I have to give Director Hua some face!
He also knew that the Department of Orthopedic Surgery wanted to increase its efforts in cultivating outstanding young doctors. Everyone is well aware of some interests and needs, as long as we can ensure that no major accidents occur. Basically, they all hold acquiescence.
Some department directors even take great risks to ask their trainees to perform some high-risk operations in order to train young doctors and enhance the strength of the department.
Things that directly led to the death of patients also happened.
Li Jingsheng looked very professional in wearing gloves and an isolation gown. After all, he had received devilish training from the traveling teacher.
All eyes were fixed on him.
After he came on stage, he calmly observed the patient's severed limb.
"The bones have been chopped into pieces. We need to debridement first and then replant the severed limb."
Strictly speaking, it is not completely disconnected. About two-fifths of the cortex is connected to muscles and other tissues.
It looked like he had been cut three to four times.
It's just that the murderer's technique was not very accurate. Two of his cuts were missed and did not hit the spot where the first cut was.
It is estimated that the injured person wanted to die at that time.
There is no such way to chop pig's trotters!
Four knives failed to cut off his legs, so you can imagine how painful it was.
But this is also the case. If you didn't bully other people's wives and weren't so arrogant, how could this happen?
The murderer was being very polite by not wiping him outright.
"As long as you are sure of it, you can do it directly."
Director Hua gave him a great authorization.
Director Bi next to me heard that he was very anxious and almost stomped his feet.
If he had known better, he should not have spoken out about this man's evil deeds. Director Hua clearly regarded this patient as a 'guinea pig' for the young doctor to practice his skills on.
Li Jingsheng doesn't care what Director Bi thinks, as long as Director Hua speaks.
The instrument nurse was assigned by the General Surgery Department. She looked quite young, with curved eyebrows and charming eyes. Her appearance should not be much different.
It is difficult to find female nurses with poor looks in the operating room.
Although this equipment nurse looks very beautiful, if she takes off her mask and stands next to Ou Qinglan, she may feel inferior.
Ou Qinglan's figure and appearance are one-in-a-million, so she is favored by the Creator.
"knife!"
Li Jingsheng said to the equipment nurse.
To his surprise, what was handed to him was not the traditional scalpel he used in a small clinic or orthopedic surgery, but a connected ultrasonic water jet.
Li Jingsheng knew the goods well. This was the Haizhuo knife, a sacred tool for clearing wounds.
Not only can it help doctors successfully complete surgical debridement, but it also has the function of recovering debris and blood. It will be sucked away directly using negative pressure.
His current level of debridement is at the proficient level, which is still a little behind Xiao Cheng.
Originally, I was still considering whether to temporarily upgrade it to one liter, at least to the Xiaocheng level.
Now I have changed my mind.
I tried it with the Haizhuo knife and it was very easy to use.
Much easier than using a traditional scalpel.
The experience brought by this high technology is really great, and it can greatly reduce the technical requirements of doctors.
The debridement level was originally at the proficiency level, but after using this knife, it feels like it should be close to the Dacheng level.
It’s unimaginable.
No wonder other departments are envious of General Surgery for having such a high-end operating room.
In fact, it cannot be said to be a general surgery operating room. All operating rooms in the hospital are unified resources of the hospital. But when used in the operating room, there must be a priority.
Urgent diseases and highly income-generating diseases will be prioritized.
Ordinary surgeries are generally arranged in ordinary operating rooms, and it is impossible to arrange them in laminar flow clean operating rooms.
The Second Hospital is a third-level hospital after all, and in Jiangli City, a city with a population of tens of millions, the number of patients is still considerable.
There must be a lot of major surgeries performed in one day.
Everyone wants to grab a good operating room, and if the distribution is uneven, there will be conflicts.
So the hospital leaders had no choice but to build another laminar flow clean operating room.
This is also standard in most tertiary hospitals.
In terms of hardware investment, the Second Hospital seems a bit stingy.
Its weak income-generating ability should also be an important reason.
If a hospital wants to develop, it is a dream to rely solely on financial allocations.
You must find ways to work hard to generate income.
Many hospital directors are on an annual salary basis, and the salary they receive is closely related to the development and revenue generation of the hospital.
For example, if the annual salary is 400,000 yuan, if the income is good and the development is good, double it and get 800,000 yuan.
In order to get a high income, the director must do everything possible for the development of the hospital.
After Li Jingsheng completed the debridement, the inspection was correct and asked Director Hua to check.
He had never completed such deep debridement before. Looking at the flat wound, it was so clean that it was just pleasing to the eye. It looks very comfortable.
High technology is really powerful.
And he felt that his debridement skills had improved greatly.
I checked it instinctively and saw that the surface debridement in the surgical skill column had changed.
It turned directly into debridement.
Proficiency is currently Mastery 317/500.
