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"Okay, the bleeding has stopped. If you can entrust me with the repair and anastomosis of blood vessels, I will do my best."
Zhou Can fights for the remaining surgical tasks.
Getting one done is one.
Dr. Long's trust in him has reached a considerable height.
Taking the opportunity to get more opportunities for surgical exercises can not only help him earn experience points, but also review the past and learn new things, and review those medical skills that have not been used for a long time.
During the three months he stayed in the ICU, he only participated in two or three surgeries.
If you don't do surgery for a long time, it's easy to get raw.
"You try it!"
Dr. Long couldn't save face, and finally agreed to give him a chance.
Even though Zhou Can had performed extremely well, Dr. Long was still very cautious when Zhou Can asked to do vascular anastomosis again.
Zhou Can cherishes this hard-won opportunity very much.
He knows very well that as long as he does well, he can become famous in one battle. In the future, you will be able to open up the situation in cardiothoracic surgery, so you don't have to worry about not getting opportunities to exercise.
Dr. Long standing beside him watched nervously as he repaired the ruptured blood vessel.
From the fear at the beginning, to the relief later.
Doctor Long once again realized Zhou Can's powerful strength.
With such a high level of matching, let alone Gui Peisheng, even he, the attending doctor, would be ashamed of himself.
At this moment, Dr. Long was no longer worried about Zhou Can's operation, but was distracted, secretly guessing Zhou Can's real identity.
Gui Peisheng, whose surname is Zhou and very powerful, seems to be the only one in the entire Tuya Hospital.
Could it be that he is Zhou Can, who is well-known in many weight departments?
The more I think about it, the more possible it becomes.
There is nothing worthless under a great reputation, this young man's abilities are indeed formidable. No wonder it is as famous as Dr. Du Leng, a returnee.
Doctor Long secretly made a comparison between the two.
Du Leng is well-known in surgery, and all the chief doctors are very polite to him. Mainly because of Du Leng's doctoral degree from a famous overseas school.
In the field of surgery, Du Leng's performance was not as good as expected.
Dr. Long has seen Du Leng's surgical ability before, even though the entire major surgery department is training him, nearly a year has passed, and Du Leng's surgical skills are even lower than that of a resident doctor.
It's not at the same level as Zhou Can's surgical prowess now.
The two are too far apart.
"The vascular anastomosis is finished, please ask Dr. Long to check it out for me! If there is no problem, I will loosen the ligated end of the blood vessel and test the blood supply."
Zhou Can gave Dr. Long enough face.
The rescue action just now must have hurt Dr. Long's face.
Now that the blood vessels have been anastomosed, it is equivalent to completing the most important part of the operation. Lower your figure and ask Dr. Long to take a look. This is to tell everyone that I am just a regular trainee. Dr. Long is my superior doctor.
It's a form of respect.
"Hmm! The fit is quite good. It would be even better if the end of the thread can be left a little longer. The main reason is that the knot will not be stable, and tension will be generated after bleeding, causing the suture to loosen."
Dr. Long commented a few words.
I was stunned to pick a "bone" out of the egg.
In this regard, Zhou Can accepted the opinion modestly, saying that next time he must keep the thread longer.
He resolutely agrees, and he will still insist on his own opinion next time he has surgery, and he will never repent.
Because he cut the end of the thread short, the length left was just right.
Dr. Long's suture level is not as good as his, and he has not yet reached the level of deputy director, so he doesn't know what it means to be just right.
The thread end is left long, and theoretically speaking, the knot is not easy to loosen.
In fact, the looseness of the thread end has nothing to do with the length of the thread end.
As long as the knot is tied firmly, it's fine to cut next to each other.
If the thread is left too long, it is easy to irritate the surrounding tissue, resulting in symptoms similar to inflammation.
"Loosen the ligature of the blood vessel and check the blood flow!"
Dr. Long instructed Zhou Can to remove the ligature of the blood vessel.
The knot itself is slippery, and it is too easy to remove.
