Chapter 82 Surrender
The access is open, the surgery is only halfway done, continue.
For top experts, the difficulty of this surgery lies in the approach and subsequent reduction and fixation. Dr. Zhong should be able to complete it. The difference is only in speed and quality.
When the reduction and fixation of the anterior acetabular fracture began, the surgeon was not skilled, but was extremely skilled, making the originally difficult operation seem extremely simple and easy.
This is followed by an iliac wing fracture, a sacral fracture, a sacroiliac dislocation, a pubic fracture, and finally the pubic symphysis.
Numerous resets and fixations, one after another, are smooth and accessible, with a clear rhythm, and there is no stagnation even for a few minutes.
Even when dealing with sacral fractures and sacroiliac joint dislocations, the difficult presacral venous plexus bleeding can be handled very easily. The precision of double-click electrocoagulation is very high, like a moving target shooter, every point is accurate.
The steel plates are horizontal, vertical, and oblique, all of which are well attached and can firmly fix fractures and dislocations.
The whole process is pleasing to the eye and highly ornamental. If an operation has a certain degree of ornamental value, it is no longer as simple as completing the operation, but a comprehensive manifestation of superb surgical techniques, speed, fluency, rhythm, and details. Perfect and more.
Dr. Zhong's forehead was covered with sweat. In order to prevent the sweat from falling off and contaminating the surgical area, the circulating nurse reminded him several times before he heard it and turned around to ask the nurse to wipe away the sweat.
The fractures that needed to be dealt with on the front road have been successfully completed.
"We need to do a posterior approach when we turn over later." Song Zimo reminded that there was still a posterior acetabular fracture that had not been performed. He was afraid that the operation would go too smoothly and Yang Ping would forget about it.
"It's done once and there's no need to turn over." Yang Ping said.
"Knife!"
The incision was lengthened, its course changed, and the ilioinguinal approach evolved into the pararectus abdominis approach. The surgeon's use of the incision was creative.
The pararectus abdominis incision, a new approach that has appeared in recent years, can complete the anterior and posterior acetabulum fractures through a single approach without turning over to complete the posterior acetabulum fracture. However, for complex and difficult-to-recover posterior acetabular fractures, it is still difficult to complete the anterior and posterior acetabular fractures simultaneously through this approach.
At that time, Director Tian was in Shipo. Taking this into consideration, he gave up the single approach and adopted the classic combined anterior-posterior approach.
"Pararectus abdominis approach?" Tan Boyun saw the surgeon's intention at a glance.
At this time, he still dared to use the pararectus abdominis approach. He was too courageous, so Tan Boyun straightened up.
The pelvic cavity has serious adhesions. At this time, the front battle is ended quickly, the position is changed, the drapes are re-sterilized, and the posterior acetabular fracture is done from the back. It is much safer and easier, because it seems that the adhesion is caused by pelvic tuberculosis, and it is not It will significantly affect the structures behind the road.
Boy! What a bold artist! Director Tian also adjusted his posture.
However, Yang Ping's level was clear to him when Shi Po helped deal with the retracted death artery, so he didn't have much to worry about.
The usual sharp knife and double-stroke electrocoagulation are advanced layer by layer, quickly and rhythmically. The nerves and blood vessels are exposed and retracted, the peritoneal-wrapped intestines are pushed open, and the gaps are separated. Adhesion is no obstacle at all under the sharp knife and double-stroke electrocoagulation. The bloodless operation was carried out to the end.
Before Tan Boyun had time to evaluate, he had already fractured the posterior part of the acetabulum and began to reduce and fix it.
In the flexing space, the hard-to-recover fracture of the posterior part of the acetabulum was easily reduced. The steel plate template went in and came out, and it was already shaped. Su Yixuan handed over the prepared steel plate and bender.
Song Zimo immediately clamped the steel plate, and Yang Ping restored the steel plate with a few movements. When compared with the template, it was exactly the same; at the same speed, he bent another steel plate.
Put the steel plate in, drill holes and tighten the screws, see through!
Dr. Zhong was still in a trance, but Zhang Lin had already pushed the C-arm machine and everyone avoided it.
After completing the fluoroscopy, return to the operating room.
The fluoroscopic images on the screen showed the front position, exit position, entrance position, and several fluoroscopic angles. The fracture was perfectly reduced, and the position of the plate and screws was very satisfactory.
The hip joint did not snap when moving, and the screw did not accidentally enter the joint cavity.
It's not the same magnitude. Dr. Zhong has forgotten the shame he felt before and started focusing on perfect surgery.
The back of his hand, which was hit by Yang Ping, still hurts a little. The condescending feeling of superiority I felt when I first came here was completely extinguished.
He was in Annex 2 and technically had some status. It was no problem for him to follow Director Tan, not to mention walking sideways but also a few steps diagonally.
