Is there no limit to this doctor's skills?

Chapter 181 The Pinnacle of Swiftness!

The operating room was crowded with people, but there was no sense of commotion.

Even though many people in green uniforms really wanted to climb onto the operating table right now and see for themselves the amazing, incredible things that people were talking about!

Surgery is not a game!

As a surgeon, respecting surgical principles and setting aside personal curiosity is an essential quality.

On the operating table, the patient's incision was made very large!

There was only one incision, but it extended from the proximal thigh to the ankle joint, leaving the subcutaneous tissue wide open and exposing arteries, veins, and nerves!

At first glance, it looks more like a forensic medicine operating room than a surgical operating room.

The head of general surgery, responsible for handling blood vessels, is surnamed Yao, and his full name is Yao Xin.

He was responsible for thrombectomy after Guo Ziyuan exposed the main artery.

After Yao Xin finished taking the blood from the popliteal artery, he saw that the popliteal artery branched into multiple segments from the bottom, and his hands suddenly felt a little tight!

Then, Yao Xin looked at Guo Ziyuan, who had already moved to the opposite side, and once again performed an artery exposure with wide, sweeping movements.

A chill ran down her spine: "Dr. Guo, should we call someone else up on stage?"

"Would this save more surgery time?"

Guo Ziyuan didn't look up. Qian Shuhang, who was next to him, explained Yao Xin's name to Guo Ziyuan: "Director Yao, you can make the arrangements."

"Once my area is exposed, I will perform an incision and remove the thrombus on the spot."

Yao Xin nodded: "Okay, Dr. Guo."

"Sun Yongming, wash your hands and come up on stage." Yao Xin called out to him.

He did not doubt that Guo Ziyuan could perform open thrombectomy.

With Guo Ziyuan's basic skills in cutting open blood vessels, even if he didn't know the technique of thrombectomy, he could still cut the blood vessel wall perfectly.

That's what makes top-level fundamental skills so impressive.

Yao Xin watched Guo Ziyuan perform the vascular exposure procedure, observing the bold yet meticulous details of the operation.

My heart was pounding!

If it were me, would I dare to expose the blood vessels in my lower limbs like that?

They should dare to expose themselves.

But Yao Xin would never dare to perform a procedure like Guo Ziyuan's, which involves directly cutting open the blood vessel pedicle with a scalpel!

To an expert, the way the scalpel moves is truly thrilling!

The scalpel is pressed tightly against arteries, veins, and nerves; even the slightest deviation would be disastrous.

Gee!

Yi Gao people are bold.

This was the first time Yao Xin had ever seen someone cut something like this.

It would not be an exaggeration to describe Guo Ziyuan's actions at that moment as unbelievable.

……

Below the operating table, some surgical directors, including Zhou Yong, put aside their shock and began to interpret Guo Ziyuan's specific procedures from a professional perspective.

"Such a fast knife, such precise control!"

"With hands like his, I reckon he could actually slice a book into about twenty-eight or twenty-nine sheets."

Someone asked, "Did Dr. Guo's incision ever slow down?"

"Yes, you can see that the cutting speed fluctuates, but even when he slows down, it still seems a bit fast to us."

"It's obvious that Dr. Guo is saving time to the greatest extent possible."

"Can this be guaranteed?"

"Shh...don't put pressure on us! This is called doing your best and leaving the rest to fate."

After working as a surgeon for a long time, I've become more and more convinced of fate.

What illness a patient has, when they get sick, what kind of doctor they see, and where they get sick are all matters of fate.

"..."

Guo Ziyuan's movements are really fast; Guo Ziyuan himself knows that his movements are fast.

However, from Guo Ziyuan's perspective at this moment, this kind of operation feels really cool!

It would be an understatement to describe it as thoroughly enjoyable.

What does it mean to feel thoroughly satisfied and exhilarated?

If you send a national table tennis champion to a primary school and beat up students, even if he beats the principal, he won't feel much sense of accomplishment. You probably haven't even given him a chance to warm up.

If you bring in the provincial champion to fight him, he might use some force.

But if you bring in the previous national table tennis champion to play against him, he will have to be careful.

Giving it your all is what we call exhilarating.

It can be tiring, but it can also be exhilarating – it's the feeling of being able to unleash your full potential.

At this moment, Guo Ziyuan doesn't need to worry about the patients' concerns, nor does he need to pay attention to or take care of his colleagues' emotions; he can simply do his best.

So Guo Ziyuan did just that, and he really enjoyed it.

Even after Guo Ziyuan got into a good mood, he realized that while he had exposed the artery and vein on the opposite side, Yao Xin and another doctor he had called up were still dealing with the blood clots in the anterior and posterior tibial arteries.

Their battleground is still quite intense.

So, following his previous advice, Guo Ziyuan asked the circulating nurse to order another set of instruments for removing blood clots!

