Chapter 380 Five-level encirclement, urethral dilatation(2/2)
Even the knife positions were not drawn in advance.
Zhou Can has to do everything himself.
"Qiao Yu, are all the urethral probes available?"
Zhou Can looked at Qiao Yu.
The way she looked at Zhou Can looked extremely intimate.
"Well, everything is ready!"
It seems that before the operation, she knew what kind of operation she was going to do.
“The patient’s urine retention is quite large!”
Zhou Can discovered that the small special urinary catheter had been sucking urine from the bladder for so long, and it was still being pumped out continuously.
We can also understand why the patient is worse off than dead.
It is extremely difficult to urinate, and it is particularly painful when urinating. The bladder is full, and it is obviously full of urine, but it is difficult to urinate. You can imagine how sour and refreshing this feeling is.
In his current situation, there is a high probability that he will have physical problems, and it is completely normal that he cannot complete the couple's life with his girlfriend.
This is probably the main reason why his girlfriend is making noises about breaking up.
No woman wants to remain a widow for the rest of her life at such a young age.
It is unrealistic to use only the word "love" to tie up a woman's lifelong happiness.
"Okay, the urine is basically cleared! Teacher, is it okay to remove the tube and start the operation?"
Zhou Can asked Dr. Xu for his opinion.
"Today's surgery is equivalent to a test for you, so you only need to seek my advice when you encounter difficulties. At other times, all steps are up to you. Remember, try to solve what you can solve by yourself. Every time
Please teach me this once, as this will lower your surgery score and your future surgeries will be affected."
Doctor Xu reminded him.
This operation was deliberately used to test Zhou Can's surgical ability and level. If Zhou Can performs well, he may be offered surgeries of this difficulty in the future.
If the performance is poor, considering the safety of the surgery, Zhou Can can only be downgraded from the surgery.
It is also possible to only provide primary and secondary surgeries.
At present, Dr. Xu is still guilty because of the medical accident that year, and he is still working with invisible "shackles". Level 4 surgeries are forbidden to Dr. Xu.
Therefore, the emergency department can only perform level three surgeries at best.
Zhou Can was given a surgery that was extremely close to level 3 right from the start, which shows how high expectations he placed on Zhou Can.
"clear!"
Zhou Can directly removed the special urinary catheter from the patient without asking for instructions.
Then he took the probe and stood on the left side of the patient because the patient was in a supine position.
In fact, you can also do this inspection while standing on the right side, it all depends on the personal habits of the surgeon.
If the patient is in the lithotomy position, the surgeon generally needs to stand in the middle of the patient's legs.
Lithotomy position is relatively rare.
Zhou Can held one of the patient's organs with one hand and slowly inserted the probe into the external orifice of the urethra. This was only the first step. The next step was to send the probe into the bulbar urethra.
This operation is quite difficult. If the surgeon's technique is not up to standard or he lacks experience, it is very easy to damage the patient's urethra.
During operation, keep the probe parallel to the patient's abdominal wall, continue to push the probe inward, and after passing through the pendant urethra, slide the tip of the probe into the bulbar urethra.
After the tip of the probe enters the bulbar urethra, the surgeon releases his left hand to stretch an organ of the patient.
Then gently push the probe gradually toward the posterior urethra, and while pushing, lift the probe from parallel to the abdominal wall to a vertical position, so that its tip crosses the membranous urethra and enters the prostatic urethra.
It can be seen that a layer of fine sweat is secreted on Zhou Can's forehead.
He was very careful throughout the entire operation.
Because this operation is an evaluation of his personal surgical ability by the emergency department and is related to the construction and development of his surgical team.
Only primary and secondary surgeries are performed, which is highly replaceable and has limited development potential.
Only those who undergo level 3 or 4 surgeries are eligible to have a say in the hospital.
Zhou Can knew this very well.
After the tip of the probe passes through the membranous urethra, push the probe forward and press it down from a vertical position to the abdominal wall to a parallel position.
"Success!"
Zhou Can happily muttered to himself.
When it is completely parallel, it means that the front part of the probe has entered the bladder, thus completing the entire urethral dilation operation.
The whole process seems very simple, but in fact it is very difficult, and every step involves huge risks.
But one thing you can rest assured is that even if the operation goes wrong, it will not kill the patient.
At most, it will make the patient's condition worse, making it even harder for him to become a real man in the rest of his life.
When the emergency department operated on Zhou Can, careful consideration was given to ensure that if something happened, no life would be lost.
After the probe entered the bladder, Zhou Can operated the probe and twisted it left and right in the urethra and bladder.
Then carefully withdraw the spy, replace it with a larger one and repeat the previous steps.
Dr. Xu stood aside and watched with a satisfied expression on his face.
Qiao Yu is a girl after all, and her eyes look elsewhere more often.
After more than forty minutes, Zhou Can put down the spy and looked at Dr. Xu.
"Teacher, the operation has been completed. Please check it."
"Well, the whole operation process is quite remarkable. You have passed the test with your first operation. However, this operation is only a second-category operation, and the focus is to test your operating skills. The next operation will be a real one.
It’s a third-level surgery, so be prepared.”
Dr. Xu's assessment of Zhou Can has not stopped.
Today, he wanted to see how far this beloved disciple had grown after studying outside for three years.
In particular, Zhou Can's steady knife technique and quick knife technique are what Dr. Xu looks forward to and values the most.
Zhou Can breathed a sigh of relief and his face became much more relaxed.
"I'm going to the toilet first!"
I just performed this operation on the patient, and he was under a lot of pressure. He was also mentally tense all the time.
Now that he is relaxing, he thinks that the next surgery will be more challenging.
Go to the toilet first and keep your body in peak condition for the next level 3 surgery.
Even the attending physician is not qualified to preside over a third-level surgery.
A deputy chief physician is required.
Giving him a third-level surgery must have been approved by Director Lou.
Five-level implantation surgery, I do not have the right to change the chapter name, please readers for your understanding.
Chapter completed!