[Suture Level 4 0/5000 (Alignment)]

At eight fifty, after experiencing Lin Hui's scolding on the phone, Fang Xian finally had time to take a good look at the list of skills on his panel.

From two o'clock yesterday afternoon, I worked until eight o'clock this morning, my body was very tired, but I was very energetic.

More than 600 skill points are consumed to the remaining 100+.

After the suture technique reached level 4, Fang Xian could feel that his suture technique had made a qualitative leap, but there was still no way to completely understand what the later alignment meant.

Moreover.

After the suture technique reached level 4, some of the skills related to suturing were improved by the way-

【Tendon suture grade 2 0/50】

【Cosmetic suture 2nd grade 0/50】

【Reduction suture 2nd grade 0/50】

【Vascular suture grade 1 0/25】

[Nerve Suture Level 1 0/25]

【……】

Suturing is only a basic skill, one of the twelve basic skills that every medical student must learn during their undergraduate years, and on the basis of suture, there are some special suture techniques, which are not the basic content.

Ordinary sutures focus on suturing the wound well, cosmetic sutures pay attention to the aesthetics after suturing, and tension reduction sutures are aimed at dealing with some high-tension wounds caused by skin defects......

Fang Xian remembered very clearly, before this, his tendon suturing technique was still a little bit short of proficiency to level 1, and the suturing of blood vessels and nerves had only just started to practice, and his proficiency was not high.

But after the suture technique is improved, these associated skills are all pushed at once. Although the skill level is not high, it can be calculated in this way, and it also saves a lot of skill points for Fang Xian's improvement.

Fang Xian estimated that at least a hundred skill points would be saved.

It's very scientific.

After the basic skill is broken through, the upstream skill level above the basic skill will definitely be promoted!

Level 4 skills are really strong.

I don't know if this is considered to have passed the entrance examination for sutures.

Fang Xian thought so before falling asleep......

In the afternoon, at ten o'clock at four, Fang Xian actually woke up!

After waking up, I ordered takeout and ate takeout, and I finished washing, and the time was only until five and ten, but Fang Xian didn't dare to go out, so I had to slowly check the information of the medical association at home, waiting for the arrival of half past six in the afternoon.

After returning from the hospital in the morning, Mr. Lin Hui from the trauma center called, if Fang Xian still didn't follow the rules today, he would either break Fang Xian's leg or roll out of the operating room of the trauma center.

These words made Fang Xian dare not make a mistake!

The broken leg may be fake, but if Fang Xian leaves, Lin Hui must have this power.

It was not easy to wait for a place where there were so many opportunities to operate, and it was impossible for Fang Xian to let the opportunity be lost.

Fang Xian is not afraid of hardship, he is afraid that he will still despair while suffering hardship.

Where there is hope, there is all motivation!

It is obvious that the trauma center is a very special place, a place that is willing to use the power of an operating room to train new people.

The threshold for entry is very high, there are many opportunities for training, and the frequency of operation opportunities can be described as devilish. And the senior teachers inside are also willing to give you a chance and wait for you.

In the Shonan University Hospital, I don't think there is a second place other than the operating room of the trauma center.

Fang Xian actually couldn't sit still a little in his heart, because he had been idle for too long before.

Last night, it was the crazy skill points that caused him to completely forget the time and completely immerse himself in the joy of gaining skill points.

This is the real reason why Fang Xian was scolded.

"Isn't it nice to be a workaholic?" Fang Xian complained in such a low voice, but he also knew that others were scolding him with good intentions.

Taking advantage of the fact that there was still a lot of time, Fang Xian hurriedly opened the official website of the Medical Association to inquire about the content related to the level 4 skill of suture.

The medical society has a corresponding classification and description of almost every skill in medicine, so that medical workers and medical students can know their level relatively objectively.

However, in order to avoid being ambitious, the skills have not been learned well, but the heart is higher than the sky, so the skill browsing authority of the medical association is deliberately set.

You need to have a level 1 skill to know the detailed description of the level 2 and level 3 skill level standards, and only with a level 3 skill can you have the privilege to see the specific content of the level 4 skill level standard!

