Fang Xian found that although Professor Lin Jiemo and Associate Professor Song Yu liked to chat and chatter 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 position of the second assistant in the "novice protection period", close to the two, so he can hear the breathing sounds of the two clearly.

Xue Li didn't dare to speak, and the other onlookers also remained silent, and the operating room was silent, only the anesthesia instrument kept making the sound of dripping, dripping, dripping.

This situation lasted until Professor Lin Jiemo completed the bone flap removal before he got a turnaround: "Song Yu, haven't you lifted your leg for a long time, I feel that your business ability is a little rusty." ”

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

Song Yu assisted in the operation, but he understood Lin Jiemo's meaning very well: "Professor Lin, isn't it generally carried or not?" ”

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

After Lin Jiemo examined the completion of the bone flap transfer operation, he turned his head and asked the instrument nurse, "What are you talking about?" The leg lift in our orthopedics is a solid hard basic skill. Convenient for the main operation! ”

"Do you think our Professor Song is not solid?" Lin Jiemo asked rhetorically.

"Then I'll have to ask my sister-in-law." The instrument nurse is not ashamed......

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

After the key steps of the operation are completed, everyone makes a joke and races the car to relieve the tension, which is a normal thing, but it is too much.

"Xue Li, you come to play the external fixation stent...... Song Yu hurriedly instructed Xue Li in the group, Xue Li wants to take the level 3 physician of trauma surgery, then the level 3 related surgeries of trauma surgery must be proficient.

The external fixation of the external fixation stent is one of the required contents......

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

Professor Lin Jiemo who saw him in the ward, it was a big black bull, with a short temper and a lot of air, but he didn't expect that in the operation, he was also an F1 race car driver.

Of course, even the attending physician Xue Li didn't dare to interject, so Fang Xian and the others could only be the audience.

The operation continued, Fang Xian slowly figured it out, and if he could understand it, he could only count it if he couldn't understand it, which was the first lesson for him to learn the charm of trauma surgery......

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

"Through the cooperation of his assistant, he completed an operation, causing 2 points of damage (0.1%) to the large femur defect and obtaining 2 skill points!"

There are also skill points, but not much, and this damage proportion is almost pitiful.

Professor Lin Jiemo called Fang Xian to him again, it seemed that Fang Xian was impressed, and after sorting out the surgical mask, he said: "Xiao Fang, although diligence is a good thing, the body is the capital of the revolution, especially the capital of men. ”

Fang Xian was stunned for a moment when he heard this, and he didn't know how to understand Lin Jiemo's words for a while.

But in the end, Fang Xian only adopted the superficial ingredients in Professor Lin's words: "Teacher Lin, the previous things bothered you. ”

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

didn't ask Fang Xian for it, but Fang Xian kept it in his heart.

"Diligence and hard work are good qualities, and we strive to maintain them in the case of grasping the degree." Lin Jiemo nodded.

"The next operation is a relatively simple operation, and you will do the skin incision."

Fang Xian secretly twitched in his heart, if he remembered correctly, the next operation should be pelvic fracture open reduction and internal fixation, this is a fourth-level operation, and it is an extremely high-level trauma surgery operation, can it be said to be simple?

"Thank you, Mr. Lin."

"Don't cut me to the opposite side of the skin here, I can only cut in four millimeters at most! Take this right, and you'll be fine. Lin Jiemo confessed seriously and stopped driving.

Fang Xian thought about the consequences of a pelvic fracture cutting into the opposite skin, and nodded cautiously, that would definitely not dare!

The third operation may really be a relatively simple operation, so Associate Professor Song Yu did not go on stage, but the two senior brothers in the second year of the master's degree 'seventh year' came to the stage as assistants.

There are only two mature doctors in this 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 in the main knife position.

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

"The length is limited to this curve, and the depth cannot exceed four millimeters, come!" After Lin Jiemo finished speaking, he let go of the operation field.

Fang Xian looked at the surgical incision made by Lin Jiemo starting from the posterior superior iliac spine and ending at the anterior superior iliac spine.

After recalling the details of the incision operation a little, Fang Xian dropped the knife very cautiously and simply.

Vertical incision, oblique arc pass, vertical outlet, the first incision of the operation, according to their own ability to operate to the maximum extent.

