If suturing tendons and ligaments is still difficult, then debridement suturing is definitely a specialty for interns.
Lin Sanqi very considerately used "valgus suture" to suture the skin of the general section chief, which once again amazed Vice President Ye.
"Dr. Xiaolin, this is the first time I've seen this suture method of yours. What's the point? Can you teach me?"
In the 1960s, only the simplest "simple suturing" was used for debridement and suturing. Because the quality of surgical needles and threads was not up to par, there was no way for doctors to play more tricks. The result of playing tricks was just like Lin Sanqi, snap. It just broke.
Simple suturing is relatively simple. The needle passes through the skin, passes through the epidermis and dermis, and passes through the subcutaneous tissue across the incision to the opposite side of the skin. Each suture is knotted separately.
If the wound is long, continuous simple sutures will also be used.
That is to sew the first stitch at one end of the incision and then tie the knot, and then continuously suture the entire wound. At the end of the previous stitch, pull out the heavy thread tail and leave it on the opposite side, forming a double thread and knotting the heavy thread tail.
The simple suturing technique is simple and easy to operate. It is easy for ordinary people to learn and master, and it can also deal with most wounds.
However, one of the biggest disadvantages is that the suturing time is longer, the sutures are consumed more, or the tissue alignment is uneven, which affects the outcome.
For parts with high tension, if the thread end breaks apart accidentally, the quality of the thread still cannot pass the test.
At this time, Vice President Ye kept his attitude very low and asked very politely. He did not act like a big leader or an old expert at all.
Lin Sanqi thought to herself that it was no wonder that he could become the dean of Union Medical College. His flexible character and shameless attitude of asking questions were worthy of learning from all junior doctors.
Lin Sanqi also had a very good attitude when facing such seniors.
After all, the debate between Chinese and Western medicine happened back then. As a promising young man in the 21st century, he had no idea. Young people would not simply define themselves. If they insisted on defining themselves, that would be "I want them all."
"Dean Ye, this is called eversion suture. You see, I insert the needle 5mm from the incisional edge, pass through the epidermis and dermis, cross the incision through the subcutaneous tissue to the opposite side, and exit at a symmetrical point 5mm from the incisional edge. < br>
Then insert the needle from the needle exit side 1 to 2 mm away from the incisal edge, and penetrate the skin 1 to 2 mm away from the incisal edge on the opposite side. The plane connected by the four needle entry and exit points should be perpendicular to the incision. Ligate the skin on both sides. Edge everted.
I summarize it as far in and far out, near in and near out. ”
Lin Sanqi's face didn't turn red when she said this, and she once again pretended to take the credit for this invention.
This is the second time today that he has claimed falsely. The "Broad Street Suture Method" he mentioned before was actually invented by Dr. Tsushita in Japan in 1979, but was intercepted by someone in 1959.
Vice President Ye nodded repeatedly after hearing this, then carefully observed the wounds of all the section chiefs and asked:
"Are all wounds suitable for eversion suturing? Or are there any indications or site requirements?"
Lin Sanqi thought to herself that she was indeed an expert, and she got the point as soon as she asked.
"Dean Ye, eversion suturing is suitable for incisions with loose skin and involution, such as Y sac, armpit, groin, neck and other looser skin. It can also be used for areas that require strong tension resistance, and it can also be used for wound edges. The blood supply is less affected.”
Vice President Ye now likes Lin Sanqi more and more:
"Dr. Xiaolin, according to what you said, if there is valgus suture, then there is also varus suture?"
Lin Sanqi moved her hands and counted: "There are also figure-of-eight sutures, subcutaneous sutures, intradermal sutures, tension-reducing sutures, purse-string sutures, etc. There are many. Different sutures are used for different wounds in different parts."
Ye Yongan listened silently for a long time, then turned and looked at Dean Shen solemnly:
"Old Shen, Comrade Xiao Lin is a talent. It is really a waste to keep such a talent in your Kuanjie Traditional Chinese Medicine Hospital. Leave him to me. He will be the professional counterpart at Xiehe University."
Dean Shen’s tail had already been raised to the sky at this time:
"Haha, how about it, Comrade Lao Ye, do you now know the strength of our Kuanjie Traditional Chinese Medicine Hospital? Stop dreaming, I will definitely not let him go, and Comrade Lin Sanqi is also a key technical talent cultivated by our Traditional Chinese Medicine Hospital. We have great use for middle-level cadres
Besides, who said you are the only one who needs surgery? Our hospital of traditional Chinese medicine can also open a Western medicine outpatient clinic. Then I will build an operating room for Comrade Lin Sanqi, and we will admit and treat patients ourselves. Will we still have to look at your Union's face in the future? ”
Lin Sanqi almost thought that Dean Shen was also a time traveler. It was a genius idea to open a surgical specialty in a traditional Chinese medicine hospital.
Unfortunately, what Dean Shen didn't know was that a few decades later, traditional Chinese medicine hospitals would be selling dogs before others, and traditional Chinese medicine would become secondary. In the end, more and more Western medicine departments would be opened, occupying the mainstream, and putting the cart before the horse.
Seeing the other party speaking so firmly, Ye Yongan knew that poaching people was impossible.
But when a leader has a sharp mind and this road doesn’t work, he will immediately change to another road and never give up:
"Old Shen, I have a suggestion. How about our two hospitals cooperate and form a "Suture Research Group" to study the various suturing techniques mentioned by Comrade Lin Sanqi. If the results are achieved, our two hospitals will share the results equally. What do you think?”
Dean Shen's eyes lit up when he heard this, and he knew in his heart that this was an excellent opportunity.
