Chapter 108
Since the area requiring surgery was large, Zhou Can decided to perform an anesthesia injection from six different points.
“Can you still feel any pain?”
He waited a moment, estimating that the anesthetic had taken effect, then started a small test.
“No pain!”
The patient’s speech had already become somewhat slurred.
This was a consequence of widespread facial anesthesia.
A sharp scalpel was handed to Zhou Can.
Her cooperation was always so in sync.
The two began to operate on the patient together.
Zhou Can took the scalpel, his gaze fierce, his expression focused, and his movements steady.
The blade passed precisely along the pre-marked incision line.
A little fresh blood appeared, but more of it was foul-smelling pus.
Zhou Can quickly took the pus suction device to clean it up.
He ignored the minor bleeding from the surgical wound.
For purulent areas, a little bleeding was actually beneficial.
It could help clear out potential toxins and pus from the blood.
After the pus was removed, the swelling on the patient’s face did not subside much.
This indicated that the size of the swelling inside was not small.
“This swelling is quite large! Dr. Xu, may I have the honor of removing it?”
Doctor Lin made his move.
In the face of interests, no one holds back.
He first emphasized the size of the swelling, implying subtextually that Zhou Can, the newcomer, was definitely not up to the task.
Then he naturally requested Dr. Xu to hand over the surgery to him.
Compared to Dr. Lu, Doctor Lin spoke more politely and was more considerate of Zhou Can’s feelings.
He wouldn’t directly say words that attacked or suppressed Zhou Can.
The competition between the two could arguably be considered fair.
But of course, from another perspective, Doctor Lin was definitely taking advantage of his seniority.
After all, he was a Resident Doctor with four years of experience.
Zhou Can was merely a newcomer in residency training.
There was an inequality in status and work experience between them.
However, if a newcomer wanted to forge ahead, the process was that harsh. It was akin to a wolf snatching meat from the mouth of a lion.
“You just observe!”
Dr. Xu cast a cold glance at him, which intimidated Doctor Lin from proceeding further.
It was likely that Doctor Lin had, to some extent, come to understand reality after this incident.
“Xiao Zhou, continue!”
In the presence of the patient, many things couldn’t be said.
Thus, only subtle hints could be provided.
“Okay!”
Zhou Can was ecstatic. It seemed that the initial incision had already preliminarily earned Dr. Xu’s approval.
Qiao Yu had already passed the surgical scalpel to him.
After receiving the scalpel, he carefully expanded the incision to about 4.5cm, then looked up at Doctor Lin.
“Doctor Lin, may I have your assistance with the retractor!”
“Okay!”
Doctor Lin agreed readily and expanded the incision with a flat retractor.
The situation inside was revealed to everyone present.
The suppuration was actually not severe, it was merely superficial and mild. What really caused the patient’s facial swelling was a tumor with a conservative estimate of over 3cm in diameter.
It didn’t look much like a sebaceous cyst.
It was light yellow in color, somewhat resembling chicken fat.
As for the specific nature, it might require pathological examination after being excised to determine.
“Picking at blackheads might only be an inducement. The tumor could have already been present. Stimulated and further coupled with an infection, it rapidly grew in size.”
Dr. Xu examined it and his expression became slightly solemn.
Whenever he encountered a slightly more complicated condition, he would typically have this expression.
“Xiao Zhou, share your surgical plan.”
He had to ensure Zhou Can’s approach was sound.
Only when he was certain that the surgical plan was reliable and safe would he agree to let Zhou Can continue with the surgery.
“First, I will perform simple wound debridement, then find the blood vessels at the base of the tumor, clamp them with hemostatic forceps, and then gradually separate the tumor from the surrounding tissue. Finally, proceed with the excision.”
“Hmm, I’ll help you clamp the blood vessel.”
The incision was originally small, and having three people operating was somewhat crowded.
It was probably because Dr. Xu was not fully confident that he decided to personally help Zhou Can with clamping the vessels, ready to intervene or give instructions at any moment.
Zhou Can’s Hemostasis Skill was at the Chief Level, which greatly assisted him in finding the blood vessels.
After debridement, he turned the tumor over, quickly locating the blood vessels at the base.
Typically, any tumor that can continue to grow has a blood supply.
This tumor was just situated on the face, otherwise it would be considered an insignificant small tumor. Compared to those massive liver tumors often exceeding 20cm in diameter, it was nothing.
For benign tumors growing on the liver, if their diameter is smaller than 5cm and they are confirmed to be benign, doctors usually tell the patients that treatment is unnecessary.
They just need to get regular checks.
“Teacher, please help me clamp this blood vessel.”
Zhou Can exposed the vessel directly.
“Wow! Being able to accurately find the root blood vessel of the tumor so quickly is impressive!”
Doctor Lin, who was nearby, couldn’t help but praise.
At least he did not have this skill.
“Too kind!”
Zhou Can modestly smiled.
In terms of Hemostasis Skill, even Doctor Fu couldn’t match him. Doctor Lin’s skill in hemostasis was at best median among Resident Doctors, far behind Zhou Can.
“Indeed skillful.” Dr. Xu also nodded in approval.
After clamping the root blood vessel with the hemostatic forceps, he did not forget to instruct the junior doctors.
“If you need to preserve a blood vessel, be careful when clamping not to apply too much force to prevent damaging the vessel.”
Many newcomers are prone to this mistake.
When clamping a blood vessel, they often use excessive force due to nervousness, fearing they won’t be able to stop the bleeding.
For parts of blood vessels to be excised, naturally, it is not an issue.
But a blood vessel that needs to be preserved can easily be ruined if clamped so forcefully.
Doctor Lin quietly waited.