Gou in the operating room to add some upgrades

Chapter 66 Professor Zhu's Silence!

Fang Xian held the needle in one hand and the tweezers in the other, and made a good suturing posture. He approached the operating table and realized that the suture that Professor Zhu asked him to perform was not an incision suture, but a blood vessel suture.

Fang Xian didn't know what to do for a while, otherwise, with his operation speed that lasted for more than 20 days, it is estimated that he would have completed one stitch by now.

However, because the suturing technique reached level 5, the blood vessel suturing technique was upgraded to level 3. Fang Xian did not feel that there was nothing he could do about the breach in the blood vessel. He was just confirming with the assistant next to Professor Zhu whether he could continue the operation.

After coming to the trauma center for 25 days, Fang Xian knew that the professor who performed the surgery might not be from the hospital, but 90.00% of the assistants were young doctors from the hospital, and every operation must be performed by a doctor from the hospital.

The other party met Fang Xian's gaze, and he also had the impression that Fang Xian was a new cross-group student in the suture group, so he didn't speak, and nodded slightly to show that Professor Zhu's words were not bragging.

It is illegal for a general surgeon to allow trainees from several training groups in the trauma center to operate beyond the training range. Even the professors of this hospital cannot do it, but Professor Zhu can.

This is authorized by Professor Wang, the head of the trauma center, and Professor Han, the fourth director of the trauma center.

Such authorization is indispensable for both of them.

Professor Zhu Daodao did not disappoint the name Fang Xian gave him secretly in his heart: "You just sew it up. This is just the simplest way to sew blood vessels end to end. If I tell you to sew it up, you can sew it up."

"Will I do things that break the rules? The chief surgeon is mainly responsible for the patient's postoperative recovery."

"I'm not asking for trouble."

"But before suturing, you need to pay attention to three things."

"The first is the anatomical layer of blood vessels, the second is the general precautions for suturing blood vessels, and the third is the principles that need to be paid attention to when detecting and repairing needles after suturing blood vessels."

Fang stood idle and did not operate, waiting for Professor Zhu to continue speaking.

However, during the process of Professor Zhu's explanation, Fang Xian was very suspicious of whether Professor Zhu Dao Dao was holding his breath, so he deliberately found such an opportunity to have a good chat.

He started from the most basic anatomical structure of blood vessels, and directly treated Fang Xian as an idiot who hadn't started.Then I will talk about which things of basic suture can be used for reference in vascular suture, and which ones need to be temporarily abandoned...

10 minutes passed.

Professor Zhu has just talked about the general precautions for vascular suture.

Fang Xian looked a little annoyed, not because he felt that this would be absolutely bad for the patient and delay the operation time, but because what Professor Zhu was talking about at the moment was really boring.

The premise of having a level 3 vascular suture is that he has a level 3 basic surgical theory, so the basic anatomy related to blood vessels and some basic points of vascular suture are naturally in the theory.

So, taking advantage of a certain time point, Fang Xian burst out: "Professor Zhu, why don't we start sewing, I can suture blood vessels a little bit."

Professor Zhu Daodao is enjoying his mouth here, but Fang Xian is wasting skill points here.

Time is equivalent to skill points, if you give Fang Xian science some things he doesn't know, there is really no need to repeat these basics meaninglessly.

As expected, Professor Zhu Daodao's voice stopped abruptly.

Maybe because he felt secretly upset when Fang Xian interrupted him, he said with a half-smile, "Vascular suture is slightly different from ordinary suture, since you said you know a little bit, then you can use yours first. "

"I hope you can stick to this statement later."

Fang Xian had already started suturing, but Zhu Daotao was still mumbling: "The technique is pretty decent, but when suturing small blood vessels, be careful not to let the adventitia and intima turn in. The principle of vascular suturing is..."

Professor Zhu was still educating Fang Xian on science, as if his mouth shouldn't be idle.

Or maybe it is risky to give Fang Xian a newcomer the opportunity to suture blood vessels, so he must be responsible.

However, when Professor Zhu had just said something, which might not have been satisfying, his mouth was already closed.

Because he found that Fang Xian's speed and technique of suturing blood vessels at this moment were very particular. It didn't look like he was just starting out, but he really knew how to do it.

Seeing this scene, the assistant standing next to Professor Zhu suddenly widened his eyes.

Vascular suturing is a second-class operation of specialized standards, which belongs to specialized operations such as vascular surgery and microsurgery, and is generally not accessible to trauma surgery or general surgeons.

When Fang Xian was doing the point-to-point operation of end-to-end suture in blood vessel suture, it really looked like that at first.

No, blood vessel suturing is completely different from ordinary surgical incision suturing. Why is Fang Xian here, as if there is no professional barrier?
Continue to examine Fang Xian's operation. After the end-to-end suture of the blood vessel is completed at two points, when Fang Xian continues to insert and withdraw the needle, the assistant's gaze has become more serious.

No one can be deceived by the skill in his hands. If it were 20 years ago, he might not be able to quantify and characterize Fang Xian's current operations. He could classify each operation skill based on the development of the Medical Association.

He could tell that Fang Xian's current suturing skill level had actually reached level 3.

Level 3 vascular suture surgery is an operation that only a very small number of surgical specialists will practice. It mainly includes vascular surgery, hand surgery, cardiothoracic surgery, and neurosurgery cerebrovascular subspecialties. Surgery, hepatobiliary surgery, etc., almost do not involve such specialized basic operations.

Did Fang Xian come to the trauma center from hand surgery?

He didn't pay much attention to the other party, and he didn't know where he came from...

Now he can't think of where Fang Xian is going...

When he saw Fang Xian suturing the fifth stitch, Professor Zhu started talking again: "The basic operation of the specialist is good, vascular suturing, this is how it was sutured at the beginning, end-to-end suturing, which is the most classic type of vascular suturing. Stitching concept, if you are..."

While Professor Zhu kept talking, Fang Xian continued to sew.

It reached the ninth stitch, nine stitches, which is the limit of suturing that this small blood vessel can accommodate.

At this time, Professor Zhu discovered something was wrong——

Vascular suturing is a basic professional skill. It is based on suturing but is higher than suturing. It has its own principles.

Even stitches, vascular intima eversion, and full-thickness suture are the most basic foundations. There is absolutely no problem with Fang Xian's operation.

However, at the fourth point, Professor Zhu Daotao discovered a big problem.

[-]. Pay attention to exhaust: After suturing, pay attention to exhaust, especially when suturing arteries. If there is air, it may cause serious consequences such as arterial air embolism.

This is a principle written in textbooks.

But at this moment, Professor Zhu discovered that the effect of Fang Xian's suturing did not require exhaust at all, which seemed to be contrary to the current concept of vascular suturing...

Professor Zhu also noticed that the assistant next to him was looking at him, asking why.

Because Professor Zhu, a "master" who has level 5 vascular suture, can't avoid the step of venting, for safety reasons, but the result of Fang Xian's current operation is that this step can be avoided, because the artery is deflated .

Moreover, as we all know, it is difficult to suture a deflated lumen.

Facing the assistant's questioning eyes, Professor Zhu, who has always been very talkative, became very silent now.

(End of this chapter)