Gou is practicing medicine in the clinic

Chapter 10 Improvement of debridement level
She nodded with a smile and said nothing more.

But he secretly thought in his heart, this is a little bit of progress, the boss's ability to tie square knots is no worse than that of the general attending physician in the operating room of a large hospital.

I haven't seen how the boss practiced at ordinary times!
"Scissors!"

Li Jingsheng reminded her loudly.

Once the blood vessel has been ligated, the sutures must be cut.The seemingly simple thread cutting is also exquisite.

The angle and position must be well grasped, otherwise it is easy to damage the surrounding tissues.

The thread ends should not be too long or too short.If it is too long, it will irritate the surrounding tissue and cause foreign body signs.If the thread end is too short, it is easy to cause the knot to loosen.

Li Jingsheng put in a lot of hard work when he practiced thread cutting.

Because once the superior doctor asked him to cut the thread, he did not expect to cut it short.The superior doctor didn't say much, but told him to cut the thread longer next time.

The nurse in charge scolded him severely in front of other doctors, nurses and patients.

At that time, Li Jingsheng even wanted to strangle the nurse in charge.

Being scolded so embarrassingly, I wish I could get into the cracks in the ground.

It was also that experience that made him determined to practice the thread-cutting skills.Be open-minded and ask other doctors for advice.

Looking back now, I have to thank the nurse in charge.

Because of her sternness, Li Jingsheng couldn't even do such a simple thing as thread cutting.

There is also the need to wear isolation clothing in the operating room, which seems simple, but actually has high requirements for aseptic operation.Even if you just don't pay attention to the operation when lacing, it will cause the sterile isolation gown to be unusable and need to be replaced.

When this happened, Li Jingsheng was naturally scolded by the itinerant nurse again.

I used to think those nurse girls were too fierce.

It wasn't until he opened the clinic for more than nine months that he realized how lovely those nurses are.Shengsheng helped him get rid of many bad habits, so that he can benefit for life.

Now, he is obviously much more standardized than doctors in other clinics in terms of aseptic operation.

This is all thanks to those fierce nurses scolding.

After cutting the sutures, he checked the ligation of the vessels.

Not bad, the ligation is firm, and the bleeding has stopped.

If it were the same as before, he would have to have it done twice to be on the safe side.

The core technique of ligation is knotting.

The proficient level of square knot not only greatly improves his knotting speed, but also eliminates the need for a second ligation to ensure the safety of blood vessel hemostasis.

This also greatly improved his operation efficiency.

After successfully stopping the bleeding from the largest source of bleeding, the next step is debridement.

Truth be told, his debridement skills were poor.

Not even entry level.

At this moment, in order to earn money from this big business, he had to fight hard.

First, clean the inside of the wound with alcohol, then carefully observe the condition of the wound, and then trim the wound with sterilized scissors.

Granulation and disordered skin edges need to be dealt with.

Strictly speaking, this is the first time he has performed fine debridement on a patient's wound.

In the past, at most, it was washed with alcohol to cut off some severely damaged or polluted cortex and granulation.

At this moment, because the wound is very long, the skin edge is not neat.

The damage was uneven in some places.

This kind of wound cannot be sutured if it is not trimmed.Even with sutures, the wound is extremely difficult to heal.

Debridement and suturing are called the two major skills of wound repair.

Only when they cooperate with each other can the combination of two swords be invincible.

No matter how good the suture is, if the debridement is not enough, the wound will still be difficult to heal.

A senior surgeon compared debridement and suture to two chopsticks.

Only when they are together can they hold vegetables.

None of the chopsticks can hold food by itself.

Sweat dripped from Li Jingsheng's forehead.

Debridement is a delicate job, and patients and workers are watching him operate, so there can be no major mistakes.

He carefully trimmed the skin edges so that they would line up when he sewed.

After nearly 20 minutes, the wound was debrided by him and finally achieved a satisfactory effect.If it goes on, the patient's patience should run out.

The debridement this time is mainly the subcutaneous tissue layer, muscle layer, dermis layer and epidermis layer.