Increased proficiency by nearly 20 points.
Moreover, debridement has automatically evolved. In addition to completing the debridement of superficial skin, small blood vessels, and subcutaneous tissue, it can also complete the debridement of blood vessels, muscles, tendons, and bones.
This was also the first major evolution in his surgical skills.
It feels very novel.
I don’t know if it’s because debridement is special or something else.
This is a good thing.
If his several suturing skills can also evolve together, subsequent upgrades will become very convenient.
It always feels a bit complicated now.
After all, it didn't take long to obtain this attribute panel, less than three months.
There is still much to explore.
No wonder he just felt that his debridement ability had been greatly improved. At first, he thought it was brought about by the high-tech artifact of Hai Zhuo Dao.
It seems not.
It just served as a boost.
It helped Li Jingsheng gain a deeper understanding of debridement of blood vessels, tendons, and bones, and integrated it with body surface debridement.
In addition to the evolution of surface debridement, his health points also increased by more than 300 points.
Three hundred of them must have been obtained as rewards.
For the first time, deep debridement of large blood vessels, bones, and tendons was completed. Three first times, he received a 300-point health bonus.
At least that's what he thought.
"It's better to upgrade the debridement technique to another level!"
Li Jingsheng earned more than 300 health points at once, and he was not stingy.
Now the doctors and nurses in the general surgery department are watching.
Even though Director Bi didn't say anything, as long as he found something wrong with Li Jingsheng's operation, he would definitely stop it immediately.
No matter how valuable Director Hua's face is, it is not as important as the safety of the surgery.
183 health points were consumed on the spot, directly improving the debridement technique to a minor level.
He could feel that the level of debridement had once again improved significantly.
I have completely different feelings about the understanding of vascular debridement, the requirements for debridement of bones, tendons and other tissues, and the prognosis.
Now, he can have a rough prognosis in his mind just by looking at the wound.
Although it is not very accurate, this ability is something he did not have before.
Surgical prognosis is very important.
It can help doctors roughly infer what kind of effect the operation can achieve and what conditions will occur after the operation.
After all, it is a junior high level debridement level, which is equivalent to the ability of a senior attending physician. He has already vaguely touched some surgical abilities that only an associate senior can master.
He carefully inspected the debridement results just now.
It is obvious that the broken ends of the bones are not treated well, and it is easy to form deformed callus or even bone spurs.
Also, the large artery seems to have not been properly processed. It looks smooth, but it is not conducive to the anastomosis of the blood vessels.
"There are a few places that may need to be retouched! Teacher nurse, please give me the knife again."
Li Jingsheng quickly made amends without waiting for Director Hua to point it out.
Taking the Haizhuo Knife, he debrided several defective areas a second time.
Director Hua looked at it with admiration in his eyes.
Even Director Bi looked at it curiously and then nodded slightly.
"Well, the wound treatment is good!"
Director Hua used the word "good" to praise him.
It can also be seen that there should be some room for improvement in debridement.
In fact, once you reach the level of senior doctor, you will definitely not make any big mistakes. It's just some small flaws or details that haven't been handled properly.
"Hurry up and set the bones first! This is Director Hu's strong point. Jingsheng will be beside you to help complete it."
If the bone setting is only external fixation, Li Jingsheng is very good at it.
However, this kind of internal fixation may require a steel plate, and he still needs to learn more.
Hu Jia's surgical skills are very solid. After getting started, the entire bone setting process is extremely skillful. And he did not hesitate to give Li Jingsheng guidance.
As long as he understood it, all kinds of experiences, techniques, and key points of attention were taught to Li Jingsheng one by one.
After all, Ou Qinglan's level is a bit low, and her abilities are incomparable to these big guys. She is still too weak now.
She was only qualified to observe and learn these important high-risk operations.
Nearly half an hour later, the leg bones were joined.
During the reset, Li Jingsheng assisted from the side.
In terms of manual reduction, except Dr. Xu, no one can compare with Li Jingsheng.
"The part where the leg bone is broken will grow automatically, so it doesn't matter if there is a gap. Amputation and heightening surgery almost uses this principle. Now there is no problem with bone grafting. The key is whether the leg can survive. Whether the blood vessel anastomosis is successful. Just hurry up, Director Chen will complete the nerve anastomosis next to you, and you can also learn more."
Hu Jia took great care of Li Jingsheng.
Tips everywhere.
Orthopedic surgery is generally quite united.
Li Jingsheng was worried.
First, he quietly upgraded Fang Jie to Xiaocheng level.
Only then did a vein, neither large nor small, be selected for anastomosis.
Whether the motor function of the amputated limb can be restored depends on how well the leg bones, nerves, and tendons are connected. Whether he can survive depends mainly on his blood vessels.
Then again, the blood vessels are connected and the leg is alive, but the effect of the nerve anastomosis is not that good, or the bones do not grow properly, which may cause the patient to become disabled after surgery.
