This is all unacceptable behavior.
So 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 becos extrely 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 imdiately 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 seed rather narrow, causing the venous return to be extrely 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 departnt doctors present after all.
Li Jingsheng asked the nurse for a needle holder and suture, first tying off the vein. At this ti, a slipknot ca in handy.
He didn’t dare to disgrace the departnt 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 sowhat of a unicorn.
This young orthopedic doctor was indeed impressive.
After removing the suture, Li Jingsheng trimd the ends of the vessels again and re-anastomosed them.
The length of the vessels was fixed, with so elasticity, but at most, they could only be trimd once or so.
If too much of the vessel length is lost, normal anastomosis would be impossible.
At that ti, 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 ant qualifying to participate in high-difficulty surgeries.
Today, it was just vascular anastomosis; next ti, 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 achievent before attempting nerve anastomosis.
As blood flowed through the anastomosed vessels, after such a long ti, 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 ant 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 so 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 thod. 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 sa happened for this tendon, adding another 10 points of proficiency.
At this rate, as long as he spent more ti in the operating room doing more of these surgeries, his anastomosis skill could directly reach a minor achievent.
...
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 cris, 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 ssage.
This ant 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 requirents 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 sowhat serious.
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