Carefully look for broken glass and debris remaining in the patient's wound.Then, in the process of repairing the granulation and skin edge layer, it is necessary to avoid injury to nerves, tendons, ligaments, and important blood vessels.

As for capillaries, you can't avoid it if you want to.

The human body is covered with large and small blood vessels, like densely packed tree roots, all over every corner of the human body.

According to statistics, if all the blood vessels of an adult are connected together, the total length is about 96000 kilometers.It is only about 2.5 kilometers around the earth, and the total length of blood vessels in the human body is equivalent to [-] times the circumference of the earth.

There are more than 1000 billion blood vessels, large and small, in the human body, which is a super scary number.

Doctors can only avoid important blood vessels and large blood vessels during the operation.

After Li Jingsheng cleaned the wound, he looked it over carefully, and he was quite satisfied.

After all, his level of debridement is limited, and it is already very good to be able to achieve this effect.

Debridement of the patient this time has benefited him a lot, even though he didn't have time to check the property panel.But he has a feeling that the debridement technique may have already been introduced.

In debridement, he learned many skills, and combined the theoretical knowledge learned in the book with practice, which made his debridement skills qualitatively improved.

The next step is the most important wound suturing.

A wound this deep definitely required the newly learned vertical mattress suture.This suturing technique can reduce the tension of the wound cortex, and at the same time make the deep tissue layer and the superficial skin edge layer all aligned.

Tang Bo looked at the boss with some worry.

In her impression, Li Jingsheng should not be able to deal with such a deep wound.

She knew that the boss had even sold his beloved motorcycle, so he must have reached the end of his rope.

It is very important to earn this money.

That's why the boss is so desperate.

In the past, the boss had already pushed the patient away.

She didn't know that Li Jingsheng took this business not only because he was eager to make money and to keep the clinic alive, but also because Master Liu desperately wanted to be treated in his clinic.

Because it can save a lot of treatment costs.

Plus, he has exactly 10 health saved, and has learned the Vertical Mattress Stitch not too long ago, enough to upgrade the stitching skill to proficient.

If you have the ability to take over this business, you will naturally have to fight hard.

"Doctor Li, can you sew now?" Master Shun waited anxiously beside him, and couldn't help urging.

He also thought that Li Jingsheng would finish treating Master Liu's wound quickly, and then send Master Liu home so that he could go to work.

The clock was already pointing to 01:30 pm.

"Don't worry, our boss didn't even eat lunch, so he must want to sew up the wound quickly. It's just that surgical suturing is a delicate job. If you only want to deal with it quickly, it will be sloppy. By then, the wound will not heal for a long time, and even infection will occur." , then it will be troublesome. Slow work and meticulous work, you two, please be patient."

Tang Ping spoke for Li Jingsheng again.

With such a smart and capable nurse, Li Jingsheng can save a lot of effort.

"Master Shun, why don't you find someone to work with first. I'll take a taxi and go back later." Master Liu is simple and honest, but he is not stupid.

Naturally know what the workers are anxious about?
"No, no, you're so injured, how can I let you go back alone?" Master Shun was anxious to go to the construction site to work, but at the same time he was worried about his coworkers.

People are mutual.

It was Master Liu who had the accident this time, if he didn't take care of it.The next time something happens to him, Master Liu probably won't care about his life.

Li Jingsheng quickly opened the attribute panel, and glanced at the skill bar.

Introduction to body surface debridement 0.1/10.

Li Jingsheng was very happy to have another surgical skill.

There is hope for this little day!

In just one day, two new medical skills were added, and three medical skills were upgraded from entry level to proficient level.It is estimated that one day's progress today is equivalent to studying hard in a big hospital for a year.

Of course, ordinary medical students do not have the opportunity to work in large hospitals.

Debridement is very important for surgery and is one of the four basic skills of surgery.

If he can raise this medical skill to a proficient level now, he should be able to repair Master Liu's leg wound more neatly and properly.Then the sewing effect will be better.

Resisting the urge to upgrade the body surface debridement to a proficient level, he targeted the vertical mattress suture.

There are priorities, and the vertical mattress suture must be upgraded to the proficient level first.

As for the body surface debridement, you can only upgrade after you have accumulated enough 10 health points.

(End of this chapter)