Fang Xian was quickly washing and rinsing, and rubbing his hands back and forth after receiving sterile hand sanitizer.

Zhou Xiyin is no stranger to these operations, and she can also do it very well, but at this time, Zhou Xiyin has been staring at Fang Xian, and she has an intuition in her heart-

This senior Fang, like himself, is not honest.

As Zhou Xiyin, who wants to enter the operating room of the trauma center and has his elders in the operating room of the trauma center, he has long been familiar with the various systems of the trauma center, otherwise it will be difficult to find the flaws.

Zhou Xiyin has not been beaten from life, but she has indeed suffered from the beating from society, and such a society comes from her old father, so she has always felt that he is only an elder in the family.

Entering the operating room of the trauma center, in fact, there are three stages.

One is the learning stage of intensive training, which is divided into three groups, suture, incision, and debridement, which is the foundation stage. Then it is the stage of admission assessment, which requires receiving, diagnosing and treating patients, and encountering routine surgeries that you must be able to do and do very well.

Finally, they are resident in the operating room, becoming a stable second assistant and a first assistant, who can complete at least two-fifths of the surgical procedures under the guidance of the chief surgeon, and finally can become the real core chief surgeon.

The closest thing to Zhou Xiyin is the learning stage of the intensive training, Zhou Xiyin knows that only when the corresponding learning group has practiced the basic skills to level 4, can he learn across groups, and he will enter the next learning group in advance.

In general, only a very small number of people can do it.

This has something to do with the current embarrassing situation at the Shonan University Hospital......

Fang Xian, who has now entered the cross-group study, proves that Fang Xian has reached level 4 of his skills, and he is not a serious doctor who will choose to practice sutures with hard work.

This senior Fang is very interesting, obviously in the basic skills of hemostasis, there is still a little rough, I don't want to polish other skills, so I concentrate on a suture technique to harden it......

Fang Xian quickly washed his hands and stepped on the induction door of the operating room and walked inside, and when the door slowly opened, Professor Hu, the chief knife inside, immediately projected a relieved gaze: "Xiao Fang, you came just in time, this patient's." ”

Halfway through Professor Hu's words, he saw a 'follower' wearing a blue wash coat walk behind Fang Xian, and after carefully looking at those eyes, his gaze suddenly sank.

"Who's behind you?" Professor Hu's words came to an abrupt end and quickly changed the topic!

"Professor Hu, this is the student who Professor Wang asked me to take with me for internship, her name is Zhou Xiyin, and she is here for internship." Fang Xian said this while getting dressed.

At this time, putting Wang Huan out will definitely save a lot of trouble.

Professor Hu and his assistants glanced at each other when they heard Professor Wang's words, and then remained silent and said no more.

Zhou Xiyin realized that these people recognized him, but he still came to the operating table generously and carefully looked at the preoperative area of the operation.

The front of the left thigh, with non-open normal skin, did not go to the emergency surgery, how did such a patient come to the trauma center?

Zhou Xiyin had many questions flashing in his heart......

The first time Fang Xian entered the operating room, he washed his hands and dressed himself, wore sterile gloves, and came to the operating table, and saw that the patient's surgical field was clean and white and tender, and there was an incision line located in the room, waiting for him not to suture but to cut it, and his heart instantly secretly complained.

This big foot is going to do something again.

Fang Xian looked at Professor Hu, even if he was so bitter, he was helpless.

Before leaving, I didn't know what Professor Hu was going to do, and I was afraid that I would lose the opportunity, and when I arrived, I couldn't take off my clothes and leave the stage on the spot.

"Xiao Fang, this patient is a patient with a hematoma in the anterior femoral region. At present, I have embolized and stopped the bleeding, and I was supposed to go to the vascular surgery department for elective surgery, but I asked you to come here temporarily, just so that you can practice your hands. Professor Hu's tone was cautious, not forgetting to observe Zhou Xiyin's expression next to him.

Zhou Xiyin was expressionless.

