Chapter XXXVII
Blacksmith Zhao complained vigorously, and Yuan Fang smiled and teased: "You can't cut corners because of this." Pen × fun × Pavilion www. biquge。 info”
Blacksmith Zhao pursed his lips and said dissatisfiedly: "I, Zhao Laoba, am not that kind of person, since I have received your money, I will give you the best thing." After speaking, he turned around and entered the house, took a leather roll bag and put it on the stone table to unfold it, and suddenly, Yuan Fang's eyes suddenly lit up, and Xiaomei's eyes widened, staring at the silver shining tools inserted in the leather roll bag without blinking.
Yuan Fang brushed it gently like stroking a treasure, looking at these familiar and unfamiliar tools, he sighed for a while.
took a deep breath, took out the handle of the scalpel, looked through it carefully, the handle was polished very smooth, the polishing was also very comprehensive and meticulous, and even the inside of the card slot was not missing, Yuan Fang was quite satisfied, and he was full of praise for the craftsmanship of Zhao Blacksmith.
Take out the wooden box, take out a blade, carefully stuck on the handle, the size is just right, the blade and the handle are tightly combined, there is not much room for swing, it is not an exaggeration to describe it as seamless.
Yuan Fang was overjoyed, and slapped the stone table fiercely: "Haha, it's done." ”
Blacksmith Zhao and Xiaomei both stared at the complete scalpel in Yuan Fang's hand, dumbfounded and speechless in surprise.
Xiaomei fantasized about how happy it would be to treat patients with such a beautiful scalpel. Blacksmith Zhao secretly sighed, before just a knife handle looked nondescript and weird, but now with the blade, it suddenly becomes different, the entire knife body except for the tip of the knife, the overall sense of streamlining, looks indescribably beautiful.
Yuan Fang held the familiar scalpel, his mood was agitated, and he couldn't help but want to find something to try, he hadn't had surgery for a long time.
Xiaomei said with a look of longing: "Brother Yuan, let me take a look too." ”
Yuan Fang smiled and turned the scalpel in a different direction, and handed the handle to Xiaomei and taught: "Xiaomei, this is the way to hand tools, you can't put the sharp or direct end of the wound at others, otherwise it is easy to hurt the other party, and you can only let go after the other party holds it steady." Xiaomei and the chick nodded vigorously like pecking rice, only then did they know that there was so much attention to handing over something.
Gently holding the handle of the knife, Yuan Fang did not let go immediately, and then pointed out: "At this time, don't move, I'll let go first, otherwise it will be easy to scratch my hand when you pull out the scalpel." Xiaomei nodded again and again, and when Yuan Fang let go of his hand, she carefully took the scalpel to her eyes, turning it over and over again.
Xiaomei made no secret of her heartfelt liking, Yuan Fang smiled and reminded: "Be careful not to hurt your hands, the blade is very sharp." Then he took out another handle and put the other blade on.
Yuan Fang's previous design was designed according to the shape of the No. 10 and No. 11 blades, the front end of the No. 10 blade is a semi-arc knife edge, the front end of the No. 11 blade is triangular, the beveled edge is a straight blade, the knife is sharp, the shape of the two is very different, and the role is of course different.
After playing with it for a while, Yuan Fang took out two needle forceps and two round needles, two triangular suture needles, two toothed pinching and a pair of scissors from the leather bag, and said to Blacksmith Zhao: "I'll take these first, and you can take the rest as soon as possible." Blacksmith Zhao hesitated and nodded, anyway, Yuan Fang only took a few pieces, and he also confirmed that Yuan Fang was from Ye Ji Medical Hall, and he was not afraid that he would run away with the final payment.
Through Yuan Fang's guidance, Xiaomei took off the blade with her hands, reluctantly put it into the box, played with one in each hand, held two knife handles, and followed Yuan Fang back to the hospital without raising her head as if she had been abducted.
