Chapter 494: With the knife as his foot, doctors can’t just treat diseases

Author: Jiangbian Yuweng

Chapter 494: With the knife as his foot, doctors can’t just treat diseases

In the operating room, anesthesiologist Qu Zi and an anesthesia nurse are giving the patient general anesthesia.

Since the last time she talked with Zhou Can, the frequency of her surgeries in the emergency department has become more and more frequent. Zhou Can will consult with her when a patient needs to undergo surgery under general anesthesia or spinal anesthesia.

Sometimes, she feels that the risk of surgery is too high and she does not agree to take the risk.

Zhou Can could only try his best to persuade her.

Fortunately, she has a high degree of trust in Zhou Can's surgical ability, and the two of them have cooperated many times, so they have a certain foundation of trust between them. So in most cases, Zhou Can successfully persuades her.

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After the patient was under general anesthesia, Zhou Can began to perform laparotomy on the patient.

Because the patient's physical condition was very weak, like a light that could go out at any time on a rainy night, Qu Zi's nerves were already tense as soon as the operation began.

Fortunately, Zhou Can's surgery was not only fast, but also extremely stable.

During the laparotomy, there were six levels of incision, coupled with the blessing of fast and steady knife techniques, it was as smooth as flowing water.

Open the abdominal cavity and go straight to the ileocecal area where the bleeding source is.

A large mass with a diameter of more than 9cm was found in the ileocecal part.

The wall of the mass is very thick.

"Good guy, why do you have such a big lump?"

Dr. Xu stood aside to help his apprentice. He was quite surprised to see such a big mass.

"It doesn't feel like a tumor, it's probably blood inside!"

Zhou Can’s level 6 debridement technique was not given in vain.

I stared at the lump for a few times, pressed it a little with my finger, and already had an idea in my mind.

"Teacher, do you need to aspirate out the fluid in the mass first?"

"It doesn't matter! This lump is not easy to suck, and it will probably break if touched."

Dr. Xu’s surgical experience must be many times richer than Zhou Can’s.

He said it was fine and basically he would not make any mistakes.

When it comes to the degree of caution in surgery, Dr. Xu ranks second. I am afraid no one dares to rank first.

After all, because of an accident, his future and life were directly ruined. Once bitten by a snake, he will be afraid of ropes for ten years.

When performing surgery, Dr. Xu is not only strict with his doctors, but also strict with himself.

Even if he loves Zhou Can to the extreme, if Zhou Can dares to be careless in any way during the operation, he will be scolded to the point where he will not be able to lift his head up.

Zhou Can tried to move the mass with his hands to separate the adhesions between the mass and surrounding tissue.

Wow!

Unexpectedly, it broke immediately as soon as I moved it.

Blood flowed out immediately.

"Yang Zhi, suck out the accumulated blood!"

"good!"

In fact, Yang Zhi was already ready without Zhou Can's instructions.

"It would be better if your team could have one more hand-washing nurse."

Anesthesia nurse Qin Yue said next to her.

She didn't talk much before. Ever since Qu Zi said she wanted to tie up with Zhou Can's team last time, she would always smile and nod when she saw Zhou Can. During the operation, if she found some problems or shortcomings, she would take the initiative to point them out.

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"Well, I would like to recruit another surgical nurse to help Qiao Yu share the work pressure, but as you know, the surgeries I currently perform are still mainly primary and secondary surgeries, and I can't support so many people!"

Zhou Can's statement is relatively modest.

With the horrific amount of surgeries his surgical team performs every day, they can support themselves by recruiting a hand-washing nurse.

However, this will definitely lead to a decrease in the income of Qiao Yu and Ma Xiaolan.

Neither of them have a good family situation, and they both want to make as much money as possible.

The work was tiring, but the two of them had no complaints.

Zhou Can has no idea of ​​recruiting any more surgical nurses for the time being.

While talking, Yang Zhi had already sucked out the fluid in the mass.

"It feels like there is not only blood accumulation in this mass, but also slough-like necrotic tissue. I'm afraid this section of intestine must be completely cut off."

