Chapter 380 Five-level encirclement surgery, urethral dilation surgery

Author: Jiangbian Yuweng

Chapter 380 Five-level encirclement surgery, urethral dilation surgery

"You already know this! It seems like you pay a lot of attention to me!"

Qiao Yu showed a happy smile.

"When I was studying in surgery, didn't you say hello to me? The directors of several departments were very face-saving and took special care of me. Later, I felt that the skills I learned were not enough, and I was worried that I would not be able to do it for a long time. As a device nurse, my skills are unfamiliar and I will be disliked by you. So I simply begged the directors of cardiothoracic surgery and neurosurgery to let me work overtime for free after get off work and study more in the operating room."

Where there is a will, things can come true.

Only she herself knows how much effort Qiao Yu put in to work as a device nurse for Zhou Can.

It was her hard work and hard work that made Zhou Can think more highly of her and value her.

"Comrade Qiao Yu, thank you for working so hard to be my right-hand assistant during the operation. The first surgical patient is expected to come in soon, and I look forward to your performance."

Zhou Can spoke highly of her efforts.

"OK!"

After she finished speaking, she may have felt that the conversation was too serious, so she covered her mouth and burst into laughter.

Three years later, Qiao Yu has become obviously more beautiful and has a more outstanding temperament. She is also very capable in speaking and doing, and her eyes are still as clear as three years ago.

In these three years, the two met only a handful of times.

However, I often chat on WeChat and occasionally call him. Usually Qiao Yu takes the initiative to call him.

"Xiao Zhou, get ready, there will be a urethral dilation surgery for you to preside over soon!"

Dr. Xu changed into surgical clothes and walked in.

"There is nothing wrong with me, it's just that this operation requires a medical assistant." Zhou Can felt quite surprised. Dr. Xu is famous for being strict and cautious.

When he got up today, he was immediately arranged for a urethral dilation surgery. This was not like Xu Yidao's style!

"I will be the medical assistant! This is a highly difficult second-level surgery, and it is also your first battle back in the emergency department after three years of experience. Don't screw it up for me. Director Lou and others are watching.

!”

Xu Yidao was indeed Xu Yidao. With him watching Zhou Can personally, there was no need to worry about any accidents.

Although Zhou Can has gained a certain reputation in various major departments, Director Lou and others in the emergency department were still a little worried after not seeing it with their own eyes.

Yesterday, Zhou Can put forward a lot of conditions, and Director Lou agreed to them one by one.

If he can't show the corresponding strength today, even if Director Lou doesn't say anything, Zhou Can himself will feel embarrassed.

"Teacher, this kind of secondary surgery that requires general anesthesia is usually an elective surgery! The pre-operative conversation, anesthesia assessment and conversation, and all preparations take a while. This patient should not have just been admitted, right?"

Zhou Can accompanied him and asked carefully.

Early in the morning, even if the patient was admitted last night, it should not be possible to arrange the operation so quickly.

"You know but you still ask? I collected it yesterday and left it for you to make."

Doctor Xu glared at him.

Then handed the patient's information to Zhou Can.

The patient was brought in quickly.

This is a male patient in his twenties. Due to urethral stricture caused by trauma, his current symptoms are extremely difficult to urinate and even some complications. Even though it is just a minor urination problem, this patient has an extremely difficult life.

pain.

"Doctor, please be more careful. Since I was injured, my girlfriend has been clamoring to break up with me. Now every time I urinate, it feels like torture. I live in too much pain."

The patient's main confidant is Dr. Xu.

"We will definitely do our best to treat you. Now please lie down on the operating table."

After Dr. Xu guided the patient to lie down on the operating table, the anesthesiologist began to administer general anesthesia.

For urethral dilation, adults can generally undergo surgery under local anesthesia.

Doctors will generally conduct a comprehensive assessment of the patient's condition and choose an optimal anesthesia method. General anesthesia is more risky, but the advantage is that the patient's vital signs can be monitored at any time during the operation. While the patient is under general anesthesia, the doctor

There is no need to worry about patients not cooperating or moving erratically.

