Chapter 15 The sequelae are ongoing (please collect, recommend, follow up, and vote monthly)
This was not the first time Du Yanjun had met Zhou Cheng, nor had he just met Zhou Cheng, so Du Yanjun had seen Zhou Cheng's suturing skills before.
Du Yanjun actually wanted to say, Brother Zhou Cheng, although my teacher deliberately gave me the opportunity, I fought for it. Although I entered clinical practice later than you, my level may be more solid than yours.
This is actually the real reason why my teacher is willing to give me the opportunity to do surgery.
This is a very normal self-comfort mentality. It usually occurs when it is obvious that you have entered into a different relationship, or when you get something out of a trick, you will look for some objective reasons that you think, and feel that you have some aspect of getting this thing.
Advantage.
To put it simply, I obviously got in through connections, but in fact I don’t admit that I got in through strength.
You can't compare with me in terms of strength. I don't rely on relationships...
It is definitely not because I am my teacher's student that I can easily obtain the qualification to be a surgeon.
It's the same psychology.
Zhou Cheng also couldn't guess what Du Yanjun was thinking, otherwise he might laugh very happily.
Because if Du Yanjun was not a graduate student, if he was not Cai Dongfan's student, he would have had many more opportunities. Zhou Cheng could understand his level.
Zhou Cheng is now holding the needle holder and is a little embarrassed.
I secretly wondered whether I should deliberately sew it up a little later to save some face for Du Yanjun.
Then I sighed and thought to myself, I'm sorry Yan Jun, we are doctors, and as doctors we have to be responsible for our patients and do our best.
The sutures are opened one by one.
The nurse who washed her hands gave the sutures to Du Yanjun first, because she also knew that Du Yanjun was Cai Dongfan's graduate student and could stay in the hospital if he could not do so. It was natural to give the sutures to her own people first.
This is a very normal way of thinking.
After Du Yanjun got it, he devoted 120% of his attention to suturing it properly, because he wanted Zhou Cheng to relieve himself of the burden of being the surgeon later.
However, Zhou Cheng waited for the arrival of the second suture more casually.
Then after Zhou Cheng got it, he used the needle holder to gesture a little. After all, after getting the perfect skill from the simulator copy, Zhou Cheng had not used it even once.
Luo Yun holds the wire cutter in his right hand and the vascular forceps in his right hand, ready to cut and hold the wires for Zhou Cheng and Du Yanjun at any time, one to two, he can handle them in time!
The reason why we need to hold the thread is because when the suture level is not high enough and the tension of the subcutaneous tissue is relatively high, it will easily loosen after the first knot is tied. Only by holding the thread and clamping the knot firmly can the knot be tied stably.
.
Of course, those with good suturing skills can do without the thread support. After tying the single knot, they can complete the stable operation of the thread support themselves through manual techniques.
Soon, before Zhou Chengdu started sewing, Du Yanjun had already completed the first knot.
Luo Yun pressed the blood vessel clamp up and clamped it without clenching his teeth.
When tightening the thread, the vascular forceps cannot be threaded, because the vascular forceps must be loosened quickly before the second knot is tied. After threading, the suturing time will be delayed. Another reason is to avoid pinching the soft tissue.
The clamping behind the upper teeth is so tight that the cells of the soft tissue are clamped to death...
Zhou Cheng just started sewing here.
It's just a simple interrupted stitching, nothing fancy.
Moreover, Zhou Cheng's soft tissue suturing technique is also perfect. After strictly mastering the three 1 principles, the needle can be inserted and removed very quickly, and then the knot can be tied.
After tying the first knot, pull the suture back and fix it to the side where the needle is inserted. This operation can form a relatively strong temporary fixation force even for the two sutures of the first knot, without the need for human assistance.
Support line.
After the first knot is completed, quickly tie it with a needle holder.
After tying three strong knots,
Zhou Cheng then used his hands and tweezers to lift up the two knotted sutures and waited for Luo Yun to cut them.
At this time, Du Yanjun had just finished tying the third knot, even a little later than Zhou Cheng.
