Chapter 257 Skin grafting, deputy chief physician

After collecting the money, registering according to regulations, issuing a surgical risk notification form, and asking family members and patients to sign.

Li Jingsheng arranged surgery for him on the spot.

There are no other requirements before the operation. You need to shave and brush your teeth.

For two thousand yuan, disposable toothpaste and toothbrushes were provided by the clinic.

The service aspect must be done well.

As he watched the young man enter the operating room, his stepfather chased after him.

"Please take your time!"

He only said one sentence to Li Jingsheng, his eyes full of sincerity.

"I will. Don't worry, you and auntie. You can sit outside and rest for a while."

Li Jingsheng deliberately placed a row of benches outside the operating room, which can seat six people in total.

Since it is an outpatient surgery, the sterility management is relatively loose.

Different from the operating room in the inpatient department, the management there is more strict. Patients are generally required to bathe and change clothes, and then the doctor or nurse will push the patient in.

Now, basically, after the procedure is done, the family members push the patient to the designated operating room door to wait.

After waiting in line for the patient's turn, the medical staff will take the patient into the operating room.

Some surgeries require the patient to wear no clothes. This can usually be done in the pre-anaesthesia room and then the nurse can help take them off.

Especially female patients.

Sometimes when I meet some interns who want to save trouble, I will ask them to take off their clothes outside, cover them with a sheet, and then push them in.

I believe many female patients will find it difficult to accept it.

In fact, it can be refused.

Many people think that the operating room is sterile, but this view is not correct.

Even the best 100-level laminar flow operating room cannot be absolutely sterile.

It can only be relatively clean.

Li Jingsheng's clinic now has a dedicated operating room, which will be strictly disinfected before each operation, and the operations during the operation will also be carried out in strict accordance with the standards.

This kind of surgery fully meets the requirements.

"Boss, what sleeping position do you want him to take?"

"Get into the supine position!"

To perform this operation, Li Jingsheng only brought two people with him. One was Han Siying, who served as his medical assistant.

One is Munro, a full-time surgical nurse.

"Is local anesthesia okay?"

"Absolutely!"

Li Jingsheng has already put on gloves and changed into surgical clothes.

There is no pre-anesthesia room in the operating room of his clinic, but there is a dressing room.

Anyway, that's what happened.

If he wants to build better, he has to wait until he makes money in the future. At least he has to buy the yard before he will consider it.

Otherwise, when the lease expires and he is asked to move out, wouldn't the decoration of the operating room be in vain?

Decorating an operating room to high standards is not cheap.

The lowest ones cost 500 yuan/square meter, and the more expensive ones are infinitely more expensive.

The two laminar flow operating rooms built in the Second Hospital were built using the back molars.

It is conceivable that it is possible for him, a clinic owner, to build this kind of operating room?

After placing the patient in a supine position, begin applying drapes and then perform local anesthesia.

These are all operated by Munro.

Li Jingsheng made a very wise choice by keeping her.

For this operation, if it is a child, general anesthesia is generally required.

Then his clinic cannot perform this surgery.

Local anesthesia is sufficient for adults.

"Siying, open his mouth."

Li Jingsheng couldn't help but think of the time when he performed cheek abscess surgery on a female patient, and Tang Ping worked as both a nurse and a medical assistant.

At that time, the clinic was just starting up and everything was difficult.

The equipment is extremely crude.

Compared with now, it is so much better.

After using a hook to open the patient's mouth, the mass under the patient's oral mucosa can be clearly seen.

"Pull away and hold. Munro, give me the scalpel."

Munro handed the scalpel to Li Jingsheng's hand.

He chose to cut the mucosa two to three millimeters from the periphery of the lesion.

The advanced cutting method allows him to easily control the depth of the cut.

You can really cut as deep as you want.

However, when encountering some cuts or separations that are as fine as millimeter level, it is still difficult for him to achieve precise control.

Because this difficulty is too high.

It is estimated that you need to reach a higher level to be competent.

His current doctor level is that of a senior attending physician, and he still has more than 2,000 experience points left before he can be promoted to the next level.

It's really not an ordinary difficulty to be promoted to associate professor.

However, he has been working hard to accumulate health points in the past few days, preparing to upgrade his doctor level by one level before participating in the skills competition.

You have to be at least deputy director level to be able to watch.

When the time comes, all the experts from major hospitals will come. The stronger he is, the easier it will be for the Second Hospital to win glory.

Last week, Director Zhong Hu found him privately and wanted to find him as a medical assistant.

Because Director Zhong Hu is really miserable, he doesn’t have a capable assistant.

This is why Professor Wu poked his pain point last time and immediately made Director Zhong Hu so angry that he rolled up his sleeves and wanted to fight.

Everyone has pain points and shortcomings.

It would be strange if you don't get angry when someone exposes your shortcomings in public.

After Li Jingsheng carefully cut open the oral mucosa of the patient's diseased area, he found that the disease affected the parotid duct orifice.

Immediately and carefully cut around the catheter opening.

Fortunately, he is now very good at sharp separation and incision, otherwise this operation would probably be messed up.

If after the operation, this young man from a mixed society is drooling every day, I am afraid that his clinic will be destroyed directly.

After careful inspection, no erythema was found.

It feels more likely to be benign.

Clinically, if erythema is found in the lesion, it is usually treated as a malignant tumor.

The incision needs to be enlarged and the resection site must be at least 5 mm larger than the lesion.

He separated the lesions bit by bit and then removed them.

The whole process seemed extremely calm.

When cutting the lesion, cut all the way to the buccinator muscle, and remove the entire diseased tissue.

At this time, a large defective wound appeared.

He was a little confused about the treatment of the wound.

If you directly pull and suture, the patient's wound can be sutured, but after healing, it will be difficult for the young man to open his mouth.

Eating, talking, and yawning will all become obstacles.

Because his mouth can only open a little.

The main reason is that the lesion is too large and a large wound will be formed after incision.

What to do?
To be continued...