Those who can handle complex pelvic fractures in the Department of Traumatology and Orthopedics are those who can stand on their own in large hospitals.
It’s so painful. I’ve done so many pelvic surgeries, but I’ve never encountered such a weird one. This pelvic surgery is full of scars and adhesions. It’s like boiled noodles that turn into dough after being left out for a few days. Where can I separate a piece of it? Noodles one by one.
But people just separate the noodles one by one.
Why! fortune! It's all luck!
If it hadn't been for bad luck, I would have received admiration stronger than the equatorial sunlight.
Dr. Zhong lamented that times are bad and good things never fade away, and his mind was buzzing, as if he was wearing a mask, and it was blurry.
During the fluoroscopy just now, Zhang Lin called out twice before he heard it and followed everyone out to avoid the rays.
"Perfect!"
"Call it done!"
The circulating nurse began to count the gauze and instruments and calculate the amount of bleeding.
Song Zimo said: "Brother, thank you for your hard work. You can go down and have a rest. Dr. Zhong and I are concerned. Dr. Zhong, is it okay?" "No problem, no problem." Dr. Zhong immediately returned to the operating table, and now he looked like A top will hit wherever it hits.
Yang Ping began to take off his surgical gown and gloves, and Xiao Wu also went to the operating table to help.
"You should take a rest!" Su Yixuan said, with complicated eyes, a mixture of love, admiration and gratitude.
"Are you okay?" Yang Ping pointed to her hand.
Su Yixuan shook her head, very sweet.
Rinse, place a drainage tube, and suture in layers.
The operation was over.
“Big brother is so awesome”
"Yes, look, the doctor in Appendix 2 has lost his temper."
"I can do this surgery and still look so beautiful, I worship her!"
There was a little excitement next door, and everyone, as long as they were not too stupid, could feel the significance of this operation.
dignity! Not just one person, but the dignity of a team.
Now, dignity is strongly maintained!
"Ding dong! The mission was successfully completed: the battle of dignity, a very difficult pelvic surgery, the operation was perfect, the team's dignity was successfully maintained, and the reward is 10,000 points."
"This kind of pelvis operation is almost bloodless from beginning to end, which is amazing." Dr. Jin said.
Director Ouyang said: "The two people's surgical skills are not at the same level. Xiao Yang's surgery is really excellent!"
Director Bai had a smile on his face: "Our young people in Sanbo are still stable."
"Director Tan?" Director Han stopped tapping his thigh.
Tan Boyun did not respond.
"Director Tan?" Director Han's voice was slightly louder.
"Oh!" Tan Boyun came back to his senses.
Is the operation over? It's so fast.
There is really nothing to complain about about this surgery.
Tan Boyun said awkwardly: "Director Han has so many powerful generals. One pastoral team is already amazing, and there is such a young powerful general who will be formidable in his later years. It's amazing, it's amazing. We, the Second Division, all feel inferior to us."
"Brother Tan, please stop praising me. From now on, Brother Tan will be Director Han's number one general." Tian Yuan came up.
"Where is it!" Director Tan's neck felt hot.
"In the future, the Department of Microtrauma Orthopedics will have to rely on Director Tan to lead it to a higher level." Director Han patted Tan Boyun on the shoulder.
"Under the leadership of Director Han, we will do our best." Tan Boyun suddenly felt a little shorter.
Tan Boyun was in Annex 2, and he always had trouble getting along with the chief director, and he was always dissatisfied. To be honest, Sanbo was transferred to Sanbo this time because he coveted the director of the Department of Orthopedics. Now it’s better. I’m completely overwhelmed by this surgery. I’m completely convinced. I no longer have any desire to covet it. I just want to sit down and secure my position as the director of the Department of Microtrauma Orthopedics, and make some achievements while I’m still in my prime. .
"Tian Yuan, please accompany Director Tan for a walk and familiarize yourself with the operating room. I will take a step back beforehand."
Director Han stood up, followed by Tan Boyun and Tian Yuan.
Director Han made a gesture of invitation: "Director Tan, please!"
Tan Boyun immediately bowed and said: "Director Han first, Director Han first."
Director Han held his hand: "Okay, you go around and get together again in the evening. Dean Xia will host a banquet in person."
"You're busy, let's talk in the evening!" Tan Boyun completely withdrew his sharp edge in front of Director Han.
Director Han strode out, Tian Yuan said: "Director Tan, let's go around and get familiar with the operating room here."
"Yes! Director Tian, please." Tan Boyun also felt a little more humble towards Director Tian.
Dr. Zhong also came out and saw Director Tan: "Director!" with a look of shame on his face.
Director Tan patted him on the shoulder: "Let's walk around with Director Tian and see the operating room."
Meaning: It’s okay, no need to feel pressure.
(End of chapter)