After Zhou Can removed it, the blood immediately rushed to the anastomosis. Dry blood vessels quickly become full.
The anastomotic blood vessel must be exhausted of the air inside, as well as the blood inside the stump, to prevent thrombus.
Novice doctors are most likely to make this mistake.
After the blood test, it was found that the vascular anastomosis was done very well. The blood supply is hardly affected by the injury.
"Very good! Check again. If there are no other bleeding points, you can put the ribs back in and close the chest cavity."
This type of thoracotomy is considered a relatively small type.
There is also much less harm to the patient.
If you want to put the sawn ribs back together, you need osteosynthesis in orthopedic surgery.
It just so happened that Zhou Can had been in orthopedic surgery for three months, and performed many orthopedic surgeries with Director Shen and Dr. Shan.
Take a rib, and he's more than capable of it.
"That... Rib joint and chest closure, let me do it together, okay?" Zhou Can looked at these surgery experience points and wanted to earn.
Others like to make money, but he has a soft spot for all kinds of medical experience.
"Rib joints, too?"
Doctor Long was speechless.
What else does this Gui Peisheng not know?
The two assistants also looked at Zhou Can as if they were monsters.
The equipment nurse smiled sweetly, and her view of Zhou Can changed from contempt and sympathy to admiration and admiration.
Everyone is young, and capable men are always easy to make women admire.
It has nothing to do with love, it is purely human nature.
It cannot be said that which woman admires which man is in love with him, that is nonsense.
"After three months of regular training in orthopedic surgery, I have also learned some techniques for splicing broken bones. I am fully confident that I can do it well when I connect this rib."
Zhou Can's current osteosynthesis is at the inferior level of a resident doctor.
It's not too advanced, it's enough for the joint of the ribs right now.
As for some more difficult joints of broken bones, such as joints and spines, he is not competent.
"Okay, since you are so confident, I will leave it all to you."
Doctor Long was happy to relax.
At the same time, I also want to feel Zhou Can's bottom and see how powerful he is.
This is usually done with internal fixation.
The operation is simple and rough, and the technical content is not too high.
Zhou Can's surgery is not only good, but also fast.
I saw him three times, five times and two times, and he operated like a tiger, directly using steel nails to fix the amputated ribs back to their original positions.
If there is no accident, Yuhe's callus line will appear in about a month.
A hundred days of injury.
Young people have a strong ability to recover physically. In about three months, their ribs can heal more stably.
"It's okay, if there is no other problem, let's start closing the chest cavity!"
Dr. Long had seen Zhou Can's suturing skills, so he was not worried at all when he entrusted Zhou Can to close the chest cavity.
…
After nearly forty minutes, the closing of the chest cavity was finally completed.
This is because Zhou Can's suturing skills have reached the level of the deputy director, and his operation is very fast, so he can close the chest cavity within 40 minutes.
Dr. Long didn't even need to check again.
Because Zhou Can sews better than him.
This thoracotomy to stop the bleeding has finally been successfully completed.
The patient was also successfully rescued from death.
With the help of this operation, Zhou Can fought a beautiful turnaround. From a punished Gui Peisheng, he successfully gained the trust of Dr. Long, and also took the opportunity to show off his strong surgical skills.
"Dr. Zhou worked hard today! I would like to ask, are you Dr. Zhou Can?"
After the operation was over, Dr. Long's heart finally fell to the ground.
"Yes, my name is Zhou Can. How do you know?"
Zhou Canke never regarded himself as a character.
"Seeing that you have shown so many powerful surgical skills, I already guessed it. Among Gui Peisheng, there is such a strong surgical ability. I am afraid that there is no second one except you. At first, I wondered, Where did such an awesome young doctor come from?"
Doctor Long's words made Zhou Can grin.
Others are mixed.
Some people heard Zhou Can's name for the first time.
The Department of Surgery has now pushed Du Leng to the table, and will use it as a signature of the Department of Surgery in the future.
Zhou Can only has a bachelor's degree, which pales in comparison.