[Basic Suture Level 4.] At present, there are the following schools of basic suture level 4 temporary closure speed, number of sutures, and suture effect, all of which are basic suture level 4 standards. 】

[Alignment: The most simple school of suturing, paying attention to one-to-one correspondence, clear layers, to achieve the purpose of healing. Pros: The relative amount of adhesions and scars that occur after surgery is relatively small. Disadvantages: The relatively slow suturing speed and the increase in the duration of surgery and anesthesia will increase the drug burden of patients during surgery to a certain extent. 】

[Flattening: One of the schools of suturing, which pays attention to the flatness of subcutaneous sutures, which is conducive to the suturing of the outer layer of the skin, and can reduce the breeding of scars on the surface of the skin. Pro: The suturing speed is fast, and each layer is not particularly layered, which is conducive to aesthetics and is conducive to the progress of cosmetic suture. Disadvantages: Severe subcutaneous scar hyperplasia and tissue adhesion are not conducive to secondary surgery and re-injury, and there is a certain chance of local polymuscular stiffness. 】

[Exquisite: One of the suture genres, take the essence of the two schools of alignment and flattening, and once again finely clarify the interstitial structure under the skin, quickly suture the minimum incidence of adhesion tissue gap, and the incidence of hierarchical suture adhesion is high. Pros: Considering the speed of suture and the aesthetics of suture. Disadvantages: The learning cycle is long, and it requires extremely solid basic skills in pathophysiology! 】

[Suture-free: The new suture concept is the progress of suture. Each layer is clearly aligned, and the subcutaneous layer is sutured with great care and meticulousness, so that the healing effect can be achieved without suturing the outer layer of skin. Pros: Reduce the number of sutures, shorten the operation time, and achieve a higher than capacity suture effect by seamless closure. Disadvantages: The learning cycle is extremely long, the incidence of wound non-union is high, and the probability of wound complications is high......]

Fang Xian looked at so many descriptions thoughtfully.

Who knows, it's just a small suture, and after it really reaches a certain level, there can be so much exquisiteness?

During his undergraduate studies and residency, Fang Xian came into contact with the concept of suturing the wound the most, achieving the anatomical basis of healing, and constantly clarifying the anatomical level.

But why do you have to do so much, Fang Xian at that time didn't have a deep enough experience.

It turned out that it was only after reaching level 4 skills that I realized the usefulness of basic skills.

Most people, during the period of level 1 to level 3 skills, learn the most simple suture methods, perhaps only hand surgery, breast nail surgery and cosmetic departments will pay special attention to suture, and even raise the level of suture to the level of debridement in trauma surgery.

After carefully understanding it again, Fang Xian finally understood what was in the level 4 skills.

The alignment of level 4 skills, to put it bluntly, means that if you complete the suture to this step, you can completely rest assured and boldly hand it over to anyone else to complete the outermost suture, as long as he can lose the basic skills of suturing, he can complete the suture and achieve a better suturing effect.

You'll be able to give other people a thorough understanding of how to suture and start to have your own experience with sutures, which is a fundamental step in being able to teach them in stride.

Level 3 means that you are already proficient and able to operate with ease.

Level 4 life, means that you can rest assured and bold to teach, you know that as long as your student is not a layman, you can hold his operating limits, in medicine, only teaching and research is the foundation of your life.

And to a certain extent, teaching is more important than research.

High-quality medical resources in China are still extremely scarce, so it is the country's plan to bring out more and better students!

At this point, you will naturally understand.

Fang Xian once again experienced this feeling, this is the confidence.

Now, if Fang Xian is asked to bring an intern, he dares to bring it!

As long as the other party can know the foundation of suturing little by little and know the principle of suturing, he dares to hand over the outermost suture to the other party after suturing the subcutaneous, which is a kind of confidence for level 4 skills.

Specialization is also possible, but specialization-level suturing cannot be done after suturing the subcutaneous skin, and there is no way to ensure that the outermost layer of skin is aligned, which can be convenient for anyone to operate——

And it can achieve the confidence that the outer suture does not affect the healing of the surgical incision and does not bring complications such as stiffness to the patient.

Come to think of it, the same is true for debridement and hemostasis.

Just like him and Zhou Xiyin before, those who can operate know what to do next, and those who can't know what to do next, but they can't do it well.

But those who can operate will not necessarily instruct those who can't operate how to bypass the standards of the medical association and be promoted!

Time passed slowly, and soon it was six o'clock.

Fang Xian estimated that the time was about the same, at most, he would wait in the operating room of the trauma center for a while, and he would be able to start work on time at half past six!

Let's go.