Therefore, Guo Ziyuan clamped the proximal end of the artery.

So, Guo Ziyuan began to make incisions in the blood vessels.

So Guo Ziyuan began to insert the guide needle into the blood vessel.

So Guo Ziyuan began to demonstrate his puncture technique.

So Guo Ziyuan inserted the thrombectomy needle all the way down to the distal end of the anterior tibial artery.

So, Guo Ziyuan shook the thrombectomy needle in his hand, then placed the thrombectomy device, opened it up, and began to aspirate.

So, Guo Ziyuan began to exert force.

Then, dark red 'thrombus strips' began to emerge from the artery opening opened by Guo Ziyuan.

The blood clot, resembling an extremely long, dark leech, was pulled out of the patient's blood vessel by Guo Ziyuan.

Five centimeters, ten centimeters, twenty centimeters, thirty centimeters...

"Holy crap!"

Director Yao Xin looked up abruptly, and was so startled that he fell backward onto another surgeon.

Fortunately, his back was against the other person's chest, so the sterile surgical gown was not contaminated.

However, if Yao Xin hadn't been a vascular surgeon, he wouldn't have been so shocked.

If Yao Xin hadn't just performed a thrombectomy, he wouldn't have felt like he'd witnessed something so terrifying!

Yao Xin's lips trembled: "Dr. Guo...where did you put that needle?"

Guo Ziyuan did not answer, nor did he make a fool of himself.

He placed the extracted blood clot strip into a curved tray, where it snaked and coiled like a long serpent.

He lowered the guide needle again and pulled it back once more.

This time, almost no blood clots were removed, indicating that the previous thrombectomy was performed very thoroughly.

Then, Guo Ziyuan began to quickly suture the blood vessels!

Vascular suturing is not difficult, especially the suturing of large blood vessels.

With Guo Ziyuan's suturing speed, the blood vessel was sutured in about two minutes.

Afterwards, Guo Ziyuan began to shift the focus to the popliteal artery, continuing his vascular thrombectomy procedure.

After Guo Ziyuan pulled two more incredibly long, dark red blood clots out of the patient's blood vessels, he began to work on the veins.

On the other side, the arterial thrombectomy performed on Yao Xin and the other person was not yet completed!

It seems that Guo Ziyuan's subsequent progress has already surpassed theirs.

"Dr. Guo...you wouldn't happen to be...a vascular surgeon?" Yao Xin was trembling all over.

Those who aren't carpenters, upon seeing Lu Ban, would merely be surprised. At most, they might ask, "How are you still alive?"

When a carpenter sees a living Lu Ban, he will almost always be moved to tears.

"Don't speak!" Guo Ziyuan instinctively snapped.

This is because Guo Ziyuan's attention was highly focused, which is why he was shouting to stop him!

After saying that, Guo Ziyuan realized his current position and softened his tone slightly: "Director Yao, let's talk after the surgery. It's still early."

Where is this?

If the only difficult part of this surgery is cutting and removing the thrombus, that would be fine.

Guo Ziyuan then spent another seven or eight minutes removing the thrombus strips from the vital veins in the lower limbs.

The main reason is that Guo Ziyuan was too fast, and his puncture operation was very accurate and stable.

In other words, veins have venous valves, so they cannot be completely blocked at once. Otherwise, Guo Ziyuan might have treated the arteries by clearing all the blood clots in several key veins at once!

After Guo Ziyuan placed the last strip of blood clot, he began suturing the vein.

Finally, a disturbance broke out among the audience.

Even with the basic training of a surgeon, he couldn't suppress the thoughts that were drifting in his mind at that moment.

"The pinnacle of personal skill can be summed up in two words: speed and stability."

"How can such swift operation and precise technique be combined?"

In the field of surgery, people still prefer to believe that slow and meticulous work yields better results.

Because slow and steady wins the race, and this is something most people can achieve.

"Is Dr. Guo on another level?" someone muttered, their voice tinged with envy.

The speaker was Gan Lianyuan, the director of hepatobiliary surgery, who had just entered: "Dr. Guo was already incredibly skilled, wasn't he? Wasn't he already incredibly skilled before he performed this surgery?"

"He's definitely cheating!" Gan Lianyuan said with absolute certainty.

You guys don't think that Guo Ziyuan's current actions are the only incredible thing, right?

This thing has been exposed for a long time.

His peak was when he was watching movies.

You haven't encountered this before.

No one took Gan Lianyuan seriously.

After all, not many people know that Gan Lianyuan went to the emergency department and was "beaten down" by Guo Ziyuan.

Therefore, very few people know Gan Lianyuan's true feelings at this moment!

……

While the audience was expressing their feelings, Yao Xin and his team finally began the thrombectomy.

