Practicing Medical Skills in a Small Clinic

Chapter 493 - 231: Debridement Evolution, Progress That’s Over the Top (Part 2)

Now, everything feels a bit complicated.

This attribute panel has only been acquired for less than three months.

There’s still a lot worth exploring.

No wonder he felt a significant improvement in debridement skills earlier; initially, he thought it was the high-tech wonder, the Sea Master Knife, that caused it.

Apparently, it wasn’t.

It just played a boosting role.

It helped Li Jingsheng gain a deeper understanding of debridement for blood vessels, tendons, and bones, and integrate it with surface debridement techniques.

Besides the evolution in surface debridement techniques, his life value also increased by over 300 points.

Three hundred of these points were definitely a reward.

The first time completing deep major blood vessel debridement, bone debridement, and tendon debridement. These three firsts earned him a 300-point life value reward.

At least that’s what he thought.

"Why not just level up the debridement skills one more time?"

Li Jingsheng gained over 300 life points and was not stingy at all.

The General Surgery staff is watching now.

Even though Director Bi hasn’t spoken, he would definitely call it off immediately if he noticed any issues with Li Jingsheng’s operations.

Director Hua’s reputation, however valuable, isn’t more important than surgical safety.

Right there, he consumed 183 life points to directly upgrade the debridement skill to Minor Achievement level.

He could feel his debridement level increase significantly once more.

His understanding of vascular debridement and the requirements for cleaning bones, tendons, and other tissues, as well as prognosis, have all changed entirely.

Now, he only needs to look at the wound to make a rough prognosis in his mind.

Although not very precise, this was a capability he didn’t possess before.

Surgical prediction is extremely important.

It can help doctors roughly determine what outcome a surgery can achieve and what post-operative situations might occur.

After all, reaching the Minor Achievement level in debridement is equivalent to the capability of an experienced attending physician, touching on some skills that only deputy senior doctors can master.

He carefully examined the results of the previous debridement.

Clearly found that the treatment of the bone fracture wasn’t good, likely forming a deformed callus or even a bone spur.

Furthermore, the large artery also seemed improperly handled; it looked smooth but wasn’t conducive to vascular anastomosis.

"Some areas might need further refinement! Nurse, could I have the knife again, please?"

Li Jingsheng immediately moved to remedy this before Director Hua pointed it out.

Receiving the Sea Master Knife, he proceeded with secondary debridement on those flawed areas.

Director Hua glanced at this and showed a look of appreciation.

Even Director Bi looked curiously and then slightly nodded.

"Hmm, wound handling is good!"

Director Hua used the term ’good’ to praise him.

It also shows there might still be room for improvement in debridement.

In fact, after reaching the level of a senior attending, there wouldn’t be any major mistakes. Just some minor flaws or details that weren’t handled well.

"Quickly proceed with the bone setting! This is Director Hu’s specialty, Jingsheng will assist nearby to complete it together."

If it’s just external fixation for bone setting, Li Jingsheng is very adept at that.

But for internal fixation, possibly with plating, he still needs to learn more.

Hu Jia’s surgical skills are very solid; once he started, the entire bone-setting process was extremely proficient. And he was generous in guiding Li Jingsheng.

Any knowledge he had, including various experiences, techniques, and critical points, he imparted to Li Jingsheng one by one.

Ou Qinglan’s level is, after all, a bit low, and her competence simply can’t compare to these experts. She’s still too weak right now.

For these important high-risk operations, she only has the qualification to observe and learn.

Nearly half an hour later, the leg bones were fully set.

During reduction, it was Li Jingsheng who assisted from the side.

In terms of manual reduction, apart from Doctor Xu, no one can compare to Li Jingsheng.

"The location of this broken leg bone will automatically grow, so it’s okay to leave a slight gap. The amputation elevation surgery similarly utilizes this principle. Now, the bone setting is fine; whether the leg survives depends crucially on the success of vascular anastomosis. You should hurry, Director Chen will complete the nerve anastomosis next to you, and you can learn more about it."

Hu Jia takes good care of Li Jingsheng.

Guiding him at every step.

Overall, Orthopedics is relatively cohesive.

Li Jingsheng is well aware.

First, he quietly upgraded the square knot to the Minor Achievement level.

Only then did he choose a moderately sized vein for anastomosis.

Whether the limb movement functions of the amputated section can be restored depends on how well the leg bone, nerves, and tendons are connected. Survival mainly depends on the blood vessels.

But then again, once the vessels are properly connected and the leg is alive, if the nerve anastomosis is not as effective, or if the bone doesn’t heal well, these could lead to the patient becoming disabled post-surgery.

However, as long as the leg survives, there remains the opportunity for a second surgery.

If it doesn’t get reconnected properly, then amputation might be necessary to save the patient’s life.

Therefore, vascular anastomosis is crucial in this limb-saving surgery.

Li Jingsheng has repeatedly recalled the essentials of vascular anastomosis in his mind.

Vascular anastomosis techniques include end-to-end, end-to-side, and side-to-side. It usually depends on the specific situation.

In this case, the vascular anastomosis is mainly end-to-end.

He first examined the ends of the two severed blood vessels to ensure they were smooth and undamaged.

He then tested the lengths, finding no issues.

Only then did he expel all the air and clotted blood from both ends, and begin the anastomosis.

Initially, the operation was indeed a bit slow.

Director Bi took a quick look, only to frown. Director Hua was slightly puzzled, as Li Jingsheng’s other surgical skills were excellent, so why did the anastomosis appear so clumsy?