splenic repair or splenectomy, this became the most critical question.

Splenic suturing is not difficult!

But removing the spleen is of profound significance.

The lower pole of the spleen had sustained a transverse rupture injury, and the small blood vessels had already torn; suturing was impossible, and the distal part of the spleen had developed a blood supply problem.

Li Baoshan hesitated for a moment, “Let’s remove it!”

Tao Zi nodded!

But at that moment, Chen Cang quickly said, “Can we anastomose the small vessels? After all… his injury is still very recent, and due to the collateral circulation and the function of the small vessels still being present, we… might be able to try preserving the spleen.”

Indeed!

Just as Tao Zi said, she’s still young.

If the spleen were removed, it would be like being left with only half a person.

For a time, the decision was difficult to make.

Chen Cang looked at the two, “I can properly suture the small vessels! Leave it to me!”

Li Baoshan was surprised, “Hasn’t it necrotized yet?”

Chen Cang nodded, “Not yet!”

“`

His eyes could see clearly—if the spleen had necrosed, he would have been able to see it.

But at that moment, the spleen was still yellowish, not red.

This meant that it could be saved!

However, the small blood vessels were too intricate; to suture them would be enormously difficult.

The violent impact had left the already fragile spleen somewhat shattered.

What did it mean to carry out such a high-volume repair!

The key question was, could Chen Cang succeed?

It required profound knowledge of the spleen’s vascular system to do it properly!

And it called for the most sophisticated vascular suturing technique!

Nothing could be missed!

Li Baoshan observed carefully and after considering the patient’s condition comprehensively, he looked at Chen Cang, “Xiao Chen… can you do it?”

Chen Cang nodded!

“I can do it!”

He didn’t say he’d try; he outright said he could do it.

Tao Zi glanced at Chen Cang and said to Li Baoshan, “Let’s give it a try!”

Li Baoshan also looked up at Chen Cang, filled with hope, “Good! Go for it!”

Why wouldn’t he wish to give the patient a healthy body?

But… at times like this, besides encouragement, he didn’t know what else to say.

Because to do this job well, the volume of work was large, the workload was even larger, and the degree of precision was immense.

First, you had to have a thorough understanding of the blood vessel distribution in the spleen.

As luck would have it, Chen Cang certainly understood it very well!

He immediately opened the special training on “Human Blood Circulation” and studied the spleen’s vascular region in detail… He didn’t know how long it had been.

When he once again turned to look at the spleen, the blood vessel distribution pattern had already emerged in Chen Cang’s mind.

The branching blood vessels, in Chen Cang’s eyes, were categorized and orderly like branches and twigs.

Perhaps!

He really might be able to do it.

And at that moment, the head of the anesthesiology department also began to closely monitor the patient’s vital signs.

Everyone was doing their utmost to create a favorable condition for Chen Cang!

They were all waiting for Chen Cang to undertake a task that seemed “impossible.”

They had never even considered performing such a procedure.

After all, removing the spleen was, to the medical staff, also a rescue success.

Even though it could potentially have a significant impact on the patient’s recovery later on and cause a lot of inconveniences, but… that was the limit of medical technology.

But this time, Chen Cang decided to make his best effort to give the woman a healthy body, and a relatively healthy spleen!

Thinking of the little boy’s hopeful gaze, Chen Cang felt he needed to try his hardest, to save this family.

Chen Cang put on the microscope and kept adjusting the magnification; his suturing threads and needles were continually being replaced.

Time was ticking away.

This ticking was the patient’s life!

Chen Cang’s phone had been thrown into the storage room and it rang over and over.

The patient’s small blood vessels, under Chen Cang’s earnest effort, one stitch after another, another and another!

There were many vessels, but Chen Cang didn’t mind; he repaired as many as he could, providing the spleen with good nutrition for recovery, preparing for the subsequent rehabilitation!

Watching Chen Cang’s meticulous operation, Li Baoshan and Tao Zi exchanged glances!

They couldn’t help but sigh.

After an indeterminate amount of time, when Chen Cang felt his back go numb without sensation, he finally breathed a sigh of relief!

It was sutured!

He had forgotten how many small blood vessels he had sutured.

But he had succeeded.

Everyone looked at Chen Cang, their eyes filled with shock.

Chen Cang had really done it…

Li Baoshan had removed spleens all his life, had performed so many surgeries like this, but today, he witnessed a miracle of spleen rescue with his own eyes.

The complexity of his inner feelings was beyond words!

…

ps: Thanks to the friend “First Love as Dazzling as Summer Flowers” for the 10,000 reward, thank you!

And to “xianzhea” friend as well for the 10,000 reward!