Chapter 213 Probe Phobia
"Pay attention! What are you looking at?" Yang Ping scolded.
Director Wu immediately cheered up again. He didn't look at anything, he just wanted to stare at the probe and avoid being suddenly hit by that thing again.
The operation speed was too fast. Director Wu couldn't keep up with the rhythm by raising his hands, and was scolded from time to time.
He really regretted going on stage and wanted to find an excuse to leave, such as having an upset stomach.
But if he does this, Jiang Baicheng will think that he is too childish and will not take his surgery seriously.
He had no choice but to hold back, swallowing the broken front teeth, and continued to help pull the surgical limbs.
He wanted to ask if he could rest for a while, but Yang Ping focused on the operation. Those boys were busy braiding tendons, and no one paid attention to him.
Forget it, I just hope the surgery will be done soon.
"Old Wu, take a rest? Traction is quite hard." Yang Ping looked back at this time, and Director Wu had a painful expression.
Director Wu immediately relaxed his hand and took the opportunity to ask: "It's quite hard and I can't afford to eat. How about someone else?"
He wanted to help braid the tendons, or just sit back and relax, just be on stage.
Yang Ping said sternly: "Old Wu, this surgery is too difficult. Traction requires experienced assistants to understand the main points of the surgeon's surgery at any time, so as to create the best field of vision for the surgeon. They are not good at it because they are not experienced enough, otherwise they will not be able to do it." I won’t bother you anymore, how about we take a break and do it again?”
In the operating room, everyone was fascinated by the operation. Several deputy senior doctors from the Department of Orthopedics also came in one after another. No one was chasing them out anyway. Just pay attention to the concept of sterility.
Yang Ping spoke louder, and Jiang Baicheng heard it. The person lying on the operating table was most concerned about whether his operation went smoothly.
"Director Wu, thank you for your hard work." Jiang Baicheng shouted from under the sheet.
The fat man leaned over: "What did you say?"
Jiang Baicheng repeated it.
The fat man raised his head and relayed to Director Wu: "Director Wu, Mr. Jiang said thank you for your hard work."
"Don't worry, Director Wu is on stage. He is personally cooperating with Dr. Yang."
"Thank you! Thank you!"
Director Wu originally wanted to find an opportunity to escape and get a free seat on the stage. After this conversation, Jiang Baicheng was worried that he would not be the assistant and would affect the operation.
It’s inappropriate to leave halfway at this time!
If you go all out, isn't it just a matter of a few hours?
If you don't have a thick skin, can you achieve great things? Director Wu gave up the idea of finding someone to replace him.
"Old Wu, I see you don't look good. If you are really feeling unwell, you can go down and have a rest. We will be fine, don't worry!" Yang Ping said with great concern, completely different from Yan Yan on the stage.
Director Wu had no way out and said, "It's okay, let's continue!"
The operation continued. Director Wu moved his arms and continued traction.
Laparoscopic surgery is an epoch-making technology, and complex surgeries can be completed with just a few small holes.
More than two hundred years ago, the Austrian doctor Botzini had a sudden idea and made two tubes, which were inserted into the bladder from the patient's urethra. One tube guided the light of the candle into the bladder, and he peered into the bladder from the other tube. structure.
This talented man never thought that these two tubes would usher in an era for future generations, the era of minimally invasive laparoscopic surgery.
The doctor who pioneered orthopedic arthroscopy is Professor Kenji Takagi of the University of Tokyo, Japan. That is to say, Japan is the birthplace of arthroscopy technology.
Professor Kenji Takagi used a cystoscope to explore a patient with knee tuberculosis. After that, he and his students went further and further and invented the first truly clinically practical arthroscope.
Most of the time, arthroscopy is more convenient than incisional surgery. Arthroscopy can easily do some operations that cannot be reached by incisional surgery.
The acromion shaping is completed, no more, no less. It is equivalent to reshaping the acromion, moving the shoulder joint, and completely eliminating the impact.
Subsequent repair of Bankart injury and SLAP injury, reconstruction of glenohumeral ligament rupture, treatment of labral tear, capsular plication, and inferior humeral tuberosity reduction.
A series of complicated operations, not to mention all the doctors present were dazzled, even Su Nanchen was dazzled.