Xiaomei was only sixteen years old, and the child's heart was still very heavy, so as soon as she entered the door, she couldn't wait to run into the clinic and show off those beautiful tools to Qin Cao. Yuan Fang then came in, holding a piece of pork and a ball of ordinary thin thread on the table, first said hello to Ren Fei, who had just returned, and then picked up the knife and cut a hole about ten centimeters long on the pigskin, and then, quickly grabbed the needle holding pliers, and clamped the triangular needle with a string of threads ready to be sewn.
Yuan Fang has already thought about it, and plans to use a simple intermittent suture method, each stitch is knotted separately, this suture method is mostly used in the suture of the skin, subcutaneous tissue, muscle, and aponeurosis, especially suitable for wound suturing with infection, which is a more commonly used one.
At this time, Qin Cao, Xiaomei, and Yang Xing and Ren Fei, who came back from buying materials, all knew what Yuan Fang was going to do, and they all gathered around, watching and listening to Yuan Fang's explanation attentively.
Yuan Fang looked around at the crowd and talked eloquently while demonstrating: "Suturing is divided into four steps, needle insertion, needle extraction, needle out, needle clamping, holding toothed forceps in the left hand to lift the edge of the skin, holding the needle forceps in the right hand, using the wrist arm force to screw in from the outside, remember, it is screwed in rather than poking in or jacking, and then the skin is inserted in the arc of the needle, and the skin is threaded subcutaneously from the edge of the contralateral incision." ”
Xiaomei interrupted and asked, "What is clockwise?" ”
Yuan Fang thought for a while, raised his hand and drew a circle in the air in a clockwise direction: "This is the clockwise direction, and the opposite is counterclockwise." Everyone nodded, and Xiaomei hurriedly recorded.
Yuan Fang continued: "Then the needle is pulled, with toothed tweezers along the front end of the needle along the arc of the needle, at the same time the needle holding pliers from the back of the needle homeopathic forward, out of the needle and clamp the needle, when the needle is to be completely pulled out, the resistance is very small, you can loosen the needle holding pliers, single use tweezers to clamp the needle to continue to pull out, the needle holding pliers quickly transposition and then clamp the needle body to pull out the needle completely, and then tie the knot, cut the thread. ”
Yuan Fang looked around at everyone: "This knot is also very important, I will first talk about the most commonly used knotting method." First of all, wrap the two rope ends around twice, and then tie a knot on top like a flat knot, being careful not to get the wrong direction, you can also make an extra circle when tying the knot, and then tighten the knot. Note that if the right rope presses the left rope during the first winding, then the second time it must be the left rope pressing the right rope. With Yuan Fang's explanation and demonstration over and over again, everyone gradually became clear about how to stitch and tie knots.
After Xiaomei recorded Yuan Fang's words, she raised her head and asked puzzledly: "Brother Yuan, your method is similar to what I used before, why do you say that your method is good?" ”
Yuan Fang smiled faintly, the work in his hands did not stop, and Nunu said: "Look at it, which one is better than what I sew or what you sew?" ”
Xiaomei looked at the sutured wound: "I think it's good, your knotting method is very good, and I still think it's convenient to use the same needle as before." ”
Yuan Fang smiled, and said step by step: "I originally had similar thoughts to you, I won't talk about the specific benefits, let's let you experience it slowly, how about it?" Take my word for it and follow my way, and you'll love it. ”
Xiaomei glanced at Qin Cao, who was silent, then looked at Yuan Fang, nodded vigorously and said, "Well, I believe in Brother Yuan." ”
Yuan Fang smiled with relief, put the tools on the table and said, "You all understand, the rest is to keep practicing and being proficient, you take your time, I'll go to the backyard to have a look." ”
Ren Fei's eyes lit up, he picked up the scalpel and scratched the pork skin, the meat skin was easily cut, and Ren Fei held the scalpel with a shocked face.
Yang Xing couldn't help but snatch the needle pliers and tweezers, picked up the triangular needle and stabbed the wound like Yuan Fang, as a result, Yuan Fang didn't walk out of the door, he heard a 'snap', and looked back, the piece of pork was pasted on the ground, Yang Xing held the tweezers in one hand and the pliers in the other hand and was like a wooden chicken, looking at the pork on the ground blankly at a loss.
