Practicing Medical Skills in a Small Clinic

Chapter 351 - 184: No Need to Stand on Ceremony—Electrocoagulation Hemostasis

"Okay."

Li Jingsheng decisively stepped up to take on the task.

Opportunities for practical training like this are extremely rare, offering tremendous benefits for improving medical skills, gaining surgical experience, and honing courage and character.

Dr. Qin and Ruan Xiaoqin, the two ’mighty guards,’ could only watch enviously.

Surgical procedures require genuine skills. Even the best flattery is useless without those abilities.

In Chinese medicine, not knowing the twelve meridians means you’re wrong from the start.

In Western surgical medicine, lacking skill means fatalities are inevitable.

This might sound exaggerated, but without the technical expertise, botching the surgery is assured.

No senior doctor’s mind would be so clouded as to let an inexperienced young doctor wield a scalpel on a patient.

A tenosynovial cyst is not among common ailments.

It is typically found on the scaphoid, lunate, triquetrum, or capitate bones, especially at the diaphysis of long bones.

This female patient had the cyst on the palmar side, which is quite unusual.

Under normal circumstances, tenosynovial cysts inside wrist bones typically appear on the dorsal side of the hand.

The anatomical structure of the dorsal ligaments of the wrist is not complex, and the wrist bones are superficially located, so the dorsal approach is the preferred choice. The location of this patient’s cyst was unusual, leading Professor Wu to opt for a palmar approach.

At this moment, the joint capsule on the palmar side was exposed after the nerves and tendons were retracted.

Locating the scapholunate space, and then incising the joint capsule there, revealed the cyst within the scapholunate joint.

The cyst was not large, and its wall seemed very thin.

Now, what Li Jingsheng had to do was to remove the cyst completely.

Though a technical task, to Li Jingsheng, it wasn’t very difficult. Proficiency in dissection technique was more than sufficient.

Perhaps Professor Wu, frustrated from the previous surgery, developed a psychological shadow, fearing embarrassment before his peers again, and thus handed this task over to Li Jingsheng.

Without much effort, Li Jingsheng successfully extracted the cyst.

Complete and intact.

Sharp dissection technique proficiency +1, life points +101.

Wow, he actually received a reward of 100 life points.

This might have been the easiest 100 life points he ever earned.

It likely related to him removing an intra-articular cyst for the first time.

Earning so many life points at once, he felt delighted. Previously having only 59 life points, he suddenly reached 160.

"Wow, so it was just some clear jelly-like substance inside!"

An intern exclaimed in surprise, curiously examining the cyst placed in the tray.

"It’s not your first time doing such a surgery. Stop acting like you’ve never seen the world; it’s laughable,"

Professor Wu glared at him disapprovingly.

The intern fell silent out of fear.

"Dr. Li, well done. For the next surgical steps, just observe and learn from the side!"

After taking over, Professor Wu grabbed a microdrill and surprisingly began to polish the cyst wall. Only after exposing the fresh cancellous bone did he start to fill it with graft bone.

This was Li Jingsheng’s first time witnessing bone grafting.

It was much simpler than he had imagined.

The entire procedure was not complicated.

He mentally noted the key operational points of each step. However, such memory generally doesn’t last long and is soon forgotten or confused.

Truly deep memories for doctors must come from hands-on practice.

The basic teaching process in large hospitals is to have novice doctors observe and learn initially. After watching a few times, senior doctors give them some simple tasks to practice. Then gradually increase the difficulty of tasks until they have learned the entire surgical process and technical points.

"Alright, Dr. Ruan, you can repair the cut ligaments and joint capsule now!"

After completing the high-risk steps of the surgery, Professor Wu handed the cleanup work to his subordinate doctors.

"No problem."

Ruan Xiaoqin had been waiting for this.

Immediately taking over the finishing work.

Dr. Qin watched eagerly from the side. As the number three figure in the second group, soon to be promoted to attending, he couldn’t be on standby for both surgeries tonight, right?

He needed to gain some tangible benefits!

"Professor Wu, can I do the suturing?"

Seeing Li Jingsheng already performing impressively, Dr. Qin was truly anxious.

"Sure!"

Professor Wu was eager to nurture his only two capable lieutenants.

Successfully securing a suturing task, Dr. Qin was overjoyed.

Eagerly waiting to show off.

Ruan Xiaoqin had already started repairing the patient’s cut ligaments.

Initially thought to be a sycophant with no real skill, it turned out Ruan Xiaoqin’s suturing skills while repairing the ligaments were quite commendable. He used the continuous suture technique.

This method has many advantages, such as perfecting wound closure and providing hemostatic effect.

It allows for faster suturing, saving suture material and time, with fewer knots.

Meanwhile, it reduces foreign body irritation.

It is commonly used for internal sutures.

Ruan Xiaoqin’s movements appeared adept, and the suturing process was quite smooth, with neat stitches and tightly aligned ligaments.

This already achieved Master Level.

Really shouldn’t underestimate anybody.

In the previous surgery, Professor Wu had commented on Ruan Xiaoqin’s suturing being a weak point, but now it seemed, how could it be weak?

It was clearly quite strong!

However, since there are multiple suturing techniques, it’s possible that Ruan Xiaoqin just excels in continuous suture. His skills might be poor in interrupted suture and other advanced techniques, which is a possibility too.

After suturing the ligament, tying a knot to secure it was enough.

At this moment, Ruan Xiaoqin was awkwardly maneuvering the tweezers, seemingly biting his cheek. You could see it puffed up, even through the mask.