Gou in the operating room to add some upgrades

Chapter 39 Good idea

"Fang Xian, the student of the suturing group, has been confirmed, Wang Huan." Not long after his aunt went out, Fang Xian heard this explanation on the headset channel.

It's a pity that the patient with a large thoracotomy just had time to suture one stitch. Although the suturing is not over now, there is no need for Fang Xian to come on stage again. It is expected that the skill points he will get in the end will be very few.

The time passed to 1:[-], and the damage value settlement was displayed on the panel, with only a pitiful [-] skill point.

Fang Xian didn't have time to take a closer look, and another call came from next to his ear: "Students from the suturing group, call from room 4 of the operating room! One minute."

"Come right over!" Fang Xian responded quickly and ran out of the lounge!
When Fang Xian finished dressing and went on stage again this time, he saw that the surgical incision in room 4 of the operating room was relatively deep, and he had only just completed the key operation, which required the innermost layer to be sutured outward.

This is a femoral artery thrombectomy and suturing operation.

The incision is on the front inner thigh and is nine centimeters long!
"I just heard that the suture skills of the students in the suture group are pretty good. Can full-thickness suture be done?" After Fang Xian stood still, a young man standing opposite him asked.

Fang Xian knew that the superiors who could perform surgery here were all very high-level, and those who could be called not bad by them were all experts with a single skill reaching level 4.

Suture is a basic skill. Generally, only the cosmetology department, burn department, and hand surgery department will choose to practice suture to level 4. The rest of the departments will not waste too much time on this basic skill.

Fang Xian hesitated for five seconds, then nodded.

"It should be okay!" Fang didn't talk much, but his tone was confident.

Two young men and one middle-aged man worked hard to open the outer layer of the surgical incision, giving Fang Xian a chance to suture the arterial sheath.

Sutures include skin sutures, subcutaneous sutures, and sutures of different tissues such as the sheath. It is necessary to clarify the layers before they can be combined one by one.

Generally, level 3 suturing techniques can provide such treatment ideas, but level 4 suturing techniques are more meticulous and complete in the treatment process.

"Stitches!~"

"Stitches!~"

"Stitches!~"

Full-thickness suture refers to suturing from the surgical field to the surface of the skin, so this time it is not like before, one or two sutures can solve the battle.

The sheath layer, muscles do not need to be sutured, the deep fascia layer, superficial fascia layer, fat layer, and subcutaneous layer are sutured more precisely. The more precise the suturing, the lower the chance of postoperative infection for the patient.

With a good suture foundation, the infection of the outer layer will not even spread to the inner layer...

After suturing the last layer, Fang Xiancai added thoughtfully: "Teacher, don't you need to put a drainage tube during blood vessel suturing and thrombectomy?"

This is Fang Xian's own understanding of this operation, and it is also based on his understanding of the basic theory of trauma surgery, which has reached level 3.

Generally speaking, surgery involving vascular injury may cause blood oozing after surgery. In order to speed up the healing of the surgery, a drainage tube will be placed to drain the oozing blood.

Fang Xian only asked more questions, and a young man from the other party gave Fang Xian a half-smile expression: "Ordinary doctors need to place drainage tubes for blood vessel-related operations. It doesn't mean that everyone needs it, and it doesn't mean that Professor Qin needs it too."

Fang Xian nodded and looked at him apologetically.

Then help cover the outermost layer of sterile dressing on the skin incision.

[You cooperated with the suture operation and caused 45 points of damage to the skin and soft tissue surgery wound (accounting for 7%), and gained 45 skill points! 】

This is a suture that is not particularly cost-effective.

Fang Xian thought about it in his heart.

Seeing that Fang was idle, the young man on the other side added another compliment: "Just as some people at your age only have level 2 suture skills, it doesn't mean that everyone is only level 2, and it doesn't prevent you from even walking ahead of me. "

Suture level 4 is still worthy of praise.

