Gou in the operating room to add some upgrades

Chapter 46 The spring scenery in the garden cannot be hidden (please collect and read)
Fang Xian was washing his hands and rinsing quickly, rubbing his hands back and forth after receiving sterile hand sanitizer.

Zhou Xiyin is no stranger to these operations, and she can do them very well, but Zhou Xiyin has been staring at Fang Xian, and she has an intuition in her heart that——

This Senior Fang is just as dishonest as himself.

As Zhou Xiyin, who wanted to enter the operating room of the trauma center, and her elders were in the operating room of the trauma center, she was familiar with the various systems of the trauma center, otherwise it would be difficult to find the flaws.

Zhou Xiyin has never been beaten from life, but she has indeed been beaten from society, and this kind of society originated from her old father, so she always thinks that he is just a family elder.

Entering the trauma center operating room is actually broken down into three stages.

One is the learning stage of the entrance training, which is divided into three groups, suturing, incision, and debridement. This is the foundation stage.Then there is the stage of admission assessment, which requires receiving, diagnosing, and treating patients. When encountering routine operations, you must be able to do it yourself, and you must do it extremely well.

The last is to be resident in the operating room, to become a stable second assistant and first assistant, to be able to complete at least two-fifths of the surgical procedures under the guidance of the chief surgeon, and finally to become the real core chief surgeon.

The closest thing to Zhou Xiyin is the intensive learning stage of entrance training. Zhou Xiyin knows that only by practicing basic skills to level 4 in the corresponding study group can he study across groups and enter the next study group in advance.

Generally, only a small number of people can do it.

This has something to do with the current embarrassing situation of the Affiliated Hospital of Shonan University...

Fang Xian, who is currently studying across groups, proves that Fang Xian has already reached level 4 skills, and he is not a serious doctor who would choose sutures that he worked hard to practice.

This Senior Fang is very interesting. The hemostasis technique in the basic skills is still a bit rough. I don’t want to polish other skills, so I just focus on one suturing technique...

Fang Xian quickly washed his hands and stepped on the sensor door of the operating room and walked in. When the door slowly opened, Professor Hu, the surgeon inside, immediately cast a look of relief: "Xiao Fang, you came just in time for this patient."

Halfway through Professor Hu's words, he saw a 'follower' wearing a blue washcloth walking in behind Fang Xian. After looking at those eyes carefully, his gaze suddenly sank.

"Who's behind you?" Professor Hu's words stopped abruptly and he quickly changed the subject!
"Professor Hu, this is the student that Professor Wang asked me to take as an intern. Her name is Zhou Xiyin, and she is here for an intern." Fang Xian said while putting on his clothes.

Putting Wang Huan out at this time will definitely save a lot of trouble.

When Professor Hu and his assistant heard the word Professor Wang, they glanced at each other, then remained silent, and did not make another sound.

Zhou Xiyin realized that these people recognized her, but she still came to the operating table openly and watched the preoperative area carefully.

The front side of the left thigh has non-open normal skin. Such a patient did not enter the emergency department, so why did he come to the trauma center?

Many questions flickered in Zhou Xiyin's heart...

The first time Fang Xian entered the operating room, he washed his hands and dressed, put on sterile gloves, and came to the operating table. He saw that the patient's operative field was clean and smooth, and there was an incision line in the middle, waiting for his operation. It was not sutured but cut open, and I cried secretly in an instant.

This big-footed Hu is going to do something again.

Fang Xian looked at Professor Hu, feeling helpless despite all the bitterness.

Before leaving, I didn't know what Professor Hu was going to do, and I was afraid of losing the opportunity. When I arrived, I couldn't take off my clothes and step down on the spot.

"Xiao Fang, this patient has a hematoma in the prefemoral area. He has been embolized to stop the bleeding. He was supposed to go to the vascular surgery department for elective surgery, but I asked him to come over temporarily, just so you can practice your skills." Professor Hu's tone was cautious, and he did not forget to observe. The expression of Zhou Xiyin next to her.

Zhou Xiyin's face was expressionless.

