Practicing Medical Skills in a Small Clinic novel Chapter 431

Chapter 431: Chapter 210: Direct Surgery, Bone Sawing (3)

For example, in the past, Li Jingsheng could truly perform a direct laparotomy with one incision—skin layer, fat layer, anterior sheath, rectus abdominis layer, peritoneal layer, all five layers. An experienced surgeon would cut layer by layer.

But for a novice like Li Jingsheng, he would make a direct cut through all five layers.

Maybe even deeper.

The scalpel is sharp, and if you lack experience or technical skills, you don’t really feel the depth when cutting.

You really can’t tell the depth.

At this moment, as he held the scalpel, he carefully made a longitudinal incision from the patient’s radial-sided wrist flexor tendon.

With one stroke, it cut so smoothly that blood immediately gushed out.

Fortunately, the bleeding wasn’t too much.

The epidermis has a dense network of capillaries, which even the most skilled doctors cannot avoid. Some capillaries will inevitably be severed.

This is why it’s said that surgeries should be avoided if possible.

Because even the smallest surgery can harm the patient’s body.

Doctors will strongly recommend surgery only when they believe its benefits far outweigh its harms.

This is commonly known as meeting surgical indications.

No one is forced, it all depends on the will of the patient and their family.

If they disagree with the procedure, doctors can’t do anything.

"Dr. Li’s cutting technique is so adept, he must have practiced before. Very well done, keep going."

At first, Professor Wu didn’t dare speak for fear of distracting Li Jingsheng during the surgery.

He only praised him after Li Jingsheng raised the scalpel.

Watching Li Jingsheng make the incision earlier, he was actually quite nervous.

Even though he had witnessed Li Jingsheng’s sharp dissection technique, he was still worried about him messing up.

After all, incision and dissection are somewhat different.

Incision is a basic surgical skill; sharp dissection can be considered an advanced skill.

It’s more advanced and technically challenging.

Li Jingsheng couldn’t help but smile wryly; in the past at the First Hospital, his superiors didn’t even let him retract a hook, yet now they dared to let him operate on a patient?

But he did not explain anything.

Heroes shouldn’t be asked about their past.

Although he performed poorly in the past, he is now stronger, with little relation to his past.

He carefully made an incision on the side of the patient’s wrist, curving radially from the distal triquetrum tubercle and terminates distally at the radius.

"Separate the tissues with the forceps!"

Li Jingsheng directed Ruan Xiaoqin to work.

"From where should I separate it? Dr. Li, please guide me more clearly, I’m afraid of messing up."

Ruan Xiaoqin didn’t dare show off at this moment.

If she tears important tissues or injures blood vessels or nerves, the consequences would be severe.

"Pull the radial-sided flexor tendon towards the ulnar side and the radial artery towards the radial side. Expose the palmar wrist joint capsule."

Li Jingsheng looked at the radial artery and secretly sighed in relief, thankful for upgrading his skin incision technique.

Otherwise, if he accidentally severed an artery, the consequences would be dire.

When he made the incision earlier, he could feel a relatively distinct tactile sensation of the knife.

The tactile sensation of cutting skin and subcutaneous tissue was noticeably different.

And when he was close to the radial artery, he could feel the tactile sensation becoming much ’stickier.’

The resistance clearly increased step by step.

But he still couldn’t clearly distinguish small blood vessels and nerves based on the knife’s sensation.

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