Only the chief physician and some well-informed attending doctors knew that Zhou Can was very strong and talented.
"Doctor Guan, it seems that you have known about it for a long time. No wonder you are so confident!"
Dr. Long looked up at Dr. Guan who was busy waking up the patient from anesthesia.
"I haven't seen his ability with my own eyes. How can I recommend it? His ability is more than that. This kind of operation can only be regarded as an appetizer for him."
Doctor Guan curled his lips, seeing that the patient's vital signs became stable after the operation, his mood became very bright.
"Is this just a part of his ability? This is too scary. How can we embarrass us, the attending doctors!" After hearing Dr. Guan's evaluation of Zhou Can, Dr. Long felt a turmoil in his heart.
I thought that Gui Peisheng had super diagnostic ability, many attending-level medical skills, and even director-level suture and ligation techniques, which was exaggerated enough.
Unexpectedly, this was only part of Zhou Can's strength.
How strong is this Gui Peisheng?
At this moment, Dr. Long felt that something he said was too correct.
People must not be compared with each other.
Otherwise, if you compare goods, you will have to throw them away, and if you compare people, you will die.
"Doctor Zhou, may I ask, why did Dr. Zhao let you stay here to clean the operating room?"
Dr. Long decided to take care of this matter.
After all, Zhou Can did him a huge favor.
This operation can be successfully completed, Zhou Can's effort is really not a little bit.
Thoracotomy is a secondary procedure in most cases.
But the difficulty of this operation has far exceeded the second level.
According to the usual way of doing things, he would have needed the chief physician of the department to come over for support.
"When Dr. Zhao and Dr. Duan were performing an operation, I interjected a few words, which made Dr. Zhao a little angry. I thought I had never seen an operation before and made a fuss, so I was fined to clean the operating room for a day."
Zhou Can explained the reason for the matter.
He was sure that the patient with the torn pectoral muscle was going to have serious problems.
But he did his best.
In order to remind the superior doctor, he was punished here and sat on the bench.
Ask the family members to remind them in private. Thinking of the family members' vitriolic faces, forget it. On the first day of internship in Tuya Hospital, the teacher who led the teaching told them that doctors must first learn to protect themselves to save lives.
Faced with such a family member, Zhou Can must be a tortoise.
Otherwise, you are just looking for trouble.
"I'll talk to Dr. Zhao, there must be a misunderstanding." Dr. Long said that he wanted to intercede for Zhou Can.
"Don't, don't, it's good for me to stay here and clean up. Not only can I exercise, but I can also watch various operations, so I can learn more."
Zhou Can felt that it would be better to stay here if he returned to the ward to manage the bed.
Doctor Long couldn't help smiling wryly after hearing this.
Zhou Can already has such great strength, watching the operation is not a gain of knowledge, he is clearly staying here to save the field.
I'm afraid it won't be long before the cardiothoracic surgery doctors will know that there is a monster-level doctor in this operating room.
…
Dr. Long left quickly with his staff, saying that there was another important operation to be attended in the afternoon.
In the operating room, only Zhou Can was left to clean up.
After cleaning the operating room, I looked up at the wall clock on the wall, and the time was past 12 noon.
He seized the time to go to the cafeteria to fill his stomach.
Then go back to the operating room.
At about 1:30 in the afternoon, Zhou Can was sitting there with his eyes closed and recuperated, and finally had another operation.
Seven or eight people came in directly this time, including nurses and doctors.
Look at this battle, it must be a major operation.
"Hey, why is there a doctor in the operating room?" The leading female doctor was in her forties, and she maintained a pretty good figure, as slender as a girl.
The skin is fair, the appearance is also very beautiful, and the temperament is outstanding.
Several doctors followed behind her.
Among them, Zhou Can actually knew two of them, one was Dr. Zhao who was in charge of the bed, and the other was Dr. Long whom he had dealt with in the morning.
