MTL - My Medical Skills Give Me Experiences-Chapter 18 Received 2 advanced medical skills

Each received a live white mouse.

"The operation time is two hours, let's start."

Following the examiner's order, fifty examinees immediately began to anesthetize the white mice.

Then fix to the wax dish.

Prepare all the instruments needed for the operation, arrange them according to personal habits, and start the thoracotomy on the rats.

After Zhou Can fixed the mouse, he held the lancet, selected a suitable knife position, and slowly cut open.

All surgical steps need to be done alone without an assistant.

This undoubtedly increases the difficulty of surgery.

The three-level incision is cool, and the large blood vessels are perfectly avoided. The cutting depth of the knife is just right, without hurting any internal organs.

"Wow, how can the bleeding be so severe?"

Zhou Can almost thought that the main artery was cut off, only to see fresh blood spurting out.

It took him by surprise.

Rapid electrocoagulation to stop bleeding.

One bleeding point, two, three...

It took less than eleven seconds, and all thirteen bleeding points were stopped by him.

The efficiency of the third-level hemostasis is extremely refreshing.

Point by point.

Of course, there are many ways to stop bleeding, such as clamping blood vessels with hemostats, or ligation and anastomosis of broken blood vessels.

Rats have very small blood vessels.

Those who can stop bleeding by electrocoagulation, Zhou Can will naturally not trouble himself just to show off his medical skills.

"Bleeding so violently, it's probably another pit dug by the examiner."

Zhou Can looked up at the examiner, and sure enough, there was a sinister smile on the corner of his mouth.

Pit B.

He cursed secretly, then turned to check the situation of the other 49 candidates.

Many candidates are operating in a hurry.

Someone's face was splashed with blood, and they didn't bother to wipe it off.

It seemed that every white mouse had been tampered with, bleeding ten times faster than normal.

If the hemostatic technique is better, it is very likely that the rat will die due to excessive blood loss just after the chest is opened.

Zhou Can was overjoyed for a while.

Fortunately, hemostasis has risen to the middle level of residents.

This is the only way to deal with it calmly.

After opening the chest cavity, the liver, lungs, heart and other internal organs were all exposed to his surgical field of view.

First find the large blood vessels at the root of the left lung and ligate them at the proximal end.

This is to prevent massive bleeding when the left lung is removed.

Then the left lung was carefully separated from the surrounding tissue bit by bit.

[Congratulations on obtaining the separation technique, the current experience value, level three, 0.2/1000. It can be used to separate adhesions between various tissues of the body. 】

Separation is an advanced medical technique based on anatomy.

Its application scenarios are very extensive.

For example, during tumor removal, the tumor is separated from normal body tissue. Or for surgery on some special parts, it is necessary to remove a certain body organ first, which also requires separation.

Separation of necrotic tissue from the patient is inseparable from dissection.

Zhou Can was pleasantly surprised and surprised by the sudden addition of an advanced medical skill.

"The moment you get it, it's level three?"

When other medical skills first started, weren't they all at the first level?

After a little thought, Zhou Can understood what was going on.

Dissection is derived from incision.

His incision technique is currently level three, so the separation technique will be level three as soon as it comes out.

Every time a medical skill is practiced on a living prop, 0.2 experience points will be added.

So the current experience value is level three, 0.2/1000.

Finally figured it out.

Now that the left lung has been successfully separated from the surrounding tissue, he resected it decisively.

Fortunately, the main blood vessels were ligated ahead of time.

Otherwise, with this blood volume of the white mouse, it would probably take less than ten seconds to spray all the blood in its body.

It's so much easier now.

Only those small blood vessels need to be electrocoagulated to stop the bleeding.

There was very little bleeding throughout.

Then the wound was cleaned up, and the subcutaneous tissue was sutured after the inspection was correct, and the chest cavity was closed.

A whole set of left pneumonectomy was completed neatly.

After closing the chest cavity, he began a second operation.

The root of the tail was first tightened with an elastic thread, then the tail was cut off, and then the blood vessel anastomosis was started with the aid of a microscope.

There are four major blood vessels that require anastomosis.

This is an extremely delicate project.

The stitches are thinner than a hair.

It is extremely difficult to operate.

Even though his suturing and ligation techniques were all grade 3, it took a lot of effort to finally anastomose the first blood vessel.

[Congratulations on obtaining the anastomosis technique, the current experience value, level three, 0.2/1000. It can be used to anastomose blood vessels, nerves, intestines and other organs. 】

Good guy, this surprise comes one after another.

Another advanced medical skill was acquired.

And it's also level three.

Anastomosis is derived from incision and suture. Very high frequency of use in surgery.

Zhou Can vaguely realized that as long as he has practiced the four basic medical skills of incision, suture, ligation, and hemostasis, he will be able to obtain advanced medical skills at the same level as the corresponding basic medical skills.

The basic medical skills are level five, and the advanced medical skills obtained will also be level five.

This is very good.

It is equivalent to a shortcut that allows him to grow faster.

There are four main blood vessels in the tail of the white mouse, and he carefully anastomosed the remaining three blood vessels one by one.

The check is correct.

Untie the elastic thread bundled at the root of the rat's tail. After bleeding, none of the anastomotic blood vessels leaked or blocked.

The end near the rat's tail became red again after the blood supply was restored.

Not bad, all four blood vessels are unblocked.

Zhou Can breathed a sigh of relief.

It stands to reason that the operation can be successfully concluded at this stage.

He checked the time, and it took less than an hour in total. Handing in the test paper now is probably just sitting around and waiting. Therefore, based on the principle of not wasting time, I decided to try an anastomosis of the rat tail nerve.

Because nerves are much thinner than blood vessels, and nerves are composed of countless nerve filaments.

This anastomosis is more than ten times more difficult than vascular anastomosis.

A complete nerve bundle, UU Reading www.uukanshu.com is equivalent to a tube, and then hundreds of thin nerve filaments are inserted in it.

Nerve signals are transmitted through neurofilaments.

When this nerve is severed, for it to fully recover its function, it is necessary to ensure that each neurofilament, which is as thin as a nanometer, is aligned with the original one.

One can imagine how difficult this is.

Zhou Can is naturally not at that level now.

As long as the severed nerve can be roughly connected, it is already very good.

As for how much of the neurological function can be restored, no one can say for sure.

What he can do now is a more precise anastomosis.

Under the microscope, he struggled with nerve anastomosis.

Trying to connect the broken nerve.

Nerve cell death is non-renewable, neuron cells are permanent cells.

After the anastomosis, the nerve can recover part of its function, because the normal cells in the necrotic area will produce many synapses, and these synapses are in contact with each other, which has a better effect on the functional compensation of the necrotic area.

Zhou Can anastomosed the severed nerve, and then sewed up the muscle and cortex at the severed tail.

There are rows of tiny scales under the epidermis of the mouse's tail, which to a certain extent increases the difficulty of suturing. But it doesn't bother him.

After the stitching was finished, he checked it carefully.

The rat's heartbeat was stable, the wound was sutured smoothly, and the paper was ready to be handed in.

Zhou Can checked the time, and it took 80 minutes in total.

The speed of this operation is absolutely amazing.

Normally, for some people who suture horizontal dishes, 80 minutes is probably only enough to anastomose the blood vessels of the rat tail.

"Examiner, I'm done."

Zhou Can raised his hand and handed in the paper.

The examiner took a look, yo, this kid was the first to hand in the paper again.