Chapter 184 You really don’t deserve to be an outsider, electrocoagulation stops bleeding

"good."

Li Jingsheng was extremely straightforward and went directly to the stage to take over the job.

This kind of practical training opportunity is extremely rare and is of great benefit to improving medical skills, surgical experience, and tempering courage and character.

Doctor Qin and Ruan Xiaoqin, the two 'Hengha Second Generals', could only look on with envy.

Surgery requires real skills. Without that skill, no matter how powerful your flattery skills are, it will be useless.

If Chinese medicine doesn't read the twelve meridians, it would be wrong to start using it.

Western medicine's surgical skills are not that good, and people will die if they do it.

It may be an exaggeration to say this, but without that technical level, it is inevitable that the operation will be messed up.

There is no senior doctor whose brain is so burned that he dares to let an incompetent young doctor operate on a patient.

Ganglion cysts are not a common disease.

It commonly occurs in the scaphoid, lunate, triangular bone, and skull, especially in the metaphysis of long bones.

The location of the tumor in this female patient was on the palm side, which is quite rare.

Under normal circumstances, intracarpal ganglion cysts are mostly found on the back of the hand.

The ligament anatomy of the dorsum of the wrist is not complicated, and the carpal bone is superficial, so the approach from the dorsal side of the wrist is the first choice. The location of the tumor in this patient is special, so Professor Wu chose the approach from the palmar side.

At this point, the joint capsule on the palmar side can already be seen after retracting the neuromuscular tendons.

Locating the scapholunate space, and then incising the joint capsule here, the mass located in the scapholunate joint also revealed its true face.

The cyst is not big and the wall looks very thin.

What Li Jingsheng has to do now is to remove the cyst completely.

Although it is a technical job, in Li Jingsheng's opinion, it is not very difficult. A skilled level of separation technique is enough.

Professor Wu may have had a psychological shadow due to the separation failure in the previous operation. He was worried about making a fool of himself in front of his doctors again, so he simply gave this job to Li Jingsheng.

Without any effort, the cyst was successfully removed by Li Jingsheng.

Complete and complete.

Sharp separation skill proficiency +1, health +101.

What a good guy, I actually rewarded him with 100 health points.

This hundred points of health should be the easiest thing to earn.

It should be related to the first time he separated the intraosseous cyst in the joint.

He was very happy to have gained so many health points at once. His health points, which were only 59 points left, suddenly increased to 160.

"Oh, it turns out there is some transparent jelly liquid inside!"

An intern made a fuss and curiously looked at the cyst on the plate.

"It's not like I've never had this kind of surgery before. Don't look like you've never seen the world and make people laugh."

Professor Wu glared at him dissatisfied.

The intern was so frightened that he became silent.

"Dr. Li, thank you for your hard work. You can watch and learn from the next surgical steps!"

After Professor Wu took over, he took a micro hand drill and started grinding the cyst wall. Only when fresh cancellous bone was exposed did he start filling it with bone graft.

This is the first time Li Jingsheng has seen bone grafting.

Much simpler than imagined.

The whole operation process is not complicated.

He secretly memorizes the key points of each step in his mind. However, this kind of memory usually does not last long, and will soon be forgotten or confused.

For a doctor to truly retain a deep memory, he must do it himself.

The teaching procedures in large hospitals are basically to first let novice doctors observe and learn. After watching it a few times, the superior doctor will give them some simple tasks to practice. Then slowly increase the difficulty of the tasks until the entire surgical process and technical points are learned.

.

"Okay, Dr. Ruan, let's repair the incised ligaments and joint capsule!"

After Professor Wu completed the high-risk steps of the operation, he left the finishing work to his doctors.

"no problem."

Ruan Xiaoqin has been waiting for a long time.

Take over the finishing work immediately.

Dr. Qin was watching with envy. He was the third person in the second group after all, and he was immediately promoted to the person in charge. He couldn't accompany the two surgeries tonight, right?

You have to get some real benefits!

"Professor Wu, can you let me suture the wound?"

Doctor Qin was really worried when he saw that Li Jingsheng was so awesome.

"OK!"

Professor Wu must have vigorously cultivated the only two generals under his command.

Dr. Qin, who successfully got a skin suturing task, was immediately overjoyed.

Just wait for a while to perform well.

Ruan Xiaoqin has already started to repair the patient's incised ligament.

I thought this toady had no real skills, but I didn't expect that Ruan Xiaoqin's suture skills were quite good when he sutured the patient's ligaments. He used continuous sutures.

This suturing method has many advantages. It can perfectly align the wound and has a hemostatic effect.

The sewing speed is fast, saving stitches and time, and there are fewer knots.

It can also reduce foreign body irritation.

It is often used for suturing inside the body.

I saw that Ruan Xiaoqin's movements were skillful, the suturing process was quite smooth, the sutures were neat, and the ligaments were tightly attached.

This level has reached the mastery level.

You really can't underestimate anyone.

In the last surgery, Professor Wu also said that Ruan Xiaoqin's suturing was a weakness, but now it seems that what is his weakness?

It’s obviously very strong!

However, there are many techniques for suturing, and it is also possible that Ruan Xiaoqin is good at continuous suturing. It is also possible that he is relatively rubbish in terms of interrupted suturing and other advanced suturing techniques.

After sewing the ligament, just tie a knot to secure it.

At this time, Ruan Xiaoqin was seen clumsily operating the tweezers, and seemed to be biting his cheek. Even through the mask, he could see the bulge.

Could it be that...his knotting skills are not good enough?

In order to practice their surgical skills, many doctors hold toothpicks while eating, use tweezers to pick up beans, or use grapes and intestines to practice suturing, etc.

Knot tying should be a basic skill that is easier to practice.

Unlike suturing, sometimes in order to simulate the feel of human skin as much as possible, pig skin must be used for practice.

If you are just a beginner in tying knots, you can practice with any piece of cloth.

For more advanced ones, you will need tofu, sponges and other props.

Ruan Xiaoqin finally tied a square knot after a lot of effort.

It was this knot that ruined all his previous efforts.

Because the knot was not tied properly, the sutures became loose, and the originally sewn ligament split again with a thin slit.

His face turned red and the sutures were cut and re-sutured.

If he has mastered the slip knot, there is no need to cut off the stitched thread at this point.

Li Jingsheng's current knot-tying level is not very good, it is at the proficiency level, equivalent to the level of a senior resident doctor.

Unexpectedly, Ruan Xiaoqin was already the chief physician, but the knot was still so unbearable.

Let alone the proficient level, looking at this clumsiness, I'm afraid it's enough for the entry level.

Proper standard of standardized training.

This can really ruin a 'life' with one knot.

"Why don't you get a basin of water when you get home, put a sponge in the water, and then practice more knotting techniques on the sponge?" Professor Wu scolded him in a tone that said he hated iron but not steel.

"I've practiced, but my hands don't work very well. I'll practice hard when I get home."

Ruan Xiaoqin's face was dull after being laughed at by so many people.
To be continued...