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My Medical Skills Give Me Experience Points-Chapter 489 - 217: Electrosurgical Sensing Ability, Changes Brought by Level 3 Anesthesia Technique
Chapter 489: Chapter 217: Electrosurgical Sensing Ability, Changes Brought by Level 3 Anesthesia Technique
Zhou Can carefully appreciated the benefits brought after his Hemostasis Skill was upgraded to Level 5.
At Level 4, the main improvement was the increased precision and flexibility in electrocoagulation, along with a basic ability to analyze the cause of bleeding.
At this moment, he discovered that not only had the precision of electrocoagulation improved, but during the hemostasis process, he could clearly sense whether the bleeding had been controlled.
Such a small enhancement could provide an extra layer of safety when performing electrocoagulation hemostasis on patients.
No more worries about the electrocoagulation time being too short, leading to uncontrolled bleeding or insecure hemostasis, resulting in postoperative rebleeding.
Nor concerns about excessive electrocoagulation causing necrosis of blood vessels and surrounding tissues.
Either situation could cause secondary harm to the patient.
The tissue necrosis caused by excessive electrocoagulation occurs from time to time. If it leads to prolonged wound healing and infection, that’s considered mild.
What’s truly frightening is when patients develop a variety of postoperative complications, even septicemia, due to it.
As everyone has probably heard, limb necrosis might necessitate immediate amputation.
In reality, any significant necrosis in bodily tissues should be promptly removed.
Otherwise, the substantial absorption of necrotic toxins often affects the function of other organs. Respiratory failure or liver and kidney failures can easily claim the patient’s life.
Therefore, the enhancement of electrocoagulation hemostasis capability during surgery is extremely beneficial.
Tragedies caused by excessive tissue ischemia and necrosis due to over-electrocoagulation won’t happen.
Also, incomplete electrocoagulation, leading to postoperative rebleeding, is a significant hidden danger.
Take, for example, an abdominal surgery to remove an internal tumor.
Ligation would definitely be used for the larger blood vessels, but smaller vessels tend to be stopped using electrocoagulation.
During surgery, the bleeding from medium and small spots inside the peritoneal cavity are successfully stopped through electrocoagulation.
The doctor closes the abdominal cavity for the patient, and the surgery is very successful.
The patient and their family, upon hearing this, are very happy.
However, by the next night, the patient’s condition suddenly worsens. The doctor is puzzled, the surgery had gone so well! After much trouble, no problem can be found.
An imaging scan reveals fluid accumulation in the patient’s abdominal cavity.
An experienced Director-level doctor looks at this and is terrified, hastening to send the patient to the operating room for rescue. Upon opening the abdominal cavity, it’s filled with blood. It turns out that the incomplete electrocoagulation caused unreliable hemostasis, resulting in postoperative intra-abdominal hemorrhage.
After a strenuous rescue effort, the patient was finally saved.
All the doctors heaved a sigh of relief.
From then on, they would be extra cautious with hemostasis in the abdominal, thoracic, and cranial cavities.
This is just a common example.
The patient was very lucky to have their life saved.
Some patients die directly from postoperative bleeding.
There have also been cases where patients end up severely disabled or in a vegetative state due to postoperative bleeding.
This is why many high-risk surgeries require the chief surgeon to be at least a Deputy Director-level or Director-level doctor.
Because a surgeon’s skill reaching Deputy Director-level and above is completely different from that of the Chief-level. Only those of Deputy Director-level or higher can ensure the safety of Level 3 surgeries.
With Zhou Can’s Hemostasis Skill upgraded to Level 5, besides improving his electrocoagulation ability, there was a qualitative improvement in the analysis and diagnosis of bleeding causes, as well as the choice of hemostasis methods.
For some bleeding points, all he needs is a glance to roughly determine the cause of the bleeding, which part of the blood circulation system has a problem. How to solve it?
He now has a very clear and intuitive understanding.
Some patients might have internal bleeding, such as cerebral hemorrhage, uterine bleeding, or intra-abdominal bleeding. Zhou Can used to require diagnostic tools to confirm.
But now, even without imaging, he can pinpoint the exact location of the bleeding based on the patient’s described symptoms, the color of the local skin, whether the patient has bloody stools, vomiting blood, and other symptoms, and even broadly infer the cause of the bleeding. ƒreewebηoveℓ.com
Aside from the multiple aspects of improved hemostasis ability, he has gained a more comprehensive and profound knowledge of the entire human blood circulation system.
Many areas that were difficult to understand or unclear before are now illuminated.
This should be considered an advancement in theoretical knowledge.
After leveling up his Hemostasis Skill to Level 5, Zhou Can did not become arrogant or complacent; instead, he continued to focus on performing surgeries for his patients.
It seemed like just a simple upgrade of a basic surgical technique, yet it made him more adept and at ease during surgeries.
Surgery involves making incisions in the patient’s body, and bleeding is an issue that must be resolved during the process.
Having a strong Hemostasis Skill is like having a hefty layer of safety.
This also made Zhou Can more confident and self-assured in his surgeries.
After completing this surgery, another special patient was quickly brought in.
A 21-year-old young man.
He had a huge lipoma on his left cheek, which, due to not being treated in time, had grown so big that it was causing a series of serious symptoms.
Not only did it make the young man’s left face look monstrous, but his left eye was also nearly blind.
His teeth were severely damaged, with hardly any left.
According to the patient, even eating was a problem.
He couldn’t consume slightly tougher foods. He dared not eat fish or meat with bones, because the massive tumor pressing into his mouth would easily get pierced by sharp foods during eating, causing intense pain.