Practicing Medical Skills in a Small Clinic

Chapter 495 - 232: Basic Treatment for Snakebites, Keep Both

Anastomosis is closely related to two surgical techniques: suturing skill and knot tying. Currently, the anastomosis is only at the Master Level.

However, his continuous suturing skill, square knots, and surgical knots are all at the Minor Achievement level, which is equivalent to being upside down.

The level of basic skills is one level higher than the advanced skills, which naturally allows for the rapid improvement of advanced skill level.

Practicing a few more times, after mastering the basic steps of advanced skills, the progress speed is as fast as flying.

Successfully anastomosing one blood vessel increases proficiency by 10 points, which may seem exaggerated, but is actually quite normal.

When his anastomosis, suturing skill, and knot tying reach equivalent realms, the improvement will slow down. Even influenced by the suturing skill and knot tying, only when they improve can anastomosis advance.

Li Jingsheng now has more confidence and chose the anterior tibial artery for anastomosis.

"Director Hua, the arterial blood vessels demand higher skills for anastomosis, letting him do it is a bit worrying!"

Director Bi still feels uneasy.

"The saphenous vein isn’t damaged, and there are just a few blood vessels that need anastomosis. Let him try, if not, let Director Chen take over."

Director Hua acts as a strong backing for Li Jingsheng.

With his assurance, Director Bi has nothing more to say.

At this moment, Li Jingsheng becomes more courageous, continuously improving in anastomosis, becoming more adept. Numerous mistakes in operations are quickly corrected, as if he is a surgeon with years of vascular anastomosis experience.

Compared to the first performance, it’s a world of difference.

Director Hua’s smile becomes more intense, his eyes squinting in laughter.

Chen Anchen looks at Li Jingsheng’s operation with an eye as if observing a monster. This kid is indeed a genius; the difficulty of anastomosing blood vessels is quite high, not something you can do well just by mastering the suturing skill.

Because when anastomosing blood vessels, every suture needs to leave at least three to four centimeters of thread, preventing knots is headache-inducing for many doctors.

Afterwards, ensuring every suture is accurately placed.

Since you can’t suture one stitch and lock it tight, but instead reserve enough space, ensuring subsequent anastomosis proceeds smoothly.

Hence, when inserting the needle, entering from the cut end A and exiting from cut end B, mastering this needle placement requires practicing thousands, tens of thousands of times.

Li Jingsheng made many rookie mistakes with the first blood vessel anastomosis.

But reviewing his current operations, every move is so practiced, truly envying his talent.

Ou Qinglan initially worried for her boyfriend, now her bright eyes are filled with smiles, admiration, and pride.

This time, Li Jingsheng took less than five minutes to complete the anastomosis of this important artery.

Only one more blood vessel left.

He eagerly takes the task, and his performance pleases Director Hua with a knowing smile.

Which general wouldn’t hope their soldiers are brave and competitive?

Li Jingsheng eagerly anastomoses the last blood vessel, this striving momentum naturally delights Director Hua.

Seizing opportunities for practice in the operating room inherently requires initiative.

This time, he took four minutes and fifty seconds, shortening another ten seconds, and the anastomosis improves.

The sutures are tight, dense, and the blood vessels adhere closely.

What’s more commendable is the size of the anastomosis site is also excellent, with no obvious stenosis.

Whether intestinal or vascular anastomosis, it easily causes internal narrowing at the anastomosis site.

This influences blood flow.

The consequences vary, like insufficient blood supply to limb extremities, weakness in walking, edema, unexplained pain, etc. It might also raise internal vascular pressure, leading to sclerosis over time.

"Release the tourniquet for the blood flow test!"

Director Hua directly instructs Li Jingsheng.

When using a tourniquet for hemostasis, the duration shouldn’t be too prolonged.

Normally every half hour or so it needs to be released to allow blood supply to the limb extremity.

Severed injuries are an exception.

The most common scenario is being bitten by a snake or spider, fearing venom spreading to the heart, and thus tightly bound.

However, lacking essential medical knowledge, by the time the person reaches the hospital, the bound limb extremity is already bluish-purple and cold. Upon inquiry, it’s revealed the binding duration far exceeded half an hour.

The result is predictable; originally perhaps not a major issue, but binding this way leads to an irreversible necrosis due to prolonged blood deprivation of the limb extremity.

Followed by necessary amputation.

It’s truly a grievous harm.

The patients committing the above mistake are rare due to the increased national educational level, now middle schoolers learn some emergency medical knowledge.

There’s another error most patients easily make.

Bitten by a venomous snake, binding near the heart at the wound’s upper end, preventing venom from reaching the heart.

In practice, this highly likely leads to amputation.

Of course, it depends on the location; if in remote areas with prolonged medical access, tight binding is a highly effective life-saving method.

Losing a leg is better than whole-body venom invasion leading to death.

But if in urban areas, the best method is hospital emergency care with corresponding antivenom serum injections.

Binding concentrates the venom’s severe toxicity in the limb’s small range, causing necrosis.

When sent to the hospital then, saving the leg is often challenging.

Additionally, many people influenced by television or film, when bitten by a venomous snake, open a cut to squeeze out venomous blood, or even suction it with their mouth.