However, as long as the leg is restored, there is still a chance for a second surgery.
If it is not connected properly, the leg will have to be amputated to save life.
Therefore, vascular anastomosis is the top priority of this limb salvage surgery.
Li Jingsheng had already recalled the key points of vascular anastomosis many times in his mind.
Vascular anastomoses include end-to-end anastomosis, end-to-side anastomosis, and side-to-side anastomosis. It generally depends on the specific situation.
The current vascular anastomoses are basically end-to-end anastomoses.
He first checked the broken ends of the two blood vessels, which were flat and without damage.
I tested the length again and there was no problem.
Only then was all the air and blood stasis at both ends of the blood vessel drained out, and then the anastomosis began.
It's definitely a bit slow when you first start operating it.
Director Bi took the time to take a look and only frowned. Director Hua was slightly confused. Because Li Jingsheng's other surgical skills were very good, why did the anastomosis look so unfamiliar?
Little did he know that this young doctor was cheating!
Fortunately, Li Jingsheng's suturing skills are very good, especially the continuous suturing.
When the anastomosis reaches the final stage, the air inside is evacuated again, and then it is locked and knotted.
Fang Jie's Xiaocheng level helped him a lot at this moment, preventing him from making any mistakes at the last minute.
The knot is tied tightly to the blood vessel, is firm, and looks very neat.
Li Jingsheng completed the anastomosis of the blood vessel and looked at the properties panel with anticipation.
It made him very depressed. The anastomosis was successful, but the anastomosis technique still did not reach the entry-level level. Not shown.
This also made it impossible for him to upgrade the anastomosis.
"Jingsheng, don't be anxious, take your time. The vascular anastomosis just now is generally very good. It's just that when you first start inserting the needles, you have to choose a good position, and don't lock the previous stitches in a hurry..."
Director Hua pointed out some things that he needed to pay attention to.
Li Jingsheng nodded to express his understanding.
He selected another vein of similar size and performed the anastomosis.
This time I am obviously much more proficient, and I have made great progress in some areas where I made mistakes.
In the first anastomosis just now, the first few stitches were locked too tightly, which affected subsequent anastomosis.
This time he deliberately left a lot of leeway.
I'm actually a little worried that so many sutures will get knotted.
It took him nearly twelve or thirteen minutes to finally anastomose the second blood vessel.
Director Chen Anchen's anastomosis was almost over.
This time, Li Jingsheng felt that the harvest was greater.
Try viewing the properties again.
When he saw an additional anastomosis in the surgical skill column, he almost cried with excitement.
Looking forward to the stars, looking forward to the gods, finally it is here.
Moreover, he also found that the health value increased by more than 100, which seemed to be a successful match.
It was really not easy to successfully anastomose blood vessels for the first time.
This attribute panel does not reward him with any more health points.
After all, a five hundred award would be interesting enough.
However, being able to successfully reach the entry-level level of this surgical skill is his greatest achievement.
And it came just in time.
Because looking at Director Bi's extremely dissatisfied eyes and Director Hua's slightly disappointed eyes, Li Jingsheng had a premonition that he would not be given another chance to continue tossing.
He did not wait for Director Hua and Director Bi to stop, nor did he dare to untie the bandage above the patient's knee for a blood test.
Instead, he directly consumed one hundred health points to upgrade the anastomosis technique from beginner to master.
I want to be promoted to Xiaocheng, but I still lack more than a hundred health points.
After he became proficient in the anastomosis technique, he thought about the two blood vessels that had been anastomosed before, especially the first blood vessel, and he really wanted to beat himself up.
Such rubbish.
Before Director Hua stopped, he directly chose another blood vessel.
This time he still didn't dare to choose the big artery, because he had to let Director Hua see that his ability had improved before he touched that blood vessel.
Otherwise, it will 100% be stopped.
Skillfully eliminate air and blood stasis, and then quickly anastomose the blood vessel.
"Um?"
Director Hua's eyes couldn't help but light up.
Does this kid have explosive potential? This match looks like that! The improvement compared to the previous two times was not just a tiny bit, but an extremely exaggerated improvement.
Director Bi also looked like he had seen a ghost.
He even forgot to instruct his doctors on how to deal with the peritoneal mesocolon.
Instead, he stared closely at Li Jingsheng's movements.
This time it only took less than six minutes, and the vascular anastomosis was completed, and it looked quite tight.
"Great progress, keep going!"
Director Hua must have a grin on his face, and you can see that the mask has been pulled a little.
Li Jingsheng breathed a sigh of relief in his heart, finally passing the test.
At least we can still get the chance to anastomose blood vessels.
He took the time to check his proficiency in the anastomosis technique, and the growth was exaggerated. A full increase of 10 points.
(End of chapter)
