Gou in the operating room to add some upgrades

Chapter 278: Neural stapler issue

Chapter 278: Neural stapler issue

"Professor Zhou Cheng made an appointment with me before to develop a project on neural suturing devices together. Therefore, if we want to improve basic professional skills, we need to get closer in this aspect."

"If you improve your operational skills in other fields, it will be of little help to the development project. We should first consider adding points to your existing operational skills..."

After getting off the operating table, Fang Xian couldn't wait to open the panel and began to think about how to add points to his existing skills.

We must not only take care of the team, but also cooperate with Professor Zhou Cheng’s project on neural staplers.

After such selection, Fang Xian could choose to upgrade only a few skills.

After much thought, Fang Xian finally chose the basic specialty skill "neurosuture". This skill can not only help the project of developing neural suturing devices, but is also an important basic content in the functional reconstruction department.

First upgrade the nerve suturing technique to level 5 in case of emergency.

In the Department of Functional Reconstruction, it is difficult to improve neurosuture because of its high difficulty. Generally, when the proximal end of the damaged nerve is severely damaged and cannot be repaired using other methods, neurosuture is used to displace and repair it.

Through surgery, the normal nerve on the other side is cut off, and then its proximal end is repaired and anastomotic with the distal end of the damaged nerve to achieve functional compensation.

The level of neurosuture is also related to the actual difficulty of the operation. Different nerve sutures have different difficulties and require different levels of neurosuture operations.

Even in the current team, no one has upgraded neural suturing to level 5 skills.

Use motor nerves to repair motor nerve damage, and use sensory nerves to repair sensory nerve damage. Only in this way can we ensure the regeneration of nerves to a greater extent and reestablish normal functional control.

The neural suturing technique was upgraded to level 5, and knowledge rushed into Fang Xian's mind like a tide. He quickly absorbed and digested this knowledge. The improved skills brought a lot of knowledge, and Fang Xian's understanding of neural suturing became deeper and deeper.

In addition to specific practical operations, Fang Xian also has a certain understanding of the selection of donor nerves when suturing nerves.

The selection of donor nerves should take into account minimizing the functional loss caused by the loss of nerves in the donor site.

Since the specific functions of the original innervation of the donor nerve and the hand nerve are different, after the nerve is transferred and sutured, its central control and regulation require a coordinated process of adaptation and functional reorganization.

Nowadays, Fang Xian's neurosuture skills have been upgraded to the level 5 skill level, and there are still more options for selecting cases in the functional reconstruction department in the future.

There was only one operation scheduled today, so after the operation, except for the nurse who was going to do postoperative work, everyone else was still in the department.

There is not much work at hand, so while we are busy, the team is also analyzing the opinions of the recent surgeries. We can discuss together the problems that have arisen in the recent surgeries and come up with a solution.

"When sending patients to the department in the future, the medical records must be read clearly and the condition analysis needs to be more detailed. If necessary, it is also possible to screen the patient's condition."

"Different groups of people have different recovery times after nerve repair." Yang Longguan said in a calm tone. He was sitting there in a posture that he found comfortable.

After hearing his words, Fang Xian looked in his direction, and then nodded: "You can consider it."

His suggestion is not unreasonable.

"The plasticity of central nervous system control is better in children than in adults, and for patients who are engaged in fine hand operations, the plasticity is better than that of general manual workers."

"This should be noted when selecting cases, as it is related to the patient's postoperative healing."

"It is for the above reasons that for nerves that need to be repaired for coordinated voluntary movement, it is best to use the nerve bundles that innervate the synergistic muscles for anastomosis."

"For cases where the nerve deficiency has been damaged for a long time, in order to ensure a tension-free anastomosis of the nerve, nerve transplantation can also be used for nerve repair."

"However, this kind of nerve transplantation must also follow the principles of motor nerve and motor nerve transplantation, and sensory nerve and sensory nerve transplantation to ensure the surgical effect."

Based on Yang Longguan's suggestion, Fang Xian began to analyze possible situations that may occur during nerve suturing surgery.

