Practicing Medical Skills in a Small Clinic-Chapter 41: The Clinic’s First Official Surgery

Chapter 41: Chapter 41: The Clinic’s First Official Surgery

"I will do my best to perform the surgery well. You can sit and rest, maybe read the newspaper or something."

Li Jingsheng accepted the stack of money and put it in his pocket.

The old lady saw him take the money, and her previously tense expression noticeably eased.

However, she did not sit on the sofa to rest; she insisted on standing by the door, waiting for her husband’s surgery to be over.

Li Jingsheng didn’t concern himself with her anymore. He entered the treatment room, shut the door firmly, and started to meticulously carry out antiseptic techniques following the seven-step handwashing method.

He was grateful to the nurses in the operating room back in those days, who often sternly urged him to memorize all the key points of aseptic technique rigorously, leaving no room for carelessness.

After washing and drying his hands, he checked the glove’s size and expiry date before opening the glove package, applied talcum powder to his hands, avoided the sterile area... These sterile gowns and gloves for surgery were procured when Li Jingsheng established the clinic.

At that time, he was full of ambition, ready to undertake a bold venture.

However, after more than nine months of opening the clinic, today is the first time he officially received a minor surgery.

"I didn’t realize you were so strict and standardized with surgical aseptic procedures!" Tang Ping praised him with a smile.

At this moment, Tang Ping not only acts as the instrument nurse for Li Jingsheng but also serves as the circulating nurse, handling multiple roles alone.

She is a highly professional nurse who has worked in major hospitals, with exceptionally high professional standards.

Acting as the instrument nurse for Li Jingsheng is not her first time, though previously it was mostly for wound suturing and the like. This time is a real surgery.

Her rather pretty and delicate face was mostly hidden by a mask, with a sterile nurse cap covering her head.

It actually created an impression of a beauty half-covered, subtly alluring, emphasizing her charm even more.

"You think you’re the only one who has trained in big hospitals? I, the boss, also worked in a major hospital for years, alright! Help me put on the surgical sterile gown, please."

Li Jingsheng dare not squander resources.

When wearing a sterile gown, any small mistake renders the gown unusable.

During the donning of the sterile isolation gown, the clean side faces oneself, only the collar position can be touched; if you randomly touch other positions, this gown becomes unusable.

While putting it on, Li Jingsheng’s movements were very standard and smooth, making Tang Jin look at him with renewed admiration.

The main thing was asking her to help tie the straps.

"Done!"

She gave a peculiar glance at Li Jingsheng, then positioned herself at the instrument nurse’s spot.

All the surgical instruments, sutures, medications, hemostatic gauze, and cotton needed for the surgery have been prepared.

Li Jingsheng was worried she might mess up, considering the small clinic’s equipment was quite simple.

After scanning around, he couldn’t help but sincerely praise, "Items needed for various surgical tables are placed very aptly, all instruments and consumables are gathered. And you did it in an extremely short amount of time, impressive!"

"Hehe! Hiring me as a nurse earned you big, huh? I know a lot more!"

Tang Ping slightly proudly raised her fair and slender neck.

This is the first time in the nine months since she started working at the clinic that Li Jingsheng saw her expose such a carefree and uninhibited smile. Her eyebrows curved, and he believed her mouth and nose behind the mask also showed a very exaggerated complacent smile.

Seeing her performance, Li Jingsheng couldn’t help but gain a bit more understanding of her past.

If he’s not mistaken, she might have worked as a surgical nurse in an operating room before.

Nurses in major hospital operating rooms are generally the most attractive among all nurses in the department. It’s pretty much an unwritten rule this is how it is in many departments.

No wonder she’s so pretty.

Her professional level is so outstanding, what was the reason she got dismissed by the hospital?

Li Jingsheng grew even more curious about her past.

"No worries, in the future we can gradually explore your other talents. For now, let’s complete this surgery together!"

