Chapter 1715: Chapter 1719: Max Level Boss!
Chen Cang did not choose general anesthesia.
Instead, he opted for local anesthesia.
When positioning the patient, he placed a pillow between the patient’s shoulders, extended the neck slightly, tilted the head about 15 degrees to the opposite side of the incision, and then positioned the patient supine!
This position looked quite strange, but several directors found it indescribably comfortable!
Exactly!
The several directors in their fifties felt they had wasted their lives for decades, never having tried such a position!
Approaching sixty, with few clinical days left, they finally witnessed Chen Cang arranging such a position.
Truly experienced!
At this mont, whether it was the straightforward Yang Wenwu or the anxious Qu Jinguo, they understood why so many people were willing to follow Chen Cang’s surgeries!
Because they could learn sothing!
The position he casually set up left them in awe for half a day.
Not to ntion the upcoming surgery!
Moreover, honestly, they watched Chen Cang with a calm deanor.
He didn’t seem to consider this surgery as challenging.
Indeed!
Chen Cang didn’t think much of this surgery.
After all, the difficulty of this surgery was relatively minor.
Compared to when he trained for spinal fusion connection surgeries, those completely dislocated spinal fractures were much simpler!
This surgery was difficult!
However, spinal injury was buffered well due to the patient’s thermal clothing and helt.
The closed wound did not lead to infection, sparing the process of disease locus and necrotic tissue removal.
And this process is remarkably crucial.
Next, Chen Cang’s unconventional incision left a few stunned!
Chen Cang made a left or right transverse incision, 6-8cm long, from the cervical anterior midline to the left or right anterior edge of the sternocleidomastoid muscle on the fractured vertebral plane!
Several experts and academicians looked confused!
But they dared not ask, fearing Chen Cang would say they’d lived like dogs all these years?
They could only slowly comprehend!
Luckily, over the years, they had accumulated a lot of experience. Though unable to react imdiately, they could slowly understand.
A mont later, everything beca clear to them!
Because the left incision allowed the recurrent laryngeal nerve to be less strained during entry.
This process was hard to avoid in other incisions!
Almost instantly, they felt a sense of enlightennt!
Looking again at Chen Cang, their eyes were filled with surprise!
He must be Santa Claus, no, Christmas Cang!
He occasionally brought a little gift to everyone.
At this mont, Chen Cang remained as calm as ever, as if this were just a dessert, insignificant!
Not even a blink.
The calr Chen Cang was, the more he fit the image of a master in their hearts.
Chen Cang separated the subcutaneous tissue upwards and downwards along the incision.
The entire process required great caution.
After all, due to muscular reasons, the patient’s cervical spine had a pulling effect. If this tension disappeared, it could cause secondary spinal injury.
Therefore!
How to route the front of the vertebral body beca a bit difficult.
Because reaching the vertebral body of the cervical spine required going through the thyroid!
Yet, the middle thyroid vein hindered the exposure of the vertebral body.
The trachea, esophagus, and thyroid are easy to resolve; the hardest part is the vessels!
During operation, a little inattention, and the thyroid artery, middle vein, and recurrent laryngeal nerve are involved…
These are the critical factors affecting the surgery.
Moreover, regardless of how Chen Cang chose the opening, the difficulty couldn’t be avoided!
But they found Chen Cang’s separation speed incredibly fast!
The surgical knife in his hand efficiently cut along the anterior edge of the sternocleidomastoid muscle, separating the platysma and deep fascia, pulling the sternocleidomastoid muscle and carotid sheath laterally.
The swift and orderly movents made the directors uneasy!
Even Yu Yonggang, who had followed Chen Cang for a long ti, felt his heart skip a beat.
This guy… why is he in such a hurry!
Actually, it wasn’t Chen Cang’s fault.
It’s like regularly performing high-difficulty cholecystectomy surgery and suddenly encountering a low difficulty acute cholecystitis, practically stress-free for you!
Watching Chen Cang’s knife was really nerve-wracking; several directors worriedly watched Chen Cang, unable to resist reminding, “Professor Chen, be careful about the thyroid arteries and veins.”
Chen Cang nodded slightly, said, “Thank you!”
After speaking, Chen Cang gently maneuvered and at this mont, the thyroid, trachea, and esophagus were exposed!
