Gou in the operating room to add some upgrades

Chapter 43 Core Damage
[You cooperated with the incision operation, causing 4 points of damage to the gastrointestinal perforation injury (accounting for 0.2%), and gained skill points 4! 】

At two:[-] in the afternoon, Fang Xian saw his panel beating like this.

Fang Xian happened to be jogging on the way to the next operating room. After reading it, he simply slowed down and rolled his eyes.

The level 3 incision technique has a damage ratio of 0.2% and only gives 4 skill points. Isn't this just sending a beggar away?

Fang Xian completely forgot that he improved his skill proficiency only a little over the weekend.

That's Fang Xian's improvement speed under normal circumstances. What does it have to do with Fang Xian's cheating?
From this point of view, it was right not to choose to add some incision in advance!

The damage ratio is too small.

Only key operations are lethal to diseases!

Debridement is the skill base in all key operations.

One more time...

"Room 14, Fang Xian, a student from the suture team, will be here soon!" Fang Xian was slow before, fearing that his superiors wouldn't be able to wait, so he quickly responded.

The superior will reserve 5 minutes of flexible time for the students in the suture group, and I will only exceed 1 minute and a few seconds, which should be harmless.

When he entered the operating room and was about to be fully armed, Fang Xian noticed that the professor in the operating room, the oldest professor, had extremely cold eyes. He only glanced at himself before turning his eyes to the surgical field of vision.

Fang Xian quickly put on sterile gloves and came to the stage. After a little scrutiny, he found that the patient had undergone a thoracotomy. At present, the superior had completed the bony butt joint operation and the suture of the subcutaneous layer, and no full-thickness suture remained.

Fang Xian was slightly excited. The time-return ratio of full-thickness suturing was the least efficient. It was best to just sew the skin by yourself!

Moreover, when Fang Xian looked at the subcutaneous suture of the wound again, he also found that the subcutaneous layer of this patient had been sutured quite perfectly.

That is to say, the most superficial incision needs to be sutured to avoid infection. Otherwise, it will be bandaged and taken out. If the patient is conscious of protection, there is no need to suture!

This is definitely a level that can only be achieved by level 4 suturing techniques, and Fang Xian vaguely feels that he cannot do such suturing yet!

Glancing at the three people next to him, Fang Xian couldn't tell who stitched it up.

Seeing Fang Xian's eyes, one of them replied: "Professor Zheng knows that your suture has reached level 4, and specially prepared a more standard and high-quality suture for you, so that you can observe and know the follow-up of your improvement."

"Think carefully, don't look blindly!"

Fang Xianwenyan continued to glance at the old professor with cold eyes, but the other party still had slightly indifferent eyes and did not say a word.

Fang Xian whispered thank you before hurriedly firing on all cylinders.

However, after Fang Xian started suturing, this person named Professor Zheng said: "The purpose of suturing is to make a tight fit and provide a chance for the reconstruction of the severed tissue."

"Blood supply is the key, the layers are the structure, the parallel lines are to prevent death, and the upper limit is to approach the normal skin structure."

Fang Xian took advantage of the time he was waiting for the thread to be cut after tying the knot, and kept looking in the direction of Professor Zheng!

Professor Zheng's voice was very soft, not harsh or indifferent, but very enthusiastic.

Just look at his eyes again, but they are still indifferent, as if there is no light.

After reading it, Fang Xian continued to focus on the suture of the wound.

Professor Zheng continued: "Not many young people today are willing to immerse themselves in suturing."

"It's only used for its own use, and it doesn't make any sense. If you are willing to develop a deeper level, we can discuss with each other later."

Fang Xian paused slightly.

"Thank you, Professor Zheng." He replied without hesitation, but due to the need for operation, he could not give the other party a look.

The communication during the operation is communication, and it doesn’t matter if you drive, but the bottom line is to strictly operate the operation to ensure the quality of the operation.

