[You cooperate through the incision operation, and cause 4 damage (0.2%) to the gastrointestinal perforation injury, and obtain skill points 4!] 】

At two and one in the afternoon, Fang Xian saw his panel beating like this.

Fang Xian happened to be trotting on the way to the next operating room, and after reading it, he simply slowed down and rolled his eyes.

Level 3 incision, the damage accounts for 0.2%, and only 4 skill points are given, isn't this a dispatch called Hanako?

Fang Xian had forgotten that it had only taken two days to improve his skill proficiency on the weekend.

That is Fang Xian's normal ascension speed, what does it have to do with Fang Hang?

In this way, it is right not to choose to add a dot incision in advance!

The damage is too small.

For the injury of disease, the key operation is lethal!

Debridement is the foundation of skills in all critical operations.

Another wave of ......

"14 rooms, the students of the suture group will be here soon!" Fang Xian slowed down before, afraid that his superiors would not be able to wait, so he hurriedly responded again.

The superior will reserve five minutes of flexible time for the students in the suture group, and they will only exceed a few minutes and seconds, which should be harmless.

When he entered the operating room and was about to be fully armed, Fang Xian found that the professor in the operating room, the oldest professor, had extremely cold eyes, and after only glancing at himself, he turned into the surgical field of vision intently.

Fang Xian quickly put on sterile gloves and came to the table, looked at it a little, and found that the patient was after thoracotomy, and the superior had completed the bony butt operation and the suturing of the subcutaneous layer, and there was no full-thickness suture left.

Fang Xian was faintly excited, the time-to-return ratio of full-thickness sutures is the least efficient, and it is best to only suture the skin by yourself!

Moreover, when Fang Xian looked at the subcutaneous suture of the wound again, he also found that the subcutaneous layer of this patient had been sutured quite perfectly.

That is, the most superficial incision needs to be sutured to avoid infection, otherwise, it will be bandaged and out, and the patient himself has a sense of protection, but in fact, there is no need to suture!

This is definitely a level that can only be achieved by level 4 sutures, and Fang Xian faintly feels that he can't do this kind of suture!

Glancing at the three people next to him, Fang Xian couldn't determine who stitched it up.

Seeing Fang Xian's eyes, one person replied: "Professor Zheng knows that your suture technique has reached level 4, and specially prepared a more standard and high-quality suture for you to observe and know the follow-up of improvement." ”

"Think about it, don't look at it!"

When Fang Xianyan heard this, he continued to glance at the cold-eyed old professor, but the other party still had a slightly indifferent look in his eyes and didn't say a word.

Fang Xian whispered thank you, and then hurriedly opened up the firepower.

However, after Fang Xian started suturing, the person named Professor Zheng spoke: "The purpose of suturing is to close together and provide a continuous opportunity for the reconstruction of the severed tissue. ”

"Vascular is the key, the hierarchy is the structure, the parallel lines are less likely to die, and the upper limit is closer to the normal skin structure."

Fang Xian took advantage of the time to be cut after the knot, and kept looking in the direction of Professor Zheng!

Professor Zheng's voice was very soft, and he was not so blunt and indifferent that he rejected people thousands of miles away, but was very enthusiastic.

just looked at him again, but he was still indifferent, as if there was no light.

After reading it, Fang Xian continued to focus his vision on the suturing of the wound.

Professor Cheng continued, "There are not many young people nowadays who are willing to immerse themselves in suturing. ”

"Capture it only for its use, not exhaust its reason. If you are willing to go deeper, we can discuss it with each other in the future. ”

Fang Xian's hand paused slightly.

"Thank you, Professor Zheng." I answered without hesitation, but because I needed to operate, I couldn't give the other party a look.

Communication during surgery is communication, and it doesn't matter if you drive, but the bottom line is to be rigorous in the operation and ensure the quality of the operation.

As long as you can guarantee the quality, it doesn't matter if you sing and dance as long as the patient doesn't pursue it, but you can't guarantee the quality, you just kneel and do the sutures, meticulously, that's useless.

