Chapter Seventy-Five: It Turns Out That It's Really Not Enough (Ask for the First Order)
Dong Yao began to ask Zhou Xiyin: "Xiyin, do you know what's going on?" Can you tell us a little bit about that? ”
Fang ran away, and Dong Yao used Zhang Yu's means to repeat Zhou Xiyin's old tricks.
But Zhou Xiyin also shook his head.
The eyes are decisive.
"Senior sister, am I your good sister?" Dong Yao is a girl, and when girls communicate with girls, they can use more means.
It's not like you're a dog egg.
"No, Professor Zhu is digging a pit for plotting against him." Zhou Xiyin is very familiar with the rules of the operating room of the trauma center, and of course she will not be in the trap, unless Zhu Guangyu can give her benefits.
Seeing that Fang Xian had quickly washed his hands and was about to enter the operating room, everyone hurriedly followed.
It's just that Luo Di muttered in a low voice: "If we just follow and watch others stitch up, what can we see?" ”
"Pretending to be profound?"
To be honest, as a doctor of burn surgery, he has a lot of say.
Even if it is a level 4 suture, he is tired of seeing it, what kind of good thing is this, the superiors in the department have a copy.
Luo Di's words resonated with some people, but they only resonated, and did not help complain, maybe they would complain in private.
Fang Xian was quite martial artistic, waiting for them at the door of the 19 operating rooms.
When they got behind them, they walked into the operating room and began to put on sterile surgical gowns and gloves.
Only at this time did the professor who was in charge of the knife take the initiative to mention it: "Xiao Fang, come over and take a look first, I asked you to come over to let you review this wound suture, can you take it?" ”
"If not, I'll have to call the other professors to help. This wound is a bit ...... Complex. "This is not Professor Zheng Baiyan.
Fang Xian looked sideways, looking at the damaged wound that continued from the front of the thigh to the middle of the calf, although it had undergone debridement, it was still a mess.
(Book friends, please be cautious, if your psychological tolerance is limited, do not search and destroy the damaged pictures without authorization)
Raising his head slightly, he said in his heart, "Teacher, do you call this a bit complicated?"
"How about it, can I sew it?" The professor who was in charge of the knife asked again.
Most of the injuries occur in the extremities and trauma surgery, and the sutures in other departments such as thoracic surgery, vascular surgery, and neurosurgery are meaningless, and such patients will not appear in the department.
Therefore, even Dong Yao and the others had never seen such a wound, looking at the red flesh blurred, and the stomach was slightly tumbling.
Can this wound really be sewn?
The muscles are damaged and broken, the soft tissues are a mess, and the fat is greasy into water, and although it is rinsed, it is still soft and collapsed.
Most people really don't know how to drop the needle.
But Fang Xian only hesitated for two seconds, then nodded silently.
Such an incision will take longer to suture, it is expected to be at least thirty or forty minutes, or even longer, and I hope to be able to have more skill points.
Stitching can still be sewn.
"Not reckless?" The professor who was in charge of the knife asked again.
Fang Xian nodded, and responded even more recklessly: "It's not reckless, teacher, you can also call another teacher who is good at stitching to come over and teach." ”
"Then you don't have to." The professor breathed a sigh of relief.
Fang Xian was holding a level 4 suture technique, with this confidence, why did he bother to make more trouble?
Students like Fang Xian, Zou Junzi and other students who enter the intensive training do not have a tendency to have holes in their brains.
"This kind of wound can be sewn, maybe we can really see more things." Zhong Jiamin whispered in the crowd, her voice was very low, for fear of disturbing.
But when he spoke like this, it did not arouse the disgust of the chief knife, and the professor of the chief knife looked at it for a while.
"Move a step stool for each of you, and stand up and watch."
When everyone heard this, their eyes lit up, and then they found a stepping stool like a farmer's oven from the wall of the operating room, put it under their feet, and stood around the operating table, condescending to get a better view.
And Zhang Yu and others, who have certain surgical skills, are also helping to move the shadowless lamp to help Fang Xian get a better vision.
They all have the right to operate in their respective specialties, so they naturally know how to better see the surgical field.
Even after debridement, it is still uneven, one side is defective, the other side is full, large skin defects, soft tissues are a mess, and small blood vessels are punctured.
It can be described as the scene of the accident, and it is not an exaggeration at all, how to carefully stitch it is really a big taboo.
In this picture, even Luo Di, a doctor of burn surgery, was used to seeing burn wounds, so he shook his head slightly.
There is a specialization in the art industry.
Fang Xian also began to suture after carefully searching through most of the remnants in the suturing field for a while.
Such sutures, no more than the sutures of traumatic wounds, require careful rummaging and design. For the suturing of ordinary incisions, the basic sense of hierarchy exists, and there is no need for design, just sewing directly.
But this patient, needs so.
Moreover, the suturing of this incision requires the use of a variety of suture concepts, and a simple 4-level suture concept cannot be taken down, at least the suture is not so good.
[Fit, flat, delicate, and suture-free] are the four most mainstream schools at present, but in fact, level 4 sutures are not only such schools, after Fang Xian obtained level 5 sutures, he also got a relatively niche school.
[Varied].
The [jagged] suture concept is actually a variant of the [exquisite] suture concept, which is specially aimed at wounds with a lot of soft tissue defects.
[Exquisite]: Take the essence of the two genres of alignment and flattening, and refine the structure between the tissues under the skin again, quickly suture the minimum tissue gap with the occurrence of adhesions, and close the tissue gap with a high incidence of hierarchical suture adhesions.
[Uneven]: Extending the concept of delicate suture, active design needs to outline, involve and fill the vacancy in a staggered manner when there are large defects in soft tissues and subcutaneous structures.
In the basis of surgical suture, there is a big taboo that leaves a soft tissue void -
Susceptible to infection.
Because there is no blood vessel in the void, antibiotics cannot reach, resulting in the settlement of germs, basically there is a gap, there is infection, so the uneven suture concept is just to solve this point, and can clarify the level, and reduce the postoperative complications to a minimum.
Some professors of trauma surgery, when there is no grade 4 suture, imitate this genre and only get its shape, but still achieve the effect of avoiding the occurrence of infection.
It's just that because the scope of application of the [jagged] stitching concept is too narrow, it is only called a small genre, which does not mean that it is not easy to use.
After Fang Xian started the stitching, it was inconspicuous at first, just the needle in and out.
But after more than a dozen stitches, the damaged incision seems to have changed, and the muscles that were originally entangled, although they are still entangled, at least the shape is visible, and they are in place, and the muscles at different levels, although they are of different sizes, can be listed in layers and pressed on each other.
At this moment, Dong Yao and others understood that their level was not enough, it was really not enough, not that Professor Zhu said that their level was not enough.
Fang Xian's stitching was not as simple as they imagined.
I didn't understand it, it was a problem at the cognitive level, not Fang Xian's stitching, just stitching.
After a leaf is obscured, a flower comes out of the wall, and you can see the whole spring, so it can be speculated that the courtyard is full of flowers.
(End of chapter)