The person lying down was a human being. Every word he suggested to Li Dongshan made Li Dongshan stunned. This ability definitely surpassed Lu Cheng's current swordsmanship.

Debridement and suturing is a basic job and the basis of all open surgeries.

The most basic thing is whether you can hold the knife steadily, the second step is whether you can cut accurately, and the third step is whether you can do whatever you want.

Li Dongshan can now do whatever he wants, and Lu Cheng, at best, can cut accurately, which is already very good.

Although Lu Cheng's current intermediate debridement and suturing technique can be used without causing any problems, it still pales in comparison to Li Dongshan. He still needs to practice it slowly.

This operation, so far in progress, is actually not even the beginning.

During the debridement and suturing process of infected patients, it is one thing to identify and thoroughly identify necrotic muscles, but complete debridement is another matter. Bacteria are not muscles and have a fixed shape.

Wandering.

In addition to infecting the muscles, it will also infect the periosteum under the muscles, as well as the scar tissue embedded between the periosteum and the steel plate, and even extend to other places along the muscle gaps, reaching places that are difficult to reach with the naked eye.

go.

Thorough debridement means cleaning up these things.

However, Li Dongshan did not disappoint Lu Cheng. He was dealing with traumatic fractures and had been playing with steel plates all his life, so when he took out the broken steel plates, he demonstrated a few tricks to Lu Cheng. After explaining, he also asked Lu Cheng

I feel it is very useful.

It seems that Lu Cheng's understanding of internal fixation removal has improved slightly.

Li Dongshan said: "For patients with post-fracture infection like this, we must clean up the remaining pus at the broken end of the fracture, especially the grooves on both sides of the bone, and thoroughly dig out the grooves."

"There will also be necrotic tissue hidden inside. And we also need to pay attention to whether the biceps femoris muscle behind and the muscles on the medial femur are also infected."

"But looking at the color of these muscles, this patient's luck is relatively good. These muscles have not been invaded too much. There is only a thin layer of infection on the surface. We can just scrape it off. There is no need to remove the muscles.

resection."

"Generally, if there is no necrosis, leave it alone and use enough antibiotics after the operation, and there will be no problem."

This time, Li Dongshan seemed to have returned to his home court. He kept digging with a spatula, then put the red and white mixture on the gauze, and then said: "It's very important to go on tour and send the culture again after hard work."

.”

Without Wang Linfeng's prompting, the patrol immediately sent the tube down again and attached the bar code. Another circuit nurse was also on call at any time. They were actually veteran nurses who had worked with Wang Linfeng many times. This patient was already six years old.

When we entered the operating room, they were all very familiar with it.

If Li Dongshan can solve his problem this time, they will also be happy. It will be extremely hard for them to perform this kind of surgery.

They would not be willing to do it for the eighth time if it was not necessary, but they would definitely do it for the seventh time.

Then Li Dongshan began to release his private goods again, saying: "When this kind of muscle gap is infected, we must not open it too much rashly, otherwise it will only increase the scope of the bacteria, and it will not eliminate it."

They don't do much to help."

"Once bacteria enter a closed cavity and antibiotics are difficult to reach, delayed infection will occur. That is, reinfection after the patient is discharged is also a problem."
Chapter completed!