"Well, the bleeding stopped. The next vascular repair and anastomosis, if you can leave it to me, I will definitely do my best to do it. ”

Zhou Can fought for the rest of the surgical task.

Getting one is one.

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

Taking the opportunity to get more surgical exercises can not only help him earn experience points, but also refresh his old knowledge and refresh those medical skills that he hasn't used for a long time.

During his three months in the intensive care unit, he only participated in a measly small two or three surgeries.

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

"You try!"

Dr. Long couldn't save face and finally agreed to give him a chance.

Even though Zhou Can had performed extremely well, when Zhou Can asked to do vascular anastomosis again, Dr. Long was still very cautious.

Zhou Can cherishes this hard-won opportunity very much.

He knows very well that as long as he does it well, he can become famous. In the future, you will be able to open up the situation in cardiothoracic surgery, and you don't have to worry about not getting the opportunity to exercise.

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

From the initial fear, to the later relief.

Dr. Long once again recognized Zhou Can's strong strength.

With such a high level of anastomosis, let alone Gui Peisheng, even he, the attending doctor, is 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 true identity.

The surname Zhou is very powerful, and it seems that there is only one person in the entire Tuya Hospital.

Could it be that he is Zhou Can, who is famous for many powerful departments?

The more I think about it, the more I think it's possible.

There is no vanity under the fame, and this young man's ability is really powerful. No wonder it can be on the same level as the returnee Dr. Du Leng.

Dr. Long secretly made a comparison between the two.

Du Leng is very famous in surgery, and the chief doctors are quite polite to him one by one. Mainly because of Du Leng's doctoral degree from a famous overseas university.

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

Dr. Long had seen Du Leng's surgical ability, and even if the entire Department of General Surgery did his best to train him, nearly a year had passed, and Du Leng's surgical level had survived and he would be at an inferior level of hospital.

is not at the same level as Zhou Can's surgical strength now.

The two are too far apart.

"The vascular anastomosis is done, please ask Dr. Long to help me check it! If it was okay, I loosened the ligated end of the vessel and tested the blood vessels. ”

Zhou Can gave Dr. Long enough face.

Saving the scene just now must have damaged Dr. Long's face.

Now that the blood vessels are anastomosed, the most important part of the operation is completed. Lower your body and ask Dr. Long to help take a look, this is to tell everyone that I am just a regular trainee. Dr. Long is my senior doctor.

It's a form of respect.

"Hmmm! The fit is pretty good, and it would be nice if the thread could have been left a little longer. The main fear is that the knot will be unstable, and tension will occur after the blood is passed, causing the sutures to loosen. ”

Dr. Long commented on two sentences.

I picked a 'bone' out of the egg.

In this regard, Zhou Can humbly accepted the opinion and said that next time he will definitely leave the thread longer.

He firmly agreed that he would still insist on his own opinion and die unrepentant in the next operation.

Because he cut the end of the thread short, leaving just the right length.

Dr. Long's suturing 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 end of the thread is long, and theoretically speaking, the knot is not easy to loosen.

Actually, the loosening of the thread end does not have much to do with the length of the thread end.

As long as the knot is tied firmly, it will be fine next to the scissors.

If the thread is left too long, it is easy to irritate the surrounding tissues, resulting in symptoms similar to inflammation.

"Loosen the bundle line of the blood vessel and see how the blood vessels are going!"

Dr. Long instructed Zhou Can to remove the bundle cords of the blood vessels.

The knot itself is a slip knot, and it is too easy to remove.

After Zhou Can removed it, blood immediately rushed to the anastomosis. Shriveled blood vessels quickly become full.

The anastomosis must drain the air inside, as well as the blood inside the severed end to prevent blood clots.

Novice doctors are most likely to make this mistake.

After the blood test, the vascular anastomosis was tested very well. There was little to no impact on the blood vessels.

"Excellent! Check again, if there are no other bleeding spots, you can put the ribs back in and close the rib cage. ”

This type of thoracotomy is considered a relatively minor one.

The harm to the patient is also much less.

If you want to put the sawn ribs back, you need to perform a broken bone joint by the orthopedic surgeon.

It just so happened that Zhou Can had been in the Department of Orthopedic Surgery for three months, and followed Director Shen and Dr. Shan to perform many orthopedic surgeries.

Rib by rib, he is more than capable of doing it.

"That...... Is it okay to have my ribs joined and my chest cage closed? Zhou Can looked at these surgical experience points and wanted to earn them.

Others like to make money, but he has a soft spot for all kinds of medical experience.

"Rib joints, you'll too?"

Dr. Long was a little speechless.

What else will this rule trainees not have?

The two assistants also looked at Zhou Can like monsters.

