Gou in the operating room to add some upgrades

Chapter 204 Damn it, it’s done (please subscribe)
[Intestinal segment suturing is level 5 and intestinal segment reconstruction is level 5. 】

After adding the points, Fang Xian felt enlightened.

There are indeed different understandings and understandings between professional basic skills and basic skills.

The corresponding concept of intestinal segment suturing is most advantageous in intestinal segment suturing. Although it can also be appropriated, the breadth of application is far less than that of basic suturing.

As soon as these two skills were increased to level 5, Fang Xian discovered it.

It turns out that the main bearer of intestinal function is muscles, and muscles are the main source of activity.However, if you want the muscles to actively move, you still need to rely on the periodic control of the nerves.

The peristalsis of the intestinal segments is basically out of conscious control, but it must be present to make the digestive function better.

After intestinal segment suturing reached level 5, Fang Xian discovered that among the level 4 concepts of intestinal segment suturing, there was a concept called 'incomplete functional remodeling'. This term is relatively long and probably has no special use. Professional theory to ponder naming.

The 'incomplete functional remodeling' suture is a suture method that can ensure the operation of the intestine to the greatest extent, and can be mainly used for damage.

However, because the length of the intestine is very long, it can basically be cut as needed. The human body does not need such a long jejunum, ileum, or even colon. Therefore, this suturing concept has not been taken seriously and is a rather useless skill.

No one has further developed this basic skill and is just sitting in the corner eating dust.

After Fang Xian added points to level 5 this time, because he got to know this thing, this change in concept appeared on the panel.

Seeing this, Fang Xian actually felt very bitter.

He finally realized for the first time that although his qualifications were not particularly bad, they were certainly not very good.

The reason why Fang Xian has this understanding is that all of Fang Xian's current skills have been mastered by others, and he has not taken the initiative to master and develop a brand new thing.

For example, the new concept of suturing was invented by Li Qiu. Fang Xian only conducted in-depth development on this basis and found that it could be applied to the reconstruction of muscle origin and end points.

This time, during intestinal segment resection, Fang Xian increased his skills to level 5, but what he could apply were still the concepts of different intestinal segment resections that others had developed, and none of them belonged to Fang Xian alone.

If you don’t know, then you don’t know either. You don’t have this awareness. You can only do it if you know it.

This is equivalent to the inheritance and development of intelligence, rather than pioneering and development.

Even the 'youth version', the official version and the enhanced version of the standard procedure for treating injuries and damage done with Professor Xu Fengnian were just Fang Xian using his powerful basic skills to dig out the bottom line and forcibly break through to create a method that can be used by ordinary doctors. To deal with the response plan.

It's not pure innovation.

Your actual ability is strength, but your ability to innovate is potential and qualifications. These are different things.

Fang Xian can be regarded as accepting his fate. Maybe he doesn't have much talent in development and can't come up with new things, so he can inherit and carry forward it. At least there is a person around him who is particularly specialized in the development of 'new ideas'.

That is Jiang Yang.

Jiang Yang's theory is very deep. He dares to think about it. He dares to mix all kinds of messy theories together. In the process of such collision, he may lead others astray, but Fang Xian is absolutely not afraid of him being led astray.

If it doesn't work, I will add some skills to Ruyi and see if your new thoughts and ideas can lead to a new concept of level 4 operational proficiency.

If it works, then there will definitely be new ideas. If it doesn't work, there is probably nothing we can do and it won't work.

For the use of plug-ins, you also need to use your brain.

Originally, Fang Xian planned to try to see if he could develop something particularly novel without having to pay Jiang Yang's trial and error costs, but now, it seemed that there was no other way except this way.

Jiang Yang put forward a hypothesis and tried it by himself. If it was right, it would be right. If it was wrong, it would be wrong. It was just a matter of luck.

This is the best application for this panel.

The qualifications may not be strong, but in terms of resource integration ability, Fang Xian feels that he still has a few tricks up his sleeve.

Furthermore, after I have some foundation, I will go to Uncle Fang Yun to inquire about the relationship between nerves and functional reconstruction.

Anatomical basis, muscle basis, nerve and functional reconstruction are three different things, and they must be understood one by one before they can be clearly understood.

