Practicing Medical Skills in a Small Clinic novel Chapter 10

Chapter 10: Chapter 10: Debridement Skills Improved

She smiled and nodded, not saying another word.

But in her heart, she thought to herself, this isn’t just a little progress. The boss’s square knotting skill is no worse than that of an attending physician in a major hospital’s operating room.

Usually, I haven’t seen the boss practicing much!

"Scissors!"

Li Jingsheng spoke up to remind her.

After tying off the blood vessel, the suture must be cut. Cutting the suture seems simple but it actually requires skill.

The angle and position must be handled well, otherwise, it can easily damage the surrounding tissue.

The length of the thread left should not be too long or too short. Too long can irritate the surrounding tissue, causing foreign body symptoms. Too short can lead to the knot coming loose.

Li Jingsheng had put in a lot of effort practicing cutting sutures back in the day.

Because once an attending doctor asked him to cut sutures, and he ended up cutting them too short. The attending doctor didn’t say much, just told him to leave the thread longer next time.

The head nurse scolded him harshly in front of other doctors and nurses, as well as the patients.

At that time, Li Jingsheng even wanted to strangle the head nurse.

He was so ashamed he wished he could crawl into a hole.

That experience was what made him decide to rigorously practice his suturing skills. He humbly sought advice from other doctors.

In hindsight, he still needs to thank that head nurse.

Her strictness ensured that Li Jingsheng wouldn’t fail at even the simple task of cutting sutures.

Moreover, wearing sterile isolation gowns to enter the operating room seems simple but actually has very high sterile procedure requirements. Even a small oversight when tying the gown can render it unusable, necessitating a change.

When such matters occurred, Li Jingsheng naturally got scolded fiercely by the circulating nurse.

He used to think those nurses were too fierce.

Only after running his clinic for over nine months did he realize how endearing they were. They helped him change many bad habits, benefiting him for life.

Now, in terms of sterile procedures, he is clearly more standard than doctors at other clinics.

These benefits all came from being scolded by those fierce nurses.

After cutting the sutures, he checked the blood vessel’s ligation status.

It was quite good; the ligation was secure, and the bleeding had stopped.

If it were before, he would have tied twice to ensure safety.

The core technique of ligation is knot-tying.

Proficiency in square knots not only greatly increased his knot-tying speed but also eliminated the need for a second ligation to ensure the vessel stops bleeding safely.

This also greatly improved his surgical efficiency.

After successfully stopping the largest bleeding source, the next step was debridement.

To be honest, his debridement skills were poor.

He hadn’t even reached entry level.

At the moment, in order to earn money from this major job, he had no choice but to push himself.

First, he cleaned the inside of the wound with saline, then carefully observed the wound’s condition, before finally trimming the wound with sterilized scissors.

He needed to handle the granulation and irregular skin edges.

Strictly speaking, this was his first time performing meticulous debridement on a patient’s wound.

Previously, he would at most wash with saline or hydrogen peroxide and cut away severely damaged or heavily polluted skin layers and granulation.

At the moment, because the wound was long, the skin edges were not neat.

Some areas were uneven and jagged.

If this wound wasn’t trimmed, it couldn’t be stitched. Even if stitched, the wound would be extremely difficult to heal.

Debridement and suturing are known as the two essential skills for wound repair.

When combined, they form an unbeatable duo.

No matter how skilled the suturing is, a wound won’t heal well if the debridement isn’t properly done.

Experienced surgeons liken debridement and suturing to a pair of chopsticks.

Only together can you pick up food.

Neither chopstick can pick up food alone.

Li Jingsheng’s forehead sweats finely.

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