My daily work as a doctor: My treatment value is increasing.

Chapter 6 Two Surgeries

The surgery officially began.

Wang Xinyu was already unconscious.

Lu Renxin leaned against the patient's chest, his right hand with four fingers together, took a deep breath and forcefully pulled the patient's gluteal muscles upward.

Before he could even last five minutes, he felt his arms start to tremble.

The flesh under my palm was sliding down uncontrollably.

Lu Renxin took a deep breath:

I said to myself, this patient is a big challenge for me.

Seeing that it was about to slide down and block the surgeon's view, he had to try again.

Keeping his upper body still, Lu Renxin slowly spread his feet apart, bending his legs slightly into a horse stance.

Focus your energy in your dantian and concentrate all your strength in your palms.

One exerts force.

There was a "ripping" sound.

He had a bad feeling; he felt the hole under his armpit had gotten bigger.

I glanced at it and saw that the tear was previously confined to the armpit, but now it had split all the way up to the waist.

Blessings are unparalleled, and misfortunes do not come singly.

So what if my shirt ripped? Everyone goes shirtless in the summer.

But what does it mean if the pants rip?

Even the stitching on the trousers couldn't withstand the pressure and chose to wander the world.

I told you I couldn't wear these clothes! The cold wind is blowing so hard my butt feels cold! Auntie, you've ruined my life!

What should I do?

Lu Renxin let out a long sigh.

Even if my clothes are just torn, I can still keep going.

After this procedure is finished, I'll see if I can find any extra disposable surgical gowns to wear.

Despite such a major turn of events, his hand remained steady, and the surgery was not affected in the slightest.

Wang Xinyu has a perianal abscess. His skin appears red and swollen, and there is a noticeable fluid fluctuation when touched.

If I were the surgeon, what would I do?

The usual procedure is to incise the abscess to drain the pus and perform thorough drainage.

You can choose to make the incision at the point where the swelling is most pronounced, or at the center of the red and swollen area.

Lu Renxin pondered silently in his heart.

Just as he predicted, Zhu Haoran picked up the electric knife and chose to start at the very center.

"Sizzle—"

The skin was quickly cut open, and blood mixed with pus gushed out.

Lu Renxin reacted quickly and used a suction device to remove them in time.

Next, hemostatic forceps need to be used to penetrate deep into the abscess cavity and separate the internal fibrous septa.

Before Zhu Haoran could even speak, Zhu Haoran had just put down the electrocautery and handed him a pair of hemostatic forceps.

Zhu Haoran took it without hesitation and inserted the hemostat into the wound.

Use both hands to forcefully pry open the hemostat, and try to destroy the internal structure through the opening.

Next comes rinsing.

Lu Renxin had prepared syringes and medicine bowls filled with saline solution in advance.

It was handed to Zhu Haoran without him having to say a word.

Why is Lu Renxin so easily conscripted? Why is he so sought after?

Not only because he was willing to come and assist with the surgery, but also because he didn't need repeated reminders like others:

I need hemostats.

Give me a 3-0 needle.

Hand over the gauze.

……

He's like a mind reader, able to read their thoughts without them having to speak.

Who wouldn't love an assistant like that?

After rinsing twice, the fluid flowing out of the abscess gradually became clear, and the inside was basically cleaned.

Zhu Haoran stood up from the stool, took off his gloves, and gestured to Lu Renxin:

"I have another patient outside. Could you stop his bleeding and then insert a gauze strip for drainage?"

OK.

He opened the operating room door, took a few quick steps, and disappeared around the corner.

It's my turn to perform.

Lu Renxin took over Zhu Haoran's position, sat on the stool, and picked up the electric knife.

Apply two quick "sizzling" taps to the bleeding points on the incision surface.

It's very fast, and the principle is very simple.

It uses the thermal effect of electric current to "burn" blood vessels.

Simply put, it's like grilling meat; once it's cooked, the blood will be gone.

Smoke is unavoidable during the baking process.

It's not convenient for him to operate it alone, and he can't remove the smoke in time.

All we could do was let the smoke swirl and surround us.

Sister Pei fanned her face with her hand:

"It's always the same; I leave you here to unleash a smokescreen."

"It's all thanks to the lungs of the three of us that I'm cleansed. If I ever get lung disease, it'll all be Zhu Haoran's fault."

Nurse Lin, who was writing the surgical consent form, nodded in agreement.

"Okay, okay, almost done."

Lu Renxin worked tirelessly and quickly stopped the bleeding before proceeding with drainage.

Such a large cavity requires timely drainage of the fluid through gauze for it to heal completely.

So he spread out the gauze and cut it into thin strips two or three centimeters wide.

Carefully insert the tweezers little by little into the abscess cavity.

Finally, leave about four centimeters of the length outside the body.

Completed!

A system notification sounded in my mind:

[Congratulations, host, on completing surgery*1. Healing value +6]

He was somewhat surprised that the treatment value given by the surgical assistant was so high, equivalent to thirty dressing changes.

The other teachers in the surgical team handle everything themselves, so they probably won't earn any treatment points.

I had to participate in at least eight surgeries a week with my mentor, and I was also frequently pulled in as a volunteer.

So, you can get at least 192 healing points a month, plus other miscellaneous ones.

It takes about two months to accumulate 420 healing points.

Lu Renxin was overjoyed; if he had made it in time, perhaps he could have exchanged it for a better paper…

"Introduction to Anorectal Diseases"—sorry, you're not up to my standards...

The idea was wonderful, but reality was cruel.

The second surgery was for hemorrhoids.

Hemorrhoids are the most common benign anal disease in clinical practice.

It is essentially a soft venous mass formed by the enlargement and varicosity of the venous plexus under the rectal mucosa and anal canal skin.

Most people's hemorrhoids don't require any treatment.

However, if the bleeding is too severe, the pain is unbearable, or other complications arise, treatment may be necessary.

Women, in particular, are more prone to hemorrhoids.

This is related to a variety of factors, including physiological structure, hormonal changes, and lifestyle habits.

However, men should not be complacent and need to pay attention to their anal health.

Having seen so many patients, Lu Renxin remained vigilant and insisted on performing Kegel exercises every day, fearing that he might develop problems one day.

I can't get hemorrhoids, otherwise it would be too embarrassing to have my supervisor operate on me.

Hemorrhoids are also divided into different types; those above the dentate line are internal hemorrhoids.

Hemorrhoids below the dentate line are external hemorrhoids, while those spanning both above and below the dentate line are mixed hemorrhoids.

The female patient in front of us has mixed hemorrhoids.

Lu Renxin judged that Zhu Haoran should choose the internal ligation and external stripping surgical method for her.

This is a classic surgical procedure for treating mixed hemorrhoids, and the core approach is to treat both the internal and external factors simultaneously.

Peel off the outer layer, tie up and cut the inner layer.

Lu Renxin looked at Zhu Haoran.

He used an electrocautery knife to make a "V" shaped incision on the outside.

Then, the varicose veins and hyperplastic tissue are completely peeled away like peeling peanuts.

Lu Renxin immediately used Allis forceps to lift the tissue upwards, exposing the connected internal hemorrhoids.

Next, clamp the base with hemostatic forceps.

Zhu Haoran used 3-0 absorbable sutures to perform a figure-eight suture ligation from above.

Finally, the hemorrhoids were removed using an electrocautery knife.

He still left the cleanup work to Lu Renxin.

[Congratulations, host, on completing surgery*1. Healing value +3]

+3? It seems not all surgeries yield 6 healing points.

Lu Renxin pondered the differences between the two surgeries.