Gou is practicing medicine in the clinic

Chapter 231 Debridement evolution, progress is too exaggerated

Director Hua can't help but give him face!
He also knew that the orthopedic surgery department wanted to increase its efforts to train outstanding young doctors.There are certain interests and needs that everyone knows well, as long as they can guarantee that no major accidents will occur.Basically they are acquiescing.

In order to train young doctors and enhance the strength of the department, some department heads even take great risks to let their subordinates, Gui Peisheng, do some high-risk operations.

Things that directly lead to the death of patients have also happened.

Li Jingsheng looked very professional in wearing gloves and gowns, after all, he was also trained by the itinerant teacher.

All eyes stared at him.

After he came to the stage, he observed the patient's severed limb calmly.

"The bones are all chopped up, so we need to debride the wound first and then replant the severed limb."

Strictly speaking, it is not completely disconnected, about two-fifths of the cortex and muscles are connected.

It looks like it should have been cut three or four times.

It's just that the murderer's technique was not very accurate, two cuts were missed, and the first cut was not at the position.

It is estimated that the injured person wanted to die at that time.

There is no such way to cut pig's trotters!

Four knives failed to cut off his leg. One can imagine how painful it was at that time.

However, this is also bad news.If you don't bully other people's wives and don't be so arrogant, how can this kind of thing happen?

It was very polite for the murderer not to abolish him directly.

"As long as you are sure, you can do it directly."

Director Hua gave him a lot of authorization.

Director Bi next to him was very anxious and almost stomped.

If I knew it earlier, I shouldn't have spoken out about this person's evil deeds. Director Hua clearly regarded this patient as a "guinea pig" for young doctors to practice.

Li Jingsheng didn't care what Director Bi thought, as long as Director Hua spoke.

The equipment nurse is assigned by the general surgery department. She looks quite young, with curved eyebrows and charming eyes, and her appearance should not be much different.

It is difficult to find female nurses with low looks in the operating room.

Although the equipment nurse looked pretty, she might feel inferior if she took off her mask and stood with Ou Qinglan.

Ou Qinglan's figure and appearance are one in a million, which can be regarded as being favored by the Creator.

"Knife!"

Li Jingsheng said to the equipment nurse.

Surprisingly, what was handed over was not the traditional scalpel he used in small clinics or orthopedic surgery, but an ultrasonic water knife with a connection.

Li Jingsheng also knows the goods, this is the Haizhuo Knife, an artifact of debridement.

It can not only help doctors successfully complete surgical debridement, but also has the function of recovering debris and blood.It will be sucked away directly by negative pressure.

His current debridement technique is at the proficient level, which is still a little short of Xiaocheng.

Originally, I was still considering whether to temporarily upgrade to a liter, at least to the Xiaocheng level.

Now I have changed my mind.

Tried it with a Hydraknife and it works very well.

Much easier than using a traditional scalpel.

The experience brought by this high-tech is really amazing, and it can greatly reduce the technical requirements of doctors.

Originally, the debridement level was at the proficient level. After using this knife, it feels like it should be close to the Dacheng level.

I can't even imagine it.

No wonder other departments are envious of such a high-end operating room in general surgery.

In fact, it cannot be said to be the operating room of general surgery. All the operating rooms of the hospital are the unified resources of the hospital.It's just that when it is used in the operating room, there must be a priority.

For emergencies and diseases with strong income generation, the number is given priority.

Ordinary operations 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 tertiary hospital anyway, and it is located in Jiangli City with a population of tens of millions. The number of patients is quite considerable.

There must be a lot of major operations to be done in a 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 operating room.

This is also the standard configuration in most tertiary hospitals.

In terms of hardware investment, the Second Hospital is somewhat petty.

Its weak income-generating ability should also be an important reason.

If the hospital wants to develop, it is only a dream to rely on financial appropriation.

I must find a way to work hard to generate income.

The directors of many hospitals have an annual salary system, and the salary they get is closely related to the development and income generation of the hospital.

For example, the annual salary is 40. If the income is good and the development is good, double it and get 80.

In order to get a high income, the dean must do everything possible for the development of the hospital.

After Li Jingsheng completed the debridement, the inspection was correct, so he asked Director Hua to check.

He had never done this kind of deep debridement before. Looking at the flat wound, it was extremely clean, and he just found it pleasing to the eye.It looks very comfortable.

The technology is really strong.

And he feels that his debridement has improved a lot.

Instinctively checked, I saw that the body surface debridement in the column of surgical skills had changed.

It went straight to debridement.

Proficiency is currently 317/500 proficiency.

Increased proficiency by nearly 20 points.

