Practicing Medical Skills in a Small Clinic novel Chapter 487

Chapter 487: Chapter 229: High-Difficulty Separation, Heartwarming Moment (Part 2)

When encountering problems, don’t panic; handle them calmly.

"Now watch my hemostasis steps carefully. Stuff gauze between the muscle and the bone surface tightly, or it won’t effectively stop the bleeding."

As Director Hua forcefully stuffed the gauze in, the bleeding quickly stopped.

The principle here is compression hemostasis.

Li Jingsheng has already mastered compression hemostasis, although the level isn’t high.

Standing next to him and learning at the moment, he gained quite a lot.

"Director Hu, please remove the spinous process!"

For some highly risky surgical steps that are difficult for novice doctors to grasp, Director Hua wouldn’t easily let his subordinate doctors take risks.

Because with some surgical steps there are opportunities for trial-and-error, while others do not.

Once something goes wrong, it immediately becomes a surgical accident with no chance of recovery.

After the removal of the spinous process, the laminectomy allows Li Jingsheng to learn alongside, receiving some meticulous guidance and explanation.

Only excellent orthopedic surgeons participated in this surgery.

It can be considered as integrating the cutting-edge power of orthopedics.

But it’s limited to the levels of Deputy Director and Attending Physician.

As for residents, among those present, only Li Jingsheng had this honor to be on stage.

Other senior residents could only observe and learn from below the operating table.

...

The surgery ended, and it was already past six-forty in the evening.

Li Jingsheng gained unexpectedly from this surgery, especially with the extradural exploration and intradural exploration after laminectomy, deepening his understanding of vertebrae.

Many practical knowledge cannot be learned from books.

Because understanding text is definitely not as clear as seeing, touching, or even participating.

Human language has evolved for at least thousands of years, yet many things remain difficult to fully express through language.

Practical experience with teaching is the best way to improve surgical skills.

During this surgery, he snatched an extremely important suturing opportunity.

After the laminectomy, the dura mater was also cut open.

After the surgery, the dura mater needed suturing, and Li Jingsheng successfully took the task.

He used continuous suturing.

Because he earned quite a lot of vitality points during the surgery, after taking the suturing task, he immediately advanced the continuous suture to Minor Achievement level without hesitation.

As a result, after finishing the suturing, he unexpectedly received a reward of 500 vitality points.

Although the highest vitality reward he received before was one thousand, getting a reward of five hundred points still made him feel very excited and happy.

There are so many medical skills he needs to improve.

The reef knot, surgical knot, slip knot are now a bit behind the surgical tasks Li Jingsheng can take on.

Now he only has two things to do: work hard to earn money, earn vitality points, and then upgrade medical skills.

Strive to master surgical techniques as soon as possible.

"Jingsheng, I see your suturing skill is quite good. There is another surgery at around half-past seven that requires tendon, vessel, and nerve anastomosis. Would you like to participate?"

Director Hua is eager to foster talent, seeing Li Jingsheng perform so excellently, he can’t help but want to develop him further.

"Sure! I’ll eat first, go to the bathroom, and then come to the operating room to find you."

Li Jingsheng readily agreed.

Anastomosis is a high-level surgical technique he has long wanted to master.

But previously his suturing skills and knotting were very poor, unable to even sew layers properly, not to mention anastomosis.

Now the conditions seem mature.

Furthermore, having just earned a 500-point vitality reward, he can upgrade the corresponding suturing or knotting skills if necessary.

He estimates he needs to upgrade knotting skills.

Besides high suturing requirements, anastomosis demands high knotting skills.

For instance, anastomosing vessels, if the knotting is not firm, could lead to internal bleeding upon perfusion or thrombosis, which could easily result in patient death.

Therefore, superior knotting skills are crucial.

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