"good."
Li Jingsheng was very straightforward and went directly to the stage to take over the job.
This kind of practical training opportunity is extremely rare and is of great benefit to improving medical skills, surgical experience, and tempering courage and character.
Doctor Qin and Ruan Xiaoqin, the two 'Heng Ha Second Generals', could only look on with envy.
Surgery requires real skills. Without that skill, no matter how powerful your flattery skills are, it will be useless.
If Chinese medicine doesn't read the twelve meridians, it would be wrong to start doing it.
The level of surgery in Western medicine is not that good, and people will die if they do it.
It may be an exaggeration to say this, but without that technical level, it is inevitable that the operation will be messed up.
There is no senior doctor whose brain is so burned that he dares to let an incompetent young doctor operate on a patient.
Ganglion cysts are not a common disease.
It commonly occurs in the scaphoid, lunate, triquetrum, and skull, especially in the metaphysis of long bones.
The location of the tumor in this female patient is on the palm side, which is quite rare.
Under normal circumstances, intracarpal ganglion cysts are mostly found on the back of the hand.
The anatomical structure of the ligaments on the dorsum of the wrist is not complex, and the carpal bones are superficial, so the dorsal approach to the wrist is the first choice. This patient's tumor had a special location, so Professor Wu chose the volar approach.
At this point, the volar joint capsule can be seen after retracting the neuromuscular tendons.
Locate the scapholunate space, and then incise the joint capsule here. The mass located in the scapholunate joint also reveals its true face.
The cyst is not large and the wall looks very thin.
What Li Jingsheng has to do now is to remove the cyst completely.
Although it is a technical job, in Li Jingsheng's opinion, it is not difficult. A proficient-level separation technique is completely sufficient.
Professor Wu may have had a psychological shadow due to the separation failure in the previous operation. He was worried about making a fool of himself in front of his doctors again, so he simply gave this job to Li Jingsheng.
Without any effort, the cyst was successfully removed by Li Jingsheng.
Complete and complete.
Sharp separation proficiency +1, HP +101.
Good guy, I actually rewarded him with 100 health points.
This hundred points of health should be the easiest thing to earn.
It should be related to the intraosseous cyst in his first joint separation.
Earning so many life points at once made him feel happy. The health points that were originally used up to only fifty-nine points suddenly increased to 160.
"Oh, it turns out there is some transparent jelly liquid inside!"
An intern made a fuss and looked curiously at the swollen cyst on the plate.
"It's not like you've never had this kind of surgery before. Don't act like you've never seen the world and make people laugh."
Professor Wu glared at him dissatisfied.
The intern was so frightened that he fell silent.
"Dr. Li, thank you for your hard work. Please watch and learn the next steps of the operation!"
After Professor Wu took over, he took the micro hand drill and started polishing the cyst wall. It is not until fresh cancellous bone is exposed that bone grafting begins to be filled inside.
This is the first time Li Jingsheng has seen bone grafting.
Much simpler than imagined.
The entire operation process is not complicated.
He secretly kept the key points of each step in mind. However, this kind of memory generally does not last long and will be quickly forgotten or confused.
For doctors to truly retain deep memories, they must do it themselves.
The teaching procedures in large hospitals are basically to let novice doctors observe and learn first. After watching them several times, the superior doctors will give them some simple tasks to practice. Then slowly increase the difficulty of the task until the entire surgical process and technical points are learned.
"Okay, Dr. Ruan, let's repair the incised ligaments and joint capsule!"
After Professor Wu completed the high-risk steps of the operation, he left the finishing work to his doctors.
"no problem."
Ruan Xiaoqin has been waiting for a long time.
Take over the finishing work immediately.
Doctor Qin looked at it with envy. After all, he is the No. 3 person in the second group, and he will soon be promoted to the person in charge. He can't accompany the two surgeries tonight, right?
You have to get some benefits!
"Professor Wu, can you let me suture the wound?"
Doctor Qin was really worried when he saw that Li Jingsheng was so awesome.
"OK!"
Professor Wu must have vigorously cultivated the only two generals under his command.
Dr. Qin, who successfully got a skin suturing task, was immediately overjoyed.
Just wait for a while to perform well.
