Chapter 177 What else can't you do? Violent chest opening

"Okay, the bleeding has stopped. If you can let me handle the blood vessel repair and anastomosis, I will do my best."

Zhou Can fought for the remaining surgical tasks.

Get one done at a time.

Dr. Long's trust in him has reached a considerable level.

Taking the opportunity to get more opportunities to practice surgery can not only help him gain experience points, but also allow him to review old knowledge and revisit medical skills that have not been used for a long time.

During the three months he spent in the intensive care unit, he only participated in two or three operations.

If you don't have surgery for a long time, it's easy to get rusty.

“Just 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 perform vascular anastomosis again.

Zhou Can cherishes this hard-won opportunity very much.

He knew very well that as long as he did well, he would become famous in one battle. He would be able to open up a new field in cardiothoracic surgery in the future and would not have to worry about not getting training opportunities.

Doctor Long, who was standing next to him, watched him nervously as he repaired the ruptured blood vessels.

From being worried at first to feeling relieved later.

Doctor Long once again realized Zhou Can's powerful strength.

With such a high level of matching, not to mention the interns, even he, the attending physician, would feel ashamed of himself.

At this moment, Dr. Long was no longer worried about Zhou Can 's operation. Instead, he was distracted and secretly guessing Zhou Can's true identity.

There seems to be only one very capable intern named Zhou in the entire Tuya Hospital.

Could he be Zhou Can, who is famous in many important departments?

The more I think about it, the more possible it seems.

A great reputation is worthy of its name. This young man is indeed very capable. No wonder he is as famous as the overseas returnee doctor Du Leng.

Dr. Long secretly compared the two men.

Du Leng was very famous in the surgery department, and the chief doctors were all very polite to him, mainly because of his doctorate degree from a prestigious overseas university.

In the field of surgery, Du Leng's performance was not as good as expected.

Doctor Long had seen Du Leng's surgical ability. Even if the entire general surgery department had devoted all their efforts to training him, nearly a year had passed and Du Leng's surgical skills were at best at the lower level of a resident doctor.

The surgical skills Zhou Can has currently demonstrated are completely on a different level.

The two are too far apart.

"The vascular anastomosis is complete. Please help me check it, Doctor Long! If there are no problems, I will loosen the ligated ends of the blood vessels and test the blood flow."

Zhou Can gave Dr. Long enough face.

The rescue just now must have caused some damage to Dr. Long's reputation.

Now that the blood vessels have been anastomosed, the most important part of the operation has been completed. I lowered my status and asked Dr. Long to help me. This is to tell everyone that I am just a resident intern. Dr. Long is my superior doctor.

This is a kind of respect.

"Hmm! It fits quite well. It would be better if the thread could be left a little longer. The main concern is that the knot is not stable and the blood flow will cause tension, causing the suture to loosen."

Doctor Long made two comments.

He actually picked out a piece of "bone" from the egg.

In response to this, Zhou Can humbly accepted the advice and said that he would leave the thread longer next time.

Even though he agreed verbally, he would still insist on his own opinion and refuse to repent during the next surgery.

Because he cut the thread short, the remaining length was just right.

Doctor Long's suturing skills are not as good as his, and he has not yet reached the level of deputy director, so he doesn't know what is just right.

The longer the thread ends are, the less likely the knot will come loose.

In fact, the looseness of the thread has little to do with the length of the thread.

As long as the knot is tied firmly, it won't be a problem if you cut it.

If the thread ends are left too long, they can easily irritate surrounding tissues and cause symptoms similar to inflammation.

"Loosen the ligatures on the blood vessels and check the blood flow!"

Dr. Long instructed Zhou Can to remove the ligature from the blood vessels.

It is a slip knot, so it is very easy to remove.

After Zhou Can removed it, blood immediately rushed to the anastomosis end, and the shrunken blood vessels quickly became full.

The air and blood in the blood vessels must be exhausted during anastomosis to prevent thrombosis.

Novice doctors are most likely to make this mistake.

After the blood circulation test, it was found that the vascular anastomosis was done very well. The blood circulation was almost not affected.

"Very good! Check again. If there are no other bleeding points, you can put the ribs back and close the chest cavity."

This type of open-heart surgery is considered a relatively minor type.

The harm to the patient will also be much less.

In order to replace the severed ribs, orthopedic surgery is required to reconnect the broken ribs.

It just so happened that Zhou Can had been working in the orthopedic surgery department for three months, and had performed many orthopedic surgeries with Director Shen and Dr. Shan.

He is fully capable of doing it by just grafting a rib.

"Well... can you let me do the rib joint and chest closure at the same time? Is that okay?" Zhou Can wanted to earn some surgical experience points just by looking at them.

While others like to make money, he has a special liking for various medical experience points.

"You can also join ribs?"

Doctor Long was speechless.

Is there anything else that this intern doesn’t know?

The two assistants also looked at Zhou Can as if he were a monster.

