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212. Chapter 211 Xiaocheng-level incision surgery, status rises again(1/3)

 Chapter 211 Xiaocheng-level incision surgery, status rises again

After some polishing, the fractured end finally revealed healthy cancellous bone.

At this time, orthopedic surgery diagnosis comes in handy, which can help him distinguish whether the polishing is in place.

Avoid asking Professor Wu for everything.

Unless junior doctors encounter projects that they do not understand or that are risky, it is best not to ask for advice on everything. If this is annoying, it will also make the senior doctors think that the young doctor has poor independent ability.

No difficult task would be entrusted to such a young doctor.

There are some "baby-mom" young doctors who are most likely to make this mistake.

I feel that the more I consult with superior doctors, the closer the relationship will be.

This is pure nonsense.

When you encounter a senior doctor who has a bad temper, if you ask three irrelevant questions in a row, you will most likely be criticized.

After being scolded once, the next time you really have a problem and want to ask for advice, you won’t dare to open your mouth.

After Li Jingsheng finished polishing, his health value skyrocketed again by 105.

Today's surgery was obviously just a second-level 'minor surgery', and the harvest was beyond imagination.

In fact, this is also because he has never performed this kind of bone surgery.

It just so happened that the surgical items this time were extremely rich, so he felt like he was walking into a nest of gold and silver.

It's like picking up fish at the beach and finding a puddle full of fish.

There is a certain element of luck.

Next, he began to explore the area from the radial styloid process to the articular surface.

After investigation, it was found that there was an obvious defect in the cartilage and obvious spikes in the styloid process. It was this that caused great pain to the patient.

Direct resection of the radial styloid process.

After reaching this step, it is time to reset the scaphoid.

This is Li Jingsheng’s strength.

In terms of manual repositioning, only Dr. Xu in the entire Second Hospital can beat him. And he is catching up with Dr. Xu at an alarming speed.

For example, bone palpation is now at the same level as Dr. Xu.

It was also this patient's good luck that he met Li Jingsheng to perform this surgery.

If it were another doctor to reset the scaphoid, it would probably be extremely complicated.

This patient has a certain deficit in the palmar cortex, which will make the reduction more difficult.

Other doctors need to use the dorsal, ulnar, and radial cortical bone surfaces to guide reduction.

Li Jingsheng, however, skipped these procedures and helped the patient complete the scaphoid reduction very easily.

Of course, it seems easy because of his high level of rehabilitation techniques.

I actually used massage, Duanqi and other techniques just now.

"Dr. Li's reduction technique is well-deserved and can be widely used in many extraosseous surgeries."

Professor Wu watched with envy.

Although he had always despised bone setting as a superficial technical job, he was extremely envious of it in his heart.

Dr. Xu's income is much higher than that of his chief physician.

"A prize, a prize, a prize!"

Li Jingsheng said something modestly and took a Kirschner wire to temporarily fix the reduced scaphoid.

At this time, according to the program, a C-arm X-ray machine will be used to determine the reset situation.

Li Jingsheng actually doesn't need this.

His bone palpation skills and manual reduction abilities allow him to completely skip this step.

Out of process and respect for Professor Wu, he still looked at Professor Wu and said, "Please use the X-ray machine to check. If there is no problem, I will start the next step, remove the bone flap and prepare for transplantation."

I usually watch Professor Wu perform operations and feel that bone grafting and bone flap removal are quite difficult.

Now that he has actually tried it himself, he feels that it is not as difficult as he imagined.

As long as you have mastered the four basic skills of surgery, you may feel a little unfamiliar when doing these tasks, but there won't be any big obstacles.

Li Jingsheng is now quite accomplished in basic skills such as suturing, incision, hemostasis, and knotting. When doing these things, he has rehearsed them many times in his mind. So he doesn't find it difficult.

At most, it's trepidation.

After all, it is the first time for many of them to do it, and they are a little worried about messing up.

Just because you've seen a superior doctor do it many times doesn't mean you know how to do it yourself.

It is easy to see things but difficult to do things.

When you really get started, the technical requirements and knowledge requirements in all aspects are very high.

Professor Wu took the C-arm X-ray detector to check the scaphoid reduction.

"It's incredible, it's incredible! The reset is so perfect, wow, this level is really enviable!"

For one of his professors to be so full of praise shows how well Li Jingsheng's scaphoid reduction was done.

This is because there is a problem with the scaphoid. If it is a newly fractured scaphoid, Li Jingsheng does not need surgery at all and can directly reset it, which is guaranteed to be much better than this.

"If there is no problem, then I will start to remove the bone flap."

Li Jingsheng asked for instructions.

"OK!"

Professor Wu has gone from being nervous at the beginning to extremely looking forward to the results of this surgery.

He had a hunch that this patient who had entered the uterus for the second time would probably recover after receiving the second surgical treatment.

The medial femoral condyle bone flap was removed because it required an incision in the thigh and the wound was quite large.

For safety reasons, Li Jingsheng just made a huge gain in health this time, so he decisively upgraded the epidermal incision method.

I just used the incision method many times, and its proficiency has increased to mastery 112/500.

The proficiency level has increased by 12 points.

It feels like it's rising so fast.

The fastest way to increase health and skill proficiency is by hanging out in the operating room.

He planned to wait until the clinic relocation was completed and the clinic was completely back on track, and he would consider coming to the second hospital to participate in more surgeries.

Now that I have proven my surgical ability and gained the trust of my superior doctors, I will definitely be able to get many important surgical tasks in the future.

Besides, Director Hua and Professor Wu both hope that he can perform more surgeries.

As long as Li Jingsheng comes over, isn't he being trained to die?

He spent 388 health points and successfully upgraded the epidermal incision method from the master level to the minor level.

This time, he already has the incision level of a senior surgeon, who is equivalent to a veteran in the operating room. If he cuts the patient's thigh again, the safety factor will definitely be much higher.

The incision will also be more neat, which is conducive to suturing and healing.

The incision method can also be used when removing bone flaps.

The knife position has been drawn on the patient's thigh near the knee.

Li Jingsheng confirmed that it was correct and then executed the knife.

There is a very fine artery inside the thigh called the femoral artery.

Many cardiovascular interventional surgeries are performed through the femoral artery.

If it is cut open, the consequences will be no different from cutting the aorta in the neck.

The risks of surgery are self-evident.

But then again, if the carotid artery is cut, it will be difficult to stop the bleeding. But if the femoral artery is ruptured, there are basically many ways to stop the bleeding quickly as long as it is not at the root of the thigh.

For example, the most commonly used bandage is used to stop bleeding.

Compression and hemostasis can also effectively stop bleeding.

Large blood vessels cannot be stopped by electrocoagulation, and blood vessel repair is the most common means of stopping bleeding.

Professor Wu looked a little nervously as Li Jing, angrily and calmly, slashed open the skin of the patient's leg. Then he continued to pull downwards with the knife.

"This monster, the incision technique has obviously and qualitatively improved, he is so monster!"

Professor Wu's eyes were dazzled.

Whether it is Li Jingsheng's mentality, technique, or the incision he made, he is more skillful than when he incised the wound on the wrist. This kind of improvement is really scary, and it also makes all doctors feel "sore".

Can it not be sour?
To be continued...
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