MTL - My Medical Skills Give Me Experiences-Chapter 51 Extraordinary nerve anastomosis

"Don't rush, take your time."

Dr. Xu saw the clue and encouraged him from the side.

The patient was given local anesthesia, but he was awake. There are many things that are inconvenient to say.

If the patient is under general anesthesia and there are only medical staff in the operating room, Dr. Xu will definitely guide Zhou Can in detail.

Now it can only be properly encouraged.

If Zhou Can still can't do it, then he can only stop decisively and let him take over in person.

Zhou Can took a deep breath, trying to calm his heart.

Maintaining a peaceful and normal mind is the key to a successful operation.

He seriously summed up the problems that existed in the anastomosis just now, and after improvement, re-anastomosis.

Ten minutes later, the first blood vessel was finally anastomosed.

It is also the most important artery.

The veins and blood vessels have not been anastomosed, and there is no way to conduct a blood test at this time.

Zhou Can felt somewhat unconfident.

"Very good, continue."

Doctor Xu has been standing by the side to check for him.

With the teacher's affirmation, Zhou Can's confidence became full and he continued to anastomose the veins.

Generally speaking, for the replantation of a severed finger, first debride and remove the damage, then connect the bone, then anastomose the tendons, blood vessels, and nerves in sequence, and finally suture the skin.

Whether the blood supply is smooth is the key to the survival of severed fingers.

Nerves appear to be less important.

It is related to how much the function of the severed finger can be restored.

One venous vessel was anastomosed successfully, and the second was also anastomosed eight minutes later. His confidence became more and more powerful, and his technique became more and more precise. The speed of anastomosis of a blood vessel was shortened from twelve minutes to eight minutes.

A full one-third of the time was shortened.

"Very good, continue."

Dr. Xu showed admiration on his face.

Zhou Can then anastomosed the nerves, which was much more difficult than anastomosing blood vessels.

But this kind of surgical training opportunity is too tempting.

As if he was fighting a war, he worked hard and prepared to win the last 'fortified city'.

There is a strong teacher behind him as the backing, which also gave him the confidence to try boldly.

The nerve anastomosis was completed in less than six minutes.

The whole process was surprisingly smooth.

[Suture experience +1, ligation experience +1, anastomosis experience +1. 】

Experience points arrive on time just like monthly wages.

Anastomosis is an advanced medical skill, and it is quite difficult for him, who is still a trained doctor, to earn money.

The main reason is that there are few opportunities for anastomotic surgery.

If the risk is slightly higher, Dr. Xu dare not entrust him to do it.

There are really not many opportunities to earn 4 consistent experience points like the current one.

The nerves and blood vessels have been anastomosed, and the inspection is correct.

The next step is the most important blood test.

Make or break it.

Loosen the rubber tube tied around the wrist. Blood immediately poured into the entire palm along the blood vessels. The other four fingers that were intact returned to rosy at a speed detectable by the naked eye.

The originally pale amputated finger turned red little by little, and gradually became blood-colored.

"Successful!"

Zhou Can was extremely excited.

Lifting the heart, be regarded as falling to the ground.

This is his first severed finger replantation operation, which is of great significance.

Docking and reconnecting with white mice are completely two concepts.

[Neural anastomosis is successful, the matching value exceeds 50%, and the reward anastomosis experience value is 10 points. 】

Hey, I didn't expect to receive an additional reward.

It was a little surprise.

It is almost impossible for the neural anastomosis to be a 100% match, even Wu Baihe, who is known as the "Shenwai Peak Scalpel", does not have that ability.

Generally speaking, the matching value after nerve anastomosis can reach about 30%, which is enough to restore some nerve function.

Zhou Can is just a novice, and the first time he matched the human nerves, he was able to achieve a matching value of 50%, which is definitely an extraordinary performance.

The vast majority of chief physicians are also at this level.

Normally, a resident's neural anastomosis matching value can reach 30%, which is considered excellent. Senior veterans can generally achieve a matching value of more than 40%.

