Unexpected Congestion During Surgery

Chapter 44 Unexpected Congestion During Surgery

Upon entering the operating room, the system anesthesiologist had already anesthetized the mannequin.

Ji Xiang actually felt that this was unnecessary, since it was a humanoid and didn't feel pain.

But the system NPC insisted, and he didn't say anything.

"It's better to be more formal, it's better to be more formal," Ji Xiang told himself, to avoid any oversights when he returned to reality after getting familiar with the rhythm of the system.

Disinfect and lay out sterile sheets; surgery begins.

Instead of simply performing surgery as usual, the system NPC explained the advantages and disadvantages to Ji Xiang, incorporating some of the surgical techniques used by Master Gu.

The key is to adapt to local conditions and use different surgical methods according to the different conditions of patients.

This surgery was extremely slow, at least twice as slow as the one Ji Xiang had performed when he learned the lengthening technique from the system NPC.

Ke Jixiang has gained a lot.

Throughout the surgery, he kept having realizations that "so that's how it is."

Meanwhile, his experience points were also rapidly increasing; a single demonstration surgery gave Ji Xiang nearly 5000 experience points.

After the surgery, Ji Xiang looked at his harvest with delight.

"Teacher, would you like another one?" Ji Xiang asked, feeling unsatisfied.

The way the system NPCs perform surgery is truly breathtaking.

Ji Xiang hadn't experienced this before, but after his circumcision technique reached LV7, the surgical footage underwent a qualitative change.

Ji Xiang knew that this was part of growing up.

"Make one yourself," the system NPC rejected Ji Xiang's idea. "Only by performing surgery can you improve."

Ji Xiang did not refute. After assisting the anesthesiologists and nurses in the operating room to lift the patient onto the stretcher and send him away, he took over the next patient.

The anesthesiologist administered anesthesia, and Ji Xiang and the system NPC went to clean up his hands and get dressed again.

Ji Xiang already had his own understanding of the lengthening procedure. It was impossible for him to be innovative, but in terms of the depth of his understanding of the surgery, he was definitely among the top in the province.

Furthermore, the LV9 level circumcision technique brought about a qualitative change in his skills, and Ji Xiang was confident that he could successfully complete the surgery.

Actually, he was also worried. What if the surgery went wrong and the system NPC suddenly decided to experience it for himself?

Ji Xiang performed the surgery with extreme patience, proceeding meticulously from incision to blunt dissection.

Ji Xiang's hand speed was very slow. He deliberately suppressed the effect of his hand speed, making the surgery slower and slower, in order to succeed on the first try.

The surgery went smoothly in the early stages. Although Ji Xiang didn't see the system NPC, he could feel the expectant and admiring look he received.

This was unnecessary mental activity. Although Ji Xiang understood this, he still felt a little smug.

When making the incision, Ji Xiang suddenly felt the surgical area move and almost touched the tip of the scalpel.

This startled Ji Xiang.

Ji Xiang immediately assumed that there was a problem with his stamina, which caused his vision to blur.

Otherwise, how could there be abnormal movement in the surgical area?

However, the stamina value on the system panel in the upper right corner of the field of view is still 8 points, so there is no problem.

The next second, Ji Xiang was stunned to see... to see... the corpus cavernosum of the mannequin began to swell with blood, and the surgical area changed its appearance in an instant.

"teacher……"

Ji Xiang hadn't expected this to happen. Wasn't he anesthetized? How could such a strange change occur?

He had no choice but to seek help from the system NPC.

"This is a rare, but not uncommon, situation," the system NPC said calmly. "Sterile ice pack."

The system nurse immediately went to get sterile ice packs. Before this, Ji Xiang had no idea that the operating room was equipped with such high-end items as sterile ice packs.

"There's nothing to be surprised about." The system NPC seemed to understand Ji Xiang's surprise. "There's a certain probability that this will happen during surgery. There are spare sterile ice packs in the operating room. Do you think you're just being nosy?"

Ji Xiang nodded. He didn't take any action but instead watched the system NPC's actions.

This was an unexpected situation during the operation, and it seems even the system NPCs didn't anticipate it. Speaking of which, the system's operating room setup is quite good; it handles these kinds of unforeseen events.

The circulating nurse retrieved the ice pack and handed it to the system NPC.

The system NPC applied an ice pack to the base of the penis, but Ji Xiang examined the surgical area closely and found no reaction whatsoever.

The corpus cavernosum is still engorged with blood, and its color looks somewhat abnormal.

However, the system NPC seemed to be used to it and was not nervous. Instead, he calmly explained to Ji Xiang, "Although this disease is not common, the consequences are serious. It needs to be diagnosed and treated effectively as soon as possible. If it is not treated properly, it can often lead to congestion dysfunction or even ischemia and necrosis."

Necrosis...

Ji Xiang had made up his mind that if the system NPC asked him to empathize with someone else's feelings, he would definitely refuse.

"Teacher, how did this unusual situation come about?" Ji Xiang asked.

"Reflex hyperemia refers to hyperemia caused by external stimulation of the surgical area and other sexually sensitive areas, or stimulation from visceral receptors, which is transmitted to the sacral spinal cord center, mainly S2-S4, through a part of the nerves, and then transmitted outward through the parasympathetic nerves."

