Resect the mitral valve!

Under the augmentation of super-vision, all details were laid bare to Qin Feng.

The retractor fully exposed the mitral valve. The cervical clamp held it, and part of the tissue was trimmed off with scissors for remodeling.

"Artificial valve."

This time, Qin Feng re-assessed the extent of the child’s mitral valve defect before the operation and decided to use an artificial valve.

Due to the large gap, compared to direct suturing and valve replacement, he preferred the lowest risk option of the artificial valve.

If a valve surgery is needed again in the future, Qin Feng would continue to operate on the child.

This wasn’t about making money but due to the high risk of forcefully repairing the mitral valve, which could lead to unforeseen complications during growth.

The chance of rescue would be very slim in that case!

While an artificial valve monitored frequently carries much lower risk,

and it doesn’t impact normal life!

Qin Feng was considering the child entirely, willing to perform future surgeries if necessary.

"Start suturing."

"2/O slippery suture."

Qin Feng’s vision quickly focused and zoomed in on the edge of the remodeled mitral valve, beginning the double-armed continuous suture.

"Cut the thread."

Clang~

"Valve suture thread."

Snap!

With the line changed, 12-15 stitches along the valve edge were divided into four quadrants on both sides, each fixed with 4-5 mosquito clamps per group.

This was a race against death; while extracorporeal circulation could temporarily guarantee the child’s physiological signs,

a child’s heart is not like an adult’s, much weaker in bearing, and the longer the ischemia, the higher the risk—cardioplegia can’t completely ensure the heart won’t necrose.

Thus, the shorter this time can be, the better, and no mistakes can be made.

Additionally, even the slightest adjustment error during anesthesia could lead to the child’s death.

This was also why Zhang Fan and others dared not start; from the point of separation, the risk increased geometrically.

This wasn’t just a matter of surgical skills!

minute...

minutes...

minutes...

First assistant Zhang Fan and second assistant Cao Ke were palpably nervous, as this was the most critical stage.

Even before Qin Feng, they’d consulted with Jinling’s two chiefs from cardiothoracic surgery, Director Liang Donglai and Deputy Director Jin Qiong.

But the result was,

"Zhang Fan, the risk of this surgery is too high; the child just born doesn’t meet the surgical environment criteria!"

"Zhang Fan, if you want surgery, I suggest not bringing the patient to Jinling; go to Shanghai or Beijing instead."

These two answers crushed their hopes, and transferring the child under the current situation was extremely dangerous as well.

In utter helplessness after negotiating with the family, Liu Yuan contacted Qin Feng on behalf of the hospital.

Once all the child’s data was sent and Qin Feng agreed, they calmed down slightly.

At least someone said this surgery was possible!

Clang~

"Angle clamp."

minutes later, the suturing was completed!

Qin Feng put down the needle holder, took the clamp, and began testing the valve, repeating a water injection test to check valve mobility and coaptation.

No mitral regurgitation.

Perfect!

Valve testing completed, no issues.

Seeing this, Zhang Fan and Cao Ke couldn’t even breathe heavily, their eyes filled with amazement.

Too fast!

This speed and technique, especially the position of the recent stitches.

While the people in the observation room might still be lost and shocked, these two with magnifying glasses were completely conquered by Qin Feng’s operation.

Keep in mind that Qin Feng performed entirely by the naked eye from start to finish.

For newborn mitral valve artificial valve replacement under such high risk, relying solely on two eyes—ordinary people simply can’t do it! 𝙛𝓻𝒆𝒆𝒘𝙚𝓫𝙣𝙤𝒗𝙚𝓵.𝙘𝙤𝙢

This is no joke, it’s a life!

Even the Da Vinci surgical robot, a high-level surgery machine with ten times magnification, can’t ensure success in such highly difficult surgeries—yet Qin Feng relied only on his bare eyes.

"Prepare to suture the atrium."

"4/O slippery suture with a patch."

Qin Feng put down the angle clamp, confirmed it was correct, then took the needle holder.

Start suturing!

Swish~ swish~ swish~

"What the hell! What just happened?"

"I couldn’t see clearly during the suturing, could you?"

"I... I didn’t either."

"It’s done? Already started suturing?"

"Oh my God! Even if you let me observe closely, I couldn’t learn it!"

"Is Director Qin a monster or something?"

...

In the observation room, the onlookers, especially the cardiothoracic surgeons, looked extremely distressed.

