Chapter 1635: Chapter 1639: Martial Arts Realm: Effortless Strength! (Fourth Update)
Chen Cang carefully felt the thickness of the patient’s skin burn and the condition of the eschar…
Then, with a deft hand, he lightly applied the scalpel, cutting three-tenths into the skin, gently along the posterior edge of the sternocleidomastoid muscle until reaching the platysma.
This incision was extremely precise!
The effect of the +30 sensation was brought to its peak!
It accurately passed through the eschar tissue and reached the depth of the platysma!
Neither more nor less.
The control of resistance in different tissues was perfectly grasped!
After a little reflection, Chen Cang cut open the fascial membrane of the platysma to completely relieve the compressive ring of eschar!
Indeed, once this incision was made, the patient’s breathing instantly became smoother!
After excision of the eschar, the next step was escharectomy!
Of course, many patients with lighter injuries do not need to undergo excision and escharectomy!
Because the eschar can naturally separate!
But this process is also quite dangerous, involving infection, dissolution, and liquefaction of the eschar.
During this process, the body’s energy consumption is high, the inflammatory response is severe, and the infection worsens. To shorten this process, surgical removal can be employed, known as debridement, also called escharectomy!
This step must be performed under anesthesia!
Because the scalpel and scissors need to separate and remove the eschar along the deep necrotic tissue!
The people nearby couldn’t help at all!
Even Gong Daizhen could only offer minor assistance; the entire procedure required Chen Cang to do it himself!
Because even Chen Cang couldn’t guarantee how to minimize the surgical stimulation!
Under the effect of anesthesia, the patient’s body was already feeling the stimulus.
At this moment, Chen Cang held the scalpel in his left hand and the scissors in his right.
But…
They seemed weightless!
Indeed!
Chen Cang carefully inserted the knife into the depth of the necrotic tissue, starting to separate and remove the eschar!
Then, the right hand began to trim the scattered necrotic tissue or exposed unhealthy fat tissue at the wound base, cutting or lightly scraping them away.
This process needs to be carried out layer by layer!
Best not to stimulate too much.
Do not damage too much!
The scalpel and scissors in Chen Cang’s hands seemed turned into cotton swabs wrapped in cotton, soft and weak!
The eyes of the people around were lighting up with amazement!
This is a very, very difficult operation in surgery, and if it were to be described using martial arts terms, it would certainly be: lifting weight as if it were light, making the complex appear simple!
Indeed!
Imagine how difficult it is to turn surgical knives and scissors, such sharp instruments, into performing like cotton balls?
Because only in this way can excessive damage to normal tissues be avoided!
Nobody knew the depth of the burn and eschar thickness!
This seemingly simple scene left everyone present utterly excited!
On the scene, Gong Daizhen watched Chen Cang with a deep sigh!
Originally, she thought the gap between herself and Professor Chen would become smaller and smaller.
Even if there was a gap, it should be in inspiration and methodology, not so much in operational skills!
But this set of operations truly made her feel defeated!
Because, at this height, she knew very well that she had already passed the peak of skill improvement, and it would be hard to catch up in the years to come!
Qin Xiang and Yang Tao exchanged glances!
In each other’s eyes, they saw trepidation and fear!
Sweat poured down from both of their outreached hands, soaking the green scrubs underneath.
Yet Chen Cang dared not relax in the slightest!
Finally, after less than two minutes, normal tissue was finally revealed!
Chen Cang glanced at Gong Daizhen: “Clean!”
He didn’t want to say much now; this surgery had only just begun!
The six-hour operation, under a high temperature of 32 degrees, he needed to be the chief surgeon the entire time. Any energy conserved was precious!
Fortunately, Gong Daizhen was quite reliable!
Skillfully using 1% hydrogen peroxide, physiological saline, and metronidazole for repeated cleaning and thorough hemostasis.
Then it was time to harvest the autologous skin for grafting!
The skin needed to be harvested on site, preserving its vitality as much as possible.
And this skin came from Zhao Yasi’s leg!
“Director Qin, prepare for skin harvesting!”
Qin Xiang nodded, looking at Zhao Yasi, ready to begin!
Skin harvesting required the use of a dermatome!
Zhao Yasi lay on the bed beside, very nervous, very tense!
But as long as she could save her father, she was willing!
Qin Xiang didn’t say much. With Chen Cang waiting, there was no time to delay.
As he spoke, the dermatome made its pass, taking a strip of skin!
Exposing a bright red area, looking quite ghastly!
Yang Tao immediately prepared to clean, then began suturing Zhao Yasi’s leg!
The skin needed on the neck wasn’t extensive, but the grafting difficulty was quite high!
How to find a nourishing pedicle for the flaps!
In fact, there weren’t many available blood vessels at this moment!
But it was essential to ensure the success rate of the skin graft while also considering the efficiency of future skin graft transplants…
Time ticked away by the second!
Chen Cang could not afford to be careless.
Every step was handled with care!
After nearly an hour, the circumferential neck eschar was finally dealt with!
The next was the circumferential eschar on the chest!
This skin area was three times larger than that of the neck!
The difficulty multiplied accordingly!
The surgical incision began along the anterior axillary lines on both sides!
Slowly cutting from 2 cm below the clavicle down to the tenth rib!
Initially, it only needed to reach the tenth rib!
But… Chen Cang suddenly furrowed his brow; he realized the patient had thoracoabdominal eschar!
This meant it had to extend further down.
Because men breathe abdominally!
Chen Cang had to continue, cutting below the rib margins to the incision ends meeting with the anterior axillary line incisions on both sides, with a depth reaching the deep fascia!
The entire incision was very long!
But the effect was significant, at least the patient’s breathing improved greatly.
Excising the eschar… escharotomy… skin grafting…
Each step was underway!
But the remaining twenty percent of the patient’s skin was utterly insufficient to support so much!
This would test the skill of the lead surgeon!
How to use this twenty percent of the skin to cover an area fifty percent larger!
The difficulty was extremely high!
Chen Cang’s brain was like a high-speed computer, continually calculating, dividing, computing, experimenting…
Time ticked by the second!
Chen Cang felt as if he were inside a steam room!
Sweat repeatedly soaked his inner clothes.
There was never a chance for them to dry!
Because it was too hot!
Like being in a steamer!
And the loss of sweat seemed like dehydration!
Seeing this, Gong Daizhen felt a bit heartbroken.
Not just her, but the surrounding doctors, nurses, anesthetists, and medical staff… all looked at Chen Cang with great respect!
This truly was a good doctor!
Just this amount of perseverance deserved admiration!
And at this moment!
Fortunate to witness the surgery, Zhao Yasi saw this scene!
Professor Chen’s surgical gown was tightly clinging to his back, with sweat even wetting the floor around Chen Cang in the operating room.
But… despite this, he didn’t move an inch!
Suddenly, Zhao Yasi burst into tears!
At this moment, she finally understood what was behind Professor Chen’s decisive promise!
What was it?
It was pressure! It was responsibility! It was difficulty! It was also commitment!