Gou in the operating room to add some upgrades

Chapter 42 Ascension again! (Please collect and read)
"Don't run away when you step down!~"

After Fang Xian finished suturing, covered the patient's abdominal incision with a sterile dressing, and pushed the patient off the operating table, Professor Hu actually pressed Fang Xian down!
This was the first time Fang Xian encountered such a thing.

No one stopped him when he ran away two days ago.

Fang Xianwen said: "Mr. Hu, I'm going to 17 operating rooms for stitches!"

"Let's start suturing in the 17th room. I have recruited the suturing team for the incision in the 12th room! Hu Dajiao." Professor Hu responded immediately on the headset channel.

Fang Xian: Me?

Can it still be like this?Zou Junzi didn't tell him.

Hu Dazuo is definitely not his real name, but Fang Xian saw the soles of Professor Hu's feet after taking off the sterile surgical gown. They are indeed very big. They must be size 46 feet, right?
"Received!~" There was a sound from the other party, followed by silence.

Fang Xian stared blankly, he could only watch helplessly as his skill points ran away!

Incision, Fang Xian had done it in the trauma center before, the incision has no therapeutic damage ratio at all, and the skill point gain is pitifully small, who the hell wants to incision group...

"Teacher Hu!" Fang Xian blinked, hoping that Professor Hu would spare him and let him gain skill points with confidence and boldness.

"Room 17 is a patient with intestinal perforation, currently under anesthesia, come with me!" Professor Hu ignored Fang Xian.

After pushing Fang Xian out of the operating room, Professor Hu asked, "Has the incision reached the level where an incision can be made?"

Fang Xian nodded.

Incision level 2 is the superficial incision, which is the case in trauma surgery.

With level 3 incision, a full-thickness incision can be made.

That is, Fang Xian only has level 2 in the basic theory of general surgery, but it doesn't matter, Fang Xian can immediately reach level 3.

From level 2 to level 3, only 50 skill points are needed. With a daily income of two to three hundred points, Fang Xian is still willing to 'waste' on adding more points.

Once you have learned a skill, it is not a waste.

"That's right!"

Five minutes later, Fang Xian and Professor Hu came to the stage at the same time. Professor Hu went directly into the operating room without waiting for the young man from the previous operating room to return. There was also a young doctor waiting for Professor Hu to arrive after disinfecting the drape. .

It may be because Professor Hu had specifically confessed before, so he prepared all the relevant equipment for incision, and only waited for Fang to come.

After approaching the operating table, Professor Hu first asked: "Mr. Anesthesiologist, the patient's vital signs will not fluctuate much at present, right?"

The anesthesiologist made an OK gesture, and Fang Xian interpreted it this way.

But Professor Hu nodded and said: "Three hours is not life-threatening, that is definitely enough!"

Fang Xian froze, straightened his back, what the hell are you doing, can you guarantee that your gastrointestinal perforation will not be life-threatening for three hours?

Seeing that the other side's temples were silvery white and his eyebrows were shiny, Fang Xian silently lowered his head.

The Trauma Center of the Affiliated Hospital of Shonan University has reduced the mortality rate of emergency patients to less than [-]%. Such data must be something!

These are all emergencies, including aortic dissection, which has a very high mortality rate!

Perhaps in the operating room of the trauma center, gastrointestinal perforation is just a minor operation, so Professor Hu temporarily brought him here to play.

Before going on stage, the young doctor had already drawn the lines for the surgical approach!
"Fang Xian, a student from the suture group crossing the incision group, has level 4 suture skills." Professor Hu explained to the young man on the other side.

"I know him, Professor Hu. At present, in the operating room of our trauma center, among the younger generation, the suture skills are the highest. Even Brother Dong owes a little bit." The young man smiled innocently, showing special respect to Professor Hu.

Fang Xian is a little confused here!

The main problem is whether it is better to get the incision to level 4, or to get the basic theory of general surgery to level 3.

Can't take care of both, his skill points are currently 523 points, and can't be improved at the same time.

After thinking about it, let’s add the basic theory of trauma surgery, and forget about adding debridement first!

How to make an opening, even if you are not proficient, you can still get guidance. There are two superiors next to you, a Professor Hu Dajiao who sounds very bad, what are you afraid of?
Debridement and sutures account for the bulk of the damage and are the most beneficial to oneself.

The patient does not need a level 4 incision to show that the gods are descending!

