449 Pleasan (1/2)

Doctors watching an abdominoscopy from the sidelines gained a vantage point that others did not have the luxury of having, as both the onlookers and the surgeons were exposed to the same operating field.

This was very important; when it came to conventional and traditional surgeries, even the most advanced high definition panoramic camera would fail to capture every detail for the onlookers, compared to the surgeons and their naked eyes.

At the end of the day, the things that could be captured by the camera lenses were limited. And during the process of the surgery, complications that arose were not always limited to the operating field. There were times when the chief surgeon might make decisions based on things seen outside the operating field. Sometimes, the decisions might not even be made based on things they saw, but what they could feel with their fingers...

Compared to those conventional surgeries, complications outside the operating field rarely arose during endoscopic surgeries such as abdominoscopy and knee arthroscopies.

During an abdominoscopy, whatever was shown on the screen was what the chief surgeon saw. The onlookers, too, got to see the exact same things. They would see nothing more, nothing less.

However, if a doctor merely wanted to observe a surgery for leisure, this difference might not matter so much.

However, if a doctor really wanted to pick up a surgical method, characteristics of endoscopic surgeries such as abdominoscopy came in extremely handy.

What they saw was what they got. Hence, there was no need for the countless doubts and speculations.

However, at this moment, the doctors in Operating Theater 3 of Yun Hua Emergency Medical Center were full of doubts.

”Is this really a bloodless operating field?”

”It's not really completely bloodless…”

”Do you see any blood there?”

”The blood was aspirated just now…”

”The aspirated blood doesn't count. This is a bloodless operating field!”

Before Ling Ran could say anything, the doctors had divided into a few different parties and were engaged in a heated debate.

For surgeons, the term ”bloodless operating field” was something that only existed in the highest realm. It was a type of concept that could be compared to sanctification in Confucianism.

At that moment, a completely bloodless operating field was only possible for a small number of surgeries.

However, just like how believers of Confucianism never stopped trying and always strived hard to improve themselves to achieve sanctification, surgeons had been trying all means and methods to make a bloodless operating field possible in all kinds of surgeries.

A ”bloodless operating field” came with endless benefits.

In the words of William Stewart Halsted, the American surgeon who came out with the concept of bloodless surgery, ”Adequate exposure and careful bleeding control are the only things that can ensure that surgeons remain calm as they should, so that they can approach the surgeries with a clear state of mind and work in a methodical fashion.”

However, as a prominent figure in the field of surgery in the late nineteenth century, this proposition was not easily achievable. Even now, doctors were still working long and hard toward this aim.

Cardiopulmonary bypass was the only method that could create a relatively proper bloodless surgical field.

Even though a bloodless surgical field was possible when it came to minimally invasive surgeries, it was not a certainty. In fact, less than 1% of minimally invasive surgeries were carried out under a bloodless surgical field.

In other words, if you do not take cardiopulmonary bypass into account, minimally invasive surgeries was only one of the conditions that made a bloodless surgical field possible.

To achieve a bloodless surgical field, doctors also needed to be extremely well-versed in the human anatomy with the help of some luck.

Even though medical scientists had come up with the miraculous invention called endotherm knives, doctors could not just use them on every single small blood vessel they came across. This would do nothing but bring harm to the patient's body.

The most excellent surgeons were able to avoid cutting into any blood vessel altogether.

And this was something unbelievable indeed, as every single human being's anatomical composition was different. The position, length, thickness, and concentration of blood vessels varied between patients, and it was impossible to dodge all the blood vessels by looking at them with the naked eye alone.

The good thing about abdominoscopy was that only a very small incision was required, so the amount of bleeding was minimal, and the blood merely needed to be aspirated.

Of course, bleeding control must be carried out extremely swiftly and precisely. And this happened to be what Ling Ran was excellent at.

”The mesentery is open.

”Sever it.

”Prepare to remove the vermiform appendix.”

Ling Ran's voice rang out continuously.

Professor Huang could not help but glance at Ling Ran. If a student who was working under him were to report his progress at such short intervals, he would probably have scolded that student.

Truth be told, most surgeons could carry out a surgery very swiftly.

But it was not so easy to carry out a surgery well while maintaining that pace.

It was extremely easy for a person to make mistakes when he was in a rush.

Driving was the most typical example. If a person were to drive at twelve miles per hour, twenty-five miles per hour, fifty miles per hour, and seventy-five miles per hour, he would certainly find it more and more difficult to control the car and ensure his safety at the same time as his driving speed increased.

And the various factors that needed to be taken into account while driving were far less than the factors that a surgeon needed to take into consideration when performing a surgery.

Hence, if Professor Huang were to see that a student of his was deliberately chasing after speed when carrying out a surgery, he would definitely haul that student over the coals.