After saying this, he began secondarily disinfecting the area around the patient’s abscess and the lined area.

Before administering local anesthesia, to be safe, he still performed a skin test on the patient.

He had no choice, the clinic’s small business simply couldn’t afford an accident.

Every step must be cautious and careful, walking on thin ice.

He started to seriously recall human anatomy in his mind.

He reconfirmed the incision point, ensuring no major blood vessels and important nerves existed within 3cm, then accepted the anesthetic prepared by Tang Ping and began superficial injection for the patient.

Because it’s local anesthesia, typically in cases of large surgical areas, injections are divided into multiple muscle points.

This anesthesia administration technically has a low difficulty. If it were brachial plexus anesthesia, the risk factor would be significantly higher, and the technical content would also be much higher.

Local infiltration anesthesia mostly uses lidocaine, with a concentration of 0.25% being adequate.

The anesthesia was chosen by Tang Ping, Li Jingsheng did not intervene.

However, during the skin test for the patient, he ensured safety and efficacy through his proficient drug efficacy and pharmacokinetics.

Confirmed to be safe and effective, only then did he dare to use it.

After about thirty seconds, Li Jingsheng began testing the efficacy of the anesthetic.

"Sir, does it hurt?"

"A bit tingly, but not painful."

"Alright then, please lie down and stay still, relax a bit. It’s just a minor surgery; it’ll be over soon."

Li Jingsheng comforted the patient.

"Scalpel!"

"Here!"

Tang Ping had prepared it beforehand, and when handing it to him, she acted professionally, with the blade facing herself and the handle toward Li Jingsheng, fitting it into his hand. 𝘧𝓇ℯ𝑒𝓌𝑒𝑏𝓃𝘰𝘷𝘦𝘭.𝒸ℴ𝓂

Details decide success.

Both of them excelled in surgical details, ensuring this surgery was already half successful.

Next, it depended on Li Jingsheng’s skill and performance.

Holding the scalpel in his right hand, his adept skin incision method made it feel as though he had practiced it millions of times. Confidently, he vertically cut through the epidermal layer, then followed the line down to the end.

Depth, force, angle, every detail needed to be managed meticulously.

Blood immediately oozed from the lacerated wound.

This was merely minor bleeding from cut capillaries. He grasped the clamp with his left hand, clamped the hemostatic gauze to clear the bleeding.

Then he put down the clamp, pressed down the skin layers on either side of the incision with his left hand, trying to tighten it.

Continuously continued cutting to open the second layer, the fatty layer.

He felt that the force and depth of the first cut were somewhat off, some parts were cut too deeply, some too shallow.

Luckily, there was no zigzagging, and there was no multiple incisions on the same wound.

At least it was a proficient skin incision method, avoiding many rookie mistakes.

He constantly gathered experience, striving to make compensations on the second cut.

Learn from mistakes and improve where needed.

During the first cut, he felt nervous enough to tremble slightly.

But by the second cut, he had noticeably calmed down.

...

"I see a sinus tract!"

Li Jingsheng took a deep breath, suppressing the strong excitement in his heart.

It wasn’t very deep, just below the fatty layer, partially even within the fatty layer. Another part was located in the muscle layer.

There was a distinctly lingering dark-bluish line, about 7cm in total length, very fine.

At this moment, he couldn’t possibly cut down the sinus tract completely.

Because his surgical separation technique hadn’t even reached entry-level.

However, this didn’t hinder him from using other methods to resolve it.

He plans to clean the sinus tract with his proficient superficial debridement technique.

Before proceeding, Li Jingsheng stared at the already exposed sinus tract for careful inspection.

The location wasn’t deep, mainly surrounded by the fatty layer.

Hadn’t discovered major blood vessels and nerves.

Could he dare to be a bit bolder and attempt separation technique?

Separation technique includes sharp separation and blunt separation.

At this moment, it would definitely require sharp separation, so he focused on the Sharp Separation Method.