My Medical Skills Give Me Experience Points Chapter 1230 - 485: Rectal Repair Surgery, Director Qu Requests to Join

"What are you referring to?" Qiao Yu tilted her head, directing her question at Ma Xiaolan.

"Don't bother asking, just concentrate on the surgery!"

As the primary surgeon, Zhou Can held the responsibility of maintaining the atmosphere and flow within the operating room. Some topics were simply not suitable for lighthearted chatter.

"Looking at your mysterious expressions and those mischievous smiles, it's obvious you know exactly why the patient ended up with an anal prolapse. Dr. Zhou, come on, give me an answer!"

Requests from Qiao Yu were almost never denied by Zhou Can.

Now, observing Ma Xiaolan’s reluctance to speak, she shifted her attention to Zhou Can instead.

"Ah... it's probably best we don't discuss things inappropriate for younger ears. The patient requires a Teflon mesh suspension soon; are you prepared?"

Zhou Can deftly steered the conversation elsewhere.

"I am prepared."

Qiao Yu noticed how they all acted somewhat strangely and seemed unwilling to disclose the root cause.

She kept nudging Yang Zhi with her gaze.

"Doctor Yang, surely you know, right?"

"Uh—I honestly have no idea. The patient is already under anesthesia, let’s get on with the surgery!"

Yang Zhi was a decent, honest man, but he wasn't a fool.

He knew better than to voice things that should remain unsaid.

"Hand me the catheter!"

A catheter insertion was a mandatory step before this procedure. It was Zhou Can's favorite part, mostly because it was an easy way to accumulate experience points for his implantation technique.

The surgery quickly commenced.

Zhou Can made a 20cm incision on the patient’s lower abdomen, tracking along the left paramedian line.

He then sliced through the skin and subcutaneous tissues to reveal the abdominal cavity.

"Make sure to soak the gauze in warm saline before passing it to me." Zhou Can had briefed Qiao Yu on the requirements earlier.

"Ready!"

Qiao Yu handed him the prepared gauze.

Taking it, he formed a pad with the warm, wet gauze and gently shifted the small intestine toward the upper abdomen.

"Yang Zhi, there are dozens of ways to manage rectal prolapse. Eleven distinct methods are still practiced today, including anal ring reduction, mucosal resection, rectosigmoidectomy, combined rectopexy, and bolstering the anterior sacral fascia with synthetic mesh... All these techniques are legitimate options. I’ve chosen the most common approach here, which yields excellent results. It has a low rate of complications and barely any chance of recurrence."

Zhou Can guided Yang Zhi while he worked.

A master might show you the entrance, but your own cultivation is what determines your progress.

Many surgical maneuvers require personal experimentation to master, allowing for more profound insights through dedicated practice.

The selection of a surgical approach heavily depends on the specific nature of the prolapse.

"Observe carefully; the next phase is the most crucial part of the entire operation."

Zhou Can meticulously liberated the posterior wall of the rectum all the way to the coccyx before lifting the rectum.

The moment he finished the separation of the posterior wall, he gained 100 experience points in his Separation Skill. This brought a genuine smile to his face.

He was now a step closer to boosting his Separation Skill to Level 6.

"Qiao Yu, please prepare the Teflon mesh sling."

Zhou Can gave her a quick heads-up.

This was his first time performing a rectal prolapse repair with this specific method.

"Wrap the upper part of the rectum using a wide Teflon mesh sling. You see, it’s done like this."

Zhou Can’s hands-on demonstration was meant to ensure Yang Zhi grasped the technique in one go.

"Keep in mind, a 5cm mesh sling produces the best outcome. Then, use non-absorbable, fine sutures to secure it under the sacral promontory to the anterior sacral fascia and the bone membrane, making sure to stitch the edges of the sling to the anterior and lateral walls of the rectum."

Toggling between performing surgery and teaching was quite taxing.

Distractions are never ideal; maintaining total focus during a procedure is always the safest path.

"Is there a need for pelvic floor reconstruction?"

"Not required."

Zhou Can answered succinctly.

Yang Zhi’s frequent questions during the surgery were insightful; they proved his sharp intellect and showed that he was genuinely absorbing the techniques Zhou Can was demonstrating.

Whenever he understood a concept, he would immediately process it and pose follow-up questions to clear any doubts.

"You take over the remaining suturing."

Zhou Can gave Yang Zhi the chance to sew.

For a burgeoning surgeon, practical experience is the fastest catalyst for growth.

Mere observation will keep a person a novice forever.

It is always easier to watch than to execute; this remains a universal truth.

For Zhou Can, closing the abdominal peritoneal incision and the abdominal wall layers was trivial. His Suturing Skill had already hit Level 6, while his Ligation Skill was lagging slightly behind but closing in on an upgrade.

In his view, standard operations had lost their spark.

Operations that could grant 100 experience points due to their complexity were his greatest allure. A single high-level procedure could be worth hundreds of mundane surgeries in terms of experience.

Rectal Repair Surgery was classified as a Level 3 operation; Yang Zhi rarely had the chance to participate in such high-stakes tasks.

He was visibly excited and focused, carefully stitching the patient’s tissue.

Zhou Can remained nearby, offering steady guidance and supervision.

"Director Qu, it's already past noon. Why don't the two of you grab a quick bite here in the operating room?"

Zhou Can glanced at the wall clock—it was well past 12:20 PM.

Time had truly flown by.

He predicted Yang Zhi would finish the suturing by at least 12:50 PM. Not everyone operated with the same efficiency as Zhou Can.

Normal surgeons usually reach their limit after performing eleven or twelve simple Level 1 or 2 surgeries in a day. As for major Level 3 operations, even surgeons at the Deputy Director level rarely perform more than two daily.