My Medical Skills Give Me Experience Points-Chapter 57 - 51: Supernatural Performance of Nerve Anastomosis
"Don't rush, take it slowly."
Dr. Xu noticed something and encouraged him from the side.
The patient had local anesthesia, and was conscious. Many things couldn't be explicitly said.
If the patient had been under general anesthesia, and only medical staff were present in the operating room, Dr. Xu would definitely have provided detailed guidance to Zhou Can.
Now, he could only offer appropriate encouragement.
If Zhou Can still couldn't manage, then they would decisively need to stop and let Dr. Xu personally take over.
Zhou Can took a deep breath, trying to calm his mind.
Maintaining a peaceful and normal mindset is crucial for a successful surgery.
He carefully identified the issues with his previous attempt at anastomosis, made improvements, and tried again.
Ten minutes later, he finally successfully completed an anastomosis on the first vessel.
It was also the most important arterial vessel.
The venous vessel had yet to be anastomosed, so it was not possible to conduct a blood flow test at this time.
Zhou Can felt somewhat unconfident.
"Very good, continue."
Dr. Xu had been standing beside him, carefully overseeing his work.
With his mentor's approval, Zhou Can's confidence was fully restored, and he began to continue anastomosing the venous vessels.
Generally speaking, for a replanted severed finger first involves wound cleaning and hurt removal, followed by bone reconnection, then by sequencing of tendon, vessel, and nerve anastomosis, and finally suturing of the skin.
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Whether the blood circulation is unobstructed is critical for the survival of the replanted finger.
The nerves seem less significant.
They determine how much of the finger's functionality can be restored.
The success of one venous vessel anastomosis, and eight minutes later, the second one was also successfully completed. His confidence was increasingly solid, and his maneuvers became more precise and accurate, decreasing the time taken for each vessel anastomosis from twelve to eight minutes.
This significantly reduced the time by one-third.
"Very good, continue."
Dr. Xu showed a look of approval.
Zhou Can then continued with the nerve anastomosis, which was a lot more challenging than the vessel anastomosis.
However, the opportunity for this type of surgical practice was too alluring.
It was like going into battle, taking a strong initiative, prepared to conquer the final 'fortress'.
Having a strong mentor as his backup also gave him the courage to boldly try.
The nerve anastomosis was completed in less than six minutes.
The entire process went surprisingly smoothly.
[Suturing Skill Experience Points +1, Ligation Skill Experience Points +1, Anastomosis Skill Experience Points +1.]
Experience Points arrived as punctually as a monthly salary.
Anastomosis is considered an Advanced Medical Skill, and for him, still a training doctor, it was tough to earn points.
Mainly because opportunities for anastomosis surgeries are few.
For riskier cases, Dr. Xu would not dare to let him operate.
Opportunities like now, to earn 4 Anastomosis Experience Points in one go, were indeed rare.
After completing the nerve and vessel anastomosis and verifying there were no mistakes.
Next is the most crucial blood flow test.
Success or failure depended on this moment.
He released the rubber tube tied around the wrist. Blood immediately surged through the vessels into the entire palm. The other four intact fingers visibly regained color at a fast pace.
The previously pale severed finger gradually turned red, slowly regaining its color.
"It's a success!"
Zhou Can was immensely excited.
His heart, which had been hanging, finally set down.
This was his first case of replanted severed finger surgery, a significantly meaningful one.
This is completely different from reattaching a rat's tail.
[Nerve Anastomosis Successful, Match Rate Exceeded 50%, Reward Anastomosis Experience Points 10.]
Hey, he didn't expect to receive an additional bonus.
This was a pleasant, little surprise.
A nerve anastomosis is almost never a 100% match, even for Wu Baihe, dubbed as 'Surgical Scalpel at the Pinnacle of Neurosurgery', didn't have that capability.
Generally speaking, if the matching value after nerve anastomosis reaches around 30%, it is sufficient to restore partial nerve function.
Zhou Can is just a novice, and it was his first time performing anastomosis on human nerves, yet he achieved a matching value of 50%, which is absolutely exceptional.