Ruan Xiaoqin has already begun to repair the patient's incised ligament.
I thought that this flatterer had no real skills, but I didn't expect that Ruan Xiaoqin's suturing skills were quite good when he sutured the patient's ligaments. He uses continuous sutures.
This suturing method has many advantages. It can make the wound perfectly aligned and has a hemostatic effect.
The sewing speed is fast, saving stitches and time, and there are fewer knots.
It can also reduce foreign body irritation.
It is often used for internal suturing.
I saw that Ruan Xiaoqin's movements were skillful, the suturing process was quite smooth, the sutures were neat, and the ligaments were tightly attached.
This level has reached the mastery level.
You really can’t underestimate anyone.
In the last surgery, Professor Wu also said that Ruan Xiaoqin's suturing was a weakness, but now it seems that what is the weakness?
It's obviously very strong!
However, there are many techniques for suturing, and it is possible that Ruan Xiaoqin is better at continuous suturing. It is also possible that interrupted suturing and other advanced suturing techniques are relatively rubbish.
After sewing the ligament, just tie a knot to secure it.
At this time, Ruan Xiaoqin was seen clumsily operating the tweezers, seemingly biting his cheek. You can see the bulge even through the mask.
Could it be that... his knotting is not good enough?
In order to practice their surgical skills, many doctors use toothpicks while eating, pick beans with tweezers, or practice suturing with grapes and intestines, etc.
Knot tying should be a basic skill that is easier to practice.
Unlike suturing, sometimes in order to simulate the feel of human skin as much as possible, pig skin must be used for practice.
If you are just a beginner in tying knots, you can practice with any piece of cloth.
For more advanced ones, props such as tofu and sponges will be used.
Ruan Xiaoqin finally tied a square knot after a lot of effort.
It was this knot that ruined all his previous efforts.
Because the knot was not tied properly, the sutures became loose, and the originally sewn ligament split again with a thin slit.
With a flash of redness on his face, the stitches were cut and re-stitched.
If he had mastered the slip knot, there would be no need to cut the stitched thread at this point.
Li Jingsheng's current knot-tying skills are not very good, only proficient level, equivalent to the level of a senior resident doctor.
Unexpectedly, Ruan Xiaoqin was already a doctor, but the knot was still so unbearable.
Let alone the proficient level, looking at this clumsiness, I'm afraid it's enough for the entry level.
Proper standard of standardized training.
This can really ruin a life.
"Why don't you get a basin of water when you get home, put a sponge in the water, and then practice more knotting techniques on the sponge?" Professor Wu scolded him in a tone that said he hated iron.
"I've practiced, but my hands don't work very well. I will practice hard when I get home."
Ruan Xiaoqin's face was dull after being laughed at by so many people.
He sulked and re-sutured the ligaments again, this time tying the knots more carefully.
It's just that if you don't have good skills, no matter how careful you are, it won't be of much use.
If you should screw up, you will screw up.
"Let Dr. Li tie a knot for you! Otherwise, you'll mess it up again later. The sutures can't be so bad."
What Professor Wu was distressed about was probably not the sutures, but the impatient waiting.
He looked up at the clock on the wall from time to time, obviously something was urgent.
I was working overtime today, and it was already close to nine o'clock in the evening after two surgeries.
This is a bit interesting. Professor Wu didn't do it himself but asked Li Jingsheng to help.
It's just that his own suturing skills are not very good. After he finishes scolding the doctors under his command, he comes on the scene to make a joke. Where can he put his old face?
Let Li Jingsheng save the situation, and he would at least have a way out.
When Li Jingsheng received a knotting job on the spot, he did not refuse.
Instead, he silently upgraded Fang Jie from proficiency level to proficiency level, spending a total of 85 health points.
This time, he has proficient square knot skills. Not to mention ligament suturing and knotting, he is also fully capable of tying blood vessel anastomoses.
"I'm not good at tying either, but I happened to have been practicing tying square knots with tweezers for a while. Just don't blame me if you mess up."
Those who should be humble should be humble.
Li Jingsheng said politely, took it over, and helped Dr. Ruan complete the final knotting.
His square knot is now at the proficiency level, which cannot be said to be very good, but it is obviously more than one level higher than Dr. Ruan.
