When the Doctor Uses A Hack

Chen Cang took the scalpel and started the muscle-flap free graft surgery!

However, he needed to separate the two little girls before freeing the flap.

This separation involved cutting the abdominal wall that connected the two, exactly in the middle.

Chen Cang glanced at his assistants and said, "Let's start!"

Ford and Jim both nodded in agreement.

Chen Cang's scalpel followed the marked line as he made the incision, encountering little resistance—there were no abdominal muscles, connective tissues...

As the scalpel slowly sliced through the skin and fat...

The bodies of the two gradually separated, with Hamilton carefully controlling the bleeding, the blood-soaked gauzes being removed and piled beside.

By then, the gauzes had already accumulated into a small mound.

Around 800 milliliters of blood had been transfused.

Such a surgery was not only a test for the doctors but also for the patients.

Chen Cang wasn't showing off; he genuinely wanted to give these two little girls a complete surgery.

All girls have a desire for beauty, right?

Although flap transplantation might seem simple, doing it well is far from easy.

Especially for such an extensive surgery!

If the blood vessels and other elements weren't handled well, asymmetry in skin color and scars scattered across the abdomen and back could also psychologically and physically affect them, right?

Thus, Chen Cang decided to go all the way in saving them!

After the separation, the surgeries had to be done individually.

Chen Cang could originally differentiate Judy from Oli, but after the separation, he suddenly found it hard to tell them apart.

Tissue expanders are a common device outside the skin with great results, also serving as preparing one's material.

Chen Cang observed the abdominal wall, where the 4D imaging and the Eye of Beauty started working simultaneously.

How to proceed with the surgery?

At that moment, Chen Cang, silent, continuously gestured with his gloved hands.

His eyes ceaselessly computing.

Children have an advantage; their skin is elastic and has strong resilience, which might be favorable for flap transplantation.

The abdominal wall plays a crucial role in protecting and supporting the internal organs, participating in breathing and trunk movements, and generating abdominal pressure useful for coughing, defecation, and other functions, making its reconstruction especially significant in surgery!

The anterior abdominal wall, smooth and highly elastic, and the tissue cultured by the expander were meticulously calculated.

It was apparent; the execution was professional!

About 10 minutes later, Chen Cang began to operate.

He made a horizontal incision along the skin lines, removed the expander, and then gradually cut through the skin, fat layer, fibrous layer, and finally the muscle layer!

All these steps were crucial!

The abdominal muscles on either side of the girls were clearly insufficient, necessitating supplementation from the lateral wall.

This, in turn, put to test the doctor's skill level on how to carry out muscle-flap transplantation.

At this juncture, the others couldn't lend much help; they could only assist.

And Chen Cang didn't need help from others.

There are many methods for flap transplantation, with advancement being the simplest and most effective.

However, it was clear that advancing the flap was difficult for the little girls; they had to opt for freeing the flap and then transplanting it.

Choosing the right method was crucial!

After removing the tissue expander, an excess tissue appeared on the entire right side of the abdominal wall.

Chen Cang said to Hubert, "Help me pull this."

Hubert quickly nodded!

Chen Cang then made a "Z" shaped incision on the abdominal wall.

The skin of the abdomen and the blood supply of the flap both came from the abdominal vessels, which was very convenient!

The longitudinal skin area required two parallel incisions consistent with the direction of the main vessels!

Chen Cang dissected from one incision towards the opposite side, close to the fascial surface.

Until the incision on the opposite side formed a strip of skin.

Then, Chen Cang quickly performed hemostasis!

The skin flap was soon successfully isolated, but at this moment, during the twisting step at the base, it was crucial to carefully straighten the blood vessels; otherwise, if the surgery succeeded but the blood couldn't flow, it would definitely cause tissue necrosis.

These were the big guys of general surgery!

Where did they understand aesthetics?

For such a baffling skin flap transplantation surgery, everyone had already become drowsy.

However, it was already four or five in the morning, and after a night of turmoil, many people were exhausted.

Time was slipping away by the second!

Just as Chen Cang was halfway through suturing the skin flap, the operating room door suddenly burst open!

Enter two men in their forties, who were momentarily stunned upon seeing Chen Cang's maneuvering!

"Dean Hubert... This... Did Oli and Judy's surgery fail?"

This comment startled Hubert who was carefully watching the surgery!

He turned around, furious, and stared at the man: "Shut your cursed mouth!"

Saying such things in the midst of surgery made everyone angry.

Connie quickly turned to look at the monitor, noting that the vital signs were completely normal!

But... why didn't they call him for the surgery?

"Sorry, Dean Hubert, I... I thought since you didn't call me for surgery..."

Before he could finish speaking, Hubert glared at him, silencing him.

He looked at Chen Cang, who was still suturing: "This is..."

Connie suddenly realized!

Dean Hubert had found an expert and discarded him...

Chen Cang ignored Connie and looked up at Hubert: "Come on, push the skin this way!"

Hubert also had no time for this idiot who couldn't speak properly!

He continued with the surgery.

At this moment, Chen Cang's operation was nearing completion, and the abdominal wall transplantation was gradually becoming successful!

After completing all the stitches, Chen Cang finally looked up.

At that moment, Connie was about to complain to Dean Hubert but was struck dumb the moment he saw the patient's surgical skin!

My God!

Where are the stitches?

Where is the wound?

This was not right! The suture was made according to the direction of the abdominal skin lines, using a concealed suture method...

Connie immediately covered his mouth, disbelieving the scene before his eyes, in utter disbelief!

He knew the difficulty of the surgery, having personally placed the expander in the abdomen!

Who was the surgeon?

At this point, Connie widened his eyes looking at Chen Cang, who was wearing a surgical mask, somehow looking familiar.

Meanwhile, the few people around also bowed their heads to look, and when they saw the flat skin of the patient's abdomen, their eyes widened.

"Where's the wound? Huh? What a clever suturing method!"

The group crowded around, looking more closely and with growing amazement.

Chen Cang looked at Connie, feeling he had seen him somewhere before.

At the same moment, Hubert, looking at his Oli, had eyes brimming with tears, filled with emotion!

How long had he waited for this day!

It had finally succeeded.

He gently touched the abdomen, a sensation he had never felt before overwhelmed him—the realism of the moment was unprecedented!