When the Doctor Uses A Hack

Chapter 876: Chapter 877: A Patchwork Game (Extra Chapter 1 for Alliance Hierarch who loves his wife and will prosper)

“Really don’t know?”

“Really don’t know…”

“Oh! That’s good, come here, I’ll teach you!”

After triple-checking, Ma Yuehui felt confident that he wouldn’t face any embarrassment, so he calmly started the next surgery.

Even Zhou He, the anesthesiologist beside him, couldn’t help but laugh.

Even the nurses felt a bit more sympathy and grievance.

How could a heartthrob not know?

They felt that Ma Yuehui was picking on our hero, Chen Cang.

The upcoming surgery was not easy at all.

Due to the existing suppurative appendicitis and bloody fluid leakage, the adhesion infection inside the entire abdominal cavity was very severe.

They had to use antibiotics during the operation to fight inflammation and infection.

A big clump of dark red intestines, still bulging, contained no small matter; before cutting away the excess intestinal tissue, they had to complete the detachment of the intestines within the cavity.

This process was very delicate.

Though Ma Yuehui seemed rugged, he was meticulous—indeed, Chen Cang and Ma Yuehui often chatted about daily trivia when they went to the restroom together…

Ma Yuehui’s grasp on details during surgery was spot-on.

There was a presence of colonic obstruction, so the ileocecal part of the colon was swollen, thinning the intestinal wall!

Hence, it was very easy to damage the intestinal tract during the following dissection process!

As for a flavorful surgery, once the intestinal wall was torn, fecal matter would contaminate the abdominal cavity!

Therefore, before proceeding, they first decompressed, and then freed the intestinal tract.

At that moment, Ma Yuehui looked at Chen Cang, “Push the small intestine and omentum to the left, cushion it with warm saline-soaked gauze to reduce surgical risk.”

Ma Yuehui was sincere in educating Chen Cang, sharing some practical tips and experiences, not just the stuff you find in textbooks.

Joking aside, Ma Yuehui took teaching Chen Cang very seriously, without holding anything back.

“When tying, remember to include a cloth strip; otherwise, it’s easy to damage the mesentery and blood vessels.”

“Both ends of a blood vessel must be tied.”

…

The surgery progressed step by step.

Though intestinal surgery sounds simple—just cutting out the necrotic part and joining the two ends—actually, many surgical details needed attention.

This time, Ma Yuehui said, “Pick up this section of colon, use both hands.”

Chen Cang nodded, and at that moment, Ma Yuehui began to separate the retroperitoneal fat and lymphatic tissue with a dissector, reaching the root of the mesentery.

The entire process required a steady hand because this step needed caution!

Here were the ureters and ovarian blood vessels, and of course, in men, the spermatic vessels.

Chen Cang remembered a patient from the provincial hospital who had accidentally cut the spermatic vessels during surgery, only finding out a year later, resulting in the hospital compensating over two million yuan…

Once everything was done, the severed intestine was completely free, ready for removal.

Each stump needed two intestinal clamps to control it, preventing the contents from leaking.

Ma Yuehui glanced at Chen Cang, “Be careful when cutting, tilt it slightly!”

Chen Cang was puzzled, “Why?”

Ma Yuehui grinned, “Personal task, treat me to dinner tonight, and I’ll tell you.”

The surgery was now not as difficult, with the most dangerous part behind them.

A nurse couldn’t help but quip, “Such a flavorful surgery, Team Leader Ma, you’ve got quite the appetite!”

Exactly!

Chen Cang was impressed too…

This Ma Yuehui was truly a rough man, unconcerned with these fine details.

Ma Yuehui couldn’t help but shake his head, “See that? Cutting at an angle increases the diameter of the ileum’s end, giving you more options when it’s time to suture!”

With these words, Chen Cang suddenly realized what was being taught.

The same procedure was then performed on the other end.

Fortunately, the length of the intestines was sufficient. Even though the gut was winding and over a meter of intestine was removed, the difficulty of the anastomosis was not significant.

“3-0 chromic gut suture!”

Ma Yuehui handed the needle holder to Chen Cang, “Do you know how?”

Chen Cang nodded, “Yeah, a little.”

Ma Yuehui was reassured, “Here, give it a try, and I’ll guide you.”

Chen Cang nodded. His intestinal anastomosis skills were of master level, not excellent but still impressive.

Ma Yuehui looked at Chen Cang, “Know the process?”

Chen Cang nodded again, “Yeah.”

Seeing Chen Cang nod, Ma Yuehui simply said, “Then be careful, no need to rush.”

This couldn’t be blamed on Ma Yuehui, as this type of intestinal anastomosis wasn’t the same as simply stitching a rupture.

The whole process was quite complicated.

First, the back wall needed a full-thickness continuous suture, which was not easy.

Next, the suture used on the anterior wall of the anastomosis had to be a full-thickness continuous inverting stitch!

After that, a fine non-absorbable suture was used to place a row of interrupted sutures in the seromuscular layer on both the anterior and posterior walls of the anastomosis.

Once the anastomosis was complete, a fine non-absorbable suture was used to perform interrupted sutures on the mesentery of the ileum and the transverse colon.

Each step of the procedure posed its own challenges and, due to its complexity and layered approach, it greatly tested the basic skills of the practitioner in gastrointestinal surgery.

Ma Yuehui had Chen Cang perform the procedure, partly as a test and partly as training.

Chen Cang took a deep breath. It was his first time performing such an anastomosis, and with the diameters of the two ends of the intestinal sections being different, the difficulty was undeniably higher.

But when Chen Cang brought the two ends together, he froze for a moment!

He realized that the angled diameter matched the other end better!

Suddenly, Chen Cang had another epiphany!

No wonder they cut at an angle.

Ma Yuehui glanced at Chen Cang and smiled, “Know why now?”

Chen Cang nodded!

“The diameters of the ends of the transverse colon and ileum are different; this way, the suture provides a better intestinal anastomosis!”

Ma Yuehui couldn’t help but laugh, “Right!”

“I call this the ‘end-to-side anastomosis technique’! My private special trick, handed down only in secret. Would you consider calling me ‘godfather’? I still have many tricks up my sleeve!”

Chen Cang rolled his eyes, ignored the fool, and hurriedly began his work.

Once Chen Cang started, Ma Yuehui was taken aback—something was off with this lad.

Could it be… that he was playing dumb?

Indeed!

Not only Ma Yuehui, but Zhou He was also stunned. Was this a guy who couldn’t perform intestinal anastomosis?

With the suture needle in Chen Cang’s hand, it was as if it had a soul of its own. As they say, ‘know one, know all,’ Chen Cang’s tendon sutures were perfect, and his vascular anastomoses were perfect!

Originally, Chen Cang’s intestinal anastomosis skills were already masterful. Empowered by his insights in both aspects, his understanding deepened.

Medicine, after all, is a connected discipline, not existing in isolation.

While suturing, Chen Cang felt inspired—he felt his suturing skills could cross boundaries!

Thinking about practicing later tonight on the stockings he ripped from Qin Xiaotian last night, maybe he could even restore them to their original condition!

At that moment, Chen Cang suddenly felt that being a surgeon wasn’t so boring after all…

Stitching and mending could actually be quite interesting?

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