Although he refused to admit it, the fact is that the traditional Chinese medicine hospital currently does not have the ability and technology to carry out surgery, and the possibility of independently carrying out Western medicine medical projects is zero.
But if you cooperate with Xiehe, your own traditional Chinese medicine hospital will provide one person, and the other hospital will provide money and effort to provide patients. In the end, you will get half of the results, and the traditional Chinese medicine hospital will definitely take advantage.
Ye Yongan saw Dean Shen deep in thought, so he added fuel to the fire: "Old Shen, several suturing techniques invented by Comrade Lin Sanqi are currently the first in the world. If we can study them thoroughly and publish papers abroad, then It's about bringing glory to the country, don't be confused.
Moreover, medical technology is advancing rapidly. If a foreign doctor publishes a paper first, we will regret it when it is too late. This matter must be done sooner rather than later. We must be ahead of everyone else. ”
Dean Shen was also decisive: "Okay, but let's agree first that our hospital of traditional Chinese medicine should be in front when signing."
Ye Yongan was speechless and could only nod helplessly: "Okay, let your Chinese medicine hospital take advantage this time."
Lin Sanqi was even more speechless, wondering if the two leaders would ask for their opinions? Ask me if I am willing?
Is the socialist family kidding you? Are paternalistic leaders kidding you? What does a little brat have to say?
Because there is no corresponding bracket, Lin Sanqi is putting a plaster on the head of the department.
The employees of the traditional Chinese medicine hospital who were watching the excitement outside were dumbfounded. They all looked at Lin Sophora, the father, in surprise:
"Old Lin, that's really cool. Do your three sons study both Chinese and Western medicine?"
"With the combination of traditional Chinese and Western medicine, will it be possible to be good at both but not good at both?"
"Traditional Chinese medicine is Chinese medicine, and Western medicine is Western medicine. What's the point of mixing them together?"
Listening to the discussions of colleagues around him, some were good, some were bad, some were confused, and some were congratulatory. Lin Sophora seemed calm on the surface, but he was also making quick calculations in his mind.
Half a year ago, he gave his younger son some books on traditional Chinese medicine. The younger son seemed to have never read them, indicating that he had little interest in traditional Chinese medicine.
I don’t know which generation of ancestors in the family have blessed me, allowing my younger son to have his own opportunities outside and learn Western medicine. So should he be allowed to follow the Western medicine route in the future?
Anyway, the eldest son has inherited the ancestral medical skills, so the younger son has a higher degree of freedom in learning what he wants.
Chinese people have had the habit of betting on both ends since ancient times. Just look at the three sisters of the Song family and you will know that they will not easily put their eggs in the same basket.
Thinking of this, Lin Sophora has made up her mind to let her son take the Western medicine route.
Lin Sanqi didn't know that his life after time travel had undergone the first change.
Originally, he only wanted to be a happy "purchaser" and make a fortune everywhere, but he didn't expect that both the hospital and his parents now wanted him to take the clinical route.
The Chinese New Year is coming soon, and even if the suturing research team is to be established, it will be after the Chinese New Year.
Vice President Ye was ready to go back. Since they were already partners, President Shen was also ready to see him off, while Lin Sanqi followed behind with a bag of surgical instruments.
"Lao Ye, then you have a pleasant trip and walk slowly."
"Dean Ye, this is your debridement kit, return it to you."
Vice President Ye laughed and waved: "This set of surgical instruments is given to you Kuanjie Traditional Chinese Medicine Hospital. If there are any similar patients, you can use it directly."
Dean Shen was delighted when he heard this, "Old Ye, you are so loyal. Next time you want to take any Chinese medicine, I will give it to you for free."
Lin Sanqi thought to herself, a set of surgical instruments is only worth a few dollars, why should you, old Shen, be so happy?
In fact, Lin Sanqi misunderstood again. Precision instruments such as surgical tools could not be manufactured in China in 1960. Not only were they not up to standard in terms of technology, but more importantly, they were also not up to standard in materials science.
Even the simplest surgical blades, surgical scissors, etc. used in the country need to be imported from abroad. However, the country is short of foreign exchange. If it had foreign exchange, it would have been able to buy food to tide over the difficulties.
Therefore, every surgical instrument is very precious, and Vice President Ye can be said to have given it a big gift.
"Comrade Xiaolin, let's meet in Xiehe after the Chinese New Year."
After saying that, Ye Yongan got on his bicycle and left with a wave of his hand.
Lin Sanqi followed Dean Shen, holding a bag of second-hand surgical machines, still thinking about what to eat at night.
Suddenly, Dean Shen took advantage of no one around and whispered:
"Xiao Qi, the cooperation with Union Medical College Hospital is an opportunity. You should seize it. You come from a family of traditional Chinese medicine and know Western medicine and surgery. Currently, there are no such talents in the country for integrating traditional Chinese and Western medicine. As long as you succeed, you will definitely become a domestic doctor in the future. The first person.”
Lin Sanqi was on alert. At this moment, he had not thought about becoming a simple doctor, which was very detrimental to his "traffic monetization" plan.
Don’t forget that he opened a Chinese herbal medicine sales company in 2023. Without his supply of goods, how would the Lin family make a fortune?
"Uncle Shen, I'm from the purchasing department. Don't treat me as a simple clinician. Then I won't do it."
"You!"
Dean Shen gave Lin Sanqi a hard look and left angrily, cursing: "You can't teach a kid!"
Lin Sanqi shrugged, thinking that no one can stop me from getting rich. (End of chapter)