Gou in the operating room to add some upgrades

Chapter 7 Full of Harvests (please collect and recommend)
Fang Xian discovered that although Professor Lin Jiemo and Associate Professor Song Yu liked to chat after stepping down, they became relatively silent after the actual operation began.

Lin Jiemo is the chief surgeon, Associate Professor Song Yu is the first assistant, and Fang Xian is in the "novice protection period" position of the second assistant. He is close to the two, so he can hear their breathing sounds clearly.

Xue Li didn't dare to speak, and the other onlookers also remained silent. There was no sound in the operating room except for the anesthesia machine beeping, beeping, beeping.

This situation lasted until Professor Lin Jiemo completed the bone flap removal operation, and then there was a turning point: "Song Yu, have you not lifted your leg for a long time? I feel that your professional ability is a bit rusty."

Bone transport is a downstream procedure of bone defect replantation surgery.

Song Yu assisted in the operation, but understood very well what Lin Jiemo meant: "Professor Lin, isn't it usually carried or not carried?"

This sentence instantly detonated the atmosphere in the operating room, and the equipment nurse said: "Professor Lin, Professor Song, can you two be more formal, we still have female students majoring in nursing here."

After Lin Jiemo inspected the completion of the bone flap transfer surgery, he turned to ask the instrument nurse: "What are you talking about? Our orthopedic leg lift is a solid basic skill. It is convenient for the main operation!"

"You think our Professor Song is not solid?" Lin Jiemo asked back.

"Then you have to ask sister-in-law." The equipment nurse was not ashamed...

Associate Professor Song Yu smiled more cheerfully. He understood all of Lin Jiemo's meaning, but he didn't continue to reply.

After the key steps of the operation were completed, it was normal for everyone to joke around and get out of the car to relieve the tension, but going too far would not be enough.

"Xue Li, you come to get the external fixator..." Song Yu hurriedly ordered Xue Li in the group. Xue Li is going to be a third-level doctor in trauma surgery, so he must be proficient in related surgeries in trauma surgery.

The external fixation of the external fixation bracket is one of the must-test contents...

The conversation between Professor Lin and Associate Professor Song Yu also surprised Fang Xian.

The professor Lin Jiemo I saw in the ward was a big black bull, with a bad temper, and he was angry with the air. Unexpectedly, he was also an F1-level racing driver during the operation.

Of course, even the attending physician Xue Li did not dare to interrupt, so Fang Xian and others could only act as listeners.

As the operation continued, Fang Xian slowly figured it out, read what he could understand, and forget what he couldn't understand. This was his first lesson in the charm of trauma surgery...

At the end of the operation, Fang Xian finally saw an increase in skill points again.

"With the cooperation of your assistant, you completed an operation, causing 2 points of damage to a large femoral defect (accounting for 0.1%), and gained 2 skill points!"

There are also skill points, but not many, and the damage ratio is almost pitiful.

Professor Lin Jiemo called Fang Xian to him again. It seemed that Fang Xian was deeply impressed. After tidying up the surgical mask, he said, "Xiao Fang, although hard work is a good thing, the body is the capital of the revolution, especially the capital of men. It's very important."

Fang Xian was slightly taken aback when he heard the words, and for a moment didn't know how to understand Lin Jiemo's words.

But in the end, Fang Xian just accepted the superficial content of Professor Lin's words: "Teacher Lin, you have troubled yourself with what happened before."

In fact, not only was it troublesome, the department also posted some money for Fang Xian to see a doctor, not much, but some.

I didn't ask Fang Xian to ask for it, but Fang Xian kept it in my heart.

"Diligence and hard work are good qualities. Try to maintain a good degree." Lin Jiemo nodded.

"The next surgery is a relatively simple one. You will do the skin incision."

Fang Xian was secretly twitching. If he remembered correctly, the next operation should be open reduction and internal fixation of pelvic fracture. This is a level four operation and a very high-level trauma surgery operation. Can this be said to be simple?
"Thank you, Teacher Lin."

"Don't cut into the skin on the opposite side here. I can only cut into a thickness of four millimeters at most! Control this and you'll be fine." Lin Jiemo confessed seriously and stopped driving.

Fang Xian thought about the consequences of the pelvic fracture cutting into the opposite skin, and nodded cautiously, he must not dare!
The third surgery may really be a relatively simple surgery, so Associate Professor Song Yu did not appear on the stage. Instead, two seniors who were in the second and seventh year of their master's degree came on stage as assistants.

There are only two mature doctors in our hospital, Professor Lin Jiemo and attending physician Xue Li.

All the preoperative preparations were ready, and the instrument nurse handed over the willow-leaf round knife and curved plate, and Fang Xian was currently standing at the chief knife position.

Lin Jiemo, who was standing opposite Fang Xian, used tweezers to draw an incision curve for Fang Xian on the sterile surgical drape. This curve has no reference point and is still very smooth.

"The length is limited within this curve, and the depth cannot exceed four millimeters. Come on!" Lin Jiemo stepped aside after speaking.