Most director-level physicians are at this level.
Normally, if a resident doctor can reach a 30% match in nerve anastomosis, that's considered very excellent. Senior attending physicians generally achieve over 40%.
This isn't to say that Zhou Can's level of nerve anastomosis has reached the director level, but rather that he was extremely lucky to perform exceptionally well this time.
However, he seems to be extraordinarily talented in nerve anastomosis.
During the standard training exam, he attempted to anastomose a rat's tail nerve and successfully restored pain sensation to the severed tail, clearly showing his exceptional talent in this area.
With a 50% match value in the nerve anastomosis for this patient's severed finger, it is anticipated that the function of this finger can be largely restored.
Seeing the surgery was very successful, a slight smile appeared on Dr. Xu's face.
The happiest was the patient.
Just now, when Zhou Can started to operate on him, to be honest, he was resistant in his heart. Such a young doctor, he presumed, might not be very skilled at medicine. As a result, throughout Zhou Can's procedure, the patient was extremely anxious.
Thankfully, the outcome was very satisfying.
"Let's finish up the skin suturing quickly!"
Dr. Xu issued the suturing command.
"Okay."
Zhou Can was even more confident now.
The difficulty of suturing skin was not very high.
He had already completed nearly twenty skin suturing surgeries, and now both his mentality and technique were very solid.
There was none of the high tension that came with anastomosing blood vessels and nerves.
He sutured quickly and composedly, faintly demonstrating the demeanor of an expert.
"Done, please check it for me, teacher."
Dr. Xu looked it over and nodded with satisfaction.
"Very well, the finishing work is done perfectly! After bandaging the wound, the patient can go to the infusion room for fluids."
The patient was quickly sent out.
When leaving, the patient made a special point to thank both Dr. Xu and Zhou Can.
Dr. Lu sulked, grumbling unhappily, "Even though I also participated in the surgery and exerted great effort, it's rather impolite of the patient not to thank me."
No one responded to him.
The patient wasn't foolish; Dr. Lu slacked off even as an assistant, it was already polite of the patient not to scold him.
Still expecting a special thank you from the patient, he really thought too highly of himself.
Seeing no one responded, Dr. Lu shifted his gaze toward Dr. Xu.
"Dr. Xu, even a standard trainee like Zhou Can got to participate in important tasks like vascular and nerve anastomosis. Please give me some opportunities to train too!"
He was feeling a bit upset seeing a newcomer like Zhou Can getting ahead.
Apart from your parents, nobody likes to see you doing better than them.
That's truly a golden saying!
"Ha, remember last time you almost ruined a patient's blood vessel? I let you anastomose a low-risk limb vein, and not only did you fail to connect it properly, you even caused a thrombosis, almost leading to a serious medical incident. If you really want to improve, practice more on rat tail vein anastomosis at home. When you pass that, I'll consider giving you more surgical training opportunities."
Facing Dr. Lu, a senior resident doctor, Dr. Xu was particularly speechless.
It wasn't that he didn't want to support him, but this guy was simply too disappointing.
Dr. Lu awkwardly chuckled and said no more.
"Tang Ling, go and see how many patients are left outside?"
Dr. Xu, over 50 years old and after performing surgeries for such a long time, clearly was a bit drained.
He took the opportunity to rest a bit by sitting on a small round stool by the wall.
"We've made great progress, now there are only two patients left out there!"
After checking, Tang Ling happily reported.
"Let's bring one in first!"
Dr. Xu spoke evidently exhausted.
However, he gritted his teeth and persevered, intending to treat all the patients before going for a meal.
Zhou Can greatly admired his professional ethics.
Doctors who place patients at the heart of their concerns are all good doctors.
Soon, a male patient, who was crying out in pain, was wheeled into the surgery room.
Upon inquiry, it was learned that this man was very close to the stage and unluckily got hit in the lower body. The attending doctor suspected a dislocation or damage to the patient's testicles, hence he was sent to the operating room for treatment.
No wonder the patient was screaming so distressingly.