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"The three wound surfaces aren't very large, once today's work is done, everything will be neat and tidy."

Liu Banxia said after carefully observing.

"However, to perform such a surgery, intracavity suturing skills must be proficient. Otherwise, it's easy to create many complications. Originally meant to minimize the patient's suffering, but it could end up causing more."

"There's no secret to mastering these techniques, it requires hard practice. Although your suturing skills are okay, there's still a lot of room for improvement."

As Liu Banxia was speaking, he inserted an absorbable suture, anchored the tail end, and began to suture directly.

If Liu Banxia's use of the needle-shaped electrocautery and curved ultrasonic knife had already impressed Guan Wei, then Liu Banxia's suturing now left him in awe.

The only evaluation he could give was "a pleasure to watch."

The specially made clamps and needle holders moved back and forth with ease. With such coordination, the most distal wound in the less optimal surgical field was sutured in a few moves. After withdrawing, he began preparing the second thread.

"I can see why they say he's fast at surgery, these hands are incredibly swift. It'd be great if I could borrow them," Guan Wei said enviously.

"Actually, there's nothing much to it, just frequent practice. Choose chopsticks that are as thin as possible, and pick up small objects. Or do some knot-tying exercises, and gradually you'll improve," Liu Banxia said, smiling.

"Don't be fooled by Brother Guan's praise, I still have a few things to say. For intracavity suturing, we use a single-layer suture, because the wound isn't large, making it easy to handle."

"If we encounter a tumor with a large basal infiltration, a single-layer suture might be unreliable, and we need to consider other approaches."

"There's no fixed standard for this; it still depends on your suturing technique. Too tight isn't good, too loose isn't good either. Too tight can affect healing and cause ischemic necrosis, too loose can cause anastomotic leakage."

"This complication is actually the most common in gastrointestinal surgeries. Many patients find it difficult to preserve the anus due to such situations arising."

"It all depends on personal technique; don't underestimate or overestimate yourself. Even if complications are allowable, if they occur, we should ask ourselves if there was negligence in our operation."

"All right, the second wound is sutured, now on to the final one. I wanted to let you try, but this is my first TEM tumor excision, so no play for you guys."

"I thought my suturing skills were not far from Teacher Liu's, but actually, I've just climbed a small hill," Liu Yiqing said, a bit frustrated.

"Well, it's not just you guys, I'm no match either. The suturing was too fast, it was like flying the needle," Guan Wei added.

"You're praising me again. Have I joined a praise group or what? No need to praise so much," Liu Banxia said.

"In my understanding, saving time in surgery isn't a big deal. We just need to master the basic operations, and during the actual practice, everything will be completed unconsciously."

"Otherwise, why do I always make you practice intestinal sutures? A large proportion of the patients we admit in emergencies are with acute abdominal pain and trauma."

"Gastrointestinal surgeries also take up a large proportion in the operating theater. When we're performing surgeries, we're not just thinking of saving lives, but also resolving all the patient's issues in one go and reducing complications."

"Anyway, go find out. Hospitals with low complication rates have great reputations. As for those with high complication rates? That's hard to say, at least their reputation won't be as good."

"Keep it up, there's a long way ahead, and we can only improve together. Okay, suturing is complete, no bleeding points were seen, time to wrap up."

Guan Wei didn't know how to evaluate Liu Banxia anymore, the suturing speed for the three wounds was progressively faster. The most critical point was that during each suture, Liu Banxia's mouth never stopped moving.

This is also a skill, performing such high-difficulty suturing with an air of casual ease is quite formidable.

This isn't suturing the skin on the outside, it's intracavity suturing, limited by position and space, as well as requiring coordination of both hands.

Even a slight speed improvement is a remarkable achievement, but Liu Banxia managed to outpace himself by so much.

He was somewhat hit by it, realizing how formidable Liu Banxia is, and did not expect him to be this formidable.

Ding! Surgery task completed

Gained 300 experience points, 500 points proficiency in suturing skills, 200 points proficiency in dressing skills, Glory Points +2

This task is rated as perfect, gained 500 experience points, 700 points proficiency in suturing skills, 400 points proficiency in dressing skills, Glory Points 10 + 5 points

Ding! Advanced Task: Respected Surgeon (3/5)

After Liu Banxia finished handling everything, the system flashed a prompt.