Moreover, debridement has evolved automatically. In addition to debridement of superficial skin, small blood vessels, and subcutaneous tissue, it can also complete debridement of blood vessels, muscles, tendons, and bones.

It was also the first major evolution in his surgical skills.

It feels very novel.

I don't know if it's because the debridement is special or what's going on.

This is a good thing.

If several of his sutures can also evolve together, subsequent upgrades will become very convenient.

It always feels a bit complicated now.

After all, the acquisition time of this attribute panel is not long, less than three months.

There's still a lot to explore.

No wonder he just felt that his debridement ability has been greatly improved, and at first he thought it was brought by the high-tech artifact, Haizhuo Knife.

It seems not.

It just acts as a boost.

Helped Li Jingsheng to have a deeper understanding of the debridement of blood vessels, tendons, and bones, and integrated it with body surface debridement.

In addition to the evolution of body surface debridement, his HP has also increased by more than 300 points.

Among them, [-] points must have been rewarded.

It is the first time to complete deep large vessel debridement, bone debridement, and tendon debridement.For the first time in three times, he received a 300 HP reward.

At least he thought so.

"It's better to upgrade the debridement technique to another level!"

Li Jingsheng earned more than 300 life points at once, and he was not stingy.

Now the doctors and nurses in the general surgery department are watching.

Don't look at Director Bi's silence, but as long as he finds that Li Jingsheng has a problem with his operation, he will definitely stop immediately.

No matter how valuable Director Hua's face is, it is not as important as the safety of the operation.

He consumed 183 health points on the spot, directly raising the debridement technique to the level of minor success.

He could feel that the level of debridement had once again increased significantly.

The understanding of vascular debridement, as well as the debridement requirements of bone, tendon and other tissues, and the prognosis are completely different.

Now, he can make a rough prognosis in his mind just by looking at the wound.

Although not very precise, this ability is something he didn't have before.

Surgical prediction is very important.

It can help doctors roughly infer what kind of effect the operation can achieve and what will happen after the operation.

After all, it is a debridement level of Xiaocheng level, which is equivalent to the ability of a senior attending physician, and has faintly touched some surgical abilities that can only be mastered by deputy high-level doctors.

He carefully checked the debridement results just now.

It is obvious that the treatment of the broken ends of the bones is not very good, and it is easy to form deformed calluses and even bone spurs.

Also, the large artery didn't seem to be handled well, it looked smooth, but it was not conducive to the anastomosis of the blood vessels.

"There may be a few places that need to be repaired! The nurse teacher will give me the knife again."

Li Jingsheng didn't wait for Director Hua to point it out, and rushed to remedy it.

After taking over Haizhuo Knife, he made a second debridement on several flawed places.

After Director Hua looked at it, his eyes showed admiration.

Even Director Bi looked at it curiously, and then nodded slightly.

"Well, the wound is treated well!"

Director Hua used the word "nice" to praise him.

It can also be seen that there should be some room for improvement in debridement.

In fact, after reaching the senior management level, there must be no major mistakes.It's just some small flaws or details that haven't been dealt with in place.

"Hurry up and set the bones first! This is Director Hu's strong point, and Jing Sheng will help to complete it together."

If bone setting is only external fixation, Li Jingsheng is very good at it.

But 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, and after getting started, the whole bone setting process is extremely proficient.And he didn't hesitate to give advice to Li Jingsheng.

As long as he understands, all kinds of experience, skills, and points to pay attention to are passed on to Li Jingsheng one by one.

After all, Ou Qinglan's level is a bit low, and her ability is incomparable with these big shots. She is still too weak.

She is only qualified to observe and study these important high-risk operations.

After nearly half an hour, the leg bones fused together.

When resetting, Li Jingsheng assisted in the operation from the side.

In manual reduction, no one can compare with Li Jingsheng except Dr. Xu.

"The part of the broken leg bone will grow automatically, so it doesn't matter if there is a gap. The amputation and heightening operation almost uses this principle. Now there is no problem with the bone joining. Whether the leg can survive or not depends on the Whether the blood vessel anastomosis was successful or not. Hurry up, Director Chen will complete the nerve anastomosis by the side, and you can also learn more."

Hu Jia took great care of Li Jingsheng.

Points everywhere.

Generally speaking, orthopedic surgery is relatively united.

Li Jingsheng had a clue in his heart.

First, quietly upgrade Fang Jie to Xiaocheng level.

Only then was a vein that was neither too big nor too small selected for anastomosis.

Whether the motor function of the severed limb can be restored depends on how well the leg bones, nerves, and tendons are connected.Whether it can survive depends mainly on the blood vessels.

Then again, the blood vessels have been connected and the legs are alive, but the effect of the nerve anastomosis is not so good, or the bones have not grown well, these may lead to the patient becoming disabled after the operation.