Fang Xian's mind was spinning rapidly. He understood Professor Hu Dajiao's words and replied uncertainly: "Teacher Hu, does that mean I have to complete all operations?"

Isn't this a waste of time?
I know my own level very well. If you perform debridement after the hematoma embolization is completed, you can just treat a tool. How much harm can it cause?Now the overall damage of this disease is not that strong.

If it's rough and demanding, direct puncture and drainage will work.You dragged him into the life-saving operating room of the trauma center. Isn't this a waste of resources?
Hu Dajiao thought that Fang Xian was happy. After all, the opportunity to complete a whole surgical operation was very rare for Fang Xian at present.

The assistant next to him said: "Professor Hu found this patient specially for you. Otherwise, our operating room would have been closed long ago."

"Thank you, Professor Hu!" Fang Xian quickly stood up and thanked him.

I shouted in my heart, thank you so much, Hu Dajiao.

If I have this time, I can complete three or four sutures. Wouldn’t it be nice to get more than 100 skill points?Would you like to be less enthusiastic?
But people can't be dogs, and bite back in front of kindness.

do it!

The opening is not big, and the anatomical position is the limbs that Fang Xian is familiar with, which is the anatomical position Fang Xian is most familiar with in the basic theory of trauma surgery.

In the front of the thigh, there is a high probability that there is only one hematoma in the gap of the quadriceps anterior group.

In this area, there are only so many blood vessel shapes, including a femoral artery-popliteal artery continuation, a profunda femoral artery and its branches. As long as these key points and areas can be grasped during the operation, anything can be done.

The basic theory can let you know the taboos in an area, and if you don't go, the result will not be uncontrollable.

Preoperative embolization can give you a bottom line, and the risk to the patient's life is controllable.

This is practice surgery.

Therefore, after confirming that it was him who performed the surgery, Fang Xian made the first cut without hesitation.

After putting down the round knife, hold the electric knife and start to infiltrate gradually. In front of the specialized incision and with the anatomical support of the specialized basic theory of trauma surgery, Fang Xian is confident that he can directly enter the hospital within 5 minutes. femoral end.

This is the confidence that comes from knowing the classification and corresponding level of surgical skills.

And this operation does not need to be so deep, so it took Fang Xian only 3 minutes, and at a relatively slow speed, to open the deep fascia layer outside the muscle layer, and the hematoma instantly became visible to the naked eye!
It is localized and clotted, not an active hematoma.

This is not terrible anymore.

After a slight hesitation, the patient's active hematoma has been treated, and all that needs to be done now is hematoma removal. Hematoma removal is a variant of debridement, which is a variant and upstream skill of debridement.

After Fang Xian twisted the deep fascia, he used a sharp knife to break the opening, and then used hemostatic forceps to start blunt tearing.

There are small blood vessels and nerves out of shape in the deep fascia layer, and blunt rupture can greatly reduce blood vessel damage and control bleeding.

After the breach, the liquid tissue in the hematoma slowly leaked out. Because Fang Xian screwed up the deep fascia that controls the volume of the liquid, the blood was very confined. Under the operation of the negative pressure suction device, it did not even contaminate other areas. Shuye is dry.

After the blood coagulates, it is in the shape of a block of frozen tofu, trapped between the muscles, smooth and tender, and dark black.

Except that the color is not very good-looking, this whole set looks like duck blood when eating hot pot.

The blood clot is tender, slippery, and soft.

In such cases, a negative pressure suction device can be used directly.

"Whoa!"

"Qiuqiuqiu!"

When the lumen of the negative pressure suction device is filled up and then some gaps are exposed, the sound of air flow changes is often heard.Fang Xian twisted the hemostatic forceps with one hand to lift up the deep fascia, held the negative pressure suction device with one hand, and explored it layer by layer.

It looked like he was using a suction device to clean up a hematoma, but Fang Xian’s cleaning technique was caught by Hu Dajiao right away!
"Professor Hu, you were right." Before Professor Hu could speak, the assistant next to him gave a complicated look.

You can't hide the spring scenery in the garden, especially in the eyes of "lusty people", it is clear at a glance whether you are good-looking or not.

(End of this chapter)