Luo Yun was stunned and decided to cut Du Yanjun's thread first. He just looked at Zhou Cheng and didn't understand why Zhou Cheng had finished the first stitch earlier when he obviously got the thread later than Du Yanjun.
The length of the subcutaneous suture needs to be very short, basically two millimeters.
After Luo Yun cut the thread for Du Yanjun, he came to cut it for Zhou Cheng.
Then, while Du Yanjun was sewing the first knot, Zhou Cheng pulled up two more rabbit ears and waited for Luo Yun.
When Du Yanjun saw this scene, he panicked a little and almost lost his grip on the thread.
Luo Yun smashed his needle holder with a vascular forceps and cursed: "Concentrate on suturing and watch what others are doing."
Then, while holding Du Yanjun's thread, he cut off Zhou Cheng's second suture.
Du Yanjun finished tying the second knot a little hastily.
To open it again, tie the third knot. Three knots are necessary to ensure that even if one knot falls off, it will still be a dead knot.
Then, Zhou Cheng's hands turned into small motors, and the third stitch was sutured, but the speed was more than a little slower.
The corners of Luo Yun's mouth twitched under the cover of the mask, and he cursed in his heart: You two are playing with me on purpose, right? You are waiting for me to cut the cord on purpose.
Luo Yun cut Zhou Cheng's thread first this time, because Zhou Cheng was obviously able to sew faster.
After Zhou Cheng saw it, he said, "Teacher Luo, how about I get a pair of scissors myself?"
After Luo Yun listened, he looked up at Zhou Cheng, who was half a head taller than him.
He was stunned for a moment, then asked in a slightly unusual tone: "Can you do it yourself?"
What Zhou Cheng meant, Luo Yun understood, was that one person would complete the suturing and thread-cutting operations, use his ring finger to hold the needle holder and thread-cutting device at the same time, then use one and swing it 180 degrees, and use the other one.
This is a relatively advanced technology that requires hand speed and operational ability.
Luo Yun himself can't do it.
"You can give it a try." Zhou Cheng didn't finish his words.
Because Zhou Cheng dislikes Luo Yun for being slow, and he also knows that Luo Yun can't just focus on him, and more of his thoughts are on Du Yanjun. Du Yanjun is a graduate student, and Zhou Cheng can only rely on himself.
Du Yanjun also heard Zhou Cheng's words. He was dumbfounded for a while and couldn't even do anything by himself.
When did Zhou Cheng become so powerful???
Countless question marks came to his door like old friends.
The hand-washing nurse had seen one person suture and cut threads at the same time, but that was a skill she was forced to develop by some skilled general and trauma surgeons in top hospitals due to lack of manpower when she went out for further training.
She was a little curious, could Zhou Cheng do the same?
He also gave the thread cutter to Zhou Cheng.
After Zhou Cheng got the thread scissors, he inserted one ear through his ring finger, fixed the middle of the thread scissors with his little finger, and fixed the needle holder with his middle finger.
After suturing, the little finger and middle finger exert force at the same time, swish, swish, swish, the thread cutter and the needle holder immediately rotate 180 degrees at the same time, reaching the previous position of the needle holder and thread cutter, and are caught by the middle finger and the little finger at the same time.
Cut, click!
Then the middle finger and little finger exerted another force and rolled 180 degrees again, as if they were doing acrobatics in their hands, making knives and flowers.
It seemed that Zhou Cheng was doing acrobatics and deliberately showing off his skills. But in fact, Zhou Cheng was not even interested in paying attention to the stunned expressions of others. The handles of the needle holder and the handles of the thread shears would collide during the rotation.
and friction.
The sound of guang, twang, guang twang keeps ringing...
Zhou Cheng played his own game, and everyone else, including Luo Yun, became theatergoers.
Zhou Cheng took about five or six stitches. When he saw that the others were motionless, he silently put down the thread scissors. He looked at Luo Yun with a dazed look in his eyes and said, "Teacher Luo, am I blocking your way?"
As for the operating space, it’s up to you to cut the thread.”
Zhou Cheng forgot again, Luo Yun doesn't seem to know how to do this.