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My Medical Skills Give Me Experience Points-Chapter 1230 - 485: Rectal Repair Surgery, Director Qu Requests to Join
"What do you mean?" Qiao Yu tilted her head and asked Ma Xiaolan.
"You better not ask, just focus on the surgery!"
As the lead surgeon, Zhou Can was responsible for managing the atmosphere and dynamics of the operating room. Some topics were not appropriate for extensive discussion.
"Seeing your mysterious expressions and mischievous smiles, you clearly know the reason for the patient’s anal prolapse. Dr. Zhou, you tell me the answer!"
Qiao Yu almost never had her requests refused when she asked Zhou Can.
Now, seeing Ma Xiaolan unwilling to speak, she turned to Zhou Can.
"Ah... it’s better not to discuss things unsuitable for children. The patient will need Teflon mesh suspension later, are you prepared?"
Zhou Can directly changed the subject.
"Already prepared."
Qiao Yu saw they all acted mysteriously and were unwilling to speak about the cause.
She persistently looked at Yang Zhi.
"Doctor Yang, you definitely know, right?"
"Uh—I really don’t know. The patient is already anesthetized, let’s quickly perform the surgery!"
Yang Zhi was an honest person but not foolish.
He wouldn’t speak words he shouldn’t, no matter what.
"Hand me the catheter!"
Before performing this surgery, inserting a catheter is necessary. This is Zhou Can’s favorite task, not for any reason other than to earn implantation technique experience points.
The surgery quickly began.
Zhou Can cut open a section around 20cm on the patient’s private area, incising along the left paramedian line.
Then he cut through the skin and subcutaneous layers to enter the abdominal cavity.
"Soak the gauze in warm saline before handing it to me." Zhou Can had already informed Qiao Yu of some items needed for the surgery in advance.
"Here!"
Qiao Yu handed him the gauze. 𝓯𝙧𝙚𝒆𝙬𝙚𝒃𝙣𝙤𝒗𝓮𝓵.𝙘𝙤𝙢
Taking it, he used the gauze soaked in warm saline to make a pad and pushed the small intestine toward the upper abdomen.
"Yang Zhi, there are dozens of surgical methods to treat rectal prolapse. Currently, about eleven are still in use, like the anal ring reduction, mucosal resection, rectosigmoidectomy via the female private area, combined rectopexy, and strengthening anterior sacral fascia with synthetic mesh... These surgical methods can all treat rectal prolapse. The method I am using now is the most commonly used, with excellent treatment results. Postoperative complications are relatively few, with almost no recurrence."
Zhou Can performed surgery while guiding Yang Zhi.
A mentor leads you to the door, but cultivation depends on personal effort.
Many surgical techniques, once learned, require personal exploration for flexible application and more insights through practice.
Different surgical methods are chosen based on the type of rectal prolapse.
"Watch carefully; the next step is the most critical during the operation."
Zhou Can carefully freed the posterior wall of the rectum until reaching the coccyx and then elevated the rectum.
After completing the rectal posterior wall separation, his Separation Skill gained 100 experience points. This delighted him greatly.
He was now one step closer to Level 6 Separation Skill.
"Qiao Yu, prepare the Teflon mesh sling."
Zhou Can preemptively communicated with her.
It was the first time repairing a prolapsed rectum using this technique.
"Wrap the upper rectum using a wide Teflon mesh sling. See, it’s done like this."
Zhou Can taught by example, striving to teach Yang Zhi in one go.
"Remember, choose a 5cm mesh sling for the best results. Then use fine non-absorbable stitches to fix it below the sacral promontory to the anterior sacral fascia and bone membrane, stitching the sling edges to the rectal anterior and lateral walls."
Teaching while performing the operation was indeed quite challenging.
Distractions are not ideal during surgery; fully concentrating is certainly safer.
"Does the pelvic floor need repair?"
"No repair needed."
Zhou Can replied.
Yang Zhi’s numerous questions during the surgery were insightful, indicating his strong comprehension and that he truly learned the surgical techniques taught by Zhou Can.
Once learned, he immediately thought through and asked questions he did not understand.
"You handle the remaining suturing work!"
Zhou Can offered the suturing opportunity to Yang Zhi.
For an aspiring surgeon, the fastest way to grow is to get hands-on surgical experience.
Just observing might leave one as a novice forever.
Observing is easy; doing is hard—a timeless truth.
For Zhou Can, suturing the abdominal peritoneal incision at the rectal sides and the abdominal wall layers was a very simple task. His Suturing Skill had already ascended to Level 6, while his Ligation Skill was only slightly behind, but nearing advancement.
In his eyes, regular surgical operations no longer held much appeal.
Operations that earned 100 experience points through high difficulty were his biggest temptation. A single such procedure could be equivalent to dozens, or even hundreds, of regular surgeries in experience points.
Rectal Repair Surgery was a Level 3 operation; Yang Zhi rarely had the opportunity to participate in such risky procedures.
He was excited and dedicated, carefully suturing the patient.
Zhou Can stood by, providing guidance and oversight.
"Director Qu, it’s already past noon; how about you two make do with a meal in the operating room?"
Zhou Can glanced up at the wall clock—it was past twelve twenty.
Time passed really fast.
Estimating that Yang Zhi would finish suturing by at least twelve fifty. Not everyone operated with Zhou Can’s speed.
Ordinary surgeons, under normal circumstances, reaching the limit of performing eleven or twelve simple Level 1 or 2 surgeries a day. As for major Level 3 surgeries, even those with Deputy Director-level proficiency managed at most two per day.







