Gou in the operating room to add some upgrades

Chapter 105 Passive Pretense (Fifth Update, Please Subscribe)
Debridement is different from suturing. Debridement is a very large category of basic skills.

It can be said that [-]% of the operations must involve the participation of debridement, but the participation of suture may not be necessary!
This is the first manifestation of the difference in importance between the two.

Second, almost all surgeries attach great importance to debridement, including trauma center operating rooms. During the admission training period, the upper limit requirement for reaching the standard is level 4, while the standard requirement for suture surgery is only level 3.

Debridement is the foundation and the top priority of any operation.

Therefore, the research on it is also extremely profound.

The principle of debridement is very simple, it is to remove foreign bodies and necrotic tissue.

But the concept of level 4 debridement is a super category.

The more popular [curettage], [excision], [bite removal], [extraction] these major categories of removal, as well as [self-clamping and absorption], [tumor vessel clamping and embolization], [exclusion], etc. All kinds of unimaginable ideas are contained in it.

Fang Xian was the first to get started with the concept of [scraping].

In fact, the most suitable one is to clean up the outermost tissue of necrotic, corrupted, and infected tissue, and to properly expose normal tissue by means of scraping.

The concept of [resection] is mostly used in trauma patients, who need to properly remove part of the necrotic tissue and foreign bodies.

[Bitting] concept, mostly used in orthopedics, spine surgery, thoracic surgery, skull and other bone and hard ground, removal of necrotic tissue.

The concept of [extraction] is mostly used in the extraction process of liquid foreign body tissues such as vascular surgery, cysts, and small abscesses from the body.

All changes remain the same, but their respective forms of expression, details of attention, and scope of application are all different.

If the debridement concept of trauma surgery is followed to debridement intracranial hematoma, the consequences will be very pleasant. No doctor would have dared to do this a few decades ago.

Specialist treatment, in fact, the first difference is reflected in their different understanding of debridement.

It is the first entry-level foundation for surgery.

Similarly, there are more differences in the debridement concept that Professor Xu Fengnian pointed out to Fang Xian.

It is only aimed at the crushing injury of the intestinal tract, and the cleaning of fecal tissue is a foreign body, and the removal of foreign bodies is mostly a mixture of different concepts such as suction and scraping.

Intestinal lacerations may require wound revision. Based on the concept of resection, the intestines can be polished to facilitate suturing without causing additional impact on the patient.

Or, if there is still necrotic bowel, operations such as long section resection and segmental resection are required to ensure that no necrotic bowel is left in the end, which will cause peritonitis.

This is just the debridement process of intestinal crush injury.

The debridement of bone-meat paste is more labor-intensive, and it is more common in trauma surgery in general orthopedics. What needs to be done is not only the simple debridement concept, but also the debridement of the fusion of bone-meat paste, to remove part of the necrotic tissue , and a part of necrotic tissue should be left as a backing.

There are also some bone fragments that need to be left as bone grafting materials, and some muscles that need to be polished and rested to see if they can be used, which is the most test of debridement skills.

For blood vessel and nerve stump debridement, it is not only necessary to consider the subsequent patency of the blood vessel, whether it needs to be transposed, whether the nerve has been compressed, whether it needs to be cut and decompressed, etc., are all the basic skills of debridement. Here, we must consider the content.

If Fang Xian only had the debridement concept of scraping in this direction, then he must have had a lot of trouble doing debridement in other places.

This is also the fundamental point that Professor Xu Fengnian does not need to embarrass Fang Xian, but only needs one operation to understand whether Fang Xian's basic skills have reached the level 5 Ruyi level debridement.

But Fang Xian was not guilty, he preset these structures in advance, found that there were no large blood vessels, and found that the area occupied was only one-tenth of the total area, which would not particularly affect the overall duration of the operation.

That is to say, when Professor Xu Fengnian randomly divided the scope of debridement for him, he took into account the impact on the patient's vital signs and the overall operation time when Fang Xian's debridement operation was compared to level 5.

Well thought out.

If there is difficulty, then Fang Xian will definitely raise it.

To act recklessly is to disrespect the life of the patient and the operating room of the trauma center.

If it is effortless, can be obtained, and can be completed and assisted in the operation just right, then Fang Xian will definitely be willing to put in more effort.

Fang Xian immediately began to clean and count various instruments, and then started debridement from the intestines.

During the cleaning, Fang Xian bumped into a professor from the general surgery department who was doing debridement of the contralateral intestine. Fang Xian was able to reserve the space immediately and became an assistant at the same time. , assisting the other party’s operation.

Just for this, Professor Xu Fengnian sighed lightly.

For level 5 debridement, the most powerful thing is not the conversion of operations, but the integration of the overall surgical concept, knowing when to do what, knowing how to cooperate with others, and knowing how to make others cooperate better.

The transformation of operation may be faked, but this kind of value and thinking system cannot be faked.

Fang Xian's level is already clear to his heart.

Professor Xu Fengnian began to move to other places, and he was still paying attention to the changes of the patient's vital signs, and was constantly testing the progress of the operation with various instruments, and he was skilled in the operation.

He wasn't lazy either, he just put more burden on Fang Xian.

Then, after Professor Xu Fengnian's attention shifted, it didn't mean that other people also ignored Fang Xian's actions.

But when Fang Xian was doing more and more changes, there were already some whispers: "I can do bowel resection and shaping, I can do hematoma removal, I can do separation of flesh and blood, and I can do bone debris collection."

"Is there really something?"

"Didn't you say it was level 5? Of course it can be done."

"How many years ago was the first level 5 debridement performed in our hospital at such a young age?"

"Five or six years ago, right?"

"To be precise, it was seven years ago. I am currently studying abroad. I estimate that I will definitely be able to pass the level 4 doctor examination when I come back."

"A 32-year-old professor, and a professor of level 5 skills."

"Are young people nowadays becoming more and more evil?" These professors are used to speaking while operating with high concentration, without affecting each other in the slightest.

If you can become a professor, you must teach, so you have done more than one teaching operation before, which is a basic skill.

However, in their eyes, even if Fang Xian does not have the particularly sophisticated principles of specialized debridement, he can perform such an operation through pure basic debridement without finding any faults. Get blemishes.

This is a flawless jade in the rough.

As long as Fang Xian gives him a little guidance on the concept of specialized debridement, Fang Xian can play a huge role in any key surgical operation.

This is the huge potential that can be exerted after the basic operation reaches a certain depth.

"Brother fai of waste."

Xu Fengnian repeated Fang Xian's words: "It's not wrong."

It was affirmation of Fang Xian's strength now, and at the same time, after sweeping his eyes around the professors nearby, he said quickly in a low voice: "Xiao Fang, there are so many beauties in Rongcheng, gentleness is better than Jiangnan, you..."

Several professors looked towards Xu Fengnian.

Xu Fengnian quickly explained: "I didn't rob anyone. There are many beauties in our Chengdu. How dare you say there aren't many?..."

Xu Fengnian stood at the stronghold of the map cannon.

Who dares to say about the map gun?
(End of this chapter)