After making this decision, Fang Xian talked on the phone with his father Fang Qian and his mother Chen Hui. After happily deciding that what he wanted to eat when he went home this time was native shelduck, Fang Qian said: "Then when I passed by An County on Friday, , buy two, kill them and bring them over.”

"Xiao Xiaoqian has been studying very hard recently, but your aunt called again and told him not to work too hard, there is no need to hurt his body."

"Can you help me tell you, is there anyone who advises children not to study so hard?" Fang Gan asked tentatively.

When Fang Xian heard this, he said, "You have to ask Uncle Yun to tell Auntie about this matter. How can I take care of it?"

"Upright officials don't take care of housework. Uncle Yun and Auntie's family are already well off, and they can't make a living even if they make a small amount of money. I don't dare to talk about it." Fang Xian said about his difficulties.

When Fang Gan heard this, he sighed: "Yes, the annual salary of your uncle Yun and your aunt can more than cover our family's income for ten years. How can we use up all the small money?"

"But children love reading?"

"Guess why he often lives in our house? It's because here, your aunt can't have a direct video chat with him. He can read professional books. Don't tell me, this kid is really smart."

"I taught myself programming, and also learned a little about physics. Now I heard that I am doing some chemistry, and I have also been exposed to a little bit of medicine. He thinks it's pretty good." Fang Qian was amazed.

Fang Xian's face darkened slightly when he heard this.

Hey, compared with my younger brother, my qualifications are the younger brother among younger brothers.

……

Time flies like water, and nearly half a month has passed.

Changshi, Changshi No. 1 Civil Hospital, in the operating room of the trauma center.

Fang Xian, the surgeon, personally performed the entire operation on the damaged left abdomen, while Fang Yun was taking care of it, ready to take over the operation at any time.

It is not too difficult for Fang Yun to destroy the damage and save his life.

However, Fang Yun's eyes flickered at this moment, because Fang Xian said that he planned to try to save his life by using intestinal resection, intestinal segment suturing and nerve translocation to leave a little bit of intestinal peristalsis and sphincter in the patient. Function.

If possible, then techniques like his can be put into animal testing, and new techniques can be systematically established.

Yes, Fang Xian plans to do it with the patient as the first step.

There are mainly several reasons.

First, the current upper limit of damage treatment is immortality, and there are still some slight remaining functions, which seems to everyone to be off the mark.As long as Fang Xian ensures the patient's life safety and then gets a certain improvement, he is doing his best and a kind of salvation for the patient. It is mainly to prove that his current basic skills can already rebuild part of his functions.

After it is proven to be useful, the research and development of new surgical procedures can be started on a large scale, including borrowing some new equipment, etc., and bringing them into clinical trials, in order to form a new surgical procedure with evidence-based medical evidence, and finally promote it thoroughly to clinical practice.

If it can really be promoted, then once Professor Xu Fengnian of West China Hospital completes the standardized treatment process, basic professional skills and other topics for this disease, it will be difficult to treat the disease.

This destructive disease can be thrown into the specialist department of some tertiary hospitals for emergency surgery.

If it's not fatal, it can still have residual function, and it can be reconstructed, then why are you still in the operating room of a trauma center that is only for saving lives?

"Director Fang, electrosurgery." Fang Xian ordered Fang Yun while performing surgery.

Fang Yun immediately took one look and knew what to do next, and immediately gave the electric knife to Fang Xian.

Kaikai explained: "The reconstruction of gastrointestinal nerve function does not need to pursue a high reduction rate, because the intestines only need to be functional, unlike hand function reconstruction, which must have relatively sophisticated active functions."

"Well, yes. The activities of the gastrointestinal tract are involuntary movements. They just need to exist."

"The peristalsis of the gastrointestinal tract is to facilitate the movement of stool. The most important thing is the reconstruction of the sphincter and nearby muscles, so that the patient has the urge to defecate." Fang Xian carefully pointed out the small bleeding spot next to the nerve and replied.

After a while, Fang Yun watched Fang Xian skillfully suturing tendons.

Then he asked: "Is your tendon suturing a new concept of suturing that you came up with yourself? When you did that thing before, did you use this kind of suturing technique?"