However, except for Yang Luoguan, everyone else showed a little puzzled expression when they heard the specific operation notes about neurosynthesis. After all, the level of other people's neurosuture is not high, and the only one who is the best, Yang Lauguan, It's only level 3, close to level 4.

"If you encounter specific nerve suturing operations, they can be assigned according to the difficulty. Junior Brother Fang, those who can do more work!"

After listening to Fang Xian's analysis, Yang Rogguan crossed his legs and said with a smile.

Although Yang Louguan's suturing skills are the highest, among the basic skills of a specialist, the level of neural suturing is not high. Level 3 is close to level 4. It is not known when he will be able to upgrade to level 4 skills.

Therefore, during the operation, if the nerve suturing required by the condition exceeds Yang Luoguan's operating level, Fang Xianlai needs to take action in time.

"If a specific operation encounters a problem, then I will definitely take action. However, neurosuture is still a relatively important basic skill in the functional reconstruction department. The improvement of skills cannot stand still." Fang Xianzhan said He spread his hands and said helplessly.

Although Fang Xian can take action in time, it does not mean that the level of others can stop here. Every time he undergoes an operation, there must be a corresponding improvement. Even if the improvement is not much, he cannot stand still.

Then, Fang Xian changed the topic, continued to look at Yang Rogguan, and began to say: "Brother Yang, your suturing skills are the best among others, but your neural suturing skills are only level 3 and close to level 4. "

"Among the basic professional skills in the Department of Functional Reconstruction, neurosuture is a relatively important skill. We still need to learn more and upgrade neurosuture to level 4 skills as soon as possible, so that future surgeries will be much less difficult."

Hearing this, Yang Longguan suddenly looked embarrassed. Although he nodded, his expression was full of bitterness: "Junior brother, you also know the difficulty of neural suturing. If you want to upgrade to level 4 skills, you don't know. How many surgeries do I have to do?”

"In terms of specific operations, there must be progress, but at this time..."

After the words fell, Yang Rogguan laughed twice and scratched his head in embarrassment.

It shouldn't be a problem for Yang Rogguan to improve the skill level of neural suturing. But the problem is, how easy is it to upgrade neural suturing to level 4 in a short time?

"Haha, nothing."

"In the future, our department will definitely develop more and more, and the number of patients it will treat will also increase. When more operations are required for surgery, the skill level will improve quickly."

"So, if there is any operation related to nerve suturing, I can leave it to Senior Brother Yang to handle it. Of course, I will be watching from the side. If there is any problem, I will tell it on the spot." Not just myself, but others. Fang Xian also needs to consider the improvement of people. He cannot perform most of the operations by himself in every operation, while others just stand aside and watch.

In this way, it will also hinder the growth of others, so Fang Xian should also appropriately leave the basic operations to others to complete.

Only in this way can the basic operation skills of others be improved, and oneself will not spend too much energy on every operation.

Of course, if you leave the corresponding operations to others to complete at the beginning, Fang Xian may need to expend more energy, because while monitoring other people's operations, you need to analyze the overall cause of the condition to ensure that there will be no problems in subsequent surgical operations. .

But this is just the beginning. Once Fang Xian becomes proficient in subsequent surgeries, he will feel more relaxed.

Fang Xian's decision is nothing more than to give others more opportunities to practice on the operating table and consume more energy.

But no one objected, because this is an improvement of the basic professional skills they have mastered. If they want to have such a practical opportunity, others can only ask for it!

"In addition to Senior Brother Yang, everyone else must also master the corresponding basic skills of the specialty. They will all have the opportunity to operate on the operating table in the future..."

Fang Xian looked away from Yang Rogguan, and then looked at the others.

"Xiyin, you and Li Qiu can actually take turns with Senior Brother Yang to conduct operational experiments. Of course, if you encounter a relatively simple nerve suturing case, if the difficulty is higher, Senior Brother Yang or I will still have to do it."

In the field of suturing, Zhou Xiyin and Li Qiu should be in the second echelon among their entire team. The level of basic suturing is both level 4.

However, Zhou Xiyin's neurosuture skills have reached level 3, but Li Qiu is only level 2, which is still quite different.