Yuan Fang reminded with a smile: "At first, I couldn't master the strength, so if I couldn't do it, I would find a few skewers to fix the meat and then get it." ”
Yuan Fang shook his hand and left, but there was chaos in the clinic, Yang Xing, Ren Fei and Xiaomei were fighting for me, they all wanted to try first, only Qin Cao's self-respecting identity was also full of eagerness.
In the end, Xiaomei grabbed the first prize with a gender advantage, Yang Xing and Ren Fei helped to help, one was responsible for tying knots, the other was responsible for cutting threads and holding the pork on the table, and Qin Cao was standing aside to observe.
The sharp scalpel easily cut a hole in the pigskin, Xiaomei sighed and admired, compared to Yang Xiao's scalpel, Yuan Fang made it not only more beautiful but also sharper, so that Xiaomei couldn't put it down.
Handing the scalpel to Qin Cao, Xiaomei held the tooth forceps in one hand and the needle forceps in the other, picked up a triangular needle, and told Yang Xing a little nervously: "I'll start, you hold it steady, don't fall it again." Yang Xing nodded vigorously.
Xiaomei took a deep breath, inserted the needle, pulled out the needle, and clamped the needle, all in one go, and waited for Ren Fei to finish the needle and move the needle again.
Soon, the cut pigskin was stitched up little by little, and Xiaomei looked at her masterpiece and frowned a little dissatisfied, "Why does it look different from Brother Yuan's?" ”
Ren Fei commented pertinently: "Well, it's a little ugly. ”
Yang Xing patted her ass and said: "Xiaomei is already very powerful, this is the first time she has sewn like this." Ren Fei didn't hear anything, scratching his head and looking back and forth.
Qin Cao pointed and said: "Xiaomei, I think the distance between each of your stitches should be controlled more evenly, like the junior brother, try to keep the spacing of each stitch, and then there is, the knot should be controlled in the same position as much as possible, so that it will look better." Qin Cao's words, Xiaomei suddenly realized.
Yang Xing was a little unimpressed and said, "If you want to do it so neatly, just sew it." ”
Xiaomei also asked her doubts: "Teacher, is it too slow to sew one stitch at a time, why don't you sew it continuously?" ”
Qin Cao shook his head and said: "It's not like that, the quality of skin sutures directly affects the speed and beauty of recovery, as for why the junior brother emphasizes intermittent suturing with one stitch and one cut, I haven't figured this out yet, but since the junior brother said so, there must be a deep meaning in it." ”
Next, Ren Fei went into battle, Xiaomei was responsible for tying the knot, and Yang Xing, who was suffering from his life, continued to support the pork, this time he didn't even have the opportunity to cut the thread, and was quietly snatched away by Qin Cao.
Xiaomei had the experience of stitching up corpses a few times before, but Ren Fei didn't, pinched the triangular needle and compared it on the pork for a long time, but she didn't get into it, and finally Xiaomei pointed out, which made a good start.
The next to play was Qin Cao, Qin Cao was meticulous before, Yuan Fang's every action was remembered, and then combined with the problems that occurred in the practice of Xiaomei and Ren Fei before, Qin Cao tried his best to avoid it, as a result, although the action was still a little rusty, the effect was very good, and it was not much different from Yuan Fang's masterpiece.
Handing the tweezers and needle-holding pliers to Yang Xing, Qin Cao concluded: "Well, this curved needle is better sutured than a straight needle, and it won't pull the wound too much and cause more damage. ”
Xiaomei also thought of this, and echoed: "Yes, if you use a straight needle to suture, if you want to pull it out after the needle goes in, you can't avoid pushing the flesh that provokes the wound, this curved needle has almost no such drawbacks, Brother Yuan is really powerful, he can make such a good thing." Xiaomei's face was full of admiration, and she had unconsciously become an admirer of Yuan Fang.
I ask for a collection of all kinds of requests!