Meanwhile, after Guo Ziyuan finished treating the arteries and veins, the patient's left lower limb arteries and veins began to circulate under the operation of ECMO.

Upon seeing this, Guo Ziyuan quickly said, "ICU staff, you can start working now. This patient is currently in a state of reperfusion."

"There are many substances that need to be removed. If necessary, please have dialysis done in between to replace liver and kidney function."

Currently, at Yilan Central Hospital, only a few people in the ICU know how to operate an ECMO machine.

Therefore, those currently in charge of ECMO are all from the ICU.

Guo Ziyuan didn't know who the visitor was, so he could only refer to them as "teacher."

After learning of Guo Ziyuan's purpose, the people in the ICU nodded.

"Artificial heart and lungs, artificial organs!"

"Dr. Guo, you've thought everything through long ago."

"I hope a miracle will happen." The person who said this was surprisingly young, and besides the shock in his voice, his tone was also somewhat delicate.

That was genuine appreciation!

Ordinary surgeons would never dare to think of such a thing.

Guo Ziyuan didn't take the praise from outsiders seriously at this moment.

The restoration of blood flow is merely a catalyst for revitalizing the lower limbs; it does not mean that Guo Ziyuan can perform the miracle of saving both legs.

The real show is yet to come!

After a moment's hesitation, Guo Ziyuan allocated some of his skill points to the skills in hand surgery.

Instantly, some of Guo Ziyuan's skills were enhanced.

[Nerve, blood vessel, and tendon transfer surgery (0% of experts)]

[Nerve, blood vessel, and tendon transplantation (0% of experts)]

【Subcutaneous Soft Tissue Implantation Therapy (Specialization 50%)...】

Guo Ziyuan didn't dare to teach these techniques too advancedly; he only taught them to a level that was sufficient for his needs.

Even with Guo Ziyuan's efforts to save, his current skill point balance is less than 100.

Later, if we encounter a technology that we need to use again, we must be even more economical.

After that, Guo Ziyuan began the wound cleaning.

Finally, Guo Ziyuan's operating speed began to slow down.

It slowed down to a speed and operational level that is understandable to most people.

"Phew~~~" Seeing this, Qian Shuhang, who was next to Guo Ziyuan, finally breathed a sigh of relief.

"Dr. Guo, you're finally back to normal."

"I know how to do that. Now we need to remove the necrotic tissue, right?"

"Director Wu, we'll help too..." Qian Shuhang said, about to draw his knife.

Unexpectedly, Guo Ziyuan pressed down on his hand with the tweezers in his hand: "Don't move, let me do it!"

Qian Shuhang's hand was "clamped" by tweezers, which made him slightly embarrassed.

Qian Shuhang looked up, slightly puzzled, at Guo Ziyuan.

Guo Ziyuan released the tweezers and picked up the new scalpel, bowing his head to begin the procedure: "Let me do it, Director Qian, you can't do it."

Guo Ziyuan's voice was calm and resolute.

This was the first time Guo Ziyuan had relatively dismissed the abilities of his colleagues on the operating table.

"Me." Qian Shuhang pursed his lips.

Qian Shuhang really wanted to say, "Brother, I won an award in the provincial skills competition!"

Originally, Qian Shuhang wanted to use "this honor" to give Guo Ziyuan a warning.

Teaching hospitals like Guo Ziyuan emphasize basic skills, and he wanted to let Guo Ziyuan know the limits of what's possible.

However, before Qian Shuhang could do that, Guo Ziyuan gave him a lesson on what it meant to be arrogant and naive.

But now, he doesn't even have the qualifications to go up and operate it himself?

Zhou Yong chimed in, "Qian Shuhang, listen to Dr. Guo Ziyuan."

Although Zhou Yong didn't know why Guo Ziyuan said that, he now had complete trust in Guo Ziyuan.

As Guo Ziyuan said, he doesn't cause trouble for the department.

Every piece of advice I give, and every action I take, is based on stability.

Such a label was enough to make Zhou Yong have absolute trust in Guo Ziyuan.

This is a young man who knows his limits.

Afterwards, Guo Ziyuan began the wound cleaning process.

However, it soon became apparent that Guo Ziyuan's wound cleaning method seemed somewhat unconventional.

Guo Ziyuan removed the muscle layer.

But it seems that it wasn't completely cut.

There are still remnants between the muscle and the skin.

Those look like blood vessels!

The skin's nourishing blood vessels can penetrate the muscle layer.

Guo Ziyuan removed the muscle layer, but preserved the nourishing blood vessels.

What does this mean?

If you buy a piece of pork and examine it closely, you'll find these nourishing blood vessels attached to the skin...

"Ahhhhhh!" Under the operating table, some people who knew surgery were so frightened that they fell backward!

This is not an act.

There was no director either!

Nobody shouted "Clang!"

Real life and real-life reactions are the best acting skills.