Fang Xian's mind spun quickly, and he realized Professor Hu's words, and replied uncertainly: "Teacher Hu, that is to say, I want to complete all the operations?" ”

Wouldn't that be even more of a waste of time?

I know my level very well, after the hematoma embolism is completed, debridement, just a tool man, how much damage can it cause? Now the overall damage of this disease is not strong, okay.

A little rougher, the first point is required, and direct puncture and drainage can be done. Isn't it a waste of resources that you dragged him into the life-saving operating room of a trauma center?

Hu Dajia thought that Fang Xian was happy, after all, the opportunity to complete a whole surgical operation was very rare for the current Fang Xian.

The assistant next to him said, "This patient was specially found for you by Professor Hu, otherwise, our operating room would have been closed a long time ago." ”

"Thank you, Professor Hu!" Fang Xian hurriedly bowed down and thanked him.

I shouted loudly in my heart, I really thank you.

With this time, I have completed three or four stitches, and it is not good to take more than 100 skill points? Why don't you be so enthusiastic?

But people can't be dogs, biting back in front of kindness.

Do it!

The incision is not large, and the anatomical position is Fang Xian's familiar limbs, that is, the most familiar anatomical position of Fang Xian in the basic theory of trauma surgery.

In the prefemoral region, there is a high probability that there is only one intra-gap hematoma of the anterior quadriceps muscle group.

In this area, the blood vessels are just like that, a femoral artery-popliteal artery continues, and a deep femoral artery and its branches, as long as these points and areas can be grasped during the operation, you can do it casually.

The basic theory allows you to know the taboos of an area, and if you don't go, it won't cause the results to be uncontrollable.

Preoperative embolization allows you to have a bottom line, and the patient's life risk is controllable.

This is called hand practice surgery.

Therefore, after confirming that it was his main knife, Fang Xian cut the first knife without hesitation.

After putting down the round knife, he took the electric knife and began to gradually infiltrate downward, in front of the specialized incision, under the anatomical support of the basic theory of specialized trauma surgery, Fang Xian was sure that he would directly enter the femur within five minutes.

This is the confidence brought by the surgical skills after they know the grading and corresponding level.

And this operation didn't need to be so deep, so it took Fang Xian only three minutes and a relatively slow speed to open the deep fascia layer outside the muscle, and the hematoma instantly became visible to the naked eye!

Localized, clotted, and not an active hematoma.

It's not terrible.

After a little hesitation, because the patient's active hematoma has been treated, what needs to be done now is hematoma removal, which is a variant of debridement, which belongs to the variant and upstream skill of debridement.

After Fang Xian twisted the deep fascia, he twisted it and used a sharp knife to break the opening, and then used a hemostat to start a blunt tear and open it.

There are small blood vessels and nerves in the deep fascia layer, and blunt rupture can greatly reduce vascular damage and control bleeding.

After the rupture, the fluid tissue in the hematoma slowly extravases, because Fang Xian twisted up the deep fascia that controls the volume of the liquid, so the blood is very limited, and under the operation of the negative pressure suction device, it does not even pollute the surgical field in other areas, and it is dry.

When the blood clots, it is like a frozen tofu cube, which is sandwiched between the muscles, smooth and tender, and has a deep black color.

In addition to the color is not very good-looking, this whole look of fresh duck blood when eating hot pot.

The blood clot is tender, slippery, and soft.

In such cases, the vacuum suction device can be processed directly.

"Woohoo!"

"Ripple!"

After the lumen of the negative pressure suction device is filled, the local void is exposed, and the sound of air conversion is constantly sounding. Fang Xian twisted the hemostat with one hand to lift the deep fascia, and held the negative pressure suction device with one hand, and just probed down layer by layer.

It looks like he is using a suction device to clean up the hematoma, but Fang Xian's method of cleaning up was captured by Hu Dajia for the first time!

"It's really Professor Hu's prediction." Before Professor Hu could speak, the assistant next to him first revealed a complicated gaze.

You can't hide the spring color in the garden, especially in the eyes of 'lustful people', whether you look good or not, whether you are excellent or not, at a glance.