It was done easily and took less than a second.
And the knot is very strong and closely fits the surface of the ligament.
In the eyes of this group of doctors with poor surgical skills, the square knot he tied was already perfect.
"Square knot proficiency +1, health +101."
Looking at the skyrocketing health value on the attribute panel, he felt as if a big pie had fallen from the sky.
After thinking about it for a moment, I understood what was going on.
Tying this square knot can only gain 1 health point, but this is the first time for him to repair the ligament.
It may be that this gives him the 100 health bonus.
His health points had just been spent at 85 points, leaving only 75 points at the end of the day, and now it had risen back to 176 points in an instant.
The operating room is simply his paradise. Earning health points in there is like picking up money.
There is no easiest, only easier.
I separated an intraosseous cyst and earned 101. Now I tied a knot in the ligament, and I actually earned 101 as well.
Why isn't this collecting health points?
Moreover, without realizing it, several of his surgical skills have been upgraded to the proficient level.
This progress is faster than riding a rocket.
As more and more of his surgical skills reach the proficiency level, the number of jobs he can earn will continue to increase. At that time, the speed of earning life points will probably be further accelerated.
This is completely a virtuous circle!
I used to think that the speed of earning health points by staying in the manual reduction clinic was exaggerated enough, but I didn't expect that it would be even more exaggerated after entering the operating room.
I made a lot of money tonight.
"Well, Dr. Li's knot-tying skills are really good. You all should learn from him."
Professor Wu’s own knot-tying skills are average, and he can’t even comment on anything too advanced.
Where is the best way to tie this knot?
What details have been done well?
He couldn't tell you all these things.
As a leader, you don't need to know everything in detail. A good word will suffice.
"Dr. Ruan, don't be stunned, continue. Take the time to complete the operation."
Professor Wu urged.
Ruan Xiaoqin sped up.
After the joint capsule is incised, some may not require repair.
Especially the hip joint capsule.
At present, even in top tertiary hospitals, patients are basically not sutured for repair after hip capsulotomy surgery.
In addition to Ruan Xiaoqin's poor knotting skills, his suturing skills should only be divided into two types: interrupted suturing and continuous suturing.
This is just Li Jingsheng's initial understanding of him.
After repairing the incised ligaments and joint capsule, all that's left is to suture the cortex.
Dr. Qin has been eyeing this job for eight hundred years.
At this moment, he took it over without mercy.
Ruan Xiaoqin gave up his position happily. After all, suturing was not his strong point, so he could avoid making a fool of himself by letting Dr. Qin do it.
Although doctors like to grab practice opportunities, it does not mean that they grab every practice opportunity.
When encountering something that you are not good at, you will instinctively use your strengths and avoid weaknesses.
"Xiao Qin, what kind of suture are you going to do?"
When Professor Wu asked, he looked up at the clock again.
"Is it okay to have interrupted suturing?"
Doctor Qin replied.
"Interrupted suturing works, but it's too slow."
Professor Wu vetoed it.
The wound is sutured on the palm side, which is not an easy angle to suture.
Using interrupted suturing, with Qin Fei's suturing skills, if he could sew it in half an hour, it would be considered a high price.
"Then...is it okay to sew continuously? This is faster."
"Definitely not. If you use this suture on the palm of your hand, the wound will not be stable, and it will easily form ugly scars. The patient is so young and female, so there is no discussion about giving us a negative review at that time."
Professor Wu vetoed again.
"Then I'm afraid only intradermal suturing is left. But my skills are not very good, and I'm a little worried about screwing up." Dr. Qin thinks that his suturing ability is relatively strong, at least compared with the interns and residents present. The one who is the best.
It's just that intradermal suturing is difficult to learn and improve. Although he practices very hard, his level is still not good.
Seeing that Dr. Qin was not up to the task of suturing, and Dr. Ruan was also not up to it, Professor Wu felt for a moment that there was no one available to him.
Thinking of Li Jingsheng's suturing performance, he was very good.
The square knot I tied just now is even more eye-catching, a perfect master's level.
"Dr. Li, how are your intradermal suturing skills?"
If Li Jingsheng still can't do it, Professor Wu may have no choice but to "show his ugly face" again.
