[Grade 5 for intestinal suture and grade 5 for intestinal segment reconstruction.] 】

After adding points, Fang Xian was enlightened.

There is indeed a different understanding and awareness between the basic skills of the specialty and the basic skills.

The corresponding concept of intestinal suture is the most advantageous in intestinal suture, although it can also be appropriated, but the breadth of application is far less than that of basic suture.

And as soon as these two skills were added to level 5, Fang Xian found out.

It turns out that the main bearer of intestinal function is the muscle, which is the main source of activity. However, if you want the muscles to actively move, it still depends on the periodic control of the nerves.

The peristalsis of the intestinal segment is basically not consciously controlled, but it must be necessary to make the digestive function better.

After the intestinal suture reached level 5, Fang Xian found that among the 4 concepts of intestinal segment suture, there is a concept called 'incomplete functional remodeling', which is relatively long, and it is estimated that there is no special professional theory to ponder and name.

The suture of 'incomplete functional remodeling' is a suture method that can ensure the operation of the intestinal tube to the greatest extent, and can mainly be applied to damage and injury.

However, because the length of the intestinal tube is very long, it is basically cut and cut, and the human body does not need such a long jejunum, ileum, or even colon, so this suture concept has not been taken seriously and is quite a weak skill.

No one goes further along this basic skill and eats dust in the corner.

After Fang Xian added points to level 5 this time, because he knew this thing, this concept changed and appeared on the panel.

Seeing this, Fang Xian was actually in a very bitter mood.

It was the first time he realized that his qualifications, although not particularly bad, were certainly not very good.

The reason why Fang Xian has such an understanding is because all of Fang Xian's current skills are all known by others, and he himself has not taken the initiative to develop a completely new thing.

For example, the new concept of suturing was developed by Li Qiu, and Fang Xian only carried out in-depth development on this basis, and found that it can be applied to the reconstruction of muscle starting and ending points.

This time, in the intestinal segment resection, Fang Xian increased his skills to level 5, but what could be applied was still the concept of different intestinal segment resection that had been developed by others, and there was nothing unique to Fang Xian.

If you don't know, then you won't, you don't have this awareness, only if you know, you will do it.

This is equivalent to inheriting and carrying forward intelligence, rather than pioneering and carrying forward.

Even the 'youth version', the official version and the enhanced version of the standard process for damage treatment made by Professor Xu Fengnian are just Fang Xian's use of strong basic skills to break through a coping plan that can be handled by ordinary doctors.

It's not pure innovation.

Your actual ability is strength, but your ability to innovate is potential and qualification, which is not the same thing.

Fang Xian can be regarded as resigned to his fate, maybe he doesn't have much talent in development, and he can't come up with new things, so he will inherit and carry it forward, so there is a person around him who is particularly specialized in the development of 'new ideas'.

That is Jiang Yang.

Jiang Yang's theory is very deep, dare to think, what messy theories, dare to mix together, in the process of such a collision, he may be able to lead others crooked, but Fang Xian is definitely not afraid of him being crooked.

It's really not good, so I'll add skills to Ruyi, and see if I can get through a new level 4 operation proficiency concept with new ideas and new ideas.

If it can, then there will definitely be new ideas coming out, if not, it is estimated that it is completely impossible and will not work.

For the use of plug-ins, it is also necessary to use the brain.

Originally, Fang Xian planned to try to see if he could develop a set of particularly novel things, not to be Jiang Yang's trial and error cost, but now, it seems that there is no other way except this road.

Jiang Yang put forward a hypothesis, try and make mistakes by himself, if it is right, it will be right, and if it is not right, it will not be right, so lucky.

That's the best way to apply this panel.

The qualifications can not be strong, but in terms of resource integration ability, Fang Xian feels that he still has such a little routine in it.

Furthermore, after he had a little foundation, he went to Uncle Fang Yun to inquire about the relationship between nerves and functional reconstruction.

Anatomical foundation, muscle foundation, nerve and functional reconstruction are three different things, and they must be thoroughly understood before they can be clarified.