As long as you can guarantee the quality, it doesn’t matter if you sing and dance as long as the patient doesn’t hold them accountable, but you can’t guarantee the quality. If you kneel and do sutures meticulously, it’s useless.

Ability and the quality of medical care that can be provided are the greatest expression of medical ethics.

The skin tension on the chest is slightly higher, so mattress sutures are needed to reduce the tension to avoid postoperative skin necrosis. Therefore, redundant suturing operations are required and the speed is slower.

Fang Xian carefully sutured for 15 minutes before the incision was completely sutured, creating a string of candied haws-shaped skin mounds!
"The subcutaneous tissue of the chest is close to the chest wall, which is slightly different from the subcutaneous structure of other parts. You can experience more about the feel of suturing in the future."

"The sewing is very good, but it could be better!" Professor Zheng said.

Fang Xian looked up. When the other two people, who didn't know whether they were attending doctors or associate professors, were responsible for wrapping sterile dressings, they looked at Fang Xian with a hint of envy.But it's just envy.

Spending more time on learning suturing and upgrading such an 'instrumental' skill to level 4 is not cost-effective, and few people will do it.

'Instrumental skills' are skills with a low level limit and have little significance in improving real clinical diagnosis and treatment.

For example, cardiopulmonary resuscitation, electrocardiogram examination operation, color ultrasound exploration operation, suture operation, dressing change operation, etc.

As long as you know how to use these skills, there is no need to delve into the upper limit of it. No matter how high the upper limit is, its usefulness is very limited after all!
However, Fang Xian naturally didn't think so.

He has witnessed with his own eyes how useful the improvement of basic skills is, and the intuitive feeling of ascension he gets.

It's just that Fang Xian has never communicated with others about such a high-end operation before, so he replied: "Professor Zheng, will the skin suturing of the thorax be sutured according to the conventional suturing method, will there be more scars?"

"But even if scars occur, since there is a chest wall in the thoracic area, it will not affect the inner tissue, so?"

The rib cage is a bony structure, so what if there are scars?Does not affect the patient's internal organs.It is not as good as the limbs affecting the activities.

Isn't this the same as suturing the scalp? It's a little lumpy, but it doesn't affect the patient's quality of life at all!

However, it is obvious that Professor Zheng’s understanding of suturing is not limited to this: “What if you sewed each layer of structure into a thorax for protection?”

What the hell!

The function of the thorax is to protect and accommodate!

Protect the heart and lungs from direct impact and accommodate the inner heart and lung organs.

If each layer is regarded as a chest, then each layer is for protection and accommodation.If this is the case, doesn't it mean that suturing is actually very useful?
Seeing Fang Xian's eyes light up, Professor Zheng said with the same gaze: "Don't worry, I'm just discussing with you, not emphasizing. Focus on the main tasks first, and when you have enough foundation, you will always choose a direction of interest to explore with people all over the world." Let’s discuss together.”

"Okay, Professor Zheng!" Fang Xian nodded his greeting.

Fang Xian, who had already taken off the sterile surgical gown, immediately replied: "Good teacher, Fang Xian, the suture team, will be here right away. There are 4 operating rooms!"

No matter how advanced Professor Zheng's ideas are, skill points cannot be lost. This is fundamental!

And Professor Zheng also said that there is no need to rush to understand everything for a while.

"Professor Zheng, thank you for your advice. I'm going to help first." Fang Xian said, while looking at the 31 skill points he had just gained, his mouth under the mask almost turned into a vampire's grin.

15 minutes of stitching can get 31 skill points, and it is a slightly slower stitching.

The cost performance is higher than that of full-layer stitching, and my statistics are correct!
After all, statistics is still a basic skill, and it needs to be classified more carefully to maximize the advantages.

Professor Zheng nodded, his eyes still indifferent.

But this time, Fang Xiancai finally discovered that Professor Zheng might have some disease in his eyes. Otherwise, according to his tone and enthusiasm, he wouldn't be making such eyes all the time.

How tiring it is to live like this!
Fang Xian once again threw himself into the arms of skill points...

(End of this chapter)