Fang Xian looked up at Fang Yun and nodded: "Yes, Director Fang."

This is an operating room, there is no Uncle Fang Yun, only Chief Physician Fang Yun, or Professor Fang.

"You continue to do it. The reconstruction near the anal canal must not only have a sphincter function for movement, but also a sensory function. Otherwise, there will be no tenesmus and you won't know whether you should go to the toilet."

"This is very important, and the reconstruction of the nerve branches of sensory function may be more troublesome and delicate than the reconstruction of motor function."

"Let me do this step for you. I should be more experienced than you in nerve transposition and transplantation operations." Fang Yun looked at it with curiosity and seemed to be interested.

This new technique can arouse his interest.

Fang Yundu felt that traditional surgeries, some simple surgeries that looked fatal, were just repetitive.

Moreover, this time, Fang Xian was able to improve to such an extent when no one was optimistic about him. It was simply unbelievable.

For a new disease, Fang Xian not only completed the standard plan and standard procedures for emergency treatment of basic skills, but also specially developed specialized basic skills, which will make trauma surgery and general surgery doctors more comfortable in handling injuries.

If you practice the corresponding skills to a certain level of proficiency, this disease can be returned to a specialist emergency department. You just have to follow the standards. There are many talents in China regarding operational proficiency.

And if Fang Xian's surgery today is successful, then.

With the disease category of damage, only limb disability remains as a super important issue.

However, lower limb disability is much easier to deal with than urinary and fecal disability. With a prosthetic limb, you may still be able to move.However, it is not easy to find a replacement for the loss of bowel and bladder function.

Unless it's hanging a poop bag.

"Okay, Director Fang." Fang Xian took two steps back.

After Fang Yun took over, Fang Xian discovered that Uncle Fang Yun's operation was as smooth as flowing water. The tiny nerve suturing actually required very superb and detailed operations.

But to Fang Yun, it seemed like a piece of cake.

Uncle Fang Yun indeed spent a lot of effort on neurological reconstruction surgery for Wang Huan's hand disease.

However, at present, Fang Xian's nerve suturing reconstruction technique has not been directly upgraded to level 5, so it is not possible to discover the special subtleties in it. However, Fang Xian is not in a hurry. The reason why he first looked for functional residues in basic anatomy.

It was just to let Uncle Fang Yun do other operations instead.

Comprehensive organization of resources means making good use of all available resources to reduce your own troubles and difficulties.

Professor Bu Congming is the source of ideas.

Jiang Yang's theoretical mixture and trial and error are one kind of line for the in-depth development of ideas. Another line is Uncle Fang Yun's expertise in neural reconstruction and suturing.

With multiple lines working in parallel, we worked hand in hand to achieve the surgery we have today.

Fang Yun's operations were precise and fast.

But it took a full hour to complete all the nerve suturing, transposition, and fine displacement, but the operating area was only the size of a palm.

"My operation is over, and the remaining tendon binding will be left to you."

"I also have to take a closer look at how you use the sutures that can sew tendons to bones to perform sphincter banding and reconstruction operations." Fang Yun was curious.

Apparently, the new concept of suturing that Fang Xian had come up with aroused some curiosity in him.

Fang Xian said: "Actually, the original purpose was to vent. It was my friend who wanted to vent. But after operating it on the training device, he found that the result was not bad."

"Actually, the most important thing for this kind of suturing is to control the strength and angle of needle insertion, Director Fang."

Fang Xian didn't hide it. If Fang Yun wanted to learn this concept, it would be good for his Uncle Yun to work for him.

"Well, I'll pay attention then and give it a try to see the effect."

"Go on!"

……

Two hours later, the damaged epidermis was reconstructed with the cooperation of the director of the burn department, Fang Yun and Fang Xian.

After finishing this time, Fang Xian immediately felt the harvest.

[You have advocated emergency rescue procedures for injuries, specialist injury suturing, reconstruction, debridement, injury function reconstruction, intestinal segment functional residual resection, intestinal segment functional reshaping suturing, sphincter function reconstruction suturing... …]

[Inflicts 51245 points of damage to damaging diseases (accounting for 55%)]

"Fuck, it's done!" Fang Xian was ecstatic in his heart.

(End of this chapter)