After making such a decision, Fang Xian talked on the phone with his father Fang Qian and mother Chen Hui, and happily decided that what he wanted to eat when he went home this time was the earth hemp duck, Fang Qian said: "Then when I pass by Anxian County on Friday, I will buy two and kill them." ”

"Xiao Xiaoqian has been studying very hard recently, but your aunt called him again and asked him not to work too hard, there is no need to hurt his body."

"Can you help me tell me, where is there anyone who advises children not to study so hard?" Fang Qian asked tentatively.

When Fang Xian heard this, he said: "You have to find Uncle Yun to tell your aunt about this, how can I take care of it?" ”

"Qing officials don't take care of housework, Uncle Yun and his aunt's family has a good background, and they can't sit and eat with a little money. I don't dare to speak. Fang Xian said his difficulties.

When Fang Qian heard this, he sighed: "Yes, the annual salaries of your Uncle Yun and your aunt can cover our family's income for more than ten years, where can the little money be used up?" ”

"But children love to read?"

"Guess why he often lives in our house, it's because here, your aunt is not good at direct video with him, he can read professional books, don't say it, this kid is really smart."

"I taught myself programming and learned a little bit about physics, and now I hear that I am doing chemistry and a little bit of medicine, and he thinks it's not bad." Fang Qian was amazed.

Fang Xianyan's face darkened slightly.

Hey, compared with my younger brother, my qualification is the younger brother's younger brother.

……

Time is like water, and nearly half a month has passed.

Changshi, Changshi First People's Hospital, in the operating room of the trauma center.

Fang Xian personally performed the whole operation of the left abdominal damage, and Fang Yun was in charge of the care, planning to take over the operation at any time.

Destroying the damage to save his life, for Fang Yun, it was not too difficult.

However, Fang Yun's eyes flickered at the moment, because Fang Xian said, he planned to try to save his life, whether he could leave a little bit of intestinal peristalsis and sphincter function to the patient through intestinal resection, intestinal suture and nerve displacement.

If he could, then he could enter animal testing and start systematically establishing new procedures.

Yes, the first step, Fang Xian intends to do it here with the patient.

There are several reasons for this.

One, the current upper limit of the treatment of the damage is immortality, and there are still some slight functional residues, which seems to everyone to be out of the ordinary.

As long as Fang Xian ensures the safety of the patient's life, and then gets a certain improvement, he is doing his best, and it is also a kind of redemption for the patient, mainly to prove that his current basic skills can rebuild part of the function.

After it proves to be useful, it can start the research and development of new surgical methods in a wide range, including borrowing some new equipment, etc., and bringing them into clinical trials, in order to form a new surgical method with evidence-based medical evidence, and finally thoroughly promote it to clinical practice.

If it can really be promoted, then once Professor Xu Fengnian of West China Hospital has perfected the standardized treatment process and basic skills of the specialty.

This kind of damaged disease can be thrown into some tertiary hospitals for emergency surgery.

It's not lethal, there can be residual function, and it can be reconstructed, so why stay in the operating room of a trauma center that is only there to save lives?

"Director Fang, electric knife." When Fang Xian was doing the operation, he commanded Fang Yun.

Fang Yun immediately glanced at it, knew what to do next, and immediately gave the electric knife to Fang Xian.

"The reconstruction of gastrointestinal nerve function does not need to pursue a high reduction rate, because the intestine can function as long as it can function, unlike the reconstruction of hand function, it must have a relatively fine active function. ”

"Well, yes. The activity of the gastrointestinal tract is inherently involuntary, and it only needs to be present. ”

"The peristalsis of the gastrointestinal tract is to facilitate the movement of stool, and the most important thing is the reconstruction of the sphincter and nearby muscles, so that the patient has the desire to defecate." Fang Xian finely spotted the small bleeding next to the nerve, and then returned.

After a while, Fang Yun watched Fang Xian skillfully do tendon suturing.

Then he asked, "Your tendon suture is a new concept of suturing that you made yourself, right?" When you did that before, you used this kind of suture? ”

Fang Xian glanced up at Fang Yun and nodded, "Yes, Director Fang." ”

This is the operating room, there is no Uncle Fang Yun, only Chief Physician Fang Yun, or Professor Fang.