Fang Xian observed that the surgical incision made by Lin Jiemo started from the posterior superior iliac spine and ended at the anterior superior iliac spine.

After briefly recalling the details of the incision, Fang Xian carefully and simply dropped the knife.

The knife is inserted vertically, the knife is moved in an oblique arc, and the knife is withdrawn vertically. The first surgical incision is made to the maximum extent according to one's ability.

There is almost no bleeding, the incision is smooth, there is no deviation from the arc, and it does not exceed the arc. It is obvious that the knife movement and the length of the incision are well controlled and solid.

"Not bad!" After Fang Xian put the knife into the curved plate, Lin Jiemo praised him.

"Just stand where you are and don't move."

"Take tweezers and skin hooks, and prepare to assist me in the operation." Lin Jiemo stood in the first assistant's position and began to perform the surgery...

No one else said anything or praised anything, and the atmosphere during the operation once again fell into tense silence.

Surgery is rigorous before key operations are completed.

Only after the key operations are completed can you be happy, and there are strict limits for this.

Then in the following process, Fang Xian became a tool man, letting Lin Jiemo manipulate him, and doing whatever he asked him to do.

It lasted for more than two hours before Fang Xian got the chance to stitch again!
During the continuous process of Fang Xian's suturing, Professor Lin Jiemo and Associate Professor Song Yu knew Fang Xian's approximate suturing level just by watching Fang Xian suture the first stitch.

"Xue Li, you are responsible for completing the follow-up operations. Professor Song and I will go down to eat first, and then we will send someone here to guard the operation turnover." Lin Jiemo explained.

Then I walked out chatting and laughing with Professor Song, without any pressure, and obviously quite confident in the quality of the surgery.

Xue Li nodded and said, "Xiao Fang, don't be nervous. Just suture well. The basic skills learned in the skills training room will be used in the operation."

"The process of continuous interweaving and integration of practice and understanding will gradually help you get started with surgery."

“All surgeons start by cutting skin and suturing.”

Fang Xian didn't respond, but began to sew very strictly according to his own operation level!

It can be said to be meticulous, and every stitch is well grasped.

On the opposite side, Xue Li was saying to another master and a doctor: "Look, this is the basic skeleton of suturing. The alignment and layers are the skeleton of suturing, and it is also a basis for healing."

"Modeled practice is to lay such a foundation, and gradually realize it in clinical practice. According to different skin areas, different suture depths and densities are selected. This is the depth of suture!"

"It's still in control, how deep each stitch is, to what level, what purpose, what effect to achieve..."

"Yeah, yeah! Brother Li." The doctor and the second-year master nodded quickly, using Fang Xian as a basic comparison line, as if Fang Xian was the control group to show how they could do better than Fang Xian.

Fang Xian didn't dare to say anything. The senior brother opposite him who was a doctor already had the authority to be the surgeon, and his basic technical skills had reached level 3. The senior brother who was in the second year with a master's degree also heard that he would soon be able to have the authority to be the surgeon. It is expected that The corresponding accumulation will be completed by the end of this year.

It is normal for someone who is much better than himself to be pointed at by excellent people.

Level 1 suturing is a completely standardized suturing. The definition of level 1 suturing by the Medical Association is to complete three different suturing methods, simple interrupted, continuous seaming and tension reduction suturing. It is completed in a standardized manner. There is no speed requirement, but the operation must be done. standard.

The requirements for level 2 suturing are that there is a suturing speed requirement, which must be five stitches within 3 minutes, and the suturing operation must be standardized and must not be handled.And level 2 suturing requires further clarification of the layers in the suturing process so that you can suture to the fascia layer, you cannot just suture to the subcutaneous layer.

There are requirements for stitching level and speed. These are basic skills, and Fang Xian has them. Therefore, there will be no mistakes when stitching. This determines the lower limit of stitching!
The operation was quite orderly, so it ended here.

Then there was Fang Xian's classmate, Fan Chengpeng, Lin Jiemo's master's student, guarding the operating room, and everyone else, including Fang Xian, went to the operating room to eat. (Mistake dining room, a restaurant set up for delaying meals.)
However, during this process, Fang Xian discovered that a group of senior brothers were staring at the operation he had just performed, and then started discussing with Xue Li. They were not talking about what they did poorly, but analyzing what could be done better. You can reach level 3!
The corner of Fang Xian's mouth twitched!
After finally squeezing in, it became a stepping stone for them.

Fang Xian looked at his harvest!
"With the cooperation of your assistant, you completed an operation, causing 3 points of damage to the pelvic fracture (accounting for 1.5%), and gained skill point 1!"

"You cooperated with the suturing operation, causing 21 points of damage to the skin and soft tissue surgical wounds (accounting for 33%), and gained 21 skill points!"

"Currently there are 26 skill points remaining. (Note: There will be a small amount of skill points when changing the doctor's order and changing the medicine in the morning. I hope all book friends will know, so there will be about two more points, and it will not be recorded one by one every day.)"

Fang Xian looked at it and his eyes suddenly lit up!
Such a rich harvest?

It’s still good to be an assistant!
What if I could be the surgeon?

(End of this chapter)