"Ultimately, the key point of this surgery lies in the operation," Liu Banxia said while waiting for the patient to wake up.

"Even with endoscopic suturing, we complete the task using instruments. It's not just about having dexterous hands; you also need to develop an instinct for handling these instruments."

"It's actually like driving a car. Often when we encounter danger, our bodies instinctively react, reducing harm."

"Some people can't do it because their skills are not proficient. When something happens, they panic and mistake the gas pedal for the brake. A minor issue can turn into a major accident."

"Additionally, we can't just pursue novel surgical techniques without considering the patient comprehensively. The most crucial point is to prioritize the patient."

Xu Yino and the others nodded in agreement. It's rare to see someone like Liu Banxia give such patient advice. This kind of instruction usually happens when they first start their internship, so they were glad to benefit from having the four interns around this time.

They didn't consider Liu Banxia's advice as nagging because they knew that if Liu Banxia emphasized something repeatedly, it was critical knowledge.

Liu Banxia rarely spoke nonsense, except when joking. If he talked about something, it meant it was a summary of his personal experience.

At this moment, the patient woke up.

"The surgery was very successful, and the specimen has been sent for analysis. Based on my experience, it's an endometriotic tumor, so there's no issue," Liu Banxia said to the patient.

"There's still some effect from the anesthesia. Rest well, and we'll take you directly to the ward. Don't worry, just knowing that everything went smoothly and the surgery was successful."

The patient nodded slightly with some difficulty.

"Alright, Xu Yino, take the patient back to the ward. This is your reward," Liu Banxia said.

Xu Yino nodded happily and led the interns to push the patient out.

"I really don't know how to evaluate Banxia now. This surgery should at least be a level four, right? The operation time was under forty minutes," Li Liwei said.

"If it were me, it would take over an hour and a half," Guan Wei said.

"What are you guys up to? Didn't I say I was treating you to lunch?" Liu Banxia said helplessly.

"This isn't just about lunch, Banxia. I'm serious. Even if Director Jiang performed this surgery, he might not be able to finish it in under an hour," Guan Wei said.

"Your hands are incredibly fast. Especially during the suturing, three incisions were stitched consecutively, and one of the areas didn't even have a good surgical view, making it awkward to operate."

"You may not have the best suturing skills in our hospital, as there are plenty of specialists in neurosurgery. But I dare say, you're definitely the fastest at suturing."

"And your seamless tumor removal was really impressive to watch. I'll take a copy of the surgery video back to motivate Director Jiang."

"Hahaha, you're such a troublemaker," Liu Banxia laughed.

"Learned it from you. This surgery was immensely educational," Guan Wei said emotionally.

"In the future, take it easy and don't take away too many of our patients. TEM used to be our forte, but you've mastered it so well."

"Brother Guan, to be honest, it's because this patient only required local resection. If it were a full-thickness resection, I wouldn't be able to manage as smoothly," Liu Banxia said.

"Bit by bit, I'm still learning. Let us borrow the machine for more practice, see how fascinated the kids are."

Guan Wei gave him a sidelong glance, thinking, how can a beginner handle this so well? I've performed several TEM surgeries myself, and I still can't reach this level.

Only those who've really performed the procedures know how high the difficulty level is.

Back at the emergency center, the six little ones and the interns gathered together, chattering about today's surgery.

"Extra question, what are the benefits and drawbacks of this surgery for the patient?" Liu Banxia asked as he joined them.

"Uh... are there any drawbacks?" Xu Yino asked, surprised.

"Silly, endometriotic tumor, the recurrence rate is quite high. So when the patient recovers, explain to her that she should marry and have children as soon as possible. If it recurs elsewhere in the future, it could potentially turn malignant," Liu Banxia said.

"So, you aren't thinking comprehensively enough. You can't just solve the current problem and not consider the future. Keep working hard, okay?"

"Don't work too hard yet. The director is calling for you," Shi Lei came over.

"Alright, I'll head over," Liu Banxia said, and dashed off to Zhou Shuwen's office.

The interns were left feeling helpless. Where did his previous authority go? Now he's turned into this.