Capítulo 1971: Chapter 1977: Just a Minor Surgery!
Chen Cang ca in and gave Deng Ming a warning look:
“Stay away from my son in the future!”
Chen Cang threatened grudgingly.
Leaving Deng Ming at a loss, half smiling and half crying!
“The operating room is set up, boss, we can start the surgery anyti. Do you want to et the patient’s family?”
At this mont, Chen Cang was holding the film and began to examine it.
After looking it over, he breathed a sigh of relief. Apparently, the difficulty of the surgery wasn’t too high, and he nodded and said, “Let’s et them!”
“After all… it’s a minor surgery. Let the patient’s family feel reassured. During New Year’s, encountering such a thing is distressing for anyone.”
Next to him, Wang Qing and Chen Bingsheng listened intently, clear and thorough!
Old Chen quietly asked, “Dr. Wang? Is this… a minor surgery?”
Wang Qing was montarily speechless, unsure how to respond to such a question!
If it were minor surgery, would it be worth so much agonizing?
Didn’t you notice my furrowed brow, the psychological burden I bear?
Silence was the best answer.
…
…
Inside the operating room.
Chen Cang changed clothes.
Obviously, performing surgery late at night wasn’t the first ti.
But honestly, this was also Chen Cang’s first ti performing ophthalmic surgery in real life.
Old Chen next to him stared fixedly at Chen Cang.
This made Chen Cang nervous.
If they asked, how should he answer?
After all, where did he perform the surgery?
Lying is truly a skill.
Unfortunately, Chen Cang hadn’t learned this skill.
To be honest, ophthalmic surgery requires precision; it’s difficult because of the precision.
It’s all about the execution!
No fancy techniques.
Most of the ti, it’s the honing of basic skills: suturing!
Liu Jian was on duty as the anesthesiologist.
Ophthalmic anesthesia doesn’t require general anesthesia, local anesthesia will suffice.
But to prevent the child from suddenly waking up and affecting the surgery, Liu Jian opted for a combination of basic and local anesthesia to be safe.
Ophthalmic surgery needs to be perford under a microscope.
Moreover, it’s a special microscope with a series of devices like light sources and condensers.
The difficulty of such surgery is much higher compared to other surgeries.
Because delicate operations can affect the sclera, cornea, and even the eyeball!
Chen Cang held the pen-shaped tool with hands as steady as a rock!
The surgery was about to comnce!
This surgery was beyond anyone’s assistance.
Wang Qing and Deng Ming could only do miscellaneous tasks, besides cheering a few tis: “Co on.”
However, the atmosphere clearly didn’t match the operating room setting.
Here, after Chen Cang prepared, he carefully made an incision with a knife, 2mm posterior to the limbus, incising the conjunctiva around the wound.
The entire procedure had no blood seepage!
Even the tiny blood vessels outside were carefully avoided whenever possible.
This step was simple, yet difficult!
Wang Qing widened his eyes, watching this scene, completely astounded!
How is this possible?
This requires perfectly avoiding the nerves and blood vessels around the eye.
The cornea lacks vascular nerve distribution, which is why cornea donation is often relatively straightforward, as many diseases won’t infect the cornea.
And the sclera has a dense, tough structure!
Although it lacks blood vessels, the scleral canal traversing through the entire sclera contains arteries, veins, and nerves; the surface is also covered with the tenon’s capsule.
Not only is location selection challenging, but the scalpel’s force needs to be precisely controlled, and even positioning must be correct!
Yet, Chen Cang wielded his knife with ease and casually!
A gentle stroke completed the incision.
An exceedingly perfect incision!
Just this step alone, in the eyes of all ophthalmologists, was already an extrely challenging step.
But for Chen Cang, it might truly be a minor surgery!
Next, Chen Cang switched the knife in his right hand for tweezers.
Began separating the tenon’s capsule, thoroughly exposing the scleral wound!
After entering the sclera, through the aqueous humor, the lens was clearly visible!
At this point, the lens was partially embedded into the vitreous region.
Retrieval is not highly difficult.
But to retrieve it, complete the scleral suture and fix the lens, all this is incredibly challenging!
Moreover, the sclera is relatively hard, increasing the surgical difficulty.
But at this mont, Chen Cang held a long needle, employing an inside-out suturing fixation thod!
“Is this… the triangular fixation thod?”
Chen Cang nodded, sowhat curious, looking at Wang Qing asking: “Correct, have you seen it?”
Wang Qing was sowhat thrilled!
Where would he get the chance to see such a sophisticated lens fixation technique!?
He excitedly said: “Haven’t seen it, but… in the 2023 latest guideline, Professor Barry introduced such a triangular fixation thod as the best fixation technique for artificial lens implantation!”
“However, everyone generally thinks this suturing thod is difficult to achieve, so… everyone believed it was just speculation!”
Chen Cang was surprised, he hadn’t realized this suturing thod had so many stories!
Yet, though he spoke, his hands with the needle and thread did not stop.
After creating a small triangular scleral flap, using the long needle from one side from the outside to the inside through the ciliary groove area, the puncture point was posterior to the corneal limbus.
From the opposite side, the sharp needlehead went through the ciliary groove from the outside to the inside, then the long needle was inserted into the needlehead, the long needle being guided through the opposite-side ciliary groove!
The entire process—technique, needlework, threading—was effortless!
Yet, Wang Qing watched with great excitent.
Truly!
It’s real!
If following Professor Chen’s technique, it might be achievable.
At this mont, he genuinely developed deep admiration for Chen Cang.
Clearly an ergency departnt doctor, yet capable of performing ophthalmic surgery!
Next is scleral repair!
When suturing the scleral laceration, you must recognize the wound edges on both sides!
Because the sclera’s substantial layer is composed of dense collagen, it’s 1mm thick, easy to identify.
But ensuring the scleral substantial layer aligns tightly is highly challenging.
However, at this mont, Chen Cang took over the needle and thread.
Suddenly frowned.
“Give the 10-0 suture thread!”
Wang Qing heard, suddenly worried, asked: “Wouldn’t it be too brittle?”
Chen Cang shook his head: “The 8-0 suture thread is strong enough but too thick; suturing the sclera requires tight stitches, and the wound should be smooth and not leak water.”
“The 8-0 suture thread isn’t perfect!”
“Alright, watch closely, I’ll teach you how to use the 10-0 suture thread more securely!”
After finishing his words, Chen Cang began his operation!
Wang Qing’s eyes lit up.
Teaching a secret technique?
“The 10-0 suture is too fine, not strong enough, so to compensate for the defect, the suture should penetrate at least 2/3 of the sclera’s thickness, but not exceed 90%!
This way, it ensures good scleral alignnt and high strength!
To prevent more intraocular contents from extruding, in large wounds, expose and suture from front to back…”
Chen Cang explained ticulously.
Wang Qing was profoundly shaken while listening!
Is this really… a minor surgery?
In a minor surgery, Professor Chen had already broken through two current world progress difficulties!
The surgery was quickly completed.
Without spending much ti at all.
At this mont, the operating room door opened.
Nurse Qin Yali said: “Director Chen, the experts from the ophthalmic hospital have arrived!”
…
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