Gou in the operating room to add some upgrades

Chapter 47 What is martial ethics?
Professor Hu and his assistant didn't disturb Fang Xian's operation, but muttered something in a low voice.

When Fang Xian heard this, he also felt that Professor Hu, who was standing opposite him, was aware of his own level. He was not nervous, guilty, or peeking, and continued to do his own thing.

Your skills cannot be snatched away or taken away by others, so why should you feel guilty?

During surgery, it is your duty to perform to the best of your abilities. Since this is your duty, there is no such thing as a lack of ability.

Do surgery well, treat patients well, study hard, there is no shame at all!
As for excitement and showing off, Fang Xian never thought about it, not to mention the professors of trauma surgery before, or the chief surgeons in the operating room of this trauma center, which one is not as bold as a cow after the operation, and can't wait to Run off stage early to smoke a cigarette.

There is nothing to be excited about.

The level of level 4 debridement is not at the bottom in the trauma center operating room, but it is definitely not at the top.

Debridement is the basis of most surgeries, and many surgeons practice this skill to a very high level. In tertiary teaching hospitals, perhaps level 4 is the standard threshold.

The Trauma Center has set the study period for the students in the debridement group to two years, which shows its importance to surgery.

The operation continued, and Professor Hu and his assistant continued to mutter.

"Although this operation is simple, Xiao Fang treats it as an unsimplified disease, which is very good."

"To be able to restore the simplified and simplified techniques to a certain extent requires profound basic skills." The assistant explained to Professor Hu in a low voice.

Get a glimpse of the whole leopard.

"Yeah!" Professor Hu nodded, his eyes flickering.

Zhou Xiyin's expression became more serious at the moment, his eyes widened, and his eyes became more cautious and careful, observing the subtleties.

Level 4 suture may not improve the growth of surgeons, but level 4 debridement will bring about a qualitative leap in the growth of surgeons!

It can be said that the unit a surgeon will eventually work in depends to a certain extent on his level of debridement, because this is the basic skill that determines the upper limit of all his surgical skills to a large extent.

It's like in martial arts novels, a hero's internal strength will determine his damage value!
He is only one year older than himself, and has two level 4 skills. Could it be that what his father said is right, he shouldn't come to study medicine with his qualifications?

No, no.

There is a premise here, that is, Fang Xian is a normal way of learning, he has a good teacher to teach him, and someone to give him opportunities, unlike himself, his father's requirements for him are all on his own, if he can succeed, it proves that he can do well in this world. Industry foothold.

If he can also have an equal opportunity with Fang Xian, then he may not be able to.

But thinking about it this way, Zhou Xiyin still felt a little guilty.

Level 3 skills can be practiced through repeated practice, it is a matter of time, but level 4 skills cannot be achieved through repeated operations.

She knew this very well.

Fang Xian didn't have time to understand the different concepts of debridement, but the curettage he is doing now, and the curettage with a changed operating instrument, is already sufficient for this hematoma debridement.

In fact, a utility knife is the most standard, but a foreign body like a hematoma is not a kind of damage to the body tissue, but a foreign body invasion of normal collective tissues!

The definition of foreign body tissue in the human body is normal tissue without corresponding anatomy, and all objects are foreign bodies.

For example, there are bones in the human body, but if the bones grow inside the muscles, it is called heterotopic ossification. For the muscles, it is a foreign body and needs to be cleaned.

For example, if fat is in the fat layer, it is normal tissue, but if it accumulates in the non-fat layer, such as the liver, it is a foreign body, it is fatty liver...

The operation was simple, so in just two to three minutes, Fang Xian drained out the hematoma bit by bit.

And because of Fang Xian's special technique, his operation did not cause even the slightest damage to other structures, at most, the mouth of the suction device would occasionally absorb the outer layer of muscle.

This is not considered injury, otherwise, sitting on one's butt would also cause damage to the muscles.

Moreover, Fang Xian's technique is very subtle, so after a round of disguised scraping, the hematoma was cleaned up, and the outer layer of the muscles became extremely refreshed again!

However, when the location was relatively close to the source of the hematoma - the blood vessel breach, Fang Xian did not use the suction device to greet him.

You must know how to use your brain. Basic theory is not a decoration. During the operation, you must only use your skills to do things.

Before the operation, the hematoma was blocked, and the input of the hematoma was controlled.

The cleaning of the suction device speeds up the removal of the hematoma, and the foreign matter is disposed of once and for all.

However, if you use a negative pressure suction device to remove the vascular stump, if the embolism is sucked out, wouldn't it be a fresh hematoma?
Although doing so can increase your risk of disease, such a thing is unethical.

When Fang Xian pondered the mechanism of this panel in depth, he discovered at least 100 ways to get more skill points.

For example, if it doesn't matter, I make a cut here, sew it up, pull it there, and sew it up again. Is that considered treatment?

Can it count?
Even if it doesn't work, if you are more ruthless and deliberately cut off the blood vessels, you can still perform an additional hemostasis operation in the end.

Diseases are not static, and the surgical process may also be ever-changing. It does not cause additional burden or harm to the patient. This is the bottom line. Surgery requires an incision, and there is no way.

If the pain of the patient can be solved without surgery, the patient does not need to go to the ward at all.

Putting down the suction device, Fang Xian used gauze to remove the last bit of blood, and then he saw the stump of the blood vessel.

This is a perforating branch of the profunda femoral artery.

Tie it off with silk thread!
Clean it once and the operation is over.

This operation is too simple.

After the piercing was done, in order to avoid mistakes, Fang Xian asked extra, "Professor Hu, this patient only has hematoma, right?"

Fang Xian only thought that coming in was suturing, so he didn't do a general review of the patient's condition and familiarize himself with the medical records. His diagnosis and his operation method were all told to him by Professor Hu.

"Yes!~"

"Let's sew it up. You didn't cut the muscle tissue in the process of cleaning the hematoma, there was almost no bleeding, and there was no need to place a drainage tube." Professor Hu nodded and said.

"Physical saline, dilute complex iodine..." Fang Xian called out to the equipment nurse after receiving a response.

The whole process of the operation requires asepsis, and the thorough washing after the operation is actually one of the cooperation contents of the debridement, which is the complete content of the debridement.

Now Fang Xian has a deeper understanding of debridement.

Cleaning out abnormal tissue and keeping it relatively sterile is all debridement.

……

After flushing is suturing.

Naturally, the suturing operation is also free to do.

There is no need to worry about the muscle layer. The suture operation of this operation can be summed up as deep fascial suture, subcutaneous suture, and skin suture. After bandaging, it is easy to send the patient out.

In fact, level 3 skills are enough for such a technique. Professor Hu asked him to do it with level 4 skills. In fact, it was a waste of medical resources to a certain extent.

Of course, this was Fang Xian's inner thoughts.

Fang Xian was suturing carefully, and even Professor Hu's assistants watched it with gusto. Level 4 suturing is not common among surgeons because it is not cost-effective.

Uncommon does not mean it is not good, on the contrary, level 4 suture is very good, but it is scarce, so everyone loves to watch it.

The same goes for Zhou Xiyin.

While Fang Xian was slowly suturing, Professor Hu accidentally asked: "Are you interested in going to Zhongshan Hospital? We have one-stop service for degree and preparation."

"Ah?" Fang Xianwen's hands froze for a moment, completely unexpected why Professor Hu would say that suddenly.

After hearing this, the assistant next to Professor Hu and Zhou Xiyin looked sideways.

This old man has no martial ethics.

In the operating room of the Trauma Center of the Affiliated Hospital of Shonan University, do you still want to show some face when you pull people outside?
(End of this chapter)