Chapter 51: Misjudgment
"Retractor."
Fang Ziyan said quickly.
As he spoke, he bypassed the hand He Dongfang was using to press down, and pulled apart the anterior tibial muscle group, the deep peroneal nerve, the deep tibial nerve, and a series of other structures that could still be reconstructed.
Next, he assessed the resection margin and the reconstruction site.
Soon, under the shadowless lamp, the tibia was completely exposed.
The large expanse of blurred flesh and blood, along with anatomical structures that were difficult to identify, made the expressions of those nearby somewhat ugly.
Song Su narrowed his eyes and stared at the field.
Although he had wanted to make Fang Ziyan pay the price for his arrogance, upon seeing Fang Ziyan's various movements just now, Song Su was somewhat shocked.
Because his operation was simply flawless!
One must know that skeletal reconstruction in itself is an extremely difficult surgery.
Yet now, Fang Ziyan's fluid movements made Song Su even feel that his surgical rhythm surpassed his own.
But how could this be possible?
Song Su frowned, slowly took a step forward, and stared closely at the patient's condition.
If Fang Ziyan truly could not handle this surgery, Song Su would step in when necessary.
After all, the patient's identity was indeed extraordinary.
The Rong family were prominent contemporary wealthy merchants who, in earlier years, had fully supported the country and the government.
Although this Rong Haiming was only from a branch family, just the fact that his surname was Rong was enough.
Therefore, Song Su was still trying to familiarize himself with Fang Ziyan's surgical rhythm.
Gazing at the situation under the shadowless lamp, Song Su muttered to himself.
"The original estimated resection length was twelve centimeters, but given the current situation, I'm afraid it will have to be seventeen."
"If that's the case, such a large-scale resection means the risks and benefits are simply not proportional."
"We might as well just amputate."
Song Su frowned, his gaze falling once again on Fang Ziyan.
Fang Ziyan's eyes were as deep as water, fixed entirely on the surgical field before him. Everything else seemed to exist outside his world.
He was certainly focused, but in the face of genuine difficulty, focus alone could not overcome it.
After all, this surgery required both installing a tibial prosthesis and reconnecting the nerves, blood vessels, tendons, and other structures of the tibia, knee joint, foot, and other areas.
If that was the case!
The difficulty of this surgery would rise to yet another level.
I'm afraid that even he himself would have no way to take over the remainder of the surgery.
Thinking of this, Song Su sighed softly.
At the operating table, other department heads were watching from the side.
From time to time, some would observe Song Su's expression.
After all, in terms of ability, the most formidable person here was still Song Su.
Seeing him constantly frowning and sighing at the slightest thing, everyone's heart rose to their throats.
Was this Fang Ziyan reliable at all?
Had the dean gone mad? How could he agree to let him take the table?
However, there were still two people who were full of confidence in Fang Ziyan.
Shao Gang, the deputy director of neurosurgery, pushed up his glasses and quietly stared at Fang Ziyan.
He knew very well that the difficulty of near-brainstem tumor surgery was even higher than this one.
Since Fang Ziyan had been able to complete that surgery, he probably had a very high chance of completing this one as well.
It was just that this truly defied science.
How on earth did this kid manage to do it?
And who on earth taught him these medical skills?
He is truly a damned genius.
No, leaving him in the emergency department was a genuine waste of talent; he had to poach him over.
Thinking this, Shao Gang had already made up his mind.
Meanwhile, He Dongfang beside him also wore a grave expression.
He watched Fang Ziyan intently.
From beginning to end, Fang Ziyan had not shown any superfluous expression.
It was as if everything was still completely under his control.
Could this kid really create a miracle this time?
He Dongfang did not know.
Yet deep in his heart, a bold thought persisted.
Without the slightest pause in his hands, Fang Ziyan began attempting to excise the discarded bone.
Suddenly, with a sharp "squeak," a jet of bright red blood gushed directly out, splashing onto his surgical mask.
The instrument nurse beside him hurriedly stepped forward to wipe and clean the area.
Song Su let out an exclamation of surprise.
"Why is the artery here?"
Fang Ziyan did not show the slightest panic. He stared closely at the situation before him, and an idea formed in his mind.
This was arterial retraction; several segments of the tibial artery were buried deep within the bone and muscle.
If anyone else had been in his shoes, they would have likely decided on amputation by now.
Because the current state was far more severe than previously estimated.
With that single cut, it appeared he had only severed an artery, but nerves and veins might have been severed as well.
Amidst the blurred wound, these structures were of the utmost importance, yet precisely because of the arterial retraction, attempting further separation was as difficult as scaling the heavens.
Upon realizing this, Song Su let out a long sigh, turned his head, and stepped back a few paces, leaving the operating table.
"There is no need to continue. Just amputate."
"Under the current circumstances, skeletal reconstruction is completely impossible."
Hearing this, the department heads nearby wore expressions of deep disappointment.
Had it ended in failure after all?
To think they had invited Song Su here, only for the final outcome to still be amputation?
The dean had originally hoped to get the Rong family to invest in the Traditional Chinese Medicine Hospital.
Now that seemed nearly impossible.
Resignation and regret filled everyone's eyes.
They had all underestimated the patient's condition.
They hadn't expected the patient's leg to have reached such a stage.
Had they known, they wouldn't have wasted the time and effort to specially invite Song Su over.
Yet, even as Song Su stepped away from the operating table, Fang Ziyan, standing before it, showed no change in expression.
He continued to stare at the surgical field and, after carefully assessing the patient's condition, chose to continue the operation.
His expression was stern, his hands moving like lightning as he fished out hidden blood vessels and nerves one by one from the shattered flesh.
Then, he resumed the osteotomy.
Such actions caused the expressions of everyone present to shift once more.
Song Su, standing nearby, spoke up with a trace of irritation, "Kid, do you know what you're doing?"
"You cannot continue. You're going to cost the patient his life!"
"You are treating a human life like a child's game!"
Fang Ziyan did not reply. He chose to perform the osteotomy.
However, the distance he chose was completely different from what Song Su had stated earlier.
He chose to make the transection at the ten-centimeter mark.
Yet just moments ago, Song Su had stated seventeen centimeters.
Had Fang Ziyan actually shortened it by seven centimeters?
What on earth was he trying to do?
No one dared to speak, fearing they might distract Fang Ziyan.
Because Fang Ziyan's current expression did not look like he was treating the patient's life as a game.
Especially as his hands continued to work skillfully over the patient's severed bone ends, particularly when he lifted out intact, hidden blood vessels one by one, everyone fell silent!
Could it actually be possible?
The patient's actual condition was better than Song Su had judged!
This meant Song Su's assessment had been mistaken just now!
And Fang Ziyan had made the most accurate judgment of all.