Famous Among Top Surgeons in the 90s-Chapter 1844: Get Hands-On Quickly
In China, for a long period, both doctors and patients regarded cervical diseases with great attention and fear. This was because, during that era, cervical cancer remained highly prevalent with poor prognosis, causing people to react to cervical issues as though hearing about hepatitis, believing most would turn into cancer, hence avoiding the mention was best.
The most common cervical symptom frequently heard about is cervical erosion.
Understanding cervical erosion underwent an extensive period of medical research before being correctly recognized as a physiological phenomenon known as ectropion, rather than a disease. The colloquial term cervical erosion needs to be differentiated to identify whether it is pathological or physiological.
To distinguish, it’s not just doctors but many female patients who know that a cervical smear is the simplest and quickest method to determine if it is physiological, inflammation, or cancer. In the past, hearing it was inflammation would still be terrifying, thinking it would gradually turn into cancer. However, subsequent studies showed that the crucial factor in developing cervical cancer is not inflammatory stimulation but the need for high-risk HPV infection.
Only through relentless medical research to trace and root out the cause can patients truly be cured, avoiding excessive and inappropriate medical care. Today’s patient has chronic cervicitis and cervical polyps, with increased discharge and itching severely affecting normal work and life, hence the doctor performed laser treatment. It should be noted that acute cervicitis and cervical cancer are unsuitable for this treatment.
Laser and the Electrosurgical Unit can be compared, with minor differences, as both use high thermal energy to debride necrotic tissue from the surgical area, allowing scab formation and new human tissue growth coverage. The principles are nearly identical, and the doctor’s technique is similarly aligned. However, lasers are particularly adept at reaching deeper human tissue and require more meticulous operation.
Like other sterile procedures, the surgeon wears a cap and disposable surgical gown, then sterile gloves. The speculum is used to open the patient’s vagina, exposing the surgical area. As with general surgeries, the doctor performs a visual inspection to verify that the pre-operative condition is as expected, suited for the operation, before commencing surgery. During observation, the mucus in the patient’s vagina and on the cervix is wiped away and then disinfected. The disinfection uses standard surgical chlorhexidine disinfectant, covering the cervix and vagina. Excess disinfectant is wiped off with dry cotton balls.
As a student, Xie Wanying stood to the back left, carefully observing the teacher’s every move.
Doctor Zuoliang is Teacher Du’s prized student, sharing the same steady approach as Teacher Du, combined with the gentleness and meticulousness of a gynecologist. 𝗳𝚛𝚎𝚎𝘄𝕖𝕓𝕟𝕠𝚟𝚎𝕝.𝗰𝕠𝐦
While operating, Zuo Liang provided the students with a live explanation: "I think you can try it out later. After all, you’ve been on the operating table as Chief Surgeon, so handling a scalpel shouldn’t be a problem."
In the teacher’s eyes, such minor surgery is a small case, far less daunting than major surgeries in the operating room. An acclaimed surgical medical student is expected to observe and quickly get the hang of it. The rationale is that many clinical doctors cannot fully learn new techniques during the internship period but must learn and start practicing in the department. Medical students after graduation enter the hospital to work, and like graduates from other sectors, they need to adapt to new positions swiftly upon joining the workforce.
