Chapter 37: Good Idea
"The student Fang Xian of the suture group has been determined, Wang Huan." Not long after the aunt went out, Fang Xian heard this explanation in the headphone channel.
It's a pity that just now this open-chested patient only had time to stitch a stitch, although the current suturing is not over, and there is no need to go on stage again, it is expected that there will be very few skill points to get in the end.
When the time crossed to 6:50, the panel showed that the damage value was settled, and there was only a measly 1 skill point.
Fang Xian didn't have time to take a closer look, and there was another call in his ears: "Suture group students, room 4 of the operating room is called!" 1 minute. ”
"Come right now!" Fang Xian hurriedly responded and immediately ran out of the lounge!
When Fang Xian finished dressing up and went to the stage again this time, he saw that the surgical incision in room 4 of the operating room was relatively deep, and he only completed the key operation, and the innermost layer needed to be sutured outward.
This is a femoral artery thrombectomy and suture.
The incision is located on the anteromedial aspect of the thigh and is nine centimeters long!
"I just heard that the suture level of the students in the suture group is not bad, can the full-thickness suture be done?" After Fang Xian stood still, a young man standing opposite him asked.
Fang Xian knew that the superiors who could do surgery here were all of a very high level, and they could be called pretty good, all of them were experts with a single skill level of level 4.
Suturing is a basic skill, and generally only the cosmetology, burn and hand surgery departments will choose to practice suture to level 4, and the rest of the departments will not waste too much time on this basic skill.
Fang Xian hesitated for five seconds before nodding.
"It should work!" Fang was not full of gossip, but his tone was confident.
The two young people worked hard to open the outer layer of the surgical incision in middle age, giving Fang Xian the opportunity to suture the arterial tunica vaginalis.
Suturing involves skin suturing, subcutaneous suturing, and suturing of different tissues such as the tunica vaginalis.
Generally, level 3 sutures can have such a processing clue, but level 4 sutures are more detailed and perfect in the treatment process.
"Stitches! ~”
"Stitches! ~”
"Stitches! ~”
Full-thickness suturing refers to suturing from the surgical field all the way to the surface of the skin, so this time Fang Xian is not like before, one or two sutures can solve the battle.
The sheath layer is sutured, the muscle does not need to be sutured, the deep fascial layer, the superficial fascial layer, the fat layer, and the subcutaneous layer, the more precise the suture, the less likely the patient is to have postoperative infection.
If the foundation is sutured well, the infection of the outer layer will not even spread to the inner layer......
After suturing the last layer, Fang Xian added thoughtfully: "Teacher, vascular suturing and embolectomy, don't you need to put a drainage tube?" ”
This is Fang Xian's own understanding of this operation, and it is also based on his understanding of the basic theory of trauma surgery to level 3.
In general, if the surgery involves blood vessel damage, there may be bleeding after the operation, and in order to speed up the healing of the surgery, a drainage tube will be placed to drain the bleeding out.
Fang Xian only asked more, and a young man on the other side voted to Fang Xian with a smiling expression: "Ordinary doctors need to place drainage tubes for vascular-related surgeries, which does not mean that everyone needs it, let alone Professor Qin. ”
Fang Xian nodded, throwing an apologetic look.
Then help cover the outermost layer of the skin incision with a sterile dressing.
[You have caused 45 damage (7%) to the skin and soft tissue surgery wound through suturing operations, and gained 45 skill points!] 】
This is a suture that is not particularly cost-effective.
Fang Xian was so concerned in his heart.
The young man on the other side didn't speak when he saw it, and praised it by the way: "Just like some people only have level 2 sutures at your age, it doesn't mean that everyone is only level 2, and it doesn't prevent you from even walking ahead of me." ”
Suture level 4, which is still very commendable.
Fang Xian is young, and even if he invests more time, it is very limited.
This hand suture is a natural talent that can be eaten in many surgical departments.
Ordinary people don't spend too much time on this, they can use it.
Fang Xian laughed again, his gaze wandered around the so-called Professor Qin a few times, and naturally he also captured the details of Professor Qin's vascular suture technique single skill reaching level 4.
At the same time, I also speculated this in my heart.
That is, the upstream skill of suturing is still based on suture, but it does not mean that suture will be the only influencing factor for a procedure such as vascular suture, there are other understanding and operation skills.
After the patient was placed, the other party did not entangle with Fang Xian much, and after the patient was safely turned, Fang Xian hurriedly replied: "Received, there are 14 operating rooms, arrive within two minutes!" ”
Fang Xian still needs to take off his clothes and get off the stage, and he also needs to wash his hands and put on his clothes again, etc., which will take a little more time.
But it shouldn't be a problem to arrive in two minutes!
After Fang Xian responded, he just bowed a little to the superiors in this operating room and left.
When the remaining few people pushed the patient out, Professor Qin said, "I heard that this child is very hard-working!" ”
"Yes, Professor Qin, what I learned is that he worked for eighteen hours in a row yesterday with almost no breaks."
Ordinary students who enter the assessment, although they are also very diligent, occasionally have to raise fish to rest for a while, for example, just after getting off the stage, they encounter the next suture and go to the toilet and do not respond, and then drink some water or something.
Hardly anyone is going to be in a hospital without interruption.
Fang Xian is an exception.
"Children who come out of the hunger culture know that opportunities are not easy to come by, but they don't know whether they are diligent or feel that there are rich opportunities for operation and training."
"The Shonan University Hospital has high requirements for surgical students to follow the stage and surgeons." Professor Qin replied like this, and did not continue.
If there are more monks and less porridge, then they can only starve the culture, and if they eat a big pot of rice, no one will be able to eat enough.
If you are not good enough or feel that you are too curly, you can give up and let someone else do it.
There's always someone better than you!
……
Nine o'clock in the evening.
Fang Xian heard several calls to the students of the cutting group, but there was no response.
Fang Xian sat idle for about five minutes and didn't have a chance to wait for him, and he was slightly interested in moving, but in the end, Fang Xian still held back.
Hard work is hard work, rules are rules, before Wang Huan has completed his cross-group procedures, Fang Xian thinks that he still doesn't need to break the rules too much.
After all, behind every rule, there are always people who pay bloody lessons, either patients or seniors.
[Current Skill Points Remaining: 313.]
There are more than 100 points left after yesterday's point increase, and today's two-and-a-half-hour battle results are still fruitful, which can be described as a game that I have played in the past during my undergraduate years.
There are many opportunities to operate!
There's no need to rush at all.
Drink saliva and go to the toilet.
As soon as I was washing my hands, I heard someone feeding me with a suture opportunity.
Fang Xian immediately responded and ran away......
At 1:55 a.m., he responded to the last operation, and when someone responded later, he responded three times in a row that the students in the suture group were going to leave work.
At 10:00 a.m., after finishing the last suture and sending the patient out of the operating room, Fang Xian began to enter the suture group lounge to sort out his things.
However, when tidying up, Fang Xian found that the rest room of the suture group was empty with so many beds, and there was a shower room in the operating room, that is to say, if you went to take a shower by yourself, you could deal with it here for one night.
Wake up around 12 o'clock tomorrow and eat breakfast and lunch together, this job is capable!
I don't know if skipping a breakfast will cause a certain burden on my stomach.
After thinking about it for a while, Fang Xian still decided to go back and prepare for a wave first, and come back to sleep tomorrow.
Wouldn't it be nice to go back and get some toiletries, towels, toothbrushes, toothpaste, and milk for breakfast, and then move in and set an alarm clock to get up for breakfast.
Fang Xian thought it was a good idea!