When the Doctor Uses A Hack

The competition began in the afternoon!

Everyone was brimming with confidence!

Guo Yunfei was especially full of confidence, sitting in Chen Cang's seat and enjoying the admiring gazes from the strangers around him.

Chen Cang couldn't help but yawn!

A bit sleepy, huh.

Yet Meng Xi was still persistently requesting Chen Cang to discuss the topic.

The upcoming matches wouldn't involve drawing lots but rather direct face-offs within the same group based on assigned numbers!

It was all arranged.

The afternoon's competition still revolved around the same question, which was also for the sake of unified management.

Because the national competition's difficulty level was much higher than the provincial competition, the questions were carefully designed by a panel of experts and were representative.

When the time came, the crowd rose to their feet!

Applause erupted from the audience.

Guo Yunfei was in great form today, relieved that his secret had not been disclosed.

The surgery officially began!

And those who were eliminated sat in their seats to watch as the audience.

The host looked at Professors Li Wenbin, Xiong Kangyu, and Yang Guangdong.

"This afternoon, we still have our three experts to provide us with exciting commentary of the matches."

"The second round is a head-to-head format, which makes the competition much more entertaining; to be honest, I can barely wait."

"After all, with two surgeries appearing on the big screen and going head to head, we can see everything clear as day."

"The upcoming matches might be extremely intense, so let's wait and see!"

After finishing, the host picked up the remote control, "Directors, are you ready? We will start loading the videos randomly right now."

Li Wenbin and others smiled and nodded, "We're ready, let's start."

At this moment, the surgery had just begun, and through the camera, one could see the state of the thoracic cavity and make judgments about the disease!

It must be said that experienced directors like Li Wenbin had plenty of experience; after seeing the wound, it didn't take long for them to have a grasp on the situation.

After pondering for a moment, Yang Guangdong nodded and smiled, "The questions this year are quite interesting. To tell you the truth, this surgery even makes me a bit eager to try!"

Li Wenbin nodded, "Indeed, a ruptured thoracic aorta with a severe arterial dissection—this surgery looks simple, but actually, the difficulty is quite high. Take a look at this."

"The thoracic aorta, as an important component of the descending aorta, involves adhesive separation with the trachea and esophagus. This is not an acute hemorrhage surgery, but it is a tricky one!"

"Everyone look, long-term adhesion can cause the trachea, esophagus, and thoracic aorta to stick together, but the aorta itself already has chronic damage, and here, the aortic dissection is clear!"

"This surgery has several difficulties. The first is adhesive separation, the second is treating the thoracic aorta's trauma, and the third is managing the aortic dissection!"

Xiong Kangyu frowned and suddenly said, "Actually, behind these three aspects, there lies an even more critical issue, and that is the management of emboli!"

"Look, because both injury and adhesion are present, accompanied by aortic dissection, there is thrombus formation within the dissection, and we must prevent the thrombus from breaking lose, otherwise it could lead to critical body artery embolism!"

After these words were spoken, suddenly everyone started thinking!

If they were faced with this surgery, how would they choose to proceed?

The difficulty seemed quite significant!

Immediately, the audience went silent.

At this time, the host began to switch screens, looking at the tense competition and said, "Directors, who do you think will win in this head-to-head match?"

Li Wenbin spoke directly, "It's still not clear at this point. The competition is tense. After all, by now, every contestant's level is very high; it's all about the details now."

Yang Guangdong nodded, "Indeed, for this surgery, to be impressive, there are several key points—the first is the handling of surgical details, like thrombus management, the second is the surgical technique itself."

The first surgery was so intense, difficult to tell apart!

Though thrilling, it lacked comparability.

And quickly the screen was switched!

After the switch, this time, there were significant differences between the two surgeries!

Because the surgical techniques were not the same!

Li Wenbin pointed at the screen and said, "Both contestants have completed the separation. Next up is the most important part, treating the aortic dissection—it's the key point of the surgery! Let's see how the two contestants handle it!"

