Chapter 36 Step-by-step Tutorial



Zhu Haiping deftly took out the suture kit, opened it, and poured iodine into it.

Li Zheng looked at the man again and said, "You go out first."

The man was overjoyed and immediately turned around and left the treatment room.

"Haiping, have you ever performed debridement and suture before?" Li Zheng asked.

Zhu Haiping shook his head and said, "I saw it during my internship. Later, when I started working, all the injuries were transferred to the surgery department."

Li Zheng nodded and said, "Study hard and try to handle it yourself in the future!"

Zhu Haiping nodded vigorously and watched Li Zheng's every move carefully.

Li Zheng used iodine to disinfect the poison.

"For common wounds, 1% lidocaine anesthetic can be diluted with saline solution in a 1:1 or even 1:2 ratio. This reduces the amount of anesthetic and is safer, especially for children and the elderly..."

Li Zheng explained each step in great detail.

Zhu Haiping quickly wrote it down in a small notebook.

Li Zheng asked for another 2.5ml syringe and said, "For wounds on the head and hands, because the skin is sensitive, try to use a small needle. That way the needle will not hurt as much. After all, local anesthetics require multiple punctures."

Zhu Haiping nodded repeatedly.

"Children can use a 1 ml subcutaneous syringe for local anesthesia to minimize pain."

After Li Zheng finished speaking, he started local anesthesia and quickly injected it into the edge of the wound.

"ah!"

The woman screamed.

"Does it hurt a lot?" Li Zheng asked.

"No... a little bit!" The woman closed her eyes tightly and said firmly, "Doctor, please give me a good shot. I'll learn this lesson!"

Li Zheng was speechless and did not meet her request. He continued to perform anesthesia in an orderly manner.

The area around the wound was swollen, and Li Zheng pressed the gauze on the wound and rubbed it hard.

"This step is to allow the anesthetic to fully penetrate the tissue and ensure that the surgical area is fully anesthetized as much as possible. Another important function is to make the wound as flat as possible to facilitate closure."

After saying that, Li Zheng removed the gauze, rinsed the wound, and then carefully trimmed the edges of the wound with tissue scissors, trying to make the wound as neat as possible.

"You see the bones are exposed. You can touch them to see if there is any damage to the skull."

Zhu Haiping looked at the white skull. It was different from the color of the bones when he was in school. The bones had turned yellow due to being soaked.

After saying that, Li Zheng inserted a finger into the wound and touched the surface of the bone.

"There are no obvious roughness or cracks, so the possibility of skull damage is low." Li Zheng continued, "This step is very important. Our hospital doesn't have a CT scan, so skull fractures can't be seen on ordinary photos because the skull is a large sphere with obstructions and overlaps from front to back and left to right..."

Zhu Haiping quickly wrote it down again.

"Start stitching!"

Li Zheng used a needle holder to clamp the 3-0 catgut and sutured layer by layer from the periosteum, galea aponeurotica, and subcutaneous tissue.

Each layer fits neatly together.

Zhu Haiping wished he had a video recorder to record it.

"Subcutaneous suturing is very important. It is the foundation. If the foundation is not neat, then it is impossible to sew the epidermis beautifully."

Zhu Haiping nodded repeatedly.

Finally, Li Zheng used 6-0 catgut to perform intradermal cosmetic sutures on the skin, carefully matching the forehead wrinkles.

"Alright! The stitching is done."

Zhu Haiping took a closer look and was shocked.

"Where's the wound?"

He quickly moved closer, almost touching his forehead, before he saw a faint line.

Zhu Haiping was so shocked that his mouth was wide open. He said excitedly, "This... If you don't look carefully, you can't even see the wound!"

"Really? Doctor, I want to see it too!" The woman's voice trembled a little. No woman doesn't care about her appearance.

"There's no mirror here, let's go to our office." Li Zheng wiped the blood off her face and hair.

Zhu Haiping quickly cleaned up the equipment.

The three of them left the treatment room.

The woman came out and didn't see the man. She turned around and found that he was chatting up a nurse at the nurse's station.

"You bastard, you never change!" the woman cursed.

When the man heard this, he immediately ran over and said with a grin, "Honey, I've been worried about you. Let me take a look at your wound!"

After saying that, the man looked at the woman's forehead for a long time, and the more he looked, the more surprised he became.

"Honey, your wound is almost invisible! Oh my God, it's amazing!" The man showed an exaggerated expression.

"What's the big deal? It's just that the doctor has good skills!" After saying that, he glared and walked towards the office.

When she came to the office sink, the woman looked at herself in the mirror. Apart from a slightly swollen forehead, she really didn't find any wounds.

"Doctor, thank you, thank you so much!" The woman bent down to thank Li Zheng, and the gap between her two plump white breasts was very obvious.

Li Zheng was doing it and didn't see it, so he said to Zhu Haiping, "Haiping, open the order!"

Zhu Haiping quickly wrote out a treatment prescription and asked the woman to pay the bill.

The woman threw the receipt to the man.

The man took the medical bill and went to pay the fee happily.

The woman stood in front of Li Zheng, puffed out her chest, flicked her sticky long hair, and smiled at Li Zheng: "Doctor, is there anything else I should pay attention to?"

"Change the dressing on the wound every two days, keep it away from water for seven days, and remove the stitches after a week." After Li Zheng finished speaking, he went to the treatment room to get a gauze bandage to bandage the woman's wound.

The woman looked at Li Zheng's serious expression and said with a sweet smile, "Doctor, do you have a girlfriend? Do you want me to introduce you to one?"

Li Zheng yawned and said, "Nothing else, I'm leaving now!"

After saying that, he stood up and left the office.

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