Gou is practicing medicine in the clinic

Chapter 41 The first formal operation in a small clinic

"I will definitely do my best to complete this operation. You sit and rest and read newspapers."

Li Jingsheng took the stack of money and put it in his pocket.

Seeing that he had collected the money, the old lady's originally nervous expression eased a lot.

However, she did not sit on the sofa to rest, but insisted on standing at the door to wait for her wife's operation to end.

Li Jingsheng ignored her, entered the treatment room, closed the door, and began to strictly implement aseptic operation according to the seven-step hand washing method.

I also have to thank the nurses in the operating room for always beating him up, forcing him to keep all the key points of the aseptic operation in mind, and dare not be careless.

After washing and drying hands, check the glove number and expiry date, then open the glove bag, apply talc powder on the hands, avoid the sterile area... These sterile gowns and gloves used in the operation were all bought by Li Jingsheng when he opened the clinic of.

At that time, I was ambitious and wanted to do a big job.

As a result, the clinic has been open for more than nine months, and it was only today that I officially received a minor operation.

"I can't tell, you are very strict and standardized in the aseptic operation!" Tang Ping praised him with a smile.

At this moment, Tang Ping is not only working as an equipment nurse for Li Jingsheng, but also as a roving nurse, taking on multiple roles.

She is a professional nurse who has worked in a large hospital with a very high professional level.

It's not the first time to serve as an equipment nurse for Li Jingsheng, but in the past it was used to suture 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, it looks like a beautiful woman half-covers her face, with a faint fragrance of ecstasy, making her even more pretty.

"I thought you were the only one who experienced it in the big hospital! Boss, I also worked in the big hospital for many years, okay! Help me put on the surgical gown."

Li Jingsheng didn't dare to waste it.

It only takes one small mistake to put on a sterile suit and the suit is useless.

When wearing a sterile isolation gown, cleanly face yourself. You can only lift the collar and touch other parts randomly, and the gown cannot be used.

When Li Jingsheng wore it, his whole movements were very regular and smooth, which made Tang Yan look at him with admiration again.

Mainly let her help tie the belt.

"All right!"

She looked at Li Jingsheng with a strange look, and then stood at the position of the equipment nurse.

All the instruments, sutures, medicines, hemostatic gauze, hemostatic cotton and other items to be prepared for the operation have been prepared.

Li Jingsheng was also worried that she would screw up, and the outfits that the small clinic originally bought were also crude.

After sweeping his eyes, he couldn't help but praise sincerely, "All the things needed for the operating table are placed in place, and all the equipment and consumables are all in place. And you use it in a very short time, it's okay!"

"Hehe! Spend money to hire me as a nurse to make a lot of money? I know more!"

Tang Ping raised her fair and slender neck proudly.

This was the first time Li Jingsheng saw her showing such a wild smile in the nine months since she worked in the clinic.The eyebrows and eyes are curved, and the mouth and nose covered by the mask are believed to be showing an exaggerated smug smile.

Seeing her performance, Li Jingsheng couldn't help knowing a little more about her past.

If she guessed correctly, she probably worked as an operating nurse in the operating room before.

The operating room nurses in large hospitals are basically the most beautiful among all the nurses in the department.All departments are similar, which is basically a default unspoken rule.

No wonder she is so beautiful.

Her professional level is so good, why was she dismissed by the hospital?

Li Jingsheng couldn't help being more curious about her past.

"It's okay, you can slowly tap your other talents in the future. Now let's do the surgery together first!"

After speaking, he began to re-sterilize the patient's pustule and the area where the line was drawn.

Before administering the local anesthetic, he still gave the patient a skin test just to be on the safe side.

There is no way, a small family and a small business can't afford an accident.

Every step must be cautious, always treading on eggshells.

Human anatomy began to be seriously recalled in his mind.

After reconfirming the position of the incision in the drawing, there are no large blood vessels or important nerves within 3cm, and then I took the anesthetic prepared by Tang Ping and began to infuse the patient superficially.

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 anesthetic is very low. If it is anesthesia of the brachial plexus, the risk factor will be much higher.The technical content will also be higher.

For local infiltration anesthesia, use more lidocaine, the concentration of 0.25% is enough.

The anesthetic was chosen by Tang Ping, and Li Jingsheng did not intervene.

However, when doing skin tests on patients, he has already used the proficient level of drug efficacy and drug kinetics to check.

Confirm that it is safe and effective before you dare to use it.

After about 30 seconds, Li Jingsheng began to test the effect of the anesthetic.

"Master, does it hurt?"

"It's a little numb, but it doesn't hurt."

"That's fine, you lie down and don't move, take it easy, it's just a minor operation, and it will be fine soon."

Li Jingsheng comforted the patient.

"Scalpel!"

"Give!"

Tang Ping prepared it a long time ago, and when she handed it to him, she acted professionally, with the blade pointing at herself and the handle pointing at Li Jingsheng, and slapped it into his hand.

details make a difference.

Both of them have done a good job in the details of the operation, and the operation has basically been half successful.

The next step is to look at Li Jingsheng's skills and performance.

Holding the scalpel in his right hand, the proficient level of skin incision made him feel as if he had practiced it thousands of times.Confidently cut vertically into the epidermis and follow the drawn line all the way to the bottom.

Depth, strength, angle, every detail must be done well.

Blood instantly overflowed from the cut wound.

This is just a slight bleeding from a broken capillary.Hold the clip with your left hand and clamp the hemostatic gauze to clean up the bleeding.

Then put down the clip, press the cortex on both sides of the incision with the left hand, and try to tighten it.

Continue to cut the second layer with the knife, which is the fat layer.

I feel that the strength and depth of the first knife are still not in place, some places are deep, and some places are shallow.

Fortunately, there was no serpentine movement, and there was no multiple cuts in one wound.

Anyway, it is a proficient skin incision method, and it is impossible to make the low-level mistakes made by many novices.

He constantly sums up his experience and strives for a second cut to make some remedial action.

Learn lessons and improve where you didn't do well.

I was still very nervous when I cut the first knife, and my hands were slightly shaking.

After the second cut, he was obviously much calmer.

……

"I saw Dou Dao!"

Li Jingsheng took a deep breath, suppressing the intense excitement in his heart.

It's not very deep, it's just under the fat layer, and part of it is even inside the fat layer.Another part is located in the muscle layer.

A long line that is obviously a little black and blue, with a total length of about 7cm, very thin.

At this moment, it is impossible for him to completely cut off the sinus path.

Because his surgical separation technique didn't even reach the entry level.

However, this does not prevent him from using other methods to solve it.

He was going to clear this sinus tract with a proficient superficial debridement.

Before making a move, Li Jingsheng stared at the revealed Dou Dao carefully.

The location is not deep, and the surrounding area is mainly composed of fat layers.

No major blood vessels and nerves were found.

Is it possible to be bold and try separation?
Dissection is divided into sharp dissection and blunt dissection.

What is going to be used at this moment must be sharp separation, so we will only talk about the sharp separation method.

(End of this chapter)