My Medical Skills Give Me Experience Points

Chapter 220: Dangerous Cerebral Herniation, Detecting Bleeding Points through Hematoma_2



The title "Master Surgeon" is no misnomer; Wu Baihe's knowledge of brain anatomy likely surpasses everyone else's.

Even without an imaging scan, he was fairly confident that he could successfully complete this high-risk operation with his rich surgical experience.

After issuing the order, Wu Baihe personally spoke with the foreign patient.

Unexpectedly, Wu Baihe not only held the reputation of a "Master Surgeon," his fluency in English was also impressive.

Communication with the patient's family went smoothly.

They quickly agreed to the surgery.

Immediately, nurses brought clippers to shave the patient's head and prepared the skin for the operation.

The patient was swiftly taken to the emergency operating room.

Tuya Hospital's most skilled anesthesiologist, Doctor Feng, was called in last minute for overtime.

Zhou Can assisted with administering the anesthesia to the patient.

Different from regular patients' anesthesia, this patient's surgery involved many techniques and required complete anesthesia in the shortest time possible.

Doctor Feng and he worked at full speed, perfectly in sync; after much effort, they were finally successful in fully anesthetizing the patient.

[Anesthesia Technique Experience Points +1.]

[For your first time completing total anesthesia on a brain herniation patient, you are rewarded with an additional 100 Anesthesia Technique Experience Points.]

This was Zhou Can's first time receiving such a high reward of 100 Experience Points for Anesthesia Technique, which left him exceedingly surprised.

However, the execution of the anesthesia did indeed present many challenges and taught him some advanced techniques.

Especially the safeguarding and stabilization of the patient's vital signs under emergency conditions, including preoperative medication, much of which was new to him.

"Dr. Zhou, you're fast with the scalpel; you'll do the incision through the scalp."

Director Wu did not invite Zhou Can just to spectate.

Apart from Zhou Can's endoscopic surgery skills, which could serve as a backup lead surgeon if necessary, it was also Zhou Can's speedy surgical capability that set him apart from other doctors.

There were only two surgeons known for their quick surgery techniques in the entire Tuya Hospital.

That was Dr. Xu and Zhou Can.

Unless absolutely necessary, they wouldn't lightly ask Dr. Xu to participate in these lifesaving operations.

Despite the time that had passed since that incident, Dr. Xu's status remained highly sensitive.

The surgery also involved a foreign patient, so the hospital was extra cautious.

Should the patient not survive the emergency, and the surgical team's names become known, it could be troublesome if Dr. Xu's name was seen among them by someone with a vested interest.

Zhou Can had received direct mentorship from Dr. Xu in quick surgery techniques; although not yet perfected, they were usable.

Zhou Can stood at the primary surgeon's position and did not let anyone down, quickly making an incision at the marked location on the scalp.

Following this, they did not dare let Zhou Can perform the cranial drilling.

A poorly done drilling could easily cause significant damage to the patient.

Drilling on a removed bone flap was a task any surgeon would dare to undertake. However, drilling directly on the patient's skull involved highly technical skills that even regular associate chief physicians found challenging.

Just beneath the skull lay the dura mater, and further below that were essential brain tissues, the Brainstem, blood vessels, and nerves.

A misstep could cause unpredictable harm.

It would directly lead to sudden cessation of breathing and heartbeats, which is far from unusual.

Thus, cranial drilling could only be done by a neurosurgical chief physician with extensive surgical experience.

Director Wu personally performed the cranial drilling and created an opening on the patient's skull.

An assistant used a mastoid retractor to stretch the scalp, allowing Director Wu to make a bone window easily.

Wu Baihe cautiously carried out the cranial drilling while Zhou Can looked on and learned.

Opening the cranial window, whether by drilling or cutting a bone flap with a saw, was extremely dangerous.

The difficulty lay in accurately gauging the force.

After creating the opening, Director Wu cut through the dura mater and started the hematoma removal surgery using an endoscope.

He meticulously removed the intracranial hematoma as if he was handling an infant.

As if afraid that any larger movement might harm the baby.

In reality, the brain tissues inside the skull were even more delicate and fragile than a baby, and any carelessness could lead to irreversible severe consequences.

Zhou Can, standing below, intermittently watched the endoscope screen and observed how Director Wu manipulated the endoscope.

"Damn!"

After Wu Baihe removed some of the patient's intracranial hematoma, his expression changed dramatically, betraying a look of seriousness and tension.

"Director Wu, what's wrong?"

The other doctors' hearts tightened.

"After clearing the hematoma, blood started flowing out profusely from within the patient's head. Since there was no time for a preoperative angiography, locating the bleeding point is not easy. If the bleeding cannot be stopped in time, the patient will die very soon."

Wu Baihe thought his rich experience would be enough to handle any situation.

However, the bleeding point was incredibly hidden, and even after two full searches, it had not been found.

The rescue had lasted over three and a half hours, and the patient's chances of survival grew slimmer.

According to international experience, if emergency brain herniation surgery exceeds four hours, death can essentially be declared.

Now, nearly four hours into the rescue, still unable to find the bleeding point, the brain cells at the ends of the blood supply were dying due to ischemia.

This type of brain cell and tissue death was irreversible.

Despite Director Wu's advanced age, he had come to the hospital in the middle of the night and performed surgery for so long that his physical and mental strength clearly began to wane.

However, in endoscopic surgery, there wasn't a particularly skilled associate chief physician or chief physician under his wing.

"Director Wu, how about letting Zhou Can take over for a bit?"


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