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

Everyone is young, and capable men are always easy to make women worship.

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

It can't be said that which woman worships which man is in love with him, that's.

"After three months of orthopedic surgery, I also learned some techniques of broken bone joints. Take this rib and be completely confident that it will be done well. ”

Zhou Can's current broken bone joint surgery is inferior to that of a resident.

It's not too advanced, and it's completely adequate.

As for some difficult broken bone joints, such as those involving joints and spine, he is not competent.

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

Dr. Long is happy to take it easy.

At the same time, I also want to touch Zhou Can's bottom to see how powerful he is.

This is generally done with internal fixation.

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

Zhou Can's surgery, in addition to being good, is fast.

I saw him divide five by two, and the operation was as fierce as a tiger, and he directly used steel nails to solidify the amputated ribs back to their original position.

If nothing else, Yu He's callus line will appear in about a month.

Break your muscles and bones for 100 days.

Young people have a strong physical recovery ability, and in about three months, the ribs can heal more steadily.

"Okay, no other problems to start closing the ribcage!"

Dr. Long had seen Zhou Can's suturing skills, so he handed over the closure of the chest cavity to Zhou Can and was not worried at all.

……

After nearly forty minutes, the closure of the ribcage was finally completed.

This is still Zhou Can's suturing has reached the level of deputy director, and he is very fast in the operation, so he can complete the closure of the chest cavity in 40 minutes.

Dr. Long didn't even need to be examined again.

Because Zhou Can sewed better than him.

This thoracotomy to stop bleeding surgery has finally been successfully completed at this point.

The patient was also successfully saved from the hands of death.

With the help of this operation, Zhou Can fought a beautiful turnaround. From a punished trainee, he successfully won the trust of Dr. Long, and also took the opportunity to show his strong surgical strength.

"It's hard work for Dr. Zhou today! I would like to ask, you are Dr. Zhou Can, right? ”

At the end of the operation, Dr. Long's hanging heart finally fell to the ground.

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

Zhou Can has never treated himself as a character.

"I've already guessed that you've shown so much of your surgical prowess. Among the trainees, there is such a strong surgical ability, except for you, I am afraid that I will not be able to find a second one. At first, I wondered, where did such a young doctor come from? ”

Dr. Long's words made Zhou Can grin.

Others are inconsistent.

It was the first time someone had heard of Zhou Can's name.

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

The Department of General Surgery has now continuously pushed Du Leng on the table, and is ready to use it as a signboard of the Department of General Surgery in the future.

Zhou Can only has a bachelor's degree, which is dwarfed.

Only the chief physician and some well-informed attending doctors knew that Zhou Can's strength was very strong and his talent was excellent.

"Doctor Guan, it seems that you are the one who has known for a long time. No wonder you're so confident! ”

Dr. Long looked up at Dr. Guan, who was busy waking up the patient's anesthesia.

"I haven't seen his skills with my own eyes, can I recommend it? He is capable of more than that, and this kind of surgery can only be regarded as an appetizer for him. ”

Doctor Guan pursed his lips, and when he saw that the patient's vital signs had stabilized after the operation, his mood became very bright.

"Is that just part of his game? This is also too scary, so why should we, the attending doctors, be embarrassed! After listening to Dr. Guan's evaluation of Zhou Can, Dr. Long felt a storm in his heart.

I thought that this regular trainee has super diagnostic ability, multiple attending medical skills, and even director-level suture and ligation, which is exaggerated enough.

Unexpectedly, this is only part of Zhou Can's strength.

How strong is this trainee?

Dr. Long felt that there was something wrong at the moment.

People must not be compared with people.

Otherwise, the goods will be thrown away, and the people will die more than the people.

"Doctor Zhou, can you take the liberty of asking, why did Dr. Zhao let you stay here to clean the operating room?"

Dr. Long decided to take care of it.

After all, Zhou Can did him a great favor.

This operation can be successfully completed, and Zhou Can's strength is really not a little bit.

Thoracotomy is mostly a secondary procedure.

However, the difficulty of this operation has far exceeded that of Level 2.

According to the usual method, he would have needed to ask the chief physician of the department to come over for support.

"When Dr. Zhao and Dr. Duan were operating, I interjected a few words, which made Dr. Zhao a little angry. Thinking that I had never seen the surgery, I made a fuss, so I was punished for cleaning the operating room for a day. ”

Zhou Can explained the reason for the incident.

He was sure that the patient with the torn pectoral muscle must have something seriously wrong.

But he did his best.

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

Privately ask the family to remind me, thinking of the family's scathing faces, forget it. On the first day of their internship at Tuya Hospital, the instructor told them that doctors must learn to protect themselves before saving people.

In the face of such a family member, Zhou Can must be a good turtle with a shrunken head.

