Practicing Medical Skills in a Small Clinic

Chapter 486 - 229: High-Difficulty Separation, A Heartwarming Moment

Surgical skills truly advance step by step.

Each level possesses different capabilities.

The Entry Level incision technique is nerve-wracking with just one cut. In reality, it’s usually not dared to be used on patients unless one is extremely bold and indifferent to life.

The incision proficiency at Skilled Level is a bit stronger, allowing for incisions on limbs and some non-critical areas, but the resulting wound is uneven and the wound edges are indescribable.

Sometimes it goes poorly, resulting in a wavy incision easily.

Because it involves dissecting layer by layer, a poorly executed cut on the first layer will inevitably affect the cuts underneath.

Moreover, debridement is needed for suturing.

Otherwise, the patient’s wound might heal very poorly.

"Not bad, not bad. The incision is truly beautiful! Bleed control is impeccable, don’t just stand there with the retractors, get to work quickly!"

Director Hua was very satisfied with Li Jingsheng’s performance.

The second and third assistants promptly used flat hooks to open the incision, revealing the lumbar spinous processes.

At this moment, you can see many muscle groups on both sides of the spinous processes.

Including the erector spinae, multifidus muscles, interspinal muscles, etc.

So, it’s understandable why people like to eat tenderloin when buying pork. This area is rich in lean meat and the texture is good.

"Jingsheng, next you need to incise along the muscle fascia beside the spinous processes, the venous plexus underneath is extremely rich, so be careful."

Director Hua was still allowing Li Jingsheng to continue the surgery.

"Okay!"

Li Jingsheng secretly rejoiced, fortunately, he had just upgraded his incision technique to Great Success Level; otherwise, dealing with the abundant venous plexus, a mistake would have been easy.

This area is difficult to stop bleeding, and cutting the blood vessels can be troublesome.

Right now, he completely resembles a battle-hardened senior chief surgeon, carefully incising the muscle fascia beside the spinous processes.

The whole process is carried out with great caution.

During separation, his surgical knife closely adheres to the bone surface, performing subperiosteal dissection.

Once fully completed, the patient’s vertebrae can be seen clearly.

He couldn’t help but perspire a little on his forehead.

Although the circulating nurse was a bit stern, her eyes were sharp, and she proactively came over to wipe his sweat.

Without needing any cue.

He felt that his separation technique seemed to have improved quite a bit as well.

He took a moment to check his attributes.

Sharp Separation Method Master Level 375/500.

The proficiency growth rate is simply terrifying.

Feeling that just one cut added at least five points to his proficiency.

But the tense feeling of walking on thin ice, along with the simultaneous use of incision technique and separation method, bringing them together, gave Li Jingsheng a new understanding of these two surgical skills.

He glanced at his life points by the way, equally delighted, with an increase of more than two hundred.

Among them, two hundred was definitely awarded.

The operation continued.

The next task will be even more challenging, requiring separation of the muscles beside the spinous processes.

More difficult than incising the muscle fascia.

Moreover, the patient had undergone previous surgery, presenting resilient tendon attachments, increasing the difficulty.

"Bone knife!"

Seeing Director Hua not stopping, Li Jingsheng prepared to attempt another challenge.

In fact, with Great Success Level incision technique, cutting this part presents no problem. But the Sharp Separation Method lags a bit, as Master Level feels somewhat weak.

Sufficient for regular surgical separation tasks, but dealing with such high difficulty carries considerable risk.

He very carefully used the bone knife to incise little by little, peeling off each spinous process.

Just after one cut, fresh blood began to emerge.

"Have I messed up?"

Li Jingsheng looked up vulnerably towards Director Hua.

During the earlier separation, he clearly felt that the attached tendons were quite tenacious. If even slightly forceful, separation would have been impossible.

So, he increased the strength.

Resulting in the current situation.

From the feedback via the bone knife, he sensed that a blood vessel was indeed ruptured.

"Don’t panic, anyone handling this would face the same outcome. You practically lack experience in this area, some bleeding is perfectly normal."

Director Hua soothed Li Jingsheng and personally stepped forward to assist in simple hemostasis.

"Continue! Only after you finish the entire separation will it be convenient to pack with gauze for hemostasis."

Li Jingsheng received reassurance from Director Hua and immediately resumed surgery on the patient.

Affected somewhat mentally,

Yet his progress was undoubtedly significant.

To prevent further mishaps, he quietly upgraded the Sharp Separation Method from Master to Great Success Level.

Spent over seven hundred life points, the painstakingly accumulated life points, now reduced to just over two hundred.

His life points balance rarely exceeds a thousand for long.

They are always consumed swiftly.

Indeed, after enhancing the Sharp Separation Method, the overall separation process became noticeably smoother.

For some difficult to separate areas, he felt much more at ease during operation.

Significant leaps in control over force, depth, and manual dexterity.

After completing the peeling of all five spinous processes, he breathed a sigh of relief.

He had never undergone such a challenging surgical process.

Fortunately, he was not disgraced; besides rupturing a blood vessel while separating that resilient tendon attachment, the subsequent bleeding was minimal.

"Jingsheng, thank you for your hard work! You performed exceptionally well, especially when confronted with significant bleeding between the spinous processes and laminae, you quickly regained calmness from panic, and calmly completed the subsequent surgical tasks, which is very commendable. I believe it has been an excellent tempering and improvement for your mental state."

Director Hua highly praised his surgical performance.

For young doctors entering the operating room, skill refinement is just one aspect; the mental fortitude training is equally crucial.