My Medical Skills Give Me Experience Points Chapter 1323: 522: Both Surgical Assistants Are Useless, All Bark and No Bite 2

Chapter 1323: Chapter 522: Both Surgical Assistants Are Useless, All Bark and No Bite 2

Typically, in the surgical profession, achieving significant accomplishments often requires reaching the associate senior level, at which point one can establish their own surgical team.

At the chief level, surgeons usually work under a director or deputy director and are restricted from leading their own teams.

Furthermore, the financial disparity between directors who lead teams and those who don't can be substantial.

In prominent hospitals like Tu Ya and the Provincial People’s Hospital, a successful department head leading a team might see an annual income of three to four million; in major metropolitan areas such as Shanghai or Beijing, or at ultra-large medical institutions, this figure can surpass five million annually.

This financial incentive might be a primary driver for the countless medical students pursuing graduate degrees, aiming for master's and doctoral qualifications, and even postdoctoral research if circumstances and aptitude permit.

Their ultimate ambition is to become a team-leading director as swiftly as possible.

Unbeknownst to many, by the time they achieve this status, they are frequently already past the age of fifty.

Nevertheless, when contrasted with the general populace, these high-achievers benefit from elevated education, income, societal standing, and professional positions, all attained through a meticulously ascending career path. They are, without question, triumphant in their life's journey.

Director Gou Qiong initiated an incision on the left of the patient's navel. Upon inserting the endoscope, he proceeded to examine the spleen, seeking any abnormalities that might have been previously overlooked.

His dexterity with the endoscope and his profound expertise were clearly evident.

“What weight of impact caused such a severe rupture to the spleen!”

He couldn't help but voice his astonishment with a shake of his head.

The complementary surgical task was managed by a medical assistant in their forties, who made the auxiliary incision below the xiphoid process.

This incision was also situated on the left side.

The spleen itself is located on the left flank of the body.

In endoscopic procedures, surgeons generally avoid circuitous routes unless absolutely necessary due to highly specific circumstances; the most direct path is always preferred.

An overly convoluted surgical trajectory could potentially compromise the patient's stability even before the operation commences, given the endoscope's internal manipulation.

“Let’s commence by draining the effusion!”

When dealing with internal hemorrhages, the initial priority is to pinpoint the bleeding source. The evacuation of blood facilitates a more straightforward identification of the origin of the bleeding.

The subsequent standard procedure would involve arresting the patient's bleeding.

Once the fluid within the left abdominal cavity was successfully drained, the search for the bleeding locus began.

“Director Tang, could you elevate the right side of the spleen slightly? I suspect the bleeding point lies beneath it.”

“Understood!”

The middle-aged medical assistant responded promptly, employing refined and adept techniques to lift the spleen's right aspect.

“The blood vessel has ruptured; the tear is considerably extensive.”

Director Gou Qiong swiftly identified the hemorrhaging site. It was apparent that blood was flowing profusely, indicating a critical level of bleeding.

The spleen is inherently delicate; significant bodily trauma or falls from elevation often result in its rupture.

“Director Gou, shall we proceed with halting the bleeding first, or what is the immediate course of action?”

“We must first staunch the bleeding, then proceed to repair the vessel. The severity of the tear, situated at a vessel bifurcation, presents a formidable challenge for repair!”

Upon assessing the situation, Director Gou Qiong’s brow furrowed deeply.

Surgeons at their caliber typically possess vast experience; a single glance is sufficient to gauge the complexity of a surgical procedure.

Director Tang had already embarked on controlling the vessel's hemorrhage.

For minor hemorrhages, electrocoagulation might be a viable option—essentially, cauterizing the bleeding vessel point using electrical current.

Zhou Can’s initial phase in mastering the Hemostasis Skill involved precisely this technique: electrocoagulation.

His meticulous and consistent precision when performing hemostasis on laboratory mice was instrumental.

It was through such rigorous practice, painstakingly reinforcing his fundamental skills, that he achieved his current Level 6 Hemostasis Skill.

However, the bleeding vessel in this instance was of substantial size, rendering electrocoagulation entirely unsuitable.

Employing it would inevitably compromise the spleen's blood supply.

The repercussions of such an action would be dire.

“Ligating the vessel at this juncture is exceptionally intricate to execute!”

Director Tang attempted to control the bleeding multiple times, each attempt proving unsuccessful.

Observing from the periphery, Zhou Can assessed Director Tang’s hemostasis proficiency as being at most Level 5. While his endoscopic surgical skills were proficient, they did not reach the pinnacle of expertise.

“Unable to achieve hemostasis?”

Director Gou Qiong inquired.

“The degree of difficulty is substantial.”

In the presence of numerous colleagues, Director Tang felt reluctant to admit his inability to control the bleeding.

Reputation and maintaining face are paramount concerns for all.

“Allow me to attempt it!”

A surgeon affiliated with Wu Yongming stepped forward to offer assistance.

He transitioned his approach to vessel ligation for hemostasis.

It was evident that his operational dexterity was far superior, particularly in the finer details. Neurosurgery, recognized as the zenith of precision surgery, possesses a complexity that eclipses even cardiac surgery.

Given this individual's expertise in neurosurgery, his impressive surgical aptitude comes as no shock.

“Oh heavens, this blood vessel is exceedingly fragile; it appears the ligature has only exacerbated the tear.”

As soon as this physician took charge, he swiftly ascertained that Director Tang was not at fault. The issue stemmed from the patient's excessively delicate vessel.

Applying minimal force resulted in a loose ligation, insufficient to staunch the hemorrhage.

Increasing the pressure, however, precipitated the current dire predicament.

The hemorrhage intensified significantly.

The patient's blood pressure also appeared to be faltering.

“Blood pressure is in steady decline, yet the heart rate is accelerating; we need a swift resolution.”

Anesthesiologist Ming Xin’s voice resonated with palpable urgency.

With the patient's vital signs deteriorating, she, as the anesthesiologist, bore the brunt of the intense pressure.

“Should I retrieve some plasma for immediate transfusion and fluid replacement for the patient?”

The circulating nurse, seasoned in such critical scenarios, promptly proposed her assistance.

“Transfusion is not an option at this moment. Doing so would increase the pressure on the ruptured splenic vessel, making its repair considerably more challenging,”

Zhou Can interjected with swiftness.

Witnessing the surgical team's efforts for Deputy Director Lu, encountering a complication so early into the procedure filled him with profound anxiety.