Practicing Medical Skills in a Small Clinic

Chapter 496 - 232: Basic Snakebite Treatment, Don’t Replace Either of Them_2

This is all unacceptable behavior.

Some snake venoms will cause unstoppable bleeding.

Cutting the wound will result in bleeding that is difficult to stop. Moreover, once bitten by a snake, if the wound is cut, it becomes extremely difficult to heal.

The best way is to avoid being bitten by a poisonous snake.

After Li Jingsheng removed the patient’s leg tourniquet, blood immediately flowed over.

The blood vessels could be seen gradually becoming engorged.

The first anastomosed vein had a blood leak.

The second anastomosed one was relatively normal, but the anastomosis site seemed rather narrow, causing the venous return to be extremely slow.

"Director Hua, can I re-anastomose this vein?"

"Hurry up and do it! There’s no need to ask for these things."

Director Hua might have felt a bit embarrassed and signaled to Li Jingsheng to be more quick-witted.

There were other department doctors present after all.

Li Jingsheng asked the nurse for a needle holder and suture, first tying off the vein. At this time, a slipknot came in handy.

He didn’t dare to disgrace the department again.

He quietly spent 43 life points to raise the slipknot skill from proficiency to master level.

With an attending level of knot tying, it was just barely sufficient in this room full of experts.

Seeing Li Jingsheng skillfully tie off the vein and form a secure, elegant slipknot, the entire process was very adept. This made Director Hua nod with approval again.

Director Bi glanced over but didn’t intervene further.

However, the fact that the two arteries anastomosed by Li Jingsheng were unobstructed still left Director Bi pleased.

His performance wasn’t particularly outstanding, but among doctors of his age, he was considered somewhat of a unicorn.

This young orthopedic doctor was indeed impressive.

After removing the suture, Li Jingsheng trimmed the ends of the vessels again and re-anastomosed them.

The length of the vessels was fixed, with some elasticity, but at most, they could only be trimmed once or so.

If too much of the vessel length is lost, normal anastomosis would be impossible.

At that time, either an artificial vessel or a great saphenous vein needs to be used for vascular transplantation.

Generally, senior doctors are hesitant to allow young doctors to anastomose important vessels due to these concerns.

Because the risk is indeed significant.

Soon, the re-anastomosed vein was also successful.

Li Jingsheng breathed a small sigh of relief.

After the slipknot was untied and blood began to flow, everything was normal.

He let out a relaxed sigh.

This surgery tonight marked a very significant step forward for him.

Mastering anastomosis meant qualifying to participate in high-difficulty surgeries.

Today, it was just vascular anastomosis; next time, he could find an opportunity to challenge nerve anastomosis.

However, nerve anastomosis is much more difficult.

Even chief physicians often fail, so it’s best to elevate anastomosis skills to at least a minor achievement before attempting nerve anastomosis.

As blood flowed through the anastomosed vessels, after such a long time, the patient’s severed limb had a hint of color.

Director Hua pressed and then carefully observed.

"The vascular anastomosis was very successful! Go ahead and anastomose the tendons!"

That meant asking Li Jingsheng to continue!

In the future, it’s best to refrain from wrongdoing, or when encountered by a justice-minded chief physician, there’s a high probability the task will be given to novice doctors for practice.

Li Jingsheng quickly recalled the steps and technical points of tendon anastomosis.

Fortunately, he had learned some basics while performing surgeries with Professor Wu.

Though Professor Wu’s surgical skills were quite ordinary, he was, after all, a chief physician, with enough expertise.

The knowledge of orthopedic surgery that should be understood was indeed extensive.

With a foundation of master level anastomosis, tendon anastomosis was slightly easier than vascular anastomosis.

However, the technical demands remained high.

Li Jingsheng adopted the figure-eight suture method. This is one of the most common tendon anastomosis techniques.

He exerted considerable effort to successfully anastomose the first ruptured tendon.

His life points, as expected, increased by over a hundred.

The mastery of anastomosis technique also improved significantly.

Nearly every successful connection of a vessel increased his proficiency by 10 points, and the same happened for this tendon, adding another 10 points of proficiency.

At this rate, as long as he spent more time in the operating room doing more of these surgeries, his anastomosis skill could directly reach a minor achievement.

...

Nearly forty minutes later, all the tendons, blood vessels, nerves, tibia, and fibula of this patient had been effectively anastomosed or repositioned. Though it still looked bloody, the limb-sparing surgery was nearing its end.

"Director Hua, could Dr. Ou suture the skin for the patient?"

Li Jingsheng brought Ou Qinglan in, hoping to earn a training opportunity for his girlfriend.

"Xiaou, feel confident?"

Director Hua looked at Dr. Ou.

"Yes, yes!"

Ou Qinglan was thrilled, showing considerable courage.

Listening to the patient’s crimes, there was no reason to be courteous.

She absolutely had to seize the training opportunity!

"Jingsheng, assist her well! Ensure there’s no issue with wound healing, or it will need to be redone."

Director Hua handed out the underlying message.

This meant it was alright if the suturing didn’t look pretty, as long as the healing was not problematic.

Only in a large hospital, and with Li Jingsheng helping to secure the chance, could she easily obtain such a good opportunity to suture the skin.

It’s worth noting that Li Jingsheng, after running a clinic for several months, had only received about three to four wound suturing opportunities.

Master Liu alone gave him two suturing opportunities.

The requirements were low; as long as it could heal, it was acceptable.

Li Jingsheng naturally taught Ou Qinglan suturing diligently, pointing out any issues as long as they were somewhat serious.