Chapter 79 Surgery Show
Professor Tan's parachute landing in the Department of Traumatology and Orthopedics is like a stone thrown into a calm lake, bound to cause ripples.
The three directors Ouyang, Bai, and Ding who had the biggest reaction were naturally calm on the surface, but they must be dissatisfied and dissatisfied in their hearts. After more than ten years of hard work, we have made the Department of Traumatology and Orthopedics bigger and stronger, only to be handed over to outside monks. How can we bear it?
Fortunately, Director Han was dignified enough. Sitting in the position of the chief director, no one dared to stir up trouble or cause any trouble.
Saturday and Sunday passed peacefully.
On Monday morning, Dean Xia, Dean Sun and Director Zhao of the Medical Department visited the Department of Traumatology and Orthopedics.
After handing over the class, Dean Xia lowered his head and whispered a few words to Director Han, and then made a serious announcement: the Department of Traumatology and Orthopedics was renamed the Department of Microtrauma and Orthopedics, and Director Tan and Dr. Zhong joined the Department of Traumatology and Orthopedics. The appointment of director has not been announced yet, but everyone knows about it.
Originally it was announced by Director Zhao, but now it is announced by Dean Xia to show his strong stance. After the announcement, everyone applauded, Dean Xia spoke, and then Dean Xia and Director Tan shook hands.
Everyone knew that the new director wanted to show off the surgery, so they all scheduled the surgery to the afternoon and took the morning off to watch the show.
Legend has it that Tan Boyun performed an emergency pelvic and acetabular surgery at an academic conference. It was quite successful and his fame greatly increased.
New director! Everyone wants to see how good his skills are. After all, there are rumors about how powerful he is, but they are just rumors, and there are many people out there who have a false reputation.
There are some directors who have never been in clinical practice. They raised rabbits abroad for ten years and then came back to sit on the director's chair. This is relatively rare in surgery, but more common in internal medicine.
After the ward check, Director Han took Director Tan and Dr. Zhong to the operating room and introduced the situation in the operating room while walking.
In the operating room, Director Tan checked the operating table and C-arm X-ray machine, and then said: "Let the two assistants come on stage."
Tianyuan said: "I'm going!"
Director Tan refused: "No, no, let's take a look in the audience. Just let young people do this surgery. Let Dr. Zhong do it. You can arrange two people to help him. He is already very skilled in this surgery."< br>
I don’t know what Director Han thinks, but Tian Yuan is very dissatisfied anyway. What do you mean, letting a subordinate surgeon come on stage means that your surgeon can kill the rest of us instantly.
Director Han asked Tian Yuan to arrange for two people to go up.
Tian Yuan thought for a moment and said: "Then let Song Zimo lead Xiao Wu up, Song Zimo will help first, and Xiao Wu will help second."
"Where's Yang Ping?" Director Han asked.
Tian Yuan smiled and said: "Yangping reserve team."
This arrangement is reasonable and Director Han has no objection.
"Director Tan, look, I asked Dr. Song to come up as the first assistant and Dr. Lu as the second assistant. How about that?" Tian Yuan asked Tan Boyun softly.
Tan Boyun said easily: "It's okay, just two people can help each other."
Everyone goes next door and the video is on.
Director Han and Director Tian sat in the front row with Tan Boyun, accompanying him on the left and right. Director Tian saw Yang Ping waving: "Sit behind me and don't wander around."
Yang Ping understood what Director Tian meant and was ready to send him to the stage at any time.
Director Ouyang sat in the second row. Director Ouyang showed no emotion or anger, Director Bai looked unhappy, and Director Ding always looked indifferent.
Director Ding rarely participates in this kind of surgical observation, and he is here today as a rare guest.
In the operating room, several people were busy. Anesthesia had been administered. Dr. Zhong directed Song Zimo and Xiao Wu to position themselves. He seemed not very satisfied and adjusted them several times.
The head nurse personally made arrangements in the audience, and the equipment nurse was temporarily replaced by Su Yixuan.
Finally satisfied with the position, the three people on stage washed their hands, dressed, and disinfected the sheets.
The preparations are done, the sacred ceremony of opening the stage is completed, the pre-operative checks are completed, and the stage is opened!
Dr. Zhong is indeed very skilled in the inguinal approach. He should be an excellent presence in Nandu Annex II. His posture for holding the knife is very standard. He makes a standard anterior incision. He has to perform anterior surgery first, which is more difficult. , so that you can enjoy his performance when everyone is energetic.
To be honest, in G City, hospitals like Nandu Affiliated 1 and 2 look down upon Sanbo, which has only been established for more than ten years. Even if Han Jiangong is extremely powerful personally, it is difficult to make up for the reputation of the hospital.
His knife skills are very good and he has the ability to show off.
Cut through the skin, subcutaneous tissue, and deep fascia, and begin to dissect muscles, nerves, blood vessels, and spermatic cord in sequence.
The gaps between these structures form three classic windows, which become safe pathways for surgical exposure. Through these three pathways, the fracture site can be reached smoothly.
The muscle is a little hard locally, but it does not affect the surgical operation.
The first window was opened easily. The abdominal muscles and iliacus muscles were peeled off from the ilium and lifted upwards. The electrosurgery quickly stopped the bleeding, and the iliac fossa and the front of the sacroiliac joints were easily exposed. The surgeon's technique was extremely skillful.
There were only a few small patches of blood on the piece of gauze that was handed over.
Professor Tan was very satisfied: "Young people need training. Director Han will give you more guidance in the future."
Director Han said: "Dr. Zhong's surgery was very beautiful. You see, the basic skills of separation are very good. Director Tan trained him well."