Fang Xian then began to make incisions in a regular manner.The Medical Association has long stipulated that different grades of incisions have different levels of difficulty in passing the assessment.

[Level 1 incision: Please follow the laser marking line and make an arc-shaped incision with a length of 10 cm and a depth of 0.5 cm! 】

[Level 2 incision: Please follow the laser marking line and make an arc-shaped incision with a length of ten centimeters and a deep subcutaneous fascia! 】

[Incision level 3: Please follow the laser marking line to expose to the operation field, no time requirement, no incision depth requirement! 】

[Requirements: During the process from skin incision to exposure to the operation field, there should be no medium-sized arteriovenous injury and no nerve injury.There is no need to cut the muscle layer injury, and the blood loss is less than 30ml.The incision is not less than 6cm! 】

Incision level 1 requires the control of depth and length, level 2 requires more delicate control of incision depth and length, and requires precise cutting arc.

Level 3 does not have the above special requirements, but there are absolute requirements for the overall level.

The overall bleeding volume does not exceed 30ml. What is the concept of 1ml? It is one eighteenth of the volume of mineral water. This is still continuous bleeding, so the corresponding concepts of level 2 and level [-] operations must be strictly followed.

Otherwise, you will never think about it in your life. Violent incision, a few breaths, and an insignificant middle artery injury can cause the patient to lose 50ml of blood volume!
Fang Xian never pursues speed, and strictly follows his own standards!

It is quite satisfactory, the level 3 skill is not particularly bad in trauma surgery, and it is regarded as the best among the students, but there are very few young people in the operating room of the trauma center, so there seems to be no special shining point.

but!
Also passable.

After the incision was made, a pungent smell immediately rushed out from the patient's abdominal cavity. It was fresh and came from the toilet. Fang Xian, who was the chief surgeon, involuntarily frowned!

After this, Professor Hu didn't ask Fang Xian to continue, but immediately took the instrument in Fang Xian's hand, put the instrument in and began to investigate.

Fang Xian only took a few steps back when he saw Professor Hu uncovering the location of the perforation. It was not like finding a needle in a haystack, but it was as difficult as finding a stone in a paddy field. It was done so easily.

After all, the intestinal tubes in the abdomen are stacked, and the location is unpredictable in Fang Xian's eyes, but in Hu Dazuo's eyes, it is like his own home.

When Fang Xian left the operating room, he heard the young doctor saying, "Professor Hu, did you find the second opening?"

"Awesome!" Fang Xian could only say this silently.

Compared with ordinary trainees like Li Qiu, I am now considered a bull. Compared with Zou Junzi, I am a little bit ahead of him, but compared to a professor?

Fang Xian felt that he should not be too whimsical!

……

Finally, after completing another suturing operation completely, the skill points finally accumulated to 500.

Fang Xian put all his skill points on debridement. In an instant, Fang Xian felt as if he had poked a 'skill ant's nest'. With the improvement of debridement, many skills were upgraded at the same time.

Most of them went from level 0 to level 1, and a few skills, such as abscess removal, hematoma removal, necrotic tissue removal, schwannomas, lipomas and other relatively simple removals, were suddenly upgraded to level 2.

Fang Xian counted carefully and found that there were at least eight or nine!

This is the charm of leaping basic skills, one skill soars, chickens and dogs ascend to heaven!
In fact, it's normal. Fang Xian's previous level 3 debridement was very good at dealing with lipoma!
Of course, it is still very difficult to treat a small lipoma, the kind that is tens of centimeters in diameter.

Even now it is difficult and requires special practice, but now, if Fang Xian is asked to perform lipoma resection on that 'little sister', Fang Xian can do it as if it were a play!
[Debridement level 4 0/5000 (curettage)! 】

Fang Xian knew that this curettage might be a kind of concept in debridement, different concepts have different understandings, it has to go to the medical association to check it out.

After adding points, Fang Xian carefully examined whether he could handle the patient with intra-abdominal gastrointestinal perforation in Professor Hu's operating room.

It seems to be possible, slow down, and the 'shit' inside can be cleaned out. If you want to clean up quickly, it will take time to accumulate, and you must practice the intra-abdominal debridement well.

If it is a small or large wound corresponding to a limb injury, it can be handled with ease. As long as it is not the damage to the entire leg or the damage to a single lower limb, Fang Xian feels that he can handle it!
This is the confidence brought by strength!

(End of this chapter)