"Well, I think Dr. Fang's suggestion is good. Learning at the intellectual level is all imaginary. Without practical experience, it's all just talk on paper."

"Although Lao Zhong and I are older, we still have to learn from everyone slowly in this regard." Associate Professor Qin Long said without any secrets, modestly.

The two associate professors' basic suturing skills are both at the third-level intermediate level. This is because their respective majors do not pay much attention to suturing, and the operational skills they have developed are in other fields.

However, the two of them specialize in neurosuturing, and both are at level 3 and can complete ordinary nerve suturing operations.

A ranking standard for the difficulty of nerve suturing can be constructed based on the actual difficulty of the operation. Based on this standard, others can have the opportunity to get started.

Of course, the most difficult nerve suturing must be left to Fang Xian. If the difficulty is reduced, Yang Luoguancai can be practiced to help him improve the nerve suturing technique to level 4.

As for the less difficult nerve suturing problems, they can be done by Associate Professor Zhou Xiyin, Associate Professor Qin Long and Associate Professor Zhong Kangqing, which will also allow them to gain more experience from practical operations.

As for Li Qiu, the operation of nerve suturing is only level 2, and it is still based on observation. There will definitely be nerve suturing problems suitable for him, but not many.

"Okay, since the two associate professors agree, we will slowly implement this decision from now on."

"First, according to the difficulty of the corresponding operation, make a detailed plan of three, six or nine, and then practice and improve according to the difficulty that you are good at. With me watching from the side, the operation can be bolder, and maybe there will be a breakthrough."

"Of course, what I'm talking about is not limited to neural suturing. Other aspects of operations can also be improved through this method. After all, the skills we were good at before are different. It is also a good thing to check for leaks and fill in the gaps."

Fang Xian nodded, finally settling the matter, but as he spoke, his eyes turned to Wang Yang.

he...

In terms of suturing, it is only the third level, and the road ahead is even longer.

"Wang Yang, you must also participate. In terms of difficulty, just... follow Li Qiu."

Although he said this, Fang Xian had already made preliminary plans for him: "Wang Yang, let's work on theory first, and put skills... aside, because growth is too slow..."

Next, Fang Xian began to write down a list of specific cases that needed to be practiced based on the operating skills that each of them was good at.

In other words, Fang Xian gave them a set of plans suitable for their own growth, including which aspects of surgical practice they needed to practice more, and he recorded them clearly.

However, there is currently no difficulty classification for relevant cases, so the difficulty needs to be divided according to the difficulty of the case in subsequent surgeries.

During this period, Fang Xian also inadvertently revealed the news to them, that is, he felt that his neural suturing technique had been upgraded to level 5, but it had not been professionally certified by the Medical Association.

As soon as these words came out, almost everyone looked at Fang Xian with a strange look. No wonder he didn't write himself a so-called growth and progress plan. I bet he is always making progress!
How long has it been since you came to the Functional Reconstruction Department that your neurosuture skills have been upgraded to Level 5?

Their hearts suddenly became unbalanced.

Just stay with Fang Xian for a long time, because this kind of unbalanced psychology will gradually become numb.

When Zhou Xiyin saw that Fang Xian had written a plan for herself and it looked very good, she sent the plan to her parents and asked them to help see if there was anything worth adding.

Not long after Zhou Xiyin sent the plan, Fang Xian, who was sitting in the department, received a call from Professor Zhou Cheng.

Professor Zhou Cheng got straight to the point and said that he had read the growth plan that Fang Xian made for Zhou Xiyin and found it to be quite sufficient. There were some things that needed to be supplemented. However, based on his personal abilities, he should first follow Fang Xian’s plan for growth and progress. .

Follow-up aspects will be supplemented and improved.

The specific reason for his call was that he heard from Zhou Xiyin that Fang Xian's neural suturing technique had been upgraded to level 5, another qualitative leap.

"Hahaha...Xiao Fang, neural suturing is a relatively important professional skill in the project of developing neural suturing devices."

"So, as soon as I heard the news, I quickly called you."

"There is preliminary progress regarding the neural suturing device project. I can discuss it with you..."

(End of this chapter)

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