Chapter 428
Chapter 426: Chapter 196: Difficult Intestinal Anastomosis. To Become a Great Tree, Do Not Compete with Grass
Next, Director Jia explained while personally demonstrating how to isolate and remove the diseased section of the intestine.
Watching Director Jia effortlessly performing various procedures, the entire isolation and removal process was flawless, with delicate and steady moves; both knifework and technique were incomparably proficient, more precise than a robot.
This truly is the foundation of a master surgeon.
Zhou Can stood by, quietly absorbing the surgical advantages and expert techniques.
“When removing the diseased intestinal segment, don’t just pursue cleanliness; try to preserve as much of the intestine as possible for the patient. Otherwise, the patient will suffer from severe nutritional disorders after the surgery.”
The large intestine and small intestine are both organs for nutrient absorption in the human body.
Every segment of the intestine serves its purpose.
They constitute the entire nutrient absorption and excretion system of the body.
If too much of the intestine is removed, it can lead to problems with nutrient absorption for the patient, as well as frequent defecation, diarrhea, and other issues.
Some doctors, despite their extensive book knowledge, lack postoperative foresight in practice and solely chase surgical results.
This ultimately leads to the tragedy of patients dying soon after surgery due to inability to absorb nutrients, resulting in families suing in anger.
“Who’s going to perform the anastomosis on the next segment?”
After completing the most risky part, Director Jia handed over the remaining surgical tasks to his subordinates.
Such doctors are commendable.
They place great emphasis on training their successors.
Just like Director Hu Kan of Cardiothoracic Surgery who also prioritizes training successors; the doctors in Cardiothoracic Surgery truly admire him.
“I’ll do it!”
Zhou Can, this ‘invasive species’, unapologetically grabbed the surgical training opportunity, causing the other doctors to frown.
They are each polite and refined, but with someone so thick-skinned and quick to act, they are no match.
“Anastomosis is much more difficult than just opening the abdomen. Without decades of surgical experience, no one dares to take this task. You grabbed it eagerly, but can you handle it?” the deputy director faced him with displeasure.
The other doctors also harbored resentment towards this new Dr. Zhou.
“Let me try first, and if I can’t, then I’ll ask for your help to finish it. Of course, according to Director Jia’s rules, if I mess up, I won’t compete for surgical training opportunities with you for the next three months.”
Zhou Can responded with a smile.
This response shut everyone else up.
He didn’t boast about his capabilities from the beginning to the end but told everyone, just wait and see me bounce back.
As long as I make a single misstep, I won’t compete with you for surgical training opportunities for three months.
After saying this, who would still have the heart to stop him?
So, Zhou Can once again took the lead surgeon’s position openly and rightfully.
He didn’t rush to perform the anastomosis but carefully inspected the intestine’s ends first.
The cut was very smooth.
Director Jia had thoughtfully isolated the intestine, perfectly aligning the two ends.
Zhou Can simply needed to perform the anastomosis directly.
“Director Jia, may I choose end-to-end anastomosis?”
After inspecting the cut, Zhou Can proactively sought Director Jia’s opinion.
This approach was very astute.
It greatly increased the senior doctor’s trust in him.
If he had grabbed the opportunity and immediately started the anastomosis, he would be considered rash and eager for quick success, leaving a bad impression on senior doctors, and they might hesitate to entrust him with tasks in the future.
“End-to-end anastomosis is the most commonly used and also the method that best matches physiological conditions. The method you’ve chosen is quite good; go ahead and quickly complete the anastomosis!”
Director Jia essentially gave him a reassurance.
Based on the different ends of the intestinal segments, the choice of anastomosis method can vary.
Aside from end-to-end anastomosis, side-to-end anastomosis is also commonly used.
Zhou Can chose absorbable sutures, brought the two severed ends closer, and performed a continuous suture across all layers of the bowel wall.
For the outer muscle layer, he used non-absorbable interrupted sutures.
Director Jia did not neglect his duties but instead provided careful guidance on the side.
Every chief doctor has different teaching methods, each with their own unique style.
Director Jia’s teaching involved more guidance, allowing for autonomous thinking—essentially supportive teaching.
Director Hu Kan’s teaching involved analogy and extrapolation, liking to patiently teach all involved surgical techniques and experiences, as well as potential issues, to junior doctors.
Director Shen from Orthopedics teaches profoundly yet straightforwardly, broadly referencing theories, focusing more on theoretical explanations.
Dr. Xu’s teaching style is exceptionally strict, tough on the outside but soft-hearted inside.
During the surgery, when mistakes occur, he would sternly criticize, then help you rectify them, pointing out the errors and how to prevent them.
Zhou Can meticulously and rapidly performed the anastomosis.
His forehead was constantly beaded with sweat.
There was definitely nervousness.
At the same time, this was also physically demanding, contributing more to the sweat.
The circulating nurse thoughtfully wiped his sweat to maintain smooth progress of the surgery.
Sweat dropping onto the patient’s wound is not acceptable.
After nearly an hour of anastomosis, Zhou Can finally successfully completed the intestinal anastomosis.
[Anastomosis Experience Points +1.]
[Congratulations on your first completion of colon anastomosis, reward of Experience Points +100.]
Earning a total of 101 surgical Experience Points, what a thrill.