Outside the operating room,

Qin Feng and the others had already changed into blue surgical attire and entered the operating room to begin sterilization and cleansing.

Surgeon: Qin Feng, First Assistant: Cardiac Surgery Director Zhang Fan, Second Assistant: Cardiac Surgery Deputy Director Cao Ke.

Instrument Nurse: Head Nurse of Cardiac Surgery, three circulating nurses.

The observation room was packed with people, all attending surgeons from the cardiology department were present to observe.

This surgery was quite challenging, providing them with a rare opportunity for live video learning.

"Let’s begin."

In the surgical room, Qin Feng held his hands suspended before his chest and spoke to the two others.

Then he changed into a sterile gown and stood at the surgeon’s position.

"Begin anesthesia."

Qin Feng nodded to the Anesthesia Department Director beside him.

This anesthesia was critical!

Neonates differ from adults, and the method and dosage of anesthesia, as well as monitoring physiological signs during the operation, are crucial.

It can be said that all surgeries are 70% anesthesia, 30% surgery.

If there is a problem with anesthesia, even the most advanced surgical technique won’t help.

Therefore, endotracheal intubation combined with intravenous composite general anesthesia is used this time, instead of nasal intubation, to avoid compressive damage to the infants’ nostrils.

During the entire surgery, oral intubation is used for respiratory support, which greatly tests the anesthetist’s skills!

Qin Feng looked at the Doppler echocardiogram and chest X-ray in the lightbox ahead, ultimately confirming the entire surgical procedure.

"Anesthesia complete."

Five minutes later, the anesthesia director looked up and said,

"Physiological signs are normal; surgery can proceed."

"Surgery start time, November 18, 2022, 2:20 PM, patient..."

"Scalpel."

Upon hearing this, Qin Feng extended his hand.

Snap!

The instrument nurse handed over the scalpel, and immediately, a cut was made in the center of the chest.

The cardiac incision can choose the atrial septum of the right atrium, closer to the mitral valve, making it easier to repair.

...

"Electrocautery."

...

"Thoracic retractor."

After separating the skin and muscle tissues, the thoracic cavity was opened.

"Retractor."

Due to the infant’s heart being small, roughly the size of a walnut, two ribs were opened this time.

minutes...

minutes...

Soon, after freeing the tissues around the heart, a small beating heart appeared before everyone’s eyes.

"Suction device."

Qin Feng absorbed the overflowing blood, fully opening the surgical field.

The heart’s beating frequency showed noticeable abnormality, with a rapid frequency and strong force.

"Polyester thread, suspend pericardium."

...

Clang~

"Prepare cardiopulmonary bypass."

An hour later, Qin Feng set down the needle holder, took a look at the tiny arterial vessel, deeply inhaled, and spoke.

The pericardium has been cut and suspended; now the entire heart is visible.

This step is crucial; only after establishing cardiopulmonary bypass can the mitral valve repair proceed.

Because the gap of the child’s heart valve reached 6 millimeters, it requires sufficient repair time.

And Qin Feng’s rapid hand speed left Zhang Fan and Cao Ke shocked, exchanging glances of helplessness.

This is simply monstrous!

Since three years ago, Qin Feng’s surgical skills have been insatiable, advancing rapidly.

Especially his level of dissection, which is unparalleled!

Even Zhang Fan, as an expert with the Provincial Cardiac Surgery Association, felt a sense of loss.

Genius seems to be the nightmare of ordinary people.

Despite decades of research and thousands of surgeries, it’s impossible to achieve such scary surgical prowess.

No wonder within just two months of arriving in Beijing, Qin Feng was noticed by Peking Union Medical College Hospital’s critical care department, becoming a top medical talent in the industry.

Of course, he wasn’t yet aware that Qin Feng had been recommended by the hospital for direct Ph.D. studies.

If he knew this news, he probably wouldn’t remain calm!

"Begin cardiac arrest."

At this moment, Qin Feng had freed the ascending aorta and superior and inferior vena cava, and looked up to speak to the two.

Quickly, as the cardioplegic solution entered the heart, it slowly stopped beating.

"Begin separation!"

The heart completely stopped!

Qin Feng extended his hand,

"Forceps."

Snap!

The vascular forceps gently approached the ascending aortic vessel above the heart, clamped tightly, and separated.

Smooth and fluid, incredibly fast!

Next were the superior and inferior vena cava; Zhang Fan and Cao Ke quickly started arteriovenous intubation, directing the blood from the venous pathway to extracorporeal circulation, oxygenating, filtering, and temperature regulating it via the artificial heart-lung machine, and inputting it back to the body through the arterial pathway for basic blood circulation.

"Arterial pathway complete."

"Venous intubation complete."

"Suction pathway complete."

"Begin circulation."

The two directors simultaneously connected and sutured the tiny blood vessels with the tubing.

Buzzing~

As the sound fell, the ECMO machine started, and everyone nervously focused on the machine’s tubing, waiting for the blood to flow in.

Finally, a few seconds later.

Blood appeared in the transparent tube, and extracorporeal circulation was complete!

"Physiological indices are normal!"

Phew~

Suddenly, a sigh of relief echoed in the operating room and observation room.

The observing directors, including Zhou Xianren and Chen Yuanfang, also exhaled heavily, their hanging hearts finally finding some peace.

"Qin Feng’s skills are becoming increasingly refined; I even see the shadow of a master."

The Internal Medicine Director couldn’t resist speaking up.

"I heard Qin Feng went to Peking Union Medical College Hospital?"

"Yes, Peking Union’s critical care department, currently an attending physician."

"Director Qin is incredible! That’s the number one department in the country!"

"Indeed, look at Director Qin’s immense skills."

"To reach this step in life, I can die without regret~"

"You better wait to dream after work."

...

Listening to the hushed discussion behind them, a few directors sitting in the front exchanged smiles.

Qin Feng’s skills, let alone among them, are probably one of the top in the country.

And he’s not even 30 years old yet!

If things go smoothly, he might have a chance to become a specialist trailblazer before turning 40!

No one dared deny it because he truly is formidable.

But none of that matters to them; the surgery has only just begun.

...

"11# scalpel."

"Retract the right atrium."

With decisiveness, Qin Feng cut open the right atrium with no hesitation, using a retractor to open it.

Then precisely cut the atrial septum.

"No damage."

His eyes suddenly narrowed, his vision focusing and enlarging, fully presenting the ventricle’s location in his sight.

The needle pierced through, two or three stitches, then pulled out, and fixed using mosquito-type traction.

"Tweezers."

Removing the coagulated blood spots near the atrial septum, potential future severe thrombosis risks.

Clang~

"Scalpel."

Picking up the scalpel, he began to excise along the abnormally growing mitral valve.

"Sizer."

At this point, two hours had passed.

Yet the entire surgical process was just barely halfway through.

....