There is almost no bleeding, the incision is smooth, there is no bias arc, there is no more than the arc, and it is clear that the knife and the length of the incision are well mastered and solid.

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

"You just stand there and don't move."

"Take tweezers and prepare a skin retractor, ready to assist me in the operation." Lin Jiemo stood in the position of one assistant and began the main surgery......

The others didn't say anything, they didn't praise anything, and the atmosphere of the operation fell into a tense silence again.

The surgery is rigorous until the critical operation is completed.

There are strict boundaries to what can be fun after the critical operation is completed.

Then in the next process, Fang Xian became a tool man, at the mercy of Lin Jiemo, and let him do whatever he wanted.

It lasted for more than two hours before Fang Xian regained the opportunity to stitch!

During the continuous process of Fang Xian's sutures, Professor Lin Jiemo and Associate Professor Song Yu only watched Fang Xian suture the first stitch, and they knew the approximate level of Fang Xian's sutures.

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

Then I walked out with Professor Song with a smile and no pressure, obviously quite confident in the quality of this operation.

Xue Li nodded and said okay, and then said: "Xiao Fang, you are not nervous, just stitch it well, the basic skills practiced in the skill training room are to be used in surgery." ”

"The process of practice and understanding is constantly intertwined and integrated, and surgery is gradually introduced."

"All surgeons start with skin incision and suturing."

Fang Xian didn't respond, but started stitching very rigorously according to his own operating level!

It can be described as a board and a glance, and every stitch is well grasped.

On the other side, Xue Li was saying to another master and a doctor: "You see, this is the basic skeleton of suture, and the alignment and level are the skeleton of suture, and it is also a foundation for healing." ”

"The practice of patterning is to lay such a foundation, slowly understand in the clinic, and choose different suture depths and densities according to different skin areas, which is the deep level of suture!"

"It's still in control, how deep each stitch is, to what level, what is the purpose, what kind of effect is achieved......"

"Uh-huh! Brother Li. The doctor and the second-year master nodded hurriedly, using Fang Xian as the basic control marking, as if Fang Xian was the control group, to show how he could do better than Fang Xian.

Fang Xian didn't dare to say much, the senior brother of the doctor opposite already had the authority of the main knife, and the basic skills of the specialist had reached level 3, and the senior brother who was in the second year of the master's degree also heard that he would soon be able to get the authority of the main knife, and it was expected that the corresponding accumulation would be completed by the end of this year.

It's normal to be much better than yourself and be pointed at by excellent people.

Suture level 1 is a completely standardized suture, the medical association defines suture level 1 as the completion of three different suture methods, simple intermittent, continuous seam and tension reduction suture, standardized completion, there is no speed requirement, but the operation must be standard.

The requirements of suture level 2 are that there is a requirement for suturing speed, which must reach five stitches within three minutes, and the operation of suturing must be standardized and must not be coped. And with the 2nd level of suture, you need to further clarify the level of the suture process, so that you can suture to the fascial layer, you can't just suture to the subcutaneous layer.

There are requirements for the level and speed of stitching, which is the basic skill, and Fang Xian has it, so if it is sewn out, there will be no mistakes, which determines the lower limit of suture!

The operation is quite regular, and it is over.

Then there is Fang Xian's classmate, Lin Jiemo's master's student Fan Chengpeng guards the operating room, and others, including Fang Xian, all go to the operation room to eat. (The restaurant that was set up by the mistake of the dining room, and the meal was delayed.) ）

However, in this process, Fang Xian found that a group of senior brothers, staring at the operation they had just done, and then discussed with Xue Li, not to say where they were not doing well, but to analyze where they could do better, and they could reach level 3!

The corners of Fang Xian's mouth twitched!

The co-authors finally squeezed in, and it just became a stepping stone for them.

Fang Xian looked at his harvest!

"You completed an operation with the cooperation of your assistant, causing 3 damage to the pelvic fracture (1.5%), and gaining skill point 1!"

"You have caused 21 damage (33%) to the wound of skin and soft tissue surgery through suturing operation, and gained 21 skill points!"

"The current skill points are 26 left. (Note: There will be a small number of skill points when changing the doctor's order and dressing in the morning, I hope you will know, so there will be about two more points, and there will be no first-class water account every day.) ）”

Fang Xian looked at it, and his eyes suddenly lit up!

The harvest is so rich?

It's good to be an assistant!

If you can take the main knife?