The only disadvantage is that it will increase the cost of surgery.

Today, anesthesia technology is very mature. Although anesthesia accidents occur every year, even causing patient death.

However, the risks of general anesthesia are still extremely low.

There is also the myth that local anesthesia is safer and general anesthesia is more dangerous. This is nonsense. Even if brachial plexus anesthesia is given, accidents resulting in death occur in major hospitals.

And it happened more than once.

There has never been a saying which type of anesthesia is safer. Any surgery has risks.

As long as there is risk, there is unpredictability.

Zhou Can took advantage of the patient's anesthesia time to continue checking the patient's information and examination reports.

After the anesthesia was successfully administered, the anesthesiologist said to Qiao Yu, "Nurse, insert a urinary catheter for him! Drain the urine first."

"OK!"

Qiao Yu agreed simply.

Nurses are likely to encounter almost all dirty and tiring tasks including cleaning feces and urine from patients, cleaning purulent and infected skin, wounds, changing dressings, and inserting urinary catheters.

This requires nurses to have strong psychological qualities.

"I'll do it!"

Zhou Can took over the specially made small catheter to avoid some embarrassment to Qiao Yu.

As long as he is present, he will take care of the nurses and female doctors as much as possible.

Qiao Yu is his confidante, so he is naturally more protective of her.

Inserting a urinary catheter is a trivial matter for Zhou Can.

It's just that this patient's situation is quite special. Zhou Can obviously encountered obstacles when inserting the urinary catheter.

Fortunately, he took the initiative to help Qiao Yu, otherwise, she would have been even more embarrassed.

The level of nurses inserting urinary catheters, even the elderly chief nurse, is only at the level of attending. A novice like Qiao Yu, who has only worked for about three years, can reach the lower level of a resident doctor, which is considered good.

Zhou Can spent a lot of effort and finally succeeded in inserting a small urinary catheter into the bladder.

[If the urinary catheter is successfully inserted, the experience value of the insertion procedure will be +1. If the difficult urinary catheter insertion is completed, the reward experience value will be +100.]

It's really a surprise that I actually received an additional reward of 100 experience points.

Is this a good intention that pays off?

[Congratulations on your successful promotion to level 5 in implant surgery. The current experience value is 1/100000, which is the junior level of deputy chief physician. You can complete difficult intracanal and intracavity implants, deep implants of special medical devices, and can complete some

The placement of organs...]

This medical skill may seem useless, but it is of great significance in clinical practice.

It can be said that in many surgeries, the tasks that need to be completed during the implantation surgery are basically the finishing touches.

For example, when it comes to the placement of vascular stents and rings, many doctors start to have trembling hands and heartbeats before they start the operation. Why, because some malformed hemangiomas are really difficult to treat.

Not to mention arterial dissection.

If you are not careful, a life will be in your hands. I ask you if you are afraid?

Zhou Can’s previous four-level implantation surgery was at the attending level. If he wanted to complete the deep implantation of some special medical devices, he could only try to challenge it. The success rate was not high and it took a very long time.

It's different now. After being promoted to level five, he already has some confidence even if he hasn't tried it yet.

Also, the implantation of organs sounds a bit ridiculous.

In fact, during some major surgeries, it is often used to return an organ to its original cavity or a certain tissue. However, the risks are very high and the difficulty is extremely high. The technical requirements for the operator are

experience, all have extremely stringent requirements.

Many organs and tissues are easy to take out but difficult to put back.

Zhou Can now officially has this ability.

"The patient's vital signs are normal and he can undergo surgery!"

The anesthesiologist didn't say much.

He just looked at Zhou Can in slight surprise. Under normal circumstances, the surgeon would not care too much about the nurses in the operating room because of his high status.

He could see Zhou Can's care for Qiao Yu.

"Let's get started!"

Doctor Xu spoke.

They didn't give Zhou Can any hint, and they just deliberately used this operation to test Zhou Can's surgical ability.
To be continued...