"The contestant on the left has chosen the typical 'elephant trunk' procedure, which is widely applicable. Generally speaking, whether it's an acute or chronic Type I dissection, the 'elephant trunk' procedure can be used during the replacement of the ascending aorta and aortic arch!"

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However, the latest research indicates that, in chronic descending aortic dissection, when employing the "elephant trunk" technique, it's critical to prevent insufficient blood supply to the left renal artery caused by occlusion of the entry, leading to acute renal failure after sealing the intimal tear in the descending aorta.

Let's see if this contestant did just that!"

Li Wenbin moved the view downwards and immediately burst into laughter, "Hmm! A very beautiful surgery, it seems our contestant is quite excellent."

Xiong Dailin suddenly furrowed her brows and pointed at the screen on the right, "Actually... the contestant on the right is even more excellent! Professor Yang, Professor Li, take a look at the method she's using!"

Both turned their attention to the screen, and after a minute, they were both stunned!
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Li Wenbin curiously remarked, "Is this also the elephant trunk technique? It doesn't look much different from the left one."

Yang Guangdong suddenly said, "Director Li, look at the wound site!"

Li Wenbin took a closer look and his eyes widened, "Is this... the 'Sandwich technique'? My goodness, to think of using the 'Sandwich' method to handle the anastomosis, that's simply genius!"

Xiong Kangyu nodded, "Exactly, the Sandwich technique might be the most appropriate and effective method at present! First, it prevents postoperative bleeding at the anastomosis site, and second, it can effectively reduce the risk of new false lumen entry caused by intimal tears at the anastomosis!"

"It's clear that this candidate has considered this!"

Li Wenbin couldn't help but laugh and shake his head, "Ah, the thought process is very comprehensive indeed, even I didn't think of it, to actually use the Sandwich technique here!"

"Who is this contestant? And... I'm very curious as to who could have thought of this now?"

The host smiled and opened the information for the contestant on the right.

"Contestant number 38 of Group D: Meng Xi!

30 years old, graduated from the Karolinska Institute in Sweden, PhD, master's supervisor.

Workplace: The First Affiliated Hospital of Dongyang Medical University;

Position: Director of Cardiothoracic Surgery."

"Let's switch perspectives and see who else there is?"

After finishing, everyone nodded.

After the screen changed.

"Nope!"

"Also not here!"

"Still no!"

Li Wenbin smiled, "Perhaps we're expecting too much from the contestants. It's quite rare to apply the Sandwich method; even I didn't think of it."

Just at that moment, another one appeared on the screen!

Xiong Kangyu quickly said, "The contestant on the left has just shown up, who is this?"

"A-007, Chen Cang!"

Everybody was suddenly taken aback!

"Chen Cang again?"

"How could Chen Cang be so formidable?"

At this time, Xiong Kangyu looked around and suddenly sighed, "I have a piece of gossip here, does anyone want to hear it?"

Upon hearing the word gossip, everyone's eyes lit up.

Xiong Kangyu started to speak with a smile, "This Meng Xi, she's Chen Cang's master's supervisor!"

As soon as these words came out, everyone was shocked!

If Chen Cang is that awesome, how incredible must his mentor be?

Is the cow about to take flight?

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ps: Hehe, we have another Alliance Hierarch, how exciting!

Thanks to "Poison Poison i" for the 110,000 reward, adding another Alliance Hierarch to the book!

I also want to thank Alliance Hierarchs "Sakura Ah Little Sakura", "AlovE", "Bean Ding Egg", "Forgotten Love", and "I'll Feed You" for their generous 10,000 reward each!

We'll continue our strong showing tomorrow!

Fellows, you're awesome, the cow has taken to the skies!

The "elephant trunk" technique and "Sandwich" method are real. In fact, all the surgeries, including the techniques, are based on research, and I even watched surgical videos, so feel free to use these terms confidently to show off!

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