Fang Xian is young, and no matter how much time he devotes, it is very limited.

This hand suturing technique can be enjoyed in many surgical departments, which is due to talent.

Ordinary people will not spend too much time on this, as long as it can be used.

Fang Xian smiled again, his eyes wandered around the so-called Professor Qin a few times, and he naturally caught the details that Professor Qin's single skill of blood vessel suture has reached level 4.

At the same time, I also surmised this in my mind.

That is, the basis of the upstream skills of suture is still suture, but it does not mean that suture will be the only influencing factor of such procedures as vascular suture, and there are other understanding and operation skills.

After the patient was placed, the other party did not bother with Fang Xian. After the patient was safely transferred, Fang Xian hurried back: "Got it, there are 14 operating rooms, and we will arrive within 2 minutes!"

Fang Xian still needs to take off his clothes and get off the stage, and also needs to wash his hands and put on his clothes again, which will take a little more time.

But it shouldn’t be a problem to arrive within 2 minutes!
After Fang Xian finished his response, he just bowed to the superior in the operating room and left.

When the remaining few people were pushing the patient out, the person named Professor Qin said: "I heard that this child can endure hardship!"

"Yes, Professor Qin, what I learned is that he worked for eighteen hours without a break yesterday."

Ordinary students who entered the assessment, although they are also very diligent, occasionally have to rest for a while after raising fish. For example, after they just stepped off the stage, they encountered the stitches of the next stage and went to the toilet without responding, and then drank some water.

Almost no one is fully functioning in the hospital without a break.

Fang Xian is an exception.

"Children who come out of the hunger culture know that opportunities are hard to come by, but they don't know whether they are hardworking or feel that they have rich operational training opportunities that are hard to come by."

"The Affiliated Hospital of Shonan University has high requirements for surgical students to follow the stage and to be the chief surgeon." Professor Qin said this and stopped talking.

If there are too many monks and too little porridge, then the culture can only be starved. If you eat a big pot of rice, no one will be full.

If you are not good enough or think it is too complicated, you can give up and let someone else do it.

There is always someone better than you!

……

Nine p.m.

Fang Xian heard several calls to the students in the incision group, but no one responded.

Fang Xian sat idle for about 5 minutes and didn't wait for him to get a sewing machine. He made a slight move, but in the end Fang Xian held back.

Effort is hard work, and rules are rules. Before Wang Huan completed his cross-group formalities, Fang Xian thought that he didn't need to break the rules too much.

After all, behind every rule, there is always someone who has paid a bloody lesson, whether it is a patient or a senior.

[Current skill points remaining: 313.]

After adding more points yesterday, there are more than 100 points left, and the results of the two and a half hours today are still fruitful. Using the terms of the games I played during my undergraduate period, I can describe that I am now invincible.

There are many opportunities to operate!

There is absolutely no need to rush.

Drink some water and go to the toilet.

As soon as I washed my hands, I heard someone giving me a chance to suture.

Fang Xian immediately responded and ran...

He responded to the last operation at 55:[-] in the morning. When someone else responded later, he responded three times in a row that the students in the suture group were about to get off work.

At [-]:[-], Fang Xian finished the last suture, sent the patient out of the operating room, and started to organize his things in the suture room.

However, while sorting it out, Fang Xian found that in the rest room of the suturing team, there were so many empty beds, and there was a shower room in the operating room. In other words, if you go to take a shower by yourself, you can definitely spend the whole night here. .

Get up around [-] o'clock tomorrow and have breakfast and lunch together. You can do this job!

I don't know if skipping breakfast will cause a certain burden on my stomach.

After thinking about it again and again, Fang Xian decided to go back and prepare for it first, and then come back to sleep tomorrow.

Wouldn't it be enough to go back and get some toiletries, towels, toothbrushes and toothpaste, and breakfast milk, etc., then move in, set the alarm clock, and get up for breakfast?
Fang Xian thinks this is a good idea!

(End of this chapter)