Because they couldn’t understand!

It appeared to be conventional procedures, but this was an exceptionally difficult operation even the chiefs dared not attempt!

It’s too outrageous?

"Quiet down, pay attention."

Zhou Xianren scolded softly, turning back.

Only then did everyone quiet down, but their faces still struggled to hide utter astonishment.

Of course,

Zhou Xianren turned his head back and licked his dry lips.

Because he didn’t understand either~~~~

...

Clang~

"Clamp off."

Qin Feng put down the needle holder, clamped off with a clamp, "Remove the inferior vena cava."

"Removed."

"Suture."

Immediately, Qin Feng continuously sutured the incision of the inferior vena cava with the suture line for the chamber wall.

"Remove the superior vena cava."

Cut the conduit, test normal venous pressure.

Clamp off the right atrial appendage with right-angle forceps, ligature the incision with 7# silk thread, 7*17 coalesced suture.

"Remove the infusion needle."

Tighten the purse-string suture.

"Remove the aortic cannula."

As the last ascending aorta left the cardiopulmonary bypass system, Qin Feng quickly clamped off the conduit with a short clamp, tightened the purse-string suture, and completed the vascular closure.

"Start heart resumption, control the pressure in the left atrium, and replenish crystalloid solution."

With the utterance of these words, instantly, it was as if everyone’s heart was squeezed hard and skipped a beat.

The final test had arrived!

Whether the child could survive smoothly depended on this!

As blood slowly passed through the aorta into the heart, without any sign of leakage, the suture was perfect.

One minute...

Two minutes...

Dozens of pairs of eyes in the observation room were fixated on the tiny heart, waiting for that moment of resumption.

In the operating room, Zhang Fan’s palms and forehead were sweating, not daring to blink.

Beep~

Amidst the silence, suddenly a sound emanated from the instrument.

At the moment the walnut-sized heart suddenly beat, everyone’s heart almost skipped in unison.

Beep~ Beep~ Beep~ Beep~

Heartbeat resumed!

Blood pressure rapidly rising!

Oxygen saturation complete!

Resume successful!

"Success!"

In an instant, as physiological indexes quickly returned to normal, a cheer of joy erupted in the observation room.

Everyone was elated!

The surgery was a success!

"Phew~"

In the operating room, Zhang Fan and Cao Ke looked at the strongly beating heart in front of them and sighed in relief, as if shedding a heavy burden.

This surgery could be considered one of the high-risk operations they had rarely experienced firsthand in their medical careers, not due to its difficulty, but because of the child’s harrowing situation.

Qin Feng didn’t eagerly celebrate but instead used his superb eyesight to re-examine the entire heart and vascular sutures.

Only after confirming there were no issues, he completely relaxed.

"Close the abdomen."

Place the drainage tube, stabilize the mediastinum, control bleeding, suture the pericardium.

Closing the abdomen was quite relaxing, everyone was unburdened, and Qin Feng’s hand movements were even quicker.

Steel wire to fix the sternum...

Clang~

As the needle holder fell into the tray, all the skin suturing was completed.

The surgery officially ended!

"Qin Feng, amazing!"

Before he could breathe a sigh of relief, he heard the praise beside him.

Zhang Fan and Cao Ke simultaneously gave him thumbs up, eyes full of admiration.

"Haha, just okay, just okay."

Qin Feng nodded modestly and said,

"Monitor the child’s awakening, 24-hour observation, 2-3D auxiliary breathing, positive inotropic support for myocardial contraction, monitor left heart ejection resistance and output, perform echocardiogram every 2 hours, ensure clear breathing."

"Rest assured, I’ll handle it."

Zhang Fan immediately nodded in agreement.

He just felt that this time, Qin Feng seemed even more different than the last.

That kind of temperament and demeanor was full of steadiness.

Taking off the surgical gown, removing the mask, and exiting the operating room.

On the long bench outside the operating room sat the child’s parents and grandparents.

Upon seeing the doctor come out, they instantly stood up and rushed forward.

"Doctor, doctor, how is the child?"

"Doctor, is my child okay?"

...

The four asked anxiously with overlapping voices, their faces full of panic and expectancy.

"Rest assured, the surgery was very successful, but we still need to get through the critical period."

Qin Feng nodded and said.

Thunk~

Upon hearing this, the child’s parents were momentarily stunned, tears instantly overflowing from their eyes, their legs went weak, and they knelt to the ground.

...