"I will do my best to perform this operation. You can sit back, rest, and read the newspaper."
Li Jingsheng accepted the stack of money and put it in his pocket.
When the old lady saw that he had accepted the money, her originally nervous expression obviously softened a lot.
However, she did not sit on the sofa to rest. Instead, she insisted on standing at the door and waiting for her husband to finish the operation.
Li Jingsheng ignored her and entered the treatment room. After closing the door, he began to strictly implement aseptic procedures according to the seven-step hand washing method.
He must also thank the nurses in the operating room who were always harsh on him and forced him to keep all the key points of aseptic procedures in mind and not dare to be careless.
After washing and drying his hands, he checked the glove number and expiration date, then opened the glove bag, took talcum powder and applied it to his hands, avoiding the sterile area... These sterile gowns and gloves for surgery were purchased by Li Jingsheng when he opened his clinic. of.
At that time, I was very ambitious and wanted to do something big.
As a result, it has been more than nine months since I opened the clinic, and I just officially received a minor surgery today.
"Can't you tell, you are very strict and standardized in surgical aseptic procedures!" Tang Ping praised him with a smile.
At this moment, Tang Ping has to serve as both a device nurse and a traveling nurse for Li Jingsheng, holding multiple hats in one person.
She is a professional nurse who has worked in a large hospital, and her professional level is extremely high.
This is not the first time that she has acted as a device nurse for Li Jingsheng, but in the past, she had been suturing wounds and the like. This time it was a real operation.
Most of her pretty face was covered by a mask, and she wore a nurse's sterile protective cap on her head.
On the contrary, she looks like a beautiful woman with her face half-hidden, and the secret fragrance of ecstasy is gnawing at her bones, which makes her even more beautiful.
"I thought you were the only one who had experience in a large hospital! Boss, I also worked in a large hospital for many years, okay? Can you help me put on the sterile surgical gown?"
Li Jingsheng didn't dare to waste it.
Just one small mistake in wearing a sterile gown can render the suit useless.
When wearing a sterile isolation gown, face yourself cleanly. You can only lift the collar. If you touch other parts of the gown, the gown will no longer be usable.
When Li Jingsheng put it on, his whole movements were very standardized and smooth, which made Tang Xuan look at him with admiration again.
Mainly let her help with tying.
"alright!"
She looked at Li Jingsheng with a strange look, and then stood in the position of the equipment nurse.
All the necessary instruments, sutures, medicines, hemostatic gauze, hemostatic cotton and other items required for the operation have been prepared.
Li Jingsheng was also worried that she would mess up, as the small clinic's original equipment was also rudimentary.
After scanning his eyes, he couldn't help but sincerely praise, "Everything needed on the operating table is placed in a very good manner, and all the instruments and consumables are available. And you only need a very short time to use it, so that's ok!"
"Haha! Will you make a lot of money by hiring me as a nurse? I know a lot more!"
Tang Ping raised her fair and slender neck with some pride.
This is the first time Li Jingsheng has seen her show such a wild smile in the nine months she has been working in the clinic. The eyebrows and eyes are curved, and the mouth and nose covered by the mask are probably showing an extremely exaggerated proud smile.
Seeing her performance, Li Jingsheng couldn't help but gain a little more understanding of her past.
If she guessed correctly, she probably worked as an operating nurse in an operating room before.
Operating room nurses in large hospitals are basically the most handsome of all the nurses in the department. It doesn't matter which department it is, this is basically a default unspoken rule.
No wonder she is so beautiful.
With such excellent professional skills, why was she fired from the hospital?
Li Jingsheng couldn't help but be more curious about her past.
"It's okay. I can slowly explore your other talents in the future. Now let's do the surgery together!"
After speaking, he began to perform secondary disinfection around the patient's pustule and the line area.
Before injecting local anesthesia, he did a skin test on the patient just to be on the safe side.
There is no way, a small family and a small business really cannot afford an accident.
Every step must be taken with caution and always on thin ice.
His mind began to seriously recall human anatomy.
After confirming the location of the drawn incision again, there were no major blood vessels or important nerves within 3cm. Then he took the anesthetic prepared by Tang Ping and began to inject superficial injections into the patient.
Because it is a local anesthetic, it is usually injected intramuscularly at multiple points when the surgical area is large.
The technical content of this kind of anesthesia is very low. If it is brachial plexus anesthesia, the risk factor is much higher. The technical content will also be higher.
For local infiltration anesthesia, lidocaine is often used, and the concentration of 0.25% is sufficient.
Tang Ping chose the anesthetic, and Li Jingsheng did not interfere.
However, when doing skin tests on patients, he had already used proficient-level drug efficacy and drug metabolism to check.
Make sure it is safe and effective before you dare to use it.
After about thirty seconds, Li Jingsheng began to test the effect of the anesthetic.
"Old man, does it hurt?"
"It's a little numb, but not painful."
"Okay, just lie down and don't move. Just relax. It's just a small operation. It will be fine soon."
Li Jingsheng comforted the patient.
"Scalpel!"
"Give!"
Tang Ping had already prepared it. When she handed it to him, she moved professionally, with the blade facing herself, the handle facing Li Jingsheng, and patted his hand.
details make a difference.
Both of them did a good job in the details of the operation, and the operation was basically half successful.
Next, it depends on Li Jingsheng's skills and performance.
Holding the scalpel in his right hand, the skilled skin incision method felt like he had practiced it thousands of times. Cut vertically into the epidermis very confidently, and then follow the drawn line all the way to the end.
Depth, strength, angle, every detail must be worked hard to do well.
Blood instantly overflowed from the scratched wound.
This is just a slight bleeding caused by the capillaries being scratched. Hold the clamp with your left hand and hold the hemostatic gauze to clean the bleeding.
Then put down the clamp, hold the cortex on both sides of the incision with your left hand, and tighten it hard.
Continue cutting through the second layer, which is the fat layer.
I feel that the strength and depth of the first cut are still not quite right. Some places cut deeply and some places cut shallow.
Fortunately, there was no serpentine movement, nor was there multiple cuts in one wound.
After all, it is a skilled skin incision method, and it is impossible to make many stupid mistakes made by novices.
He constantly summed up his experience and tried to make some repairs with the second blow.
Learn lessons and improve on what you didn’t do well.
I felt very nervous when I made the first cut, and my hands were trembling slightly.
After the second cut, I felt much calmer.
…
"I saw Dou Dao!"
Li Jingsheng took a deep breath to suppress the strong excitement in his heart.
It's not very deep, just under the fat layer, and some of it is even inside the fat layer. Another part is located in the muscle layer.
A long line that was obviously a little black and blue, about 7cm in total length, very thin.
At this moment, he simply couldn't cut off the sinus tract completely.
Because his surgical separation technique has not even reached the entry level.
But this does not prevent him from using other methods to solve the problem.
He planned to use skilled superficial debridement to clean up the sinus tract.
Before taking action, Li Jingsheng stared at the exposed sinus and looked carefully.
The location is not deep and is mainly surrounded by fat layer.
No major blood vessels or nerves were found.
Can we be bolder and try the separation technique?
Dissection is divided into sharp dissection and blunt dissection.
What we need to use at this moment is definitely sharp separation, so we will only talk about the sharp separation method.
