Chapter 51: Extraordinary Neural Anastomosis
"Don't rush, take your time."
Doctor Xu noticed something and encouraged him.
The patient was given local anesthesia and was awake. There were many things that were difficult to say.
If the patient is given general anesthesia and there are only medical staff in the operating room, Dr. Xu will definitely give Zhou Can detailed instructions.
Now we can only give appropriate encouragement.
If Zhou Can still can't do it, then he will have to stop it decisively and take over himself.
Zhou Can took a deep breath and tried to calm himself.
Maintaining a calm and peaceful mind is the key to a successful operation.
He carefully summarized the problems found in the anastomosis, made improvements, and then performed the anastomosis again.
Ten minutes later, the first blood vessel was finally anastomosed successfully.
It is also the most important artery.
The venous anastomosis has not yet occurred, so a blood flow test cannot be performed at this time.
Zhou Can felt somewhat unconfident.
"Very good, keep going."
Doctor Xu was standing by his side the whole time, checking every step for him.
With the teacher's affirmation, Zhou Can became more confident and continued to anastomose the veins.
Generally speaking, when replanting a severed finger, the wound is cleaned and the damage is removed first, then the bones are connected, and then the tendons, blood vessels, and nerves are anastomosed in sequence, and finally the skin is sutured.
Whether the blood circulation is smooth is the key to the survival of the severed finger.
Nerves are less important.
It determines to what extent the function of a severed finger can be restored.
One vein was successfully anastomosed, and the second one was also successfully anastomosed eight minutes later. His confidence became stronger and stronger, and his technique became more and more precise. The time for anastomosing a blood vessel was reduced from twelve minutes to eight minutes.
The time was shortened by one third.
"Very good, continue."
Doctor Xu showed appreciation on his face.
Zhou Can then proceeded to anastomose the nerves, which was much more difficult than anastomosing the blood vessels.
But the opportunity to practice surgery was too tempting.
He fought like a warrior, making all-out efforts to capture the last 'strong city'.
Having a strong teacher behind him as his backer gave him the confidence to try boldly.
The nerve anastomosis was completed in less than six minutes.
The whole process went surprisingly smoothly.
[Suture experience +1, ligation experience +1, anastomosis experience +1. ]
Experience points will be credited to your account on time just like your monthly salary.
Anastomosis is an advanced medical skill, and it is quite difficult for him, who is still a resident doctor, to earn money.
The main reason is that the chances of anastomosis surgery are small.
Doctor Xu didn't dare to let him do anything with a slightly higher risk.
There aren't many opportunities like this one to earn 4 matching experience points in a row.
The nerves and blood vessels were anastomosed and the examination was correct.
Next is the most important blood circulation test.
Success or failure depends on this one move.
After loosening the rubber tube tied to the wrist, blood immediately flowed into the palm through the blood vessels. The other four intact fingers regained their redness at a speed visible to the naked eye.
The originally pale severed finger gradually turned red and bloody.
“Success!”
Zhou Can was extremely excited.
The heart that was hanging in the air finally settled down.
This was his first finger replantation surgery, and it was of great significance.
It is completely different from reattaching the tail of a white mouse.
[Nerve anastomosis is successful, the matching value exceeds 50%, and 10 matching experience points are awarded. ]
Hey, I didn’t expect to receive an extra reward.
This was a little unexpected surprise.
It is almost impossible to achieve a 100% match between nerve anastomosis. Even Wu Baihe, who is known as the "top surgical knife of the nerves", does not have that ability.
Generally speaking, if the matching value after nerve anastomosis can reach about 30%, it is enough to restore some nerve functions.
Zhou Can was just a novice, but he was able to achieve a 50% match value the first time he matched the human nerves, which was definitely an extraordinary performance.
Most chief physicians are at this level.
Normally, a resident doctor would be considered excellent if he or she could achieve a 30% match for the nerve anastomosis. Senior attending doctors can usually achieve a match of more than 40%.
This does not mean that Zhou Can's level of neuroanastomosis has reached the director level, but it was a case of a blind cat catching a dead mouse and performing exceptionally well.
But he seems to be very talented in neural anastomosis.
During the regular training examination, he tried to suture the rat's coccygeal nerves and successfully restored the pain sensation of the severed rat's tail, which shows that he is extremely talented in this area.
The matching value of the nerve anastomosis of this injured person's severed finger is as high as 50%. It can be predicted that the function of this finger can be restored to a large extent.
Seeing that the operation was successful, Dr. Xu smiled.
The happiest people are the injured.
Just now, Zhou Can was the one who performed the operation on him. To be honest, he was reluctant to do it. Such a young doctor probably couldn't be very good at medicine. So he was always nervous during Zhou Can's operation.
Fortunately, the results were very good.
"Hurry up and sew the leather!"
Dr. Xu gave the order to sew.
"OK."
Zhou Can became more confident.
Sewing the leather is not too difficult.
He has completed nearly twenty skin suture operations, and now both his mentality and skills are very strong.
There is absolutely no high tension when anastomosing blood vessels and nerves.
He was seen stitching calmly and quickly, with a hint of the demeanor of a master.
"Okay, teacher, please help me check it."
Doctor Xu took a look and nodded with satisfaction.
"Well, the finishing work was done very well! After the wound is bandaged, the injured person can go to the infusion room for infusion."
The injured were quickly taken out.
When leaving, the injured person specially thanked Dr. Xu and Zhou Can.
Doctor Lu grumbled unhappily, "I obviously participated in the operation and put in a lot of effort, but this patient didn't thank me. This patient is really rude."
No one responded to his words.
The patient is not a fool. Dr. Lu is lazy in every way even as an assistant. It is polite of the patient not to scold him.
He even wanted the patients to thank him specifically. He really treats himself like a god.
Seeing that no one responded, Dr. Lu turned his gaze and looked at Dr. Xu.
"Doctor Xu, you see Zhou Can, a trainee, can participate in such important work as vascular anastomosis and nerve anastomosis. Please give me some opportunities to practice!"
This was because he saw Zhou Can, a newcomer, running ahead of him, and he felt a little psychologically unbalanced.
Except for your parents, no one wants you to live better than him.
This is really good advice!
"Humph, you almost ruined the patient's blood vessels last time, don't you remember? I asked you to anastomose a limb vein that was not risky, but not only did you fail, you also caused a blood clot and almost caused a major medical accident. If you really want to improve, you can practice anastomosis of the tail blood vessels of white mice more when you go home. When you pass the test, I will consider giving you a chance to practice surgery."
Dr. Xu was speechless when faced with Dr. Lu, a senior resident.
It’s not that I don’t want to support him, but this guy is too disappointing.
Doctor Lu gave an awkward laugh and said nothing more.
"Tang Ling, go check how many injured people are there outside?"
Dr. Xu is over 50 years old, and after performing such a long operation, he was obviously exhausted.
He took advantage of this break to sit on a small round stool against the wall and take a short rest.
"After our efforts, there are only two injured people left outside!"
After reading it, Tang Ling said happily.
"Push one in first!"
Doctor Xu sounded exhausted even when he spoke.
However, he still gritted his teeth and persisted. It seemed that he was going to treat all the injured before eating.
Zhou Can admired his professional ethics very much.
Every doctor who cares about his patients is a good doctor.
Soon, a male patient screaming in pain was pushed into the operating room.
After investigation, it was found that the man was very close to the stage and was hit in the lower body. After examination, the attending doctor suspected that the victim's testicles were displaced or damaged, so he was sent to the operating room for treatment.
No wonder this patient screams so creepily.
