Chapter 366
Chapter 364: Chapter 174: The Reality of Family, Excessive Electrocoagulation_3
She ended up giving Zhou Can a good scolding.
Zhou Can’s face turned dark from the scolding.
Arguing with family members is foolish, and Zhou Can did not argue with her.
Instead, he did what needed to be done.
Preparing such a patient for surgery was really exhausting.
The nurse came over with a tray to disinfect the patient and prepare the skin. The position of the incision was marked by the leading surgeon.
After some stumbling, the patient was finally brought into the operating room.
The lead surgeon, Doctor Duan, resident doctor Dr. Zhao, an operating nurse, and an anesthesiologist, were all ready.
Considering cost issues, medical staff allocation for level 1 and 2 surgeries is often not abundant.
“Xiao Zhou, the family has complained to me that you are unprofessional. You should be more careful in the future and learn more,” Dr. Zhao instructed him.
“Yes!”
Zhou Can felt utterly frustrated, better left unsaid.
He could only endure such unfairness and not take the family’s complaints too seriously.
The surgery started quickly, the patient entered a full anesthesia state, and vital signs were stable.
Doctor Duan, with a surgical scalpel in hand, carefully made a vertical incision along the midline of the sternum. Then he cut through the skin, the subcutaneous tissue, and the muscles.
Regarding the choice of incision, besides the mid-sternal longitudinal incision, it is also possible to make horizontal incisions at the level of the 4th rib between the nipples, or within the inframammary fold, depending on the site that needs suturing, and factors like gender, and so on.
If the patient is female, care must be taken to produce a perfect incision, trying not to damage their figure.
When surgeons operate on female patients, they consider their post-operative life.
For example, after a vaginal delivery, if there is a tear, the doctor will suture it carefully, adding a few more stitches to ensure the woman’s marital life remains harmonious afterward.
Protecting a woman’s physique follows the same principle.
“Hemorrhage control!”
Doctor Duan was reminding Dr. Zhao.
Dr. Zhao performed electrocoagulation for hemostasis, and his operation was quite good. His hemostasis skill should have reached the excellent level for a resident doctor.
Whether it’s the chief surgeon, Doctor Duan, or the resident doctor, Dr. Zhao, both of their surgical capabilities matched their titles.
It seems that cardiothoracic surgeons may be arrogant, but their overall strength is formidable.
They truly have good reasons to be proud.
Once Dr. Zhao finished the hemostasis, Doctor Duan continued with the surgery.
He began the dissection of the skin and pectoral flaps.
Zhou Can watched very attentively; this was a good learning opportunity.
He saw Doctor Duan’s surgical scalpel deftly separating the pectoral flap a bit lateral from the sternum.
Whether it was his surgical maneuvers or Dr. Zhao’s hemostasis, both were very stable.
Doctor Duan’s incision skill was decent, reaching the lower level of the chief level, but his separation skill was much worse, as it required strong separation skills to support.
Optimistically, Doctor Duan’s separation skill barely reached the excellent level for a resident doctor.
Separation skill is very hard to master.
Even Zhou Can currently had only reached the lower level of chief surgeon.
During the separation, Doctor Duan might have been a bit too forceful, and a small spray of blood burst forth.
Zhou Can observed closely and realized that a larger artery had been severed during the separation.
Dr. Zhao immediately performed synergistic electrocoagulation for hemostasis.
Sizzling!
The electrocautery burned the blood vessel and surrounding tissue.
For hemostasis not reaching the chief level, it tends to be like this—forceful and rough.
Only at the chief level can precision and dexterity be balanced.
At this moment, Dr. Zhao’s hemostasis was more like bold and unrestrained. If Zhou Can were to perform hemostasis, it would be delicate and precise, combining deftness and accuracy.
Any medical skill reaching the chief level or higher is already of a considerably high standard.
Further advancement, to reach director level, would mean a qualitative leap forward.
For instance, Zhou Can’s current suturing and ligation skills are all at the deputy director level, a world apart compared to the chief level.
Zhou Can watched Dr. Zhao’s aggressive hemostasis, wanting to speak out but refraining.
Excessive and forceful electrocoagulation for a prolonged time can severely damage the surrounding tissues.
Since Doctor Duan did not comment, it wasn’t appropriate for Zhou Can to do so.
Especially since he had a lower standing, being new to the department, and it would be almost insane to criticize a senior doctor from a junior doctor’s position.
The electrocoagulation continued, and eventually, the bleeding was stopped.
Zhou Can instinctively fixed his gaze to carefully observe the situation of the bleeding point. He saw that the tissue at that site had slightly changed color.
Perhaps because Zhou Can’s hemostasis skill reached the medium level of a chief surgeon, he had a very bad feeling about it.
Doctor Duan continued the surgery.
“Here, here! Finally found the torn spot! It’s quite a large tear.”
Doctor Duan was pleased to find the torn muscle layer successfully.
Regardless of Zhou Can frequently assisting Director Wen in level 3 and 4 major surgeries, for many chief surgeons, managing a level 2 surgery on their own is still quite a proud matter.
“Absorbable suture, a thicker one, there’s more tension here.”
The invention of absorbable sutures is a blessing for surgery patients.
To date, the technology is very mature,
and the cost is not high.
Before the advent of internal absorbable sutures, suturing subcutaneous tissue could only be done with regular sutures.
After the internal wound healed sufficiently, the outer epidermal incision had to be opened again to remove the internal sutures. Then the skin could be stitched.
One can imagine how much the patients suffered.
Such operations also easily lead to excessive scar formation.
After suturing the torn pectoral muscle, Doctor Duan handed over the rest of the work, such as suturing the skin, to Dr. Zhao.
Zhou Can’s gaze once again locked onto the slightly discolored electrocoagulated area.
To get a clearer view, he moved in a bit closer.
“There’s no mistake, it’s definitely severe damage. If left untreated, it will certainly become necrotic.”
After confirming again, he had made his judgment.
Doctor Duan’s failure to spot this issue suggested either insufficient skill or complacency.
Likely, it was a lack of skill.
Otherwise, Dr. Zhao would have spoken up during the electrocoagulation.