When the Doctor Uses A Hack

In a hospital, unlike in other places, saying "I can" is much more difficult than saying "I don’t know how"!

From medical students to professors and experts in medicine,

no one would claim they "can" do something they are not confident about!

That statement "I can" carries a substantial weight.

It implies that others will trust you, support you, and assist you in doing the upcoming rescue work.

To tell a patient "I can" means the patient will place unconditional trust in you.

All this, simply because your profession is "doctor"!

So, when Chen Cang said "I can," whether it was Fan Tai from the emergency department or Yue Wenqing from hepatobiliary surgery, both felt a wave of delight!

It was as if, in a moment of life-threatening crisis when one felt helpless, suddenly someone reached out a helping hand.

Of course, this could not have happened without Wang Xiangjun’s recognition of Chen Cang!

They hurriedly took the patient into the operating room.

Although a minor subcapsular liver rupture can be cured with close observation and non-surgical treatment,

for patients with massive bleeding and suspected biliary leakage into the abdominal cavity causing infection, surgery is the only chance of rescue!

At this moment, no one could afford to let their guard down.

The blood transfusion department doctors rushed over, ready with cross-matched blood, while the instrument nurses and anesthesiologists... everyone was well-prepared, poised for the best pre-rescue deployment.

Before the operation, resuscitation measures had already been taken in the operating room!

Wang Xiangjun didn’t even bother changing his clothes or scrubbing in, he ran straight into the operating room in his white coat, doing all kinds of pre-surgery preparations!

Blood preparation, transfusion!

Fluid replenishment!

Oxygenation!

Correction of electrolyte imbalance!

Maintenance of acid-base balance!

Protecting kidney function, preventing kidney failure...

A series of preoperative preparations were like making early arrangements for the battle to come.

Just as Chen Cang and the others entered the operating room, the patient’s blood pressure finally stabilized, which allowed everyone in the operating room to breathe a sigh of relief.

If the patient’s condition could not be stabilized, and the blood pressure failed to rise, the ensuing surgery would carry great risks!

Preoperative preparations were especially crucial!

After anesthesia, Chen Cang decisively took the scalpel from the nurse’s hand!

At that moment, including Wang Xiangjun, the three people inside as well as every medical staff member around, all turned their eyes to Chen Cang!

Although Wang Xiangjun was very willing to believe in Chen Cang, but... how should it be put?

It was complicated!

Even Yue Wenqing, a specialist in hepatobiliary surgery, did not dare to claim he could perform a liver rupture repair surgery, but Chen Cang dared!

Was this confidence?

There was definitely an element of boldness involved.

But Wang Xiangjun hoped more that Chen Cang truly knew how.

He hoped that Chen Cang would bring him a pleasant surprise, as he had done before.

Chen Cang did not hesitate, nor did he show any anxiety, but took up the scalpel and made a gentle incision along the predetermined line, creating a slanted long cut extended from beneath the xiphoid process directly to the right anterior axillary line.

A "J" shaped incision appeared!

At that moment, the abdominal cavity was full of blood, some of which had already clotted.

Chen Cang turned to Yue Wenqing, "Can we proceed?"

Understanding Chen Cang’s meaning, Yue Wenqing looked at Chen Cang with a firm gaze and nodded seriously, "No problem!"

"Suction!"

"Gauze!"

Yue Wenqing skillfully began the lavage preparations, having assisted in such operations before, though he himself did not perform liver rupture repairs.

Now, decisive control of bleeding and exploring injuries was needed.

Clearing out the blood clots required utmost care.

Soon, the abdominal cavity was much cleaner!

But at that moment, there was still severe bleeding from the ruptured liver tissue!

This must be the reason why the blood pressure couldn’t be raised!

Chen Cang acted swiftly, pressing a gauze pad directly with his hand to stop the bleeding, grabbing hold of the liver with both hands, and immediately starting hemostasis.

He carefully cradled the liver with both hands, the gauze pad firmly pressed against it, his fingers ingeniously blocking the blood vessels!

Instantly!

The bleeding stopped all at once!

Chen Cang’s seemingly simple maneuvers left the onlookers around him speechless and dumbfounded!

Even Wang Xiangjun’s eyes widened in disbelief at the astonishing scene.

Manual hemostasis?

Manual hemostasis of the liver!

But... manual hemostasis is usually performed on a single blood vessel or a solitary injury.

And Chen Cang’s operation...

How did he do it?

The seemingly casual manual technique required precise judgment, accurate positioning, and the rapid implementation of emergency measures.

At this moment, Qian Liang rushed into the operating room. Woken from his sleep, he had heard about a liver laceration surgery and came running without a second thought.

Even so, it had taken him quite some time.

After a hasty scrub, he entered the operating room and, without even having time to change into surgical attire, he witnessed the amazing scene!

Who is this?

How is he so skilled!

Amidst his shock, Qian Liang felt a surge of elation—when had their department gained such a talent?

But when Qian Liang looked up, he felt utterly unfamiliar with the scene; he took a closer look!

Isn’t that Chen Cang!

At that moment, Qian Liang was even more stunned.

Chen Cang... Since when could he perform liver laceration repair surgery? In Dongda First Hospital’s Hepatobiliary Surgery Department only four people were capable of such a procedure, all were directors.

And wasn’t Chen Cang just playing with appendices and gallbladders recently?

He... mastered liver laceration surgery?!

And also managed precise manual hemostasis.

This left Qian Liang shocked and somewhat bewildered.

He wasn’t sleepwalking, was he?

After Chen Cang stopped the bleeding, he let out a sigh of relief, but such manual hemostasis was only a temporary measure, the upcoming surgery could not proceed like this!

Chen Cang hurriedly said to Yue Wenqing, "What are you waiting for?"

"Block the liver blood flow!"

Yue Wenqing’s face flushed, and he hastily took over the hemostatic clamp, but in that instant, Qian Liang quickly intervened, "Wait a moment!"

Everyone looked up and saw the chief arriving!

In that moment, everyone couldn’t help but breathe a sigh of relief.

Wang Xiangjun also glanced at Qian Liang and nodded, "You’re here!"

Qian Liang responded, "Hmm!"

After donning surgical attire, Qian Liang walked across from Chen Cang, and Fan Tai quickly made room.

Qian Liang looked at Chen Cang and said, "Are you ready?"

Chen Cang nodded!

Qian Liang took over the hemostatic clamp and promptly stopped the bleeding, decisively and efficiently.

Chen Cang released his hands and immediately began the inspection work.

This method of intermittently occluding liver blood flow at the porta hepatis indeed could stop the bleeding from the hepatic artery and hepatic vein right away!

But there were significant limitations; the duration of each blood flow occlusion couldn’t be too long, typically only fifteen to twenty minutes.

Yet completing such a complicated procedure in this timeframe was clearly unrealistic.

Thus, blood supply had to be restored for five minutes before a second occlusion!

However, modern medical research had shown that repeated occlusion isn’t beneficial for liver recovery.

In light of this, the pace of the surgery had to be accelerated!

The demands on the surgeon, therefore, grew even higher!