Debridement is different from sutures, which is a very large category of basic skills.

Let's just say that 100% of surgeries must involve debridement, but sutures do not necessarily need to be involved!

This is the first manifestation of the difference in importance between the two.

Second, almost all surgeries attach great importance to debridement, including the operating room of the trauma center, and the upper limit of the standard requirement for admission training is level 4, while the standard requirement for suture is only level 3.

Debridement is the foundation and top priority of any surgery.

Therefore, the study of it is also extremely profound.

The principle of debridement is simple, it is to remove foreign bodies and necrotic tissue.

The concept of Level 4 debridement is a super category.

The more popular categories of [curettage], [excision], [bite removal], [extraction], as well as various unimaginable concepts such as [self-clamping and absorption], [tumor vascular clamping and embolization], and [elimination] are all included.

Fang Xian's first entry into the concept of [scraping].

In fact, the most suitable counterpart is to clean up the outermost layer of necrotic, corrupt and infected tissues, and expose the normal tissues just right by means of scraping.

The concept of "excision" is mostly used in trauma patients, where a part of the necrotic tissue and foreign body needs to be removed just right.

The concept of [bite removal] is mostly used for orthopedics, spine surgery, thoracic surgery, skull and other bones, as well as the removal of hard, necrotic tissues.

The concept of [extraction] is mostly used in vascular surgery, cysts, small abscesses and other liquid foreign body tissues from the body.

Everything is the same, but the form of expression, the details of attention, and the scope of application are all different.

If the debridement of intracranial hematoma is carried out according to the concept of trauma surgery, the consequences will be very beautiful, and no doctor would dare to do this decades ago.

In fact, the first difference is reflected in the different understandings of debridement.

It is the first entry-level foundation of surgery.

Similarly, the places that Professor Xu Fengnian pointed out to Fang Xian need to use the concept of debridement, and there are more differences.

Only for the crushing injury of the intestinal tube, the cleaning of fecal tissue belongs to foreign bodies, and the removal of foreign bodies is mostly mixed with different concepts such as suctioning and scraping.

Intestinal rupture may require wound correction to resect the bowel to facilitate suturing without additional patient impact.

Alternatively, there is another necrotic bowel, which requires long-segment resection, segmental resection and other operations to ensure that there is no necrotic bowel left in the end, and then peritonitis.

This is just the debridement process for intestinal crush injuries.

The debridement of the flesh and bone mud is more laborious, and it is more common in the trauma surgery of general orthopedics, which needs to do more than just the concept of debridement, the debridement of the fusion of the bone and flesh mud, in addition to removing part of the necrotic tissue, but also leaving a part of the necrotic tissue as a back.

There are also some bone fragments that should be left as bone grafting materials, and there are also some muscles that need to be polished and rested to see if they can be applied, which is the most test of debridement skills.

The stump debridement of blood vessels and nerves should not only consider the patency of the subsequent blood vessels, but also whether transposition is required, whether the nerve has been compressed, and whether it is necessary to cut and decompress, etc., all of which should be considered in the basic skills of debridement.

If Fang Xian only had the concept of debridement in this direction, then he would definitely struggle with it when doing debridement in other places.

This is also the fundamental point that Professor Xu Fengnian does not need to be particularly embarrassed by Fang Xian, only needs one operation to understand whether Fang Xian's basic skills have reached the level 5 Ruyi level debridement.

However, Fang Xian was not weak-minded, preset these structures in advance, and found that there were no large blood vessels, and found that the area occupied was only one-tenth of the total area, which would not particularly affect the overall duration of the operation.

In other words, when Professor Xu Fengnian arbitrarily divided the scope of debridement for him, he took into account the impact of Fang Xian's debridement operation on the patient's vital signs and the overall operation duration when it was analogous to level 5.

Well thought out.

If there is difficulty, then Fang Xian will definitely bring it up.

Recklessness is disrespectful to the patient's life and to the operating room of the trauma center.

If you don't work hard, you can take it, and you can complete and assist the operation just right, then Fang Xian will definitely be willing to pay more of his own efforts.

Fang Xian immediately began to clean and count all kinds of instruments, and then started from the intestinal tube to carry out the debridement operation.

During the cleaning, Fang Xian and a professor of general surgery 'collided' with a professor who was doing contralateral intestinal debridement, and Fang Xian was also able to reserve the space at the first time, and at the same time turned into an assistant to assist the other party in the operation.

Just this point, Professor Xu Fengnian sighed softly.

The most powerful thing about the level 5 of debridement is not the transformation of the operation, but the integration of the overall surgical concept, knowing when to do what is suitable for you, knowing how to cooperate with others, and how to make others cooperate better.

The transformation of the operation may be faked, but this kind of values, the system of thinking, cannot be faked.

Fang Xian's level is already clear in his heart.

Professor Xu Fengnian began to move to other places, still paying attention to the changes in the patient's vital signs, and constantly testing the process of the operation with various instruments, skillfully and easily.

He wasn't lazy, he just added a burden to Fang Xian.

Then, after Professor Xu Fengnian's attention was shifted, it didn't mean that others also ignored Fang Xian's movements.

But when Fang Xian was changing more and more, there was already a little whisper: "Intestinal resection and shaping can be done, hematoma removal can be done, bone and flesh separation can be done, and bone chip collection can be done." ”

"Is there something really there?"

"Don't you say it's level 5? Naturally, you can do it. ”

"How many years ago was the last grade 5 debridement operation at such a young age in our hospital?"

"Five or six years, right?"

"To be precise, seven years ago, I am currently studying outside, and it is estimated that I will definitely be able to pass the level 4 physician assessment when I come back."

"A 32-year-old professor, and a professor of level 5 skills."

"Are young people getting more and more wicked now?" These professors have become accustomed to talking and concentrating at the same time, without affecting each other in the slightest.

If you can become a professor, you must teach, so I have done more than one teaching operation before, which is a basic skill.

However, in their eyes, even if Fang Xian does not have the principle of that particularly exquisite specialized debridement, he can make such an operation through pure basic debridement, and he can not find faults, only flaws.

This is a piece of immaculate jade.

But if you give him a little guidance on the concept of specialized debridement, then Fang Xian can play a great role in the key operations of any surgery.

This is the huge potential that can be brought into play after the basic operation reaches a certain depth.

"Brother of waste fai thing."

Xu Fengnian repeated Fang Xian's words: "It's not wrong. ”

It can be regarded as affirming Fang Xian's strength now, and at the same time, after his eyes swept around the professors next to him, he said quickly in a low voice: "Xiao Fang, there are many beauties in Rongcheng, gentleness is better than Jiangnan, you ......"

Several professors looked at Xu Fengnian.

Xu Fengnian hurriedly explained: "I didn't rob people, there are many beauties in our Rongcheng, do you dare to say that there are not many?" ……”

Xu Fengnian stood in the stronghold of the map cannon.

Who would dare to say anything about the map cannon?

(End of chapter)