Chapter 1553 - 630: A Disaster Caused by Gray Matter, It’s a Feeling
Chapter 1553: Chapter 630: A Disaster Caused by Gray Matter, It’s a Feeling
The intracranial hemorrhage is not significant.
Typically, in craniotomy, blood accumulation originates from two sources. One is preoperative intracranial bleeding, and the other is intraoperative bleeding, caused by the incision.
Zhou Can’s Incision Skill is already at a Director Level, with an extraordinarily sensitive touch.
He can identify blood vessels, nerves, tendons, among others, precisely.
This tactile ability is something ordinary surgeons do not possess. Only those with extremely rich surgical experience and incision skills above Director level might have it.
The benefits and effects go without saying.
It allows the surgeon to minimize surgical bleeding during the operation.
Zhou Can now performs various major surgeries with bleeding control that every doctor envy’s.
Others might experience over 300ml of bleeding with an incision.
If Zhou Can handles the scalpel, the procedures are not only swift, but the blood loss is minimal. In abdominal surgeries, he typically keeps the blood loss under 100ml. In fact, his abdominal surgical bleeding usually is under 50ml.
This involves not just simply opening the abdominal cavity, but also includes intraoperative removal of abdominal tumors or appendixes.
For ordinary doctors, achieving such minimal blood loss is almost unimaginable.
Because achieving such low bleeding is indeed very challenging.
It requires not only superior skills but also extensive experience in surgery.
Before removing a lesion, Zhou Can can clearly identify the major blood vessels around the lesion and preemptively ligate the necessary ones. For smaller blood vessels, he can directly use electrocautery to stop the bleeding during the operation.
"The source of the bleeding is found, it’s a ruptured artery."
After suctioning out the blood, the bleeding point becomes visibly clear.
Of course, for Zhou Can, locating the bleeding point is as natural and easy as breathing. It takes him almost no effort or time to find the source of bleeding effortlessly.
However, if someone else were the lead surgeon, unless it’s a director-level neurosurgeon like Wu Baihe, an ordinary person could not reach this level.
Seeing is easy, doing is hard.
While Zhou Can seems particularly relaxed while operating, if other doctors on site were to perform the operation, it might turn into a tense battle, possibly descending into chaos with various issues arising.
In life-threatening major surgeries, having surgeons like Zhou Can and Wu Baihe lead is undoubtedly a stroke of luck for the patient.
This time Zhou Can directly used electrocautery to stop the bleeding, without consulting Wu Baihe.
The blood vessel is not large, and alternative blood supply routes are strong.
After cauterizing this small artery and halting the bleeding, this blood path is blocked. But do not worry, the body’s vascular system is incredibly rich, densely covering every corner like tree roots.
Once this artery is blocked, other adjacent arterial blood vessels, even finer ones, automatically take over the new blood supply task.
Soon, a new blood path will form.
But larger blood vessels cannot be easily cauterized or ligated to stop bleeding. Sometimes repairing them is necessary.
Because larger blood vessels are akin to the main roots of a tree; cutting one means one less.
Creating a new replacement blood path quickly is very difficult.
This can lead to ischemic organ and tissue necrosis or severely impaired function shortly upon larger artery interruption.
"Huh, this blood vessel seems to have stenosis and blockage."
Zhou Can’s words drew everyone’s attention.
Everyone looked at the display, only seeing the blood-red intracranial tissues, with the white brain matter. The obstructed blood vessel was invisible.
Wu Baihe was constantly watching the screen.
His role was to assist Zhou Can in the surgery.
He mainly performed the brain tissue retraction, mostly handled by him.
Though Wu Baihe strained his eyes, he still could not identify the problematic vessel.
"Where?"
He had to lower his pride and ask.
Don’t think that these top director-level doctors don’t care about anything; they care most about their reputation and authority in their fields.
Humans, after dedicating many decades to a particular field, understandably take pride in their accomplishments there.
Everyone has common mortal eyes, Zhou Can has decades less medical experience than Wu Baihe, yet Zhou Can spotted the issue while Wu Baihe did not. It was understandable that he felt a bit embarrassed.
Besides, he had brought some of his team members along.
There were doctors and nurses, each respecting and revering him like a deity daily.
Now falling behind, how would the medical and nursing staff see him?
"Actually, I was only guessing. Does that area of gray matter seem to have problems?"
Zhou Can gently moved aside some brain tissue to give Wu Baihe a better, clearer view.
He merely said this to save face for Wu Baihe.
Which doctor would guess at vascular lesions during surgery?
It’s very hard to guess even if one wanted to.
Staring closely at that area of gray matter, Wu Baihe soon discovered the problem.
"Atrophy, possibly signs of degeneration... This clearly indicates an issue with nutrient supply. Anatomically speaking, this area of gray matter is supplied blood by only one larger artery, with two venous return paths..."
Mid-sentence, Wu Baihe’s eyes lit up.
Ah, it must be an issue with the artery supplying blood to this area of gray matter.
It was then he realized Zhou Can was offering him a way to save face, helping to preserve his dignity.