Chapter 489 - 280: Old Ren, I Regret It
Chapter 489: Chapter 280: Old Ren, I Regret It
When He Guangzong heard Jiang Ming mention Hybrid Technology, he couldn’t stay seated.
Director Liu and Director Gan were equally incredulous. Even they hadn’t mastered Hybrid Technology, so they never expected Jiang Ming to be able to propose such a plan.
Director Liu suddenly recalled the young man who had accompanied Jiang Ming the day before, and a possibility dawned on him.
He Guangzong also remembered the young man in the operating room yesterday. ’There’s something fishy about the Emergency Department at Xingke University Hospital!’
He Guangzong was glad he’d rushed over for the consultation. He was determined to get to the bottom of this.
"Dr. Jiang, walk me through the specifics of your plan."
Jiang Ming began to explain in detail, following what Wu Ting had told him:
"...a bypass graft of the ascending aorta and aortic arch branches under normothermic conditions..."
"After completing the conventional surgical bypass, we begin the TEVAR... Accessing through the femoral artery, a hydrophilic guidewire is used to advance a gold-tipped marker catheter through the true lumen to the ascending aorta..."
"Then, we select a fourth-generation bioresorbable polymer stent and exchange the gold-tipped marker catheter for a stiff guidewire... The aortic stent delivery system is advanced over the stiff guidewire to the aortic arch... After that, we begin the endoluminal aortic repair...."
Of course, if they were to use the delivery system developed by Wu Ting, the procedure would be simpler and safer. However, the product hadn’t been widely adopted yet, and the emergency department at Xingke University wasn’t equipped with it, so they had to settle for the next best option.
As soon as Jiang Ming finished explaining the plan, He Guangzong burst into applause, praising him repeatedly.
Although the other doctors didn’t understand all the details, they could tell Jiang Ming’s plan was extraordinary.
This type of normothermic bypass surgery completely avoided the need for deep hypothermic circulatory arrest. At the same time, it also sidestepped the massive trauma, high mortality, and frequent complications associated with open-chest surgery!
The two main challenges of this surgery were retrieving the vascular stent and advancing the guidewire into the true lumen.
The first issue was readily solved by using the fourth-generation bioresorbable polymer vascular stent that Wu Ting had developed himself. As for getting the guidewire into the true lumen, without an upgraded delivery system, success depended entirely on the primary surgeon’s skill.
"Director Liu, Director Gan, let’s just proceed with the surgery according to Dr. Jiang’s plan."
Knowing the other two directors weren’t experts in Hybrid Technology, Director He stated plainly, "I’ll take the lead on this. Dr. Jiang, you’ll join the two directors as an assistant."
"After the surgery, I have a few things I need to confirm with you."
He Guangzong was now almost certain. ’This surgical plan has to be related to that young doctor from yesterday.’
"Then, Xiao Jiang, you should go get ready as well," Director Liu said. "Director He is one of the most renowned surgeons in our field. This is a rare opportunity to learn."
Director Liu hadn’t expected it. The perpetually proud Director He was actually taking Jiang Ming into the OR. Previously, whenever Director He operated, even his assistants had to be at the director level.
Jiang Ming was thrilled to receive Director He’s invitation.
With the plan established and the pre-operative consultation complete, the consent forms were signed, and the surgery began immediately.
He Guangzong was the lead surgeon, with Director Liu and Director Gan as first and second assistants. Jiang Ming trailed behind them.
With Director He’s world-class surgical skills, the Hybrid Technology procedure went incredibly smoothly. The only point where Director He encountered the slightest difficulty was with the delivery system, forcing him to concentrate with every fiber of his being.
Watching the surgery conclude perfectly, the directors from Xingke University and the other doctors observing from the gallery were all filled with admiration.
It was the first time any of them had seen Director He use Hybrid Technology to treat such a severe and complex cardiovascular malformation.
It was undeniable that compared to conventional open surgery, this minimally invasive procedure was less traumatic, relatively safer, and had fewer complications. Recovery would also be several times faster.
Unfortunately, Hybrid Technology was still in the research phase at Fuwai, and only a few top directors could flawlessly lead such an operation.
Director Liu and the others were already looking forward to Fuwai’s research maturing so they could adopt this brand-new, advanced Hybrid Technology!
After the surgery, He Guangzong pulled Jiang Ming aside and questioned him point-blank.
"Dr. Jiang, who was the doctor in your OR yesterday who suggested using Hybrid Technology for the rescue? And this patient’s diagnostic and surgical plans for today—are they connected to him as well?"
Director He’s intuition was sharp. This surgical plan was clearly from the same school of thought as the one proposed by the young man in the OR yesterday. It demonstrated a profound and mature grasp of Hybrid Technology.
Questioned so directly by Director He, Jiang Ming blushed and confessed:
"You’re as perceptive as ever, Director He. The treatment plan for today’s patient was, in fact, taught to me by a colleague from City First Hospital."
"Yesterday was the day he was supposed to report to Fuwai Hospital. Before heading over to Fuwai, he decided to visit our hospital first. As it happened, he was there right when that patient with the aortic dissection aneurysm came in, so he helped with the emergency treatment."
"Then, last night at dinner, I was preparing the case file. He listened to me review it a couple of times and just gave me the diagnosis..."
Realizing who He Guangzong was, Jiang Ming quickly added:
"My colleague’s name is Wu Ting. He won the national championship in the recent Cardiac Surgery Skills Competition. In fact, he’s at Fuwai today for training. After that, he’ll be representing our Jin Country in the international competition."
When Jiang Ming finished, He Guangzong was left completely stunned.