My Medical Skills Give Me Experience Points Chapter 1368 542: Tragic Amputation, the Consequences of Inadequate Preoperative Examination (Part 3)

At this juncture, the full picture of the situation has become abundantly clear.

This unfortunate incident stands as a textbook medical accident, a stark reminder demanding profound contemplation and unwavering vigilance.

Following the patient's leg amputation, a battery of anti-shock and anti-infection treatments were diligently administered. By the time Zhou Can concluded his surgical duties at midday and proceeded to check on the patient's condition, the patient had already regained consciousness.

However, their mental state was far from optimal.

Their countenance was noticeably ashen.

The poor soul likely remained oblivious to the fact that they had just narrowly escaped the clutches of death.

Despite the loss of their right leg, their life had been mercifully preserved.

During their midday meal in the cafeteria, Yang Zhi couldn't refrain from posing a question, "Boss, should we ever encounter a patient requiring a similar right-leg amputation in the future, what steps should we take to avert such a complication?"

Among the two doctors under his tutelage, Yang Zhi possessed a more outgoing disposition, contrasting with Pu Dingdong's honest and reserved demeanor.

Pu Dingdong rarely initiated inquiries, preferring instead to diligently take notes.

It was only when he encountered insurmountable difficulties in his research that he would approach Zhou Can for guidance.

An additional intriguing observation was consistently made.

Each instance of him seeking Zhou Can's counsel was accompanied by him lowering his head, much like a bashful schoolboy.

"When faced with patients exhibiting such conditions, conducting preoperative ultrasounds, deep vein patency tests, and deep vein angiography can effectively identify potential issues. The surgeon at City Center Hospital neglected to perform adequate preoperative examinations and consequently failed to detect the deep vein thrombosis. Instead, they proceeded to strip the great saphenous vein, resulting in an obstruction of lower limb venous reflux. Post-surgery complications arose, yet the diagnosing physician erroneously attributed the patient's severe toe pain and swelling to excessively tight bandaging, thereby squandering another opportunity for corrective action and leading to gangrene of the lower limb, leaving amputation as the sole recourse to preserve life."

Zhou Can meticulously elucidated the pathological mechanism to his two subordinate doctors.

Since his pathological diagnosis proficiency had been elevated to Level 6, his analyses of pathological conditions had consistently reached the caliber of a seasoned director. Yang Zhi and Pu Dingdong could only offer nods of profound admiration.

Naturally, Qiao Yu and Ma Xiaolan also gleaned valuable insights from these explanations on occasion.

Today, a new listener had joined their ranks: Jiang Wei.

Although official confirmation from Dr. Xu was still pending regarding her continued employment, Zhou Can had already given his implicit approval. As for Director Lou, that particular obstacle had been overcome long ago, making her prospects of remaining with the team nearly certain.

While rapidly consuming her meal, she attentively absorbed Zhou Can's detailed pathological analysis.

Her facial expression clearly conveyed her own sense of awe.

Zhou Can, despite his youth and current standing as a resident physician, wielded such an advanced level of skill. He was truly an exceptional figure.

"Boss, if it's identified post-operation that the problem stems from deep vein thrombosis, what is the course of treatment?"

Pu Dingdong inquired, his voice tinged with a hint of shyness.

He typically only posed questions when a topic intensely captivated his interest and he harbored a strong desire for immediate answers.

"The procedure is actually quite straightforward, mirroring the treatment for other instances of lower limb deep vein thrombosis. Primarily, a bypass surgery would be performed on the descending blood vessels to facilitate the restoration of blood circulation within the lower limb. Subsequently, a method for venous thrombectomy would be employed. The preferred approach for thrombectomy is interventional angiography. This method, on one hand, is minimally invasive, resulting in minimized trauma to the patient. On the other hand, it guarantees the complete extraction of the thrombus. For this specific type of venous thrombosis, interventional thrombectomy stands out as an excellent primary treatment option."

Zhou Can offered an approving glance towards Pu Dingdong before patiently outlining the recommended solution.

The earliest method of thrombectomy involved surgically opening the blood vessel, a procedure characterized by its extensive nature, considerable technical difficulty, and significant patient trauma. In the present era, with the continuous evolution of medical technology, interventional thrombectomy is progressively becoming the standard of care.