Ability and the quality of medical care that can be provided are the greatest embodiment of medical ethics.

The skin tension of the chest is slightly larger, so it is necessary to take mattress sutures to reduce tension to avoid postoperative skin necrosis, so there is a redundant suture operation, and the speed is slower.

Fang Xian carefully stitched for fifteen minutes before the incision was stitched up and a string of sugar gourd-shaped skin mounds were drawn!

"The subcutaneous tissue of the chest adheres to the chest wall and is slightly different from the subcutaneous structure in other areas. You will be able to experience more of the feel of the sutures in the future. ”

"It's very well sewn, but it could be better!" Professor Cheng put it this way.

Fang Xian raised his head, and when the other two people who didn't know whether it was the attending or the associate professor were in charge of bandaging the sterile dressing, they looked at Fang Xian with a hint of envy. But it's just envy.

Spending more time on suturing and upgrading such 'instrumental' skills to level 4 is not cost-effective, and few people will do it.

'Instrumental skills' are skills that do not have a high level ceiling and are of little significance to the improvement of real clinical diagnosis and treatment.

For example, cardiopulmonary resuscitation, electrocardiogram examination, color ultrasound exploration, suturing, dressing change, etc.

These skills belong to the ability to use, there is no need to delve into where its upper limit is, no matter how the upper limit is, its usefulness is very limited after all!

However, Fang Xian naturally didn't think so.

The improvement of basic skills is very useful, and the intuitive feeling of ascension obtained, he has witnessed it with his own eyes.

It's just that Fang Xian had never communicated with others about such a high-level operation before, so he replied: "Professor Zheng, will the skin suturing in the thoracic area produce more scars according to the conventional suture method?" ”

"But even if there is a scar, because there is a chest wall in the rib cage, it will not affect the inner tissues, so?"

Inside the rib cage is a bony structure of the ribs, so what if there is a scar? Does not affect the patient's visceral structure. It is not as good as the limbs to affect the movement.

Isn't this the same as the scalp stitching, there is a little lump, it does not affect the quality of life of the patient at all!

However, it is clear that Professor Cheng's understanding of suturing is not limited to this: "What if you sew each layer of structure into a chest cage to protect it?" ”

it!

The role of the ribcage is to protect and contain!

Protects the heart and lungs from direct impact and houses the inner layer of the heart and lungs.

If each layer is regarded as a chest cage, then each layer is protected and accommodated. If this is the case, doesn't that mean that sutures are actually very useful?

Seeing Fang Xian's eyes lit up, Professor Zheng still looked at him and said: "Don't worry, I'm just discussing with you, not emphasizing, first focus on the main task, and when the foundation is enough, you will always choose a direction of interest to discuss with colleagues all over the world." ”

"Okay, Professor Zheng!" Fang Xian nodded and said hello.

Fang Xian, who had already taken off the sterile surgical gown, immediately replied: "Okay teacher, Fang Xian of the suture group, arrive immediately." 4 operating rooms! ”

No matter how advanced Professor Zheng's concept is, the skill points still cannot be lost, this is fundamental!

And Professor Zheng also said that there is no need to rush to understand everything at once.

"Professor Zheng, thank you for your advice, I'll go over and help first." Fang Xian said as he looked at the 31 skill points he had just gained, and his mouth under the mask almost turned into a vampire.

Fifteen minutes of stitching can get 31 skill points, and it is a slightly slower stitching.

The cost performance is higher than the full-layer stitching, and your own statistics are correct!

After all, statistics is still a basic skill, and it has to be classified in detail to maximize the advantages.

Professor Zheng nodded, his eyes still indifferent.

And this time, Fang Xian finally discovered that this Professor Zheng's eyes were probably sick, otherwise, according to his tone and enthusiasm, he would not have looked like this all the time.

How tiring it is to live like this!

Fang Xian once again threw himself into the arms of skill points......