"You go ahead and reconstruct near the anal canal, in addition to having a motor sphincter function, but also a sensory function. Otherwise, you won't have tenesmus, and you won't know whether to go to the toilet or not. ”

"This is important, and the neural branch of sensory function can be more troublesome and delicate to reconstruct than motor function."

"I'll do this operation for you, I should be more sophisticated than you in nerve transposition and transplantation operations." Fang Yun looked at it, and his curiosity also rose, as if he was interested.

This kind of new technique can make him interested.

Traditional surgeries, some simple, seemingly fatal surgeries, Fang Yun only felt that they were repeating.

Moreover, this time, Fang Xian, when everyone was not optimistic, was able to improve to such a point, which was incredible.

For a new disease, Fang Xian not only completed the standard plan and standard process of first aid treatment of basic skills, but also deliberately derived the basic skills of specialty, which can better enable doctors in trauma surgery and general surgery to deal with damaged injuries with ease.

If the corresponding skills are practiced to a certain level of proficiency, this disease can be returned to the specialist emergency, you can do it according to the standard, and there are not many Chinese talents in the problem of operation proficiency.

And if Fang Xian's surgery today is also successful, then.

The disease of destruction and injury is left with the super heavy topic of limb disability.

It's just that lower limb disability is much easier to deal with than urinary and urinary disability, and with a prosthesis, you may still be able to move. However, it is not easy to find a replacement for the loss of bowel and bowel function.

Unless it's hanging a manure bag.

"Okay, Director Fang." Fang Xian took two steps back.

After Fang Yun took over, Fang Xian really found that Uncle Fang Yun's operation, which was as smooth as flowing water, and the small nerve sutures actually required very superb fine operations.

But in Fang Yun's opinion, it seemed like a piece of cake.

Uncle Fang Yun did spend a lot of effort on the reconstruction of nerve function for Wang Huan's hand disease.

However, at present, Fang Xian's nerve suture reconstruction has not been directly upgraded to level 5, so he can't find the special subtleties in it, but Fang Xian is not in a hurry, the reason why he first went to find the functional residue of basic anatomy.

It was to let Uncle Fang Yun do other operations instead.

The comprehensive organization of resources is to make good use of all available resources and reduce their own troubles and difficulties.

Professor Bu Chung Ming was the source of the idea.

Jiang Yang's theory is a mixture of trial and error, which is a line for the in-depth development of ideas, and another line is Fang Yunshu's specialization in nerve reconstruction and suturing.

Under the parallel of multiple lines, go hand in hand, so that today's operation is here.

Fang Yun's operation is delicate and fast.

But it also took a full hour to complete all the nerve sutures, transposition, and fine displacement, but the operation field was only the size of a palm.

"My operation is over, and the rest of the tendon binding will be handed over to you."

"I'll also have to take a good look at how you did the sphincter band reconstruction operation with the suture that can suture the tendon to the bone." Fang Yun was curious.

Obviously, the new concept of suturing that Fang Xian had made before also aroused his curiosity.

Fang Xian said: "Actually, the most primitive time was to vent, it was my friend to vent, but after operating it on the trainer, I found that the result of the operation was okay." ”

"In fact, the most important thing for this kind of suture is to grasp the strength and angle of needle insertion, Director Fang."

Fang Xian also didn't hide it, if Fang Yun wanted to learn this concept, it would be good for his Uncle Yun to work for himself.

"Well, I'll pay attention to it when the time comes, and try it out."

"You go on!"

……

Two hours later, a ruined epidermal reconstruction was also completed with the cooperation of the director of the burn department, Fang Yun and Fang Xian.

And after doing it this time, Fang Xian immediately felt the harvest.

[You have advocated for the destruction of the emergency rescue process, the destruction of the injury specialist suture, reconstruction, debridement, destruction of the function of the reconstruction, the residual resection of the intestinal segment, the remodeling of the intestinal segment function, the sphincter function reconstruction suture......]

[51,245 damage points (55%) for damaged diseases]

"Damn, it's done!" Fang Xian was ecstatic in his heart.

(End of chapter)