Zhou Can looked at the aspirated fluid and found that the patient's ileum was worse than imagined.

It would be great if it could be discovered earlier, maybe less intestines could be cut.

It may even be cured without surgery and can be cured with direct medication.

After careful examination, he found that the patient not only had signs of necrosis in the ileum where the mass was located, but also that the mesenteric lymph nodes were significantly swollen and thickened.

"Cut it!"

After seeing it, Dr. Xu agreed to remove this section of intestine and mesenteric lymph nodes.

After carefully cutting off the ileum and mesangial lymph nodes, Zhou Can felt extremely comfortable. It was not that he had obsessive-compulsive disorder, but he felt a sense of accomplishment every time he helped patients cut out diseased tissue.

[The experience value of the quick knife method is +1, and the experience value of the steady knife method is +1.]

It was at this moment that he felt that his sword skills seemed to have made a major breakthrough. He couldn't tell how he made the breakthrough, it seemed that it just happened naturally.

In the past, when he performed the steady knife technique, the scalpel seemed to be pressed against a mountain.

At this moment, I have a new understanding and breakthrough in the steady sword technique.

When he holds the scalpel and touches it on any part of the patient's body, he can feel a subtle landing feeling.

The tip or blade of a knife is extremely sharp. If it falls on the skin or organs of the body, it will immediately cut the part where the blade is.

Treating the scalpel as a 'foothold' is simply a crazy idea.

I am afraid that no doctor would dare to use the scalpel as a fulcrum on the body during surgery.

Even a force of only 0.1 kilogram is enough to cause fatal injuries to the patient.

To use the scalpel as a foothold requires the surgeon to use the knife with strength and use it to a level that is difficult for ordinary people to achieve.

Zhou Can couldn't wait to check the attributes of medical skills.

[Stable knife technique, current experience value: proficiency level 1/100000, as stable as a mountain, as dexterous as a swallow, with the knife and feet as the fulcrum, like a tripod. It can be integrated into all surgical techniques of holding a knife.]

As long as you work hard enough, an iron pestle can be ground into a needle.

After years of practice, his steady sword technique was finally promoted to the second level - the proficiency level.

When operating a knife, the knife is a fulcrum of the body, forming a tripod with the feet.

According to the laws of physics, triangles can form the most stable physical structure.

The wisdom of the ancients was extremely advanced. During the reign of Emperor Yu, they had already forged a giant three-legged cauldron to control floods and wild beasts.

The famous Kyushu tripod has nine statues in total, all with three legs.

Zhou Can did not expect that the second state of stable sword technique is to use the knife as a foot, forming a tripod with the two feet. Such a high level of sword technique comprehension is simply beyond the imagination of the brain.

You can only practice it over and over again, practice makes perfect, and you will naturally understand the operating skills in practice.

This is also a profound understanding of the use of power.

I wonder if Director Hu Kan’s second level of steady sword technique is also based on three pillars?

Director Hu Kan has passed away, so I'm afraid there is no way to verify it.

The steady knife technique and the quick knife technique are the knife techniques that Zhou Can values ​​the most, and each has its own merits.

Now that the Steady Knife Technique has been promoted to the proficient level, and the Quick Knife Technique is also at the Proficient Level, will this cause a power imbalance between the two sword techniques and affect his unique sword technique that combines the Quick Knife Technique with the Steady Knife Technique?

After testing, he found that he was not affected in any way.

On the contrary, due to the successful promotion of the stable sword technique, the self-created sword technique has become more stable and flexible.

After cutting off the diseased intestinal segment and enlarged mesenteric lymph nodes, Zhou Can debrided the surrounding tissue and removed suspicious secondary lesions.

It's not just cancer that spreads.

If ulcers are not treated in time, the bacteria will also spread rapidly.

For example, the most common gastric ulcer is usually self-limiting. However, if the patient's physical condition is poor or the patient is not treated correctly in time, it may cause the ulcer area to increase.

The ileum section that was cut off in this patient was 100% rotten.
To be continued...