This is not to say that Zhou Can's level of neural anastomosis has reached the level of a director, but that a blind cat met a dead mouse and performed supernormally once.

However, he seems to be very talented in neural anastomosis.

During the regular training exam, he tried to anastomose the rat tail nerve, and successfully restored the pain sensation of the severed rat tail, which shows that his talent in this area is extremely outstanding.

The injured man's severed finger had a nerve anastomosis matching value of as high as 50%. It is foreseeable that most of the finger's functions can be restored.

Seeing that the operation was successful, Dr. Xu also showed a smile on his face.

The happiest is the wounded.

It was Zhou Can who operated on him just now. To be honest, he resisted in his heart. For such a young doctor, it is estimated that his medical skills are not much better. So much so that Zhou Can was always in fear during the operation for him.

Fortunately, the results are very good.

"Hurry up and sew the skin!"

Dr. Xu gave the order to suture.

"OK."

Zhou Can's confidence is even stronger.

The difficulty of sewing the skin is not too great.

He has completed nearly twenty skin suturing operations, and now he is very strong in terms of mentality and technique.

There is no high tension during anastomosis of blood vessels and nerves.

I saw him stitching quickly and leisurely, showing a hint of a master's demeanor.

"Okay, please ask the teacher to check it for me."

Doctor Xu looked at it and nodded with satisfaction.

"Well, the finishing work is done very well! After the wound is bandaged, the injured can go to the infusion room for infusion."

The wounded were rushed out quickly.

When leaving, the injured also specially thanked Dr. Xu and Zhou Can.

Dr. Lu hung his face, and muttered unhappily, "Obviously I also participated in the operation and put in a lot of effort. Just don't thank me. This patient is really rude."

No one answered his words.

The patient is not an idiot either, Dr. Lu is lazy everywhere as an assistant, it is considered polite for the patient not to scold him.

I also thought about asking the patient to thank him specifically, really offering myself as a god.

Seeing that no one answered, Dr. Lu turned his eyes to Dr. Xu.

"Doctor Xu, you can see that Zhou Can, a regular trainee, can participate in such important tasks as vascular anastomosis and nerve anastomosis. Give me some opportunities to exercise too!"

This is seeing a newcomer Zhou Can running in front of him, UU reading www. uukanshu.com is a little psychologically unbalanced.

Except for your parents, no one wants you to live better than him.

This sentence is really good advice!

"Hmph, last time I almost ruined a patient's blood vessel, do you still remember? You were asked to anastomose a limb vein with no risk. Not only did you fail to connect it, but you also produced a blood clot and almost caused a major medical accident. If you really want to improve, you can practice more anastomosis of blood vessels in the tail of white rats when you go home. When you pass the test, I will consider giving you a chance to practice surgery."

Facing Dr. Lu, a senior resident, Dr. Xu was speechless.

It's not that he doesn't want to support him, but that this guy is too disappointing.

Doctor Lu smiled dryly and stopped talking.

"Tang Ling, go and see how many injured people are still outside?"

Dr. Xu is over 50 years old. After such a long operation, his physical strength is obviously exhausted.

He took advantage of this gap to sit on a small round stool against the wall for a short rest.

"Through our efforts, there are only two wounded left outside!"

After reading it, Tang Ling said happily.

"Push one in first!"

Dr. Xu was exhausted when he spoke.

However, he still gritted his teeth and insisted. Depending on the situation, he was going to eat after all the wounded were dealt with.

Zhou Can admired his professional ethics very much.

Doctors who care about their patients are all good doctors.

Soon, a male patient screaming in pain was pushed into the operating room.

After some research, I found out that this man was very close to the stage, and was unlucky enough to be hit on his lower body. After examination by the attending doctor, it was suspected that the injured testis had been displaced or damaged, so he was sent to the operating room for treatment.

No wonder the patient screamed so hideously.