The instrument nurse smiled sweetly, and her view of Zhou Can changed from contempt and sympathy at the beginning to respect and admiration.

We are all young people, and capable men are always easy for women to admire.

It has nothing to do with love, it's purely human nature.

It cannot be said that if a woman admires a man, she is in love with him. That is nonsense.

"I did three months of training in orthopedics and did learn some techniques for joining broken bones. I am fully confident that I can do a good job in joining this rib."

Zhou Can's current bone-jointing skills are at the lower level of a resident doctor.

It's not too advanced, but it's enough for the current rib connection.

As for some more difficult broken bones, such as those involving joints and spine, he is not capable of doing it.

"Okay, since you are so confident, I'll leave it all to you."

Dr. Long was happy to take it easy.

At the same time, I also want to test Zhou Can's abilities and see how powerful he is.

This is usually done with internal fixation.

The operation is simple and crude, and the technical content is not too high.

Zhou Can's surgery is not only good, but also fast.

In just a few seconds, he worked as ferociously as a tiger and used steel nails to fix the severed ribs back to their original position.

If nothing goes wrong, the callus line will appear in about a month.

It takes a hundred days to heal a broken bone.

Young people have strong body recovery abilities, and their ribs can heal relatively stably in about three months.

"It's ok, if there are no other problems, start closing the chest!"

Dr. Long had seen Zhou Can's suturing skills, so he was not worried at all about letting Zhou Can do the chest closure.

…

After nearly forty minutes, the chest closure was finally completed.

This was only because Zhou Can's suturing skills reached the deputy director level, and he performed the operation very quickly, so he was able to complete the closure of the chest cavity within forty minutes.

Dr. Long didn't even need to check again.

Because Zhou Can sews better than him.

This thoracotomy and hemostasis surgery was finally successfully completed at this stage.

The patient was successfully rescued from the hands of death.

With this operation, Zhou Can made a great comeback. From a punished resident trainee, he successfully gained the trust of Dr. Long and took the opportunity to show his strong surgical skills.

"Thank you for your hard work today, Dr. Zhou! Excuse me, are you Dr. Zhou Can?"

After the operation, Dr. Long finally felt relieved.

"Yes, my name is Zhou Can. How did you know?"

Zhou Canke never considered himself as a big shot.

"I guessed it when I saw you display so many powerful surgical skills. Among the trainees, I'm afraid there is no one else with such strong surgical skills except you. At first, I was wondering where such an amazing young doctor came from?"

Doctor Long's words made Zhou Can grin.

Others had mixed reactions.

Some people heard Zhou Can's name for the first time.

In terms of fame, among the doctors in the hospital, Du Leng is much more famous than Zhou Can.

The Department of General Surgery has been pushing Du Leng to the forefront and plans to make him a signature of the department in the future.

Zhou Can only has a bachelor's degree, which makes him look inferior in comparison.

Only the chief physician and some well-informed attending physicians knew that Zhou Can was very capable and talented.

"Doctor Guan, it seems you have known about this for a long time. No wonder you are so confident!"

Dr. Long looked up at Dr. Guan who was busy waking the patient from anesthesia.

"How can I recommend him without seeing his abilities in person? He has more than just these abilities. This kind of surgery is just 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 only part of his ability? This is too scary. How embarrassed are we attending doctors like him?" After hearing Dr. Guan's evaluation of Zhou Can, Dr. Long was filled with shock.

I thought it was exaggerated enough that this intern had superb diagnostic abilities, multiple attending-level medical skills, and even director-level suturing and ligation skills.

I didn’t expect that this is only part of Zhou Can’s strength.

How strong is this trainee?

At this moment, Dr. Long felt that something was said that was absolutely right.

People should never be compared with each other.

Otherwise, comparing goods will lead to throwing them away, and comparing people will lead to death.

"Doctor Zhou, may I ask why Doctor Zhao asked you to stay here to clean the operating room?"

Dr. Long decided to take care of the matter.

After all, Zhou Can did him a huge favor.

The operation was successfully completed thanks to a lot of effort from Zhou Can.

Thoracotomy for hemostasis is in most cases only a secondary procedure.

However, the difficulty of this operation is far beyond level two.

According to the usual practice, he would have asked the chief physician of the department to come for support long ago.

"When Dr. Zhao and Dr. Duan were performing surgery, I interrupted them a bit, which made Dr. Zhao a little angry. He thought I had never seen surgery before and was making a fuss, so he punished me by making me clean the operating room for a day."

Zhou Can explained the cause of the incident.

He was sure that the patient with the torn pectoral muscle would have serious problems.

But he has tried his best.

In order to remind the senior doctor, he was punished and sat on the bench.

I tried to remind the family members in private, but I gave up when I thought of their sarcastic faces. On the first day of internship at Tuya Hospital, the instructor told them that doctors must learn to protect themselves before saving lives.

Faced with such family members, Zhou Can must be a coward.