At that time, Professor Wu will let everyone see his three-legged cat's intradermal suturing technology.
"My intradermal suturing skills can't be said to be excellent, but I should have no problem dealing with this wound."
Li Jingsheng replied confidently.
"It's up to you. Hurry up and start suturing the patient. Then everyone should get off work early."
Professor Wu mobilized his troops on the spot and once again captured Li Jingsheng and used him as an effective member of the team.
He was thinking that next time he had an operation, if there was a chance, it would be best to call the boy named Li. At that time, it will be a free 'helpful helper'.
"Dr. Qin, I'm so sorry. I'm afraid you will have to find an opportunity to exercise next time."
Li Jingsheng said with a smile.
"Hmph, don't be complacent. Isn't it just intracutaneous suturing? If I practice hard for a while, I will definitely be able to surpass you."
Dr. Qin's family has money and can spend a lot of money on pig skins.
But he seemed to have forgotten one thing.
He is now working as a general hospital resident, so he probably doesn't have much time to go home. There is even less time to practice surgical skills.
Li Jingsheng didn't play tricks with him and spoke directly with his strength.
After taking over, the patient's wound was first debrided to a certain extent.
His body surface debridement technique has reached a proficient level, and certain modifications to the patient's wounds can make the suturing effect better.
Professor Wu looked on with a slight fever on his face.
The incision was made by him. Not to say it was excellent, but at least it was of a satisfactory level.
But after Li Jingsheng's debridement, his wounds were obviously better looking and neater.
Although his level is not good, he still has some good eyesight.
"Give me the electrocoagulation knife."
Li Jingsheng saw that a capillary was broken during the debridement process and was bleeding out.
Just in time, I took this opportunity to practice electrocoagulation to stop bleeding.
With his previous skills revealed, no one doubted his surgical skills.
Ruan Xiaoqin handed him the electrocoagulation knife naturally.
After taking it, apply it to the bleeding location.
laugh!
White smoke came out.
The shot was a bit heavy, and I didn't know the strength, angle, or position well.
The bleeding finally stopped.
Ruan Xiaoqin suddenly had a smile in his eyes when he saw that his level of electrocoagulation and hemostasis was so rubbish.
People are like this. When they see a particularly good opponent, they will always try to find some flaws in the opponent and regain some psychological balance.
Professor Wu's eyes flickered, but he didn't say anything.
No one is perfect.
It is normal for Li Jingsheng to have one or two surgical shortcomings at such a young age.
Doctor Qin smiled happily and felt relieved. What he likes most is seeing Li Jingsheng deflated.
"Doctor Li needs to practice his electrocoagulation to stop bleeding! Fortunately, it's superficial capillaries. If it were the thoracic and abdominal organs, an accident would happen if you did this."
Doctor Qin did not miss this opportunity to attack his love rival.
To directly point it out in public is tantamount to pouring a basin of manure over Li Jingsheng's head.
Li Jingsheng has used electrocoagulation knife before, but he has never practiced it on patients.
No senior doctor dared to let him get started.
Now he tried it, and although the performance was not good, his gains were huge.
Trying to check the properties panel, a smile suddenly appeared in his eyes.
It only took one use to achieve the entry-level level of electrocoagulation and hemostasis. Apart from him, I am afraid there is no other person.
I originally thought that this time I had some money, so I would buy an electrocoagulation knife and go back to the clinic, and then buy white rats and rabbits to go back to the clinic to practice electrocoagulation hemostasis, vascular anastomosis and other techniques.
It seems that there is no need to be so troublesome.
Now the electrocoagulation hemostasis has reached the entry-level level, even if you just touch the edge, that is enough.
Being able to learn electrocoagulation and hemostasis so quickly may be related to the fact that he has mastered two hemostatic skills and systematically learned the knowledge and operating points of electrocoagulation and hemostasis before this.
No nonsense, decisively spend 100 health points to directly upgrade electrocoagulation to stop bleeding from entry level to master level.
This means that the level of electrocoagulation and hemostasis has risen directly from the level of a junior resident to the level of a junior attending.
This level is already quite impressive.
Many weaker deputy chief physicians may only be able to perform at this level.
(End of chapter)