Otherwise, you have nothing to do.

"I'll go to Dr. Zhao and talk to him, there must be a misunderstanding here." Doctor Long's words indicated that he wanted to help Zhou Can intercede.

"Don't, don't, it's good for me to stay here and clean up. Not only exercised the body, but also watched various surgeries to see more. ”

Zhou Can felt that it was better to stay here when he returned to the ward to manage the bed.

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

Zhou Can already has such a powerful strength, how can he have a long insight to watch the operation, and it is clear that he stayed here to save the scene.

I'm afraid it won't be long before cardiothoracic surgeons will know that there is a monster-level doctor in this operating room.

……

Dr. Long quickly left with the people, saying that there was an important operation to attend 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 it was already past 12 noon.

He hurried to the cafeteria to fill his stomach.

Then go back to the operating room and stay there.

At half past one in the afternoon, Zhou Can was sitting there with his eyes closed, and finally came to the operation again.

This time there were seven or eight people coming in, nurses and doctors.

Look at this battle, it must be major surgery.

"Hey, why is there a doctor in the operating room?" The female doctor at the head is in her forties, and her figure is quite good, as slender as a girl.

She has fair skin, looks very beautiful, and has an outstanding temperament.

She was followed by several doctors.

Among them, there are actually two people who are known to Zhou Can, one is Dr. Zhao who is in charge of the bed, and the other is Dr. Long, who has dealt with him in the morning.

"This is a new doctor, and some of them don't understand the rules, so I let him stay in the operating room and clean up for a day. Watch and learn the surgical process so that you don't mess with it next time. ”

Dr. Zhao hurriedly explained.

"It seems to be a punishment, but it is really caring, this kind of education is very good!"

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

Even Dr. Long had to stand behind her, indicating that she was probably the surgeon in charge of the operation.

Zhou Can looked at the patient, isn't this the patient with the heart aneurysm in bed 17?

The operation was originally scheduled for 11 o'clock this morning, but the surgeon may not be busy, or the operating room schedule is late, resulting in the postponement of the operation.

Sometimes there are problems during the procedure, which leads to a significant extension of the operation time.

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

Another aneurysm clipping surgery that required thoracotomy.

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

That is, sawing from the middle of the sternum, and then using a chest expander to stretch the bone to both sides, exposing the surgical field and facilitating the surgeon's operation.

Any surgery can cause harm to the patient.

Thoracotomy is particularly harmful to patients.

Before surgery, doctors will make a comprehensive assessment of the risks of surgery, the patient's injuries, and the benefits of surgery.

In a major surgery like this, the benefits to the patient often outweigh the damage.

Cardiac aneurysms are at risk of rupture if they are large enough to be left untreated.

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

The patient's aneurysm was already so large that it was like a ticking time bomb. It can take the patient's life at any time.

Prompt surgical treatment is the best option.

After the patient is placed on the operating table, general anesthesia is administered, and thoracotomy is started.

Zhou Can stood under the operating table and watched.

This time, there were many doctors and nurses involved.

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

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

Dr. Zhao was supposed to be involved in this operation as a bed doctor. He punished Zhou Can to clean up in the operating room, and no one called him, so he could only go into battle in person.

Maybe he himself wants to take this opportunity to watch and learn.

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

For residents, the status is slightly higher than that of regular trainees. Minor surgery can get some exercise opportunities, and this kind of major surgery is difficult to get started.

Watching from close quarters is also very helpful to them.

The growth of doctors is a process of continuous learning and accumulation.

See more, learn more, think more, and then get involved in the easier part of the surgery. Slowly increase the size until you are finally able to complete each step of the entire surgery individually, and then you are considered qualified.

to be eligible to preside over this type of surgery on its own.

There are not many surgeons, 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 correctly, she should be Director Xue.

The patient with a torn chest wall muscle in bed 19 was the acquaintance in her mouth.

Zhou Can originally thought that she was an old woman, but she didn't expect her to be quite young. I just don't know what the strength of the surgery is?

At this moment, the operation has already begun.

Director Xue calmly stood on the main knife position, holding the knife to cut the epidermal layer on the patient's chest.

The whole movement is extremely skillful and smooth.

Sharp eyes.

The master's demeanor is faintly emanated.

"Her incision technique is at least at the deputy director level, so strong!"

As soon as the connoisseur makes a move, he will know if there is one.

Zhou Can secretly compared his own incision at the inferior level of the main level with her, and the gap was too big.

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

The operation continues, and the saw bone after cutting the epidermis is more violent.

If the family members saw it, they would probably be scared to death.

Cut the bone in half from the middle of the chest, and stretch it open.

This is one of the most violent ways to open your chest.

(End of chapter)