My Medical Skills Give Me Experience Points

Chapter 1004: Chapter 397: All Kinds of Patients—The Absolute Main Force of Emergency Surgery

"Come, lie down on the table! The prone position is easier for the procedure!"

Zhou Can guided the middle-aged man to lie down properly on the operating table.

The object was conical in shape.

How such a thing could enter an adult’s rectum was indeed puzzling.

Moreover, judging from the X-rays, the diameter of this object was quite large. It’s almost impossible to have ingested it. Putting aside other factors, its sheer size wouldn’t fit through the narrow esophagus and small intestine.

So, it definitely had to be inserted.

"Doctor...do I need anesthesia for this?"

"If we need to perform surgery to remove a foreign object from the rectum, anesthesia is absolutely necessary. We often use spinal anesthesia, commonly known as subarachnoid block, also referred to as half-body anesthesia. This surgery is going to be quite difficult; we will need to open the abdomen, then cut open the intestine to remove the object."

Zhou Can patiently explained to the patient.

He was also conveying the seriousness of the surgery.

"Haven’t you tried to expel it by passing a bowel movement?" Zhou Can inquired.

"I tried and it didn’t work! I even drank half a bowl of cooking oil, and it had no effect." The middle-aged man replied wearily. From his expression, it was clear he was in much pain.

Fear filled his heart.

"You must be careful in the future. This time, you’re relatively lucky; the intestine hasn’t ruptured. If it had, and fecal matter had entered the abdominal cavity causing an infection, it would be life-threatening. Intestinal tearing and heavy bleeding are equally dangerous."

Being adults, this was all Zhou Can could advise.

There was a certain element of scare tactics, but his intention was good.

If the intestine ruptures, its contents can enter the abdominal cavity, leading to severe bacterial infection or even sepsis, endangering life. Intestinal content entering the abdominal cavity can cause chemical peritonitis, severe pain, and possibly shock.

These can indeed be fatal.

Even with today’s medical conditions, the prognosis of abdominal cavity infections remains poor, and deaths do occur frequently.

In earlier years, during abdominal surgeries, intestinal content accidentally splashing out and contaminating the abdominal cavity often led to patient deaths.

Zhou Can first used a speculum to dilate the patient’s anus, then used forceps to grip the tail end of the conical object.

Luckily, the pointed end was facing inward; otherwise, removing it would have been much harder.

"Qiao Yu, slowly inject some lubricant inside."

Zhou Can gripped the foreign object and gently pulled it outwards.

Initially, it was tightly stuck, causing the middle-aged man to scream in pain whenever Zhou Can applied a little force. Fortunately, after loosening a bit, with the help of the lubricant, the situation improved greatly.

After considerable effort, they finally managed to pull the object out.

Zhou Can checked to confirm the intestines were intact, then breathed a slight sigh of relief.

"What’s this thing?"

Qiao Yu stared at it curiously for a while.

"Don’t ask too many questions, you’re still young." Zhou Can found Qiao Yu as pure as a blank sheet of paper.

He helped the middle-aged man put on his pants, prescribed medication, which was basically antibiotics.

"Try to eat more vegetables and fruits at home to prevent constipation. Come back for a check-up if you feel any discomfort."

"Alright, thank you, doctor!"

The middle-aged man, appearing a bit embarrassed, hurriedly left the operating room with Ma Xiaolan.

"Hey, what you said earlier was over the top! What do you mean by ’you’re still young’? She’s already twenty-five." Qiao Yu protested unhappily.

"Sorry! I’ll be more careful with my words next time. Dr. Luo, don’t just stand there, quickly throw that thing into the trash bin!"

After apologizing to Qiao Yu, Zhou Can instructed Luo Shishen to dispose of the medical waste.

With the first patient handled, the second one was brought in.

This patient also had an intestinal emergency, suffering from acute pyloric obstruction, requiring urgent surgery.

The main symptoms of pyloric obstruction are nausea, belching, anorexia, bloating, etc.

Ordinary pyloric obstructions are mostly treated with medication.

In cases of acute pyloric obstruction, patients experience severe adverse reactions, including severe vomiting, dehydration, fatigue, oliguria, thirst, etc. After failing treatment at another hospital’s internal medicine department, he came to Tuya for emergency treatment yesterday.

Upon evaluation, he met the surgical indications.

The emergency department prepared to perform the urgent surgery for the patient.

This type of surgery is major and is usually scheduled as an elective surgery.

The patient also had an accompanying gastric ulcer, which, if delayed, could even become malignant.

When the patient entered the operating room, the anesthesiologist followed suit.

It was none other than Director Dongfang Luoxue from the Anesthesiology Department.

Recently, Zhou Can no longer needed to follow Director Hu Kan at the Cardiothoracic Surgery Department. Since Director Hu’s passing, he had been fulfilling his promise by spending at least three or four evenings a week after work at the Anesthesiology Department, learning anesthesia techniques and knowledge under Director Feng.

The textbook knowledge of anesthesiology is limited and overlaps significantly with clinical medicine.

The improvement of anesthesia skills is primarily dependent on practice and gained through clinical experience.

Every surgery Director Feng is involved in is a high-risk Level 3 or 4 procedure. His competency is beyond doubt, placing him among the top anesthesiologists at Tuya Hospital.

A veteran with rich experience and excellent technical skills.

Many found his personality peculiar and hard to deal with, fearing interactions with him. However, Zhou Can felt that Director Feng had an overwhelmingly passionate dedication to anesthetic medicine, devoting his entire life to learning, accumulating, and advancing in the field.

In ancient times, such dedicated martial artists, uninterested in mundane affairs, were referred to as ’martial arts fanatics.’