Otherwise you're just looking for trouble.

"I'll go tell Doctor Zhao there must be a misunderstanding." Doctor Long said this to indicate that he wanted to plead for Zhou Can.

"No, no, no, it's fine for me to stay here and clean up. Not only can I exercise, but I can also watch various surgeries and gain more knowledge."

Zhou Can felt that it would be better to stay here than to go back to the ward to take care of the patients.

After hearing this, Dr. Long couldn't help but smile bitterly.

Zhou Can already has such powerful abilities, so watching the operation is not a way for him to gain knowledge. He is clearly staying here to save the day.

I'm afraid it won't be long before all the cardiothoracic surgeons know that there is a monster resident in this operating room.

…

Doctor Long and his team left quickly, saying that they had an important operation to attend in the afternoon.

In the operating room, Zhou Can was the only one left cleaning.

After cleaning the operating room, I looked up at the wall clock and it was already past noon.

He hurried to the cafeteria to fill his stomach.

Then I went back to the operating room.

Around 1:30 in the afternoon, Zhou Can was sitting there with his eyes closed, resting, and finally he had another surgery.

This time, seven or eight people came in directly, including nurses and doctors.

Looking at this scene, 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 had maintained a very good figure, as slim as a girl.

She has fair skin, beautiful looks and outstanding temperament.

Several doctors followed her.

Among them, there were actually two people Zhou Can knew. One was Dr. Zhao, the attending physician, and the other was Dr. Long, whom he had dealt with in the morning.

"This is a new resident doctor who doesn't know the rules, so I asked him to stay in the operating room to clean for a day. He should watch and learn the surgical procedures carefully so that he won't mess up next time."

Doctor Zhao explained hurriedly.

"It looks like punishment, but it's actually caring. This way of education is pretty good!"

The leading female doctor commented with a smile and walked straight to the operating table.

Even Dr. Long had to stand behind her, which meant that she was most likely the surgeon performing this operation.

Zhou Can looked at the patient. Isn’t this the patient with heart aneurysm in bed 17?

The surgery was originally scheduled for 11 o'clock this morning, but the surgeon may be too busy or the operating room is late, so the surgery has been postponed.

Sometimes problems arise during surgery, which often results in a significantly prolonged operation time.

Zhou Can checked the patient's examination report in the morning.

This is another aneurysm clipping surgery that requires open chest.

Unlike the thoracotomy hemostasis surgery performed by Dr. Long, this operation is likely to be a large thoracotomy.

That is, the sternum is sawed in the middle, and then a chest expander is used to push the bone to both sides to expose the surgical field and facilitate the doctor's operation.

Any surgery will cause harm to the patient.

Open-chest surgery is particularly harmful to patients.

Before performing surgery, doctors will make a comprehensive assessment of the surgical risks, patient damage, and benefits of the surgery.

In major surgeries like this, the benefits to patients often far outweigh the damage they suffer.

If a heart aneurysm grows large enough and is not treated promptly, it may rupture.

It may even cause aortic dissection, which has a mortality rate of over 50%.

The patient's aneurysm was already very large, like a time bomb placed in the body, which could take the patient's life at any time.

Timely surgical treatment is the best solution.

After the patient was on the operating table, general anesthesia was administered and then the thoracotomy began.

Zhou Can stood under the operating table and watched.

There are many doctors and nurses participating this time.

There are three nurses and a team of more than six doctors.

Of course, there are only two or three people who actually do the work.

Doctor Zhao should have participated in the operation as the attending physician. He punished Zhou Can to clean the operating room, and since there was no one to do it, he had to do it himself.

Maybe he also wanted to take this opportunity to watch and learn carefully.

After all, there are not many opportunities to observe level 4 major surgery.

For residents, their status is slightly higher than that of regular trainees. They can get some training opportunities for minor surgeries, but it is difficult to have any opportunities to perform major surgeries like this.

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.

Watch more, learn more, and think more, and then participate in the simpler parts of the operation. Gradually increase the workload until you can complete every step of the entire operation alone, which is considered qualified.

Only then can you be qualified to perform this type of operation alone.

Surgeons, there are actually not many female doctors.

This female doctor in her forties is already a chief physician 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 physicians in their forties.

If I'm not mistaken, she should be Director Xue.

The patient in bed 19 with torn chest wall muscles mentioned her as the acquaintance.

Zhou Can originally thought she was an old woman, but she turned out to be quite young. I just don't know how good her surgical skills are.

At this moment, the operation has begun.

Director Xue stood calmly at the operating table, holding the knife and cutting open the epidermis on the patient's chest.

The whole movement is extremely skillful and smooth.

Sharp eyes.

The aura of a master emanates faintly.

"Her incision skills are at least at the deputy director level. She's so strong!"

An expert can tell whether something is good or not with just one look.

Zhou Can secretly compared the incision skills of his own lower level of medical expertise with hers, and found the gap to be too huge.

The two sides are not on the same level at all.