Chapter 18 Acquired Two Advanced Medical Skills(1/2)
Each of them received a living white rat.
"The operation is two hours, let's start."
With the examiner's order, fifty candidates immediately began to anesthetize the white rat.
Then secure to the wax tray.
Prepare all the equipment needed for the operation, place it according to personal use habits, and start performing thoracic surgery on the white rat.
After Zhou Can fixed the white rat, he held the lancet, selected the appropriate knife position, and cut it slowly.
All surgical steps need to be done alone, without an assistant.
This undoubtedly increases the difficulty of the operation.
The third-level incision is awesome, perfectly avoiding large blood vessels. The cutting depth of the knife is just right, and no organs are damaged.
"Wow, how could the bleeding be so bad?"
Zhou Can almost thought that the large artery blood vessel had been cut off, but blood was spraying out.
It scared him very much.
Rapid electrocoagulation stops bleeding.
One bleeding point, two, three...
It took less than eleven seconds, and all thirteen bleeding points were stopped by him.
The efficiency of the third-level hemostasis surgery is so exciting.
One point is accurate.
Of course, there are many ways to stop bleeding, such as hemostasis clamping the blood vessels, or ligating and anastomizing the broken blood vessels.
The blood vessels of the white rat are very small.
If Zhou Can can electrocoagulate and stop bleeding, he will naturally not cause trouble to show his medical skills.
"The bleeding is so severe, it is probably the pit dug by the examiner again."
Zhou Can looked up at the examiner, and sure enough, there was a smirk on the corner of his mouth.
pit b.
He cursed inwardly and turned to check the situation of the other 49 candidates.
Many candidates are busy operating.
Some people's face was splattered with blood, and they didn't care about wiping it.
It seems that every white rat has been tampered with and the bleeding rate is ten times that of normal bleeding.
If the hemostatic surgery is a little bit, it is very likely that the rat will die due to excessive blood loss just after opening the chest.
Zhou Can was very grateful.
Fortunately, the hemostasis has reached the moderate level of the resident.
This is the only way to deal with it calmly.
After the chest cavity was opened, the liver, lungs, heart and other internal organs were exposed to his surgical field of view.
First find the large blood vessel at the root of the left lung and ligate it at the proximal end.
This is to prevent heavy bleeding when the left lung is removed.
Then carefully separate the left lung from the surrounding tissue bit by bit.
[Congratulations on obtaining separation technique, current experience value, level 3, 0.2/1000. It can be used to separate adhesions between various tissues in the body.]
Separation is an advanced medical technique based on anatomy.
Its application scenarios are very wide.
For example, when tumor removal is removed, the tumor is stripped from normal body tissues. Or if surgery is performed in some special areas, a certain body organ needs to be moved away first, and separation surgery is also required.
Separating necrotic tissue from the patient is even more inseparable from separation techniques.
A sudden addition of advanced medical skills made Zhou Can feel both surprised and surprised.
"As soon as I got it, I was level 3?"
When other medical skills were first started, weren’t they all level one?
After thinking about it for a while, Zhou Can understood what was going on.
Separation is derived from incision.
His incision is currently at level 3, so the separation technique is at level 3 as soon as it comes out.
Every time you practice medical skills on living props, you will increase 0.2 experience points.
So the current experience value is level 3, 0.2/1000.
Finally figured it out.
Now that the left lung has been successfully separated from the surrounding tissue, he decisively removed it.
Fortunately, the main blood vessel was ligated in advance.
Otherwise, with the amount of blood from the white rat, it would probably take less than ten seconds to spray the blood in the body.
It's much simpler now.
Just electrocoagulate and stop bleeding by electrocoagulation.
The entire bleeding volume is very small.
Then clean the wound, check for correctness and suture the subcutaneous tissue, and close the chest cavity.
A complete set of left lung resection surgery was completed neatly.
After closing the chest cavity, he began a second surgery.
First use elastic line harness to tighten the tail and tail root, then cut off the rat's tail, and then start vascular anastomosis with a microscope.
There are four major blood vessels that need to be anastomotic.
This is an extremely fine project.
The stitches are thinner than hair.
The operation is extremely difficult.
Even though his suture and ligation were all level 3, he still took a lot of effort to finally fit the first blood vessel.
[Congratulations on obtaining anastomosis, current experience value, level 3, 0.2/1000. It can be used to anastomosis of blood vessels, nerves, intestines and other organs.]
Good guy, these surprises come one after another.
He obtained another advanced medical skill.
And it's also level 3.
Anastomosis is derived from incision and suture. It is used very frequently in surgical procedures.
Zhou Can vaguely realized that as long as you practice the four basic medical skills of incision, suture, ligation and bleeding, you will be able to obtain advanced medical skills directly at the same level as the corresponding basic medical skills.
Basic medical skills are level 5, and the advanced medical skills obtained will also be level 5.
This is very good.
It is equivalent to a shortcut that can help him grow faster.
There are four main blood vessels in the tail of the white rat, and he carefully matches the remaining three blood vessels one by one.
Check correctly.
Unlock the elastic line tied at the base of the rat's tail. After the blood is over, no blood leaks or blocks are found in the anastomotic blood vessels.
It was close to the end of the rat's tail and after the blood supply was restored, it turned bloody again.
Not bad, all four blood vessels are unobstructed.
Zhou Can breathed a sigh of relief.
In theory, the operation can be successfully completed after this step.
He looked at the time and it took less than an hour in total. Now he handed in the paper, probably waiting stupidly. So based on the principle of not wasting time, he decided to try a caudal nerve anastomosis.
Because nerves are much thinner than blood vessels, and nerves are composed of countless nerve filaments.
This anastomosis is more than ten times more difficult than vascular anastomosis.
A complete nerve bundle is equivalent to a tube, and hundreds of thin nerve filaments are inserted into it.
Neural signals are transmitted through nerve filaments.
When this nerve is cut off, if it wants to fully restore its function, it is necessary to ensure that every nerve filament that is thin to nanometers is aligned with the original one.
It is conceivable how difficult this is.
Zhou Can is naturally not at that level now.
To be continued...