"This is the new Dr. Guipei. He doesn't understand the rules, so I asked him to stay in the operating room to clean up for a day. Watch and learn the operation process carefully, so as not to make trouble next time."
Doctor Zhao hurriedly explained.
"It looks like punishment, but it's actually caring. This kind of education is pretty good!"
The leading female doctor made a comment with a smile, and went straight to the operating table.
Even Dr. Long had to stand behind her, which meant that she was probably the chief surgeon of this operation.
Zhou Can looked at the patient, isn't this the patient with cardiac aneurysm in bed 17?
The operation was originally scheduled at 11 o'clock this morning, but the chief surgeon may be too busy, or the operating room schedule was late, which caused the operation to be postponed.
Sometimes there are problems during the operation, which greatly prolongs the operation time.
Zhou Can checked the patient's examination report in the morning.
Another aneurysm clipping operation that required a thoracotomy.
Unlike the thoracotomy to stop bleeding presided over by Dr. Long, this operation is likely to be a large thoracotomy.
That is, sawing from the middle of the sternum, and then using a chest expander to spread the bones to both sides, exposing the surgical field of view and facilitating the doctor's operation.
Any surgery takes its toll on the patient.
Open thoracotomy is particularly harmful to the patient.
Before performing an operation, doctors will make a comprehensive assessment of the risks of the operation, the patient's injuries, and the benefits of the operation.
Like this kind of major surgery, the patient's benefit is often far greater than the damage.
Cardiac aneurysms, if they are large enough and not treated in time, have the risk of rupture.
There is even aortic dissection, which may cause a mortality rate of more than 50%.
The patient's aneurysm was already so large that it was like a ticking time bomb in the body. May take the patient's life at any time.
Timely surgical treatment is the best way.
After the patient is on the operating table, general anesthesia is implemented, and then the thoracotomy begins.
Zhou Can stood under the operating table and watched.
This time more doctors and nurses participated.
There are three nurses and a team of more than six doctors.
Of course, there are only two or three main people who actually work.
Dr. Zhao should have participated in this operation as a bed doctor. He punished Zhou Can to clean up in the operating room, and he had no one to call him, so he could only go to battle in person.
Maybe he himself wants to take this opportunity to watch and learn.
After all, there are not many opportunities to observe the fourth-level major surgery.
For residents, the status is slightly higher than that of Gui Peisheng. Minor surgery can get some exercise opportunities, but it is very difficult to have any opportunities for such major surgery.
Watching from a close distance can also be of great help to them.
The growth of a doctor is a process of continuous learning and accumulation.
See more, learn more, think more, and then participate in the simpler parts of the operation. Slowly increase the weight until you can finally complete each step of the entire operation alone, which is considered qualified.
In order to be qualified to preside over this type of surgery alone.
Surgeons, there are not many female doctors.
This female doctor in her forties is already the chief doctor at such a young age, which is enough to show that she is very good. In the entire Tuya Hospital, there are not many chief doctors in their forties.
If she guessed right, she should be Director Xue.
The acquaintance of the patient in bed 19 with a torn chest wall muscle was exactly her.
Zhou Can originally thought she was a very old woman, but she didn't expect that she was quite young. Just don't know how good the surgery is?
At this moment, the operation has begun.
Director Xue calmly stood on the chief surgeon's seat, holding the knife to cut open the epidermis on the patient's chest.
The whole movement is extremely skillful and smooth.
The eyes are sharp~www.mtlnovel.com~ The demeanor of a master is faintly exuded.
"Her incision technique is at least at the deputy director level, so strong!"
Experts will know if there is one as soon as they make a move.
Zhou Can secretly compared his lower-level incision technique with hers, and the gap was too great.
The two sides are not on the same level at all.
The operation continued, and the bone sawing after cutting the epidermis was more violent.
If the family members read it, they might be scared to death.
Saw the bone from the middle of the chest, divide it into two halves, and prop it up.
This is one of the most violent ways to open the chest.
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Chapter 177 What else do you not know? Violent open chest free reading.https://