The system NPC explained the cause and effect of this abnormal situation to Ji Xiang.

Ji Xiang listened absentmindedly.

The blood congestion on the mannequin seemed abnormal; the surgical area was dark purple, and it looked like necrosis would occur if it wasn't treated in time.

Absolutely must not become necrotic!

Unbeknownst to him, a part of Ji Xiang's consciousness had entered the system of empathy. He was deeply afraid of necrosis and the need for surgical removal.

"Don't worry, apply an ice pack for 15 minutes, and 60% of abnormal situations will be relieved," the system NPC said gently. "Just wait."

"When epidural anesthesia is not completely blocked, the patient's psychological activity, or reflexive stimulation such as disinfection, draping and placement of related instruments in the surgical area, can cause psychological or reflexive congestion."

The surgical area is innervated by both autonomic and somatic nerves. The autonomic nerves are further divided into sympathetic and parasympathetic nerves. The parasympathetic nerves are the main congestive nerves, originating from the S2-S4 parasympathetic centers. During spinal anesthesia, S2-S4 must be blocked to block the congestive nerves.

The system NPC continued explaining to Ji Xiang.

However, 15 minutes passed in the blink of an eye, and the surgical area still had not returned to normal.

"Lidocaine." The system NPC reached out, and the scrub nurse immediately slapped the diluted syringe, which had already been drawn into the needle, onto his hand.

Ji Xiang was somewhat envious, but he knew that this must be a system program.

In reality, such perfect teamwork is impossible.

10 ml of 2% lidocaine was injected subcutaneously layer by layer on both sides of the midline of the root to perform dorsal nerve block.

However, even after the blockade was applied, the surgical area of ​​the mannequin remained congested, rendering the blockade ineffective.

The system NPC remained calm and waited for 30 minutes before stepping off the stage to assist the anesthesiologist in injecting 10 ml of 2% lidocaine via sacral canal puncture.

Another 30 minutes passed, and the mannequin's congestion still hadn't improved.

"Truly stubborn." The system NPC, a data bot, stepped onto the stage. "Prepare adrenaline."

Soon, the syringe was slapped into his hand.

Injecting 1 ml of 0.2% phenylephrine into the corpus cavernosum, this is the moment to witness a miracle.

In just one minute, the medicine took effect almost instantly.

However, Ji Xiang soon noticed that the system NPC's gaze was not on the surgical area; he was staring at the electrocardiogram monitor.

Ji Xiang immediately swallowed all the questions in his mind.

The simulated human's blood pressure rose by 15 mmHg, and the system NPC said, "Give 5 mg of urapidil."

After the drug was administered, the simulated human's blood pressure quickly returned to normal.

After more than an hour's delay, Ji Xiang finally managed to restore the surgical area, which had been congested for some unknown reason, to normal. He breathed a sigh of relief.

If it were a few days ago, when he first came to the system's operating room, he would have thought this was a dummy, and that he could just replace it.

But after experiencing empathy several times, Ji Xiang unknowingly changed.

"Continue the surgery," the system NPC said, standing in the assistant's position and looking at Ji Xiang.

Ji Xiang nodded and continued the surgery.

The surgery went smoothly, and Ji Xiang occasionally looked up to check the electrocardiogram monitor.

He speculated that the reason the system NPC ultimately gave him norepinephrine was because the drug could affect blood pressure and cause more unpredictable consequences.

As for the specific reason, the system NPC didn't say, and Ji Xiang didn't ask either; he planned to go back and find out for himself.

Although having system NPCs is very useful, what if one day the system leaves you?

living comfortably without anybody's help.

……

……

While Ji Xiang was training hard in the system, Professor Zhou Tianbo and Dean Li were having dinner with Elder Gu.

"Boss, you always say you're getting old, but your surgery is truly masterful. Your skills have improved since six months ago," Professor Zhou said sincerely.

"No, not at all." Old Gu shook his head. "I know my limits. I'll be doing surgeries my whole life, and that's about it. There's no way I can improve any further. But that's enough for me."

"More than enough, it's way too much!" Dean Li said with a smile, his smile overflowing.

Dr. Gu's surgery was exceptionally skillful, and the postoperative results were remarkable. Several patients who were initially hesitant were persuaded to undergo the procedure.

Those young men were all wealthy, and like attracts like. When they learned that a top national expert had been invited to the provincial capital to perform the surgery, they all paid close attention.

These are the people that Dean Li is targeting. Even if an ordinary person shaved off all their flesh, how much money could they possibly make? To put it bluntly, that little bit of money wouldn't even cover a day's hospitalization fee for the target customers.

So even though Old Master Gu always made Dean Li uncomfortable, he still rushed to flatter him and did his best to please Old Master Gu in order to maintain a good relationship with him.

"Xiao Zhou, what do you think of that young man's skill level today?" Old Gu suddenly asked.

"Ji Xiang?" Professor Zhou frowned slightly. "I think it's a purely talent-based surgery. After all, he hasn't passed the medical licensing exam yet, so theoretically, not many surgeons would be willing to let him perform surgery."

These words were spoken very frankly, but Professor Zhou noticed that his boss shook his head slightly.

"I don't think so," said Old Gu.

(End of this chapter)