Seeing Chen Cang pull these with tissue clamps towards the inside, they astonishingly found the middle thyroid vein diverging from the vertebral body!
This scene left everyone dumbfounded!
The eyes of n in their fifties lit up, unable to understand how the separation was achieved!
Even Yu Yonggang was blindsided, breathing heavily as he watched this scene!
Generally, when the middle thyroid vein obstructs exposure, it requires electrocoagulation or ligation before being cut.
However, Chen Cang’s maneuver directly avoided this step!
Making the surgery beco even more… smooth as silk!
That’s right, it’s that kind of feeling, no difficulty, no pressure, very smooth!
How did he do it!?
Each of them was breathing a bit heavily, trying to figure out the problem.
Unfortunately, Chen Cang’s movents were too quick, they simply couldn’t understand!
What is going on!
At this mont, Chen Cang separated towards the depths along the loose connective tissue, his fingers gently moving!
With heightened sensitivity, Chen Cang clearly felt the cervical vertebrae in the midline!
Then, he gently separated, instantly revealing four vertebrae!
This scene!
A few people instantly exclaid!
“Such a wide exposure!”
“Incredible!”
“Four vertebrae!”
“Oh my god!”
A few people couldn’t help but gulp.
At this mont, at the C7 plane, the position of four vertebrae was completely exposed, and the two thyroid blood vessels and the recurrent laryngeal nerve were completely bypassed!
If in cervical fracture surgery, the incision accounts for 20% of the operation’s role, then Chen Cang’s surgery invisibly expanded the impact of the incision!
This scene made everyone feel their blood boil, so were heartened!
Next, he needed to locate the fractured vertebrae.
However, because the exposed space was large enough, this completely saved a lot of unnecessary processes.
Directly skipping to taking X-ray images in the surgical steps.
When the X-ray results ca out, Chen Cang stared at the images, rging them with the previous cervical MRI images in his mind.
A four-dinsional model began to overlap with reality.
Chen Cang casually said, “Bone chisel, drill, give !”
Yu Yonggang hurriedly nodded, handing them over from the nurse.
Otherwise, they say orthopedic surgery is basically a large-scale ho renovation site!
Chisel, drill, you na it!
However!
Spine surgery is a branch of neurosurgery, the damage cannot be too great, and below there are fractured fragnts and damaged spinal cord!
This further increased the difficulty of the surgery.
So, if the opening before was a matter of skill, the next steps truly tested technique!
With a damaged spinal cord, one must be extrely careful with the bone chisel and drill!
But, knives and guns are ruthless!
Chisels and drills are not exactly gentle tools.
Wanting to open up the bones layer by layer, and later perform spinal fusion.
Removing the fractured vertebra, then forming a complete spine, this deepens the difficulty of the incision again!
At this mont, Chen Cang picked up the bone chisel, chiseling away 1.5cm deep of bone.
Then, using a miniature drill, drilled down to only a thin layer of cortical bone left behind the vertebra!
Looking at the internal spinal cord, Chen Cang just about reached there, with virtually no damage!
Seeing this scene, everyone was stunned!
Amazing!
Just this technique alone, without saying more, already surpasses 99% of orthopedic doctors!
Orthopedic surgery itself is not very precise!
But neurosurgery is the most precise surgery.
Chen Cang forcibly made this orthopedic surgery have the appearance of a neurosurgery!
Looking at the few directors, they were blushing with sha!
A bit embarrassed!
After all, he’s so young, yet this technique has already surpassed most… No, it already surpassed themselves.
A few old academicians exchanged glances, wanting to see each other’s expressions, and this exchange… a few pairs of eyes t.
Instantly, they had an unspoken understanding, feeling utterly humiliated.
Next is the removal of any remaining thin bone fragnts and bone fractures intruding into the spinal canal.
Chen Cang’s eyes fixed on the wound!
A stream of information entered his mind!
[Ding! Level 100 King-level spinal cord injury, suggested to remove bone fragnts, repair nucleus pulposus tissue, connect nerves!]
Seeing this, Chen Cang’s face instantly lit up!
Max level boss!
What kind of rewards will there be?
…
…
PS: The surgery ends tomorrow, oh, leaving a hero overnight, I feel bad…
But there are so many things to write and check, hope everyone understands.
Lastly, asking for monthly votes…
Reviews
All reviews (0)