But as long as the leg is alive, there is still a chance for a second operation.

If it is not connected properly, it can only be amputated to save life.

Therefore, vascular anastomosis is the top priority of this limb salvage operation.

Li Jingsheng had recalled the main points of blood vessel anastomosis many times in his mind.

Vascular anastomosis includes end-to-end anastomosis, end-to-side anastomosis, and side-to-side anastomosis.Generally it depends on the specific situation.

The current blood vessel anastomosis is basically an end-to-end anastomosis.

He first checked the broken ends of the two blood vessels, which were smooth and undamaged.

I tested the length again and it was fine.

Only then did the air at both ends of the blood vessel and the stasis inside be completely drained, and then the anastomosis began.

It must be a bit slow at first.

Director Bi took the time to look at it twice, only frowning.Director Hua was slightly puzzled, because Li Jingsheng's other surgical skills are very good, why is the anastomosis so unfamiliar?

How did he know that this young doctor was cheating!

Fortunately, Li Jingsheng's stitching skills are very good, especially the continuous stitching is very good.

At the final stage of anastomosis, the air inside is evacuated again, and then it is locked and knotted.

Xiaocheng's level of Fangjie has helped a lot at this moment, preventing him from making mistakes at the last moment.

The resulting knot fits tightly on the blood vessel, is firm, and looks very neat.

Li Jingsheng completed the anastomosis of this blood vessel, and looked at the property panel full of expectations.

It made him very depressed. The anastomosis was successful, but the anastomosis still did not reach the entry level.It doesn't show up.

This also made it impossible for him to upgrade his anastomosis.

"Jingsheng, don't worry, take your time. The vascular anastomosis just now is generally very good. It's just that when you start stitching, you have to choose a good position, and don't rush to lock the first few stitches..."

Director Hua pointed out some points that he needed to pay attention to.

Li Jingsheng nodded to express his understanding.

He chose another vein of similar size and performed an anastomosis.

This time I am obviously more proficient, and I have made great progress in some areas where I made mistakes and did not do well.

For the first anastomosis just now, the lock was too tight in the first few stitches, which affected the subsequent anastomosis.

This time he deliberately left a lot of leeway.

In my heart, I was actually a little worried that so many sutures would be knotted.

It took nearly 3 or [-] minutes before he finally anastomosed the second blood vessel.

Director Chen Anchen's nervousness is almost coming to an end.

This time, Li Jingsheng felt that he had gained more.

Try viewing the properties again.

When he saw that there was an extra anastomosis in the surgical skills column, he was almost moved to tears.

Looking forward to the stars, looking forward to the gods, and finally looking forward to it.

Moreover, he also found that the life value has directly increased by more than 100, which seems to be a successful coincidence.

It is not easy to anastomose blood vessels for the first time and succeed.

This attribute panel does not reward him with a little more life.

At any rate, a reward of five hundred would be enough.

However, this surgical technique can successfully reach the entry level, which is his greatest achievement.

And it came on time.

Because looking at Director Bi's extremely dissatisfied eyes and Director Hua's slightly disappointed eyes, Li Jingsheng could have a premonition that he should not be given another chance to make trouble.

He didn't wait for Director Hua and Director Bi to stop, and he didn't dare to untie the bandage tied above the patient's knee to conduct a blood test.

Instead, it directly consumed [-] points of health, and raised the anastomosis from beginner to proficient.

Want to rise to Xiaocheng, but there is still more than 100 points of health short.

After the anastomosis became proficient, he recalled the two blood vessels that were anastomosed before, especially the first blood vessel, and really wanted to pump himself.

So 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, and he had reached that level before touching that blood vessel.

Otherwise 100% will be suspended.

Exclude the air and blood stasis skillfully, and then quickly anastomose the blood vessel.

"Ok?"

Director Hua couldn't help but his eyes brightened slightly.

Is this kid a potential explosion?This coincidence is like that!The improvement from the previous two times is not a little bit, but an extremely exaggerated improvement.

Director Bi also had a hellish expression.

He even forgot to instruct his doctors to deal with the mesoperitoneum.

Instead, he stared closely at Li Jingsheng's movements.

This time it took less than 6 minutes, and the vascular anastomosis was completed, and it looked quite tight.

"Great progress, keep going!"

Director Hua must have been grinning on his face, and it could be seen that the mask had been pulled a little.

Li Jingsheng heaved a sigh of relief in his heart, he finally passed the test.

At least you can continue to get the chance to anastomose blood vessels.

He took the time to check the skill proficiency of anastomosis, the increase was exaggerated.A full increase of 10 points.

(End of this chapter)