When we started to separate the spermatic cord, the surrounding tissue was not normal and a little hard. Dr. Zhong touched it several times with his hands to confirm the shape of the spermatic cord. The blunt separation of the vascular clamp did not seem to be effective.
There is a bit of adhesion, and the gaps between the layers are not very clear. At this time, sharp separation is the way to go.
"Tissue scissors!" The scissors were sent over.
"Hurry up!" Dr. Zhong shouted in a serious voice, showing his authority as the chief surgeon.
Su Yixuan's movements were very fast, but they were still considered too slow. It seemed that the surgeon on stage was not very good-tempered.
The sharp scissors opened and closed, and suddenly, blood came out, and a small artery underneath was severed.
"Vascular forceps! Hurry up!" He once again felt that the instrument was too slow.
Dr. Zhong took the vascular forceps and immediately clamped them. The electric knife cauterized to stop the bleeding. His movements were fast and well-trained.
We continued to advance and separated the spermatic cord, but the progress was not as fast as expected. Small arteries were injured several times, but the bleeding was quickly stopped.
A large area of gauze has been stained red.
"Pick it up and keep the tension!" Dr. Zhong's scissor handle gently tapped the back of Song Zimo's hand.
Song Zimo raised his head with cold eyes and lowered his head to adjust the tension in his hands.
"Too big, a little smaller."
Song Zimo lowered the vascular forceps in his hands to reduce the tension on the spermatic cord lifted by the forceps.
"Aren't we usually doing a lot of these surgeries?" Dr. Zhong was dissatisfied.
Song Zimo remained silent.
The spermatic cord was successfully separated, and a rubber strip was inserted for retraction and protection.
Next, begin to separate the external iliac arteries, veins, and lymphatic vessels.
The pelvic surgical approach involves many blood vessels and nerves, and is very important. The approach is the prerequisite for successful surgery.
Dr. Zhong frowned and carefully searched for the feeling of blood vessels under his hands. There were more and more hard and brittle tissues, and the structural layers were getting blurry. Just now, the spermatic cord could be vaguely found based on experience.
Now the external iliac blood vessels are completely unrecognizable, there are adhesions everywhere, and there is no feeling at all under the hands.
This patient has extensive scar adhesions. Has this area been operated on before?
CT cannot reflect this kind of soft tissue adhesion, and even MRI requires a very experienced person to make a judgment.
Before the operation, he personally asked Professor Tan carefully. He had no history of previous surgeries, and there were no small scars in this area during physical examination.
Then how come there is adhesion? There is no use in investigating the cause. Now we can only continue to move forward.
"Knife!"
The knife was handed over.
Use a knife to sharply separate it, and cut it open bit by bit. A stream of blood spurted out, with a range of more than ten centimeters. Dr. Zhong immediately applied gauze to compress it.
"Pull the retractor!"
Song Zimo didn't know where the hook was not pulled properly, but he still adjusted the position of the hook.
"You! Use harder!"
The instrument hit Xiao Wu's hand.
"Vascular clamp!"
The hemostats are delivered.
"Small size!" Dr. Zhong's tone was a bit unfriendly.
A smaller size blood vessel forceps was brought up.
After loosening the gauze, Dr. Zhong used clamps to stop the bleeding and used electrocautery to cauterize.
continue!
Another spurt of blood spurted out, but this time it was suppressed with gauze in time.
"Vascular clamp!"
Dr. Zhong's voice became a little softer and sweat began to form on his forehead. The adhesion was too severe and he could not continue to advance.
The smile on Professor Tan's face gradually diminished and became serious. He looked at the screen and said: "This patient may have had an infection before, probably pelvic tuberculosis. He later recovered on his own, but developed extensive adhesions. The anatomy is unclear, and the young man seems to be inexperienced, so I brushed my hands.”
Adhesions. Extensive adhesions are the enemy of surgical approaches, especially in the pelvis. There are many blood vessels and nerves that need to be avoided. Any one of them will make it impossible for you to get off the stage.
This patient was a bit unexpected.
Tan Boyun originally wanted Dr. Zhong to show off his skills, but it didn't matter. I am afraid that only Director Han can perform this kind of surgery for extensive adhesions, and only a handful of other hospitals in G City can perform it. It’s not a shame to go on stage yourself at this time.
The patient's safety is the most important thing. Tan Boyun stood up: "I'm going to brush my hands!"
Tian Yuan said: "Director Tan, don't worry, sit down. This kind of surgery is done by young people. We can just take a look. Nothing will happen, Yang Ping! Brush your hands. Go up and help Dr. Zhong."
Director Han didn't know much about Yang Ping's pelvic surgery. He only used him as an assistant and didn't let him perform it, so it's hard to comment.
But seeing Tian Yuan being so confident, he knew what he was doing. He knew Tianyuan's prudence and stability best, and it was impossible to let him take the stage without knowing it. At some point, Tianyuan must have had pelvic surgery on him, and he knew it well.
"Xiao Yang, go!" Director Han said.
Yang Ping stood up.
Thank you Qian Qianjun and Hibi Zimu for your N times of rewards! Thank you King Kaikaikaikai for the reward! It’s a new week, please vote for recommendations! Regarding Chapter 0013, a chapter about the replantation of a baby's severed finger, some book friends raised doubts: they believed that the van elevator would not crush the finger because it has a sensing device. Don't be superstitious about induction devices. Accidents often occur under abnormal conditions. It can be said responsibly: the elevator door can crush fingers, cause fractures, and cause skin avulsion and degloving injuries. It’s just that there are very few cases of broken fingers, not as many as in escalators. There are many cases of broken fingers in escalators. In order to make everyone feel that the plot is reasonable and easy to accept. Change the plot to: Escalator crushes finger. Thank you book friend for your attentiveness and thank you book friend for raising your question. Thank you so much!
(End of chapter)