He marveled at Yang Ping's superb skills. Every complex problem seemed extremely simple in his hands. This ability to simplify the complex requires strong theoretical and surgical capabilities to support it.
He also marveled at his sister's ability to prepare equipment. In his eyes, this squeamish and favored little girl was now the best equipment nurse he had ever seen.
Seeing that so far, there has not been a single mistake in the delivery of equipment, not even a little faster or slower in time. They have not said a word, not even made eye contact, but have achieved the most perfect cooperation.
Su Nanchen was very puzzled. How did they rely on communication and how could they cooperate so well? Did they rely on conscious communication?
The difficulty of this operation is that each independent operation needs to be coordinated with the completed and unfinished operations, and finally become an organic union.
How to achieve the best synergy in repair or reconstruction depends entirely on experience, and even the most sophisticated machines cannot help doctors master this complex synergy.
The secret of multi-ligament knee reconstruction lies in balance, because the most important feature of lower limb joints is stability.
The biggest feature of the shoulder joint is flexibility. It requires a higher level than balance. Balance alone is not enough, but must be coordinated with each other.
This kind of surgery requires experience, just like a skilled chef. The heat, the amount of oil and salt, the proportions of various ingredients, the timing of entering the pot, and the timing of taking it out of the pot all depend on rich and delicate experience. These cannot be achieved by measuring cylinders and scales. Did it.
Surgeons also need to master rich perceptual knowledge, which depends on the accumulation of experience, and there is no other shortcut.
Regarding the synergy of these structures, first-class professors will also ponder over and over again. They are hesitant about tension balance and have difficulty grasping the synergy of movement because it is too difficult.
There are more and more people in the operating room. Everyone is very conscious, keeps a distance from the operating table, and has professional qualities. They looked at this operation as if they were watching acrobatics. In their eyes, the surgeon could do many things that were impossible to accomplish with ease.
Arthroscopic surgery is much better than artificial joint replacement because the continuous saline flushing keeps the surgical area clean at all times.
"Don't move! Can't survive even one operation?"
There was a snap, and an unknown instrument, which seemed to be a probe, flashed by and hit the fifth metacarpal bone. The first to fourth metacarpal bones had all been hit, and the hand was shaking involuntarily.
This guy was polite and courteous when he was resting. When he was performing surgery, he didn't recognize his relatives and his style was extremely simple and rough.
The most difficult capsular plication surgery begins. This technique seems simple, but it is very difficult to achieve the goal.
"Don't shake your hands! If there is a mistake in the key steps of the operation, the effect of the operation will be affected."
Yang Ping's voice was a little loud but very clear.
This kind of joint capsule is loose, and the shrinkage of the plasma knife can no longer achieve the purpose, and the only way is to rely on joint capsule plication.
Yang Ping removed the old scars at the joint capsule breach in the front and lower part. This breach is a frequent access point for habitual dislocations.
This breach needs to be repaired, but Yang Ping has no intention of repairing it.
A deputy chief physician who was good at arthroscopy looked at it and couldn't understand it.
When he was studying, he saw big guys doing this kind of surgery to repair the breach, and sometimes other fascia tissue was needed to repair it.
As for the joint capsule folding, it is done roughly. I don’t know what the effect will be.
The glenohumeral ligament has been reconstructed, and Yang Ping used PDS sutures to perform pinch-fold and wrinkle sutures. The several places that needed to be folded were in very tricky positions, but they did not faze him.
The conventional pinch-folding and wrinkling technique produced a magical effect in Yang Ping's hands. This kind of folding is simply a work of art. After several folds, the relaxation of the joint capsule is eliminated, and the original breach is naturally eliminated. Everyone Don't know how he did it.
There is no need to repair the tear in the joint capsule, just suture it.
The next step is to move the greater tuberosity downward and return it to its original correct position.
This patient had a severe anterior dislocation of the shoulder joint and a fracture of the greater tuberosity, which eventually healed on its own. However, the upward movement of the greater tuberosity not only caused impact, but also caused the attached muscles to relax.
The periosteal dissector carefully opened a potential cavity on the surface of the greater tubercle to create a working space for the arthroscope, and two cannulated screws were used to fix it.
Finally, the double-row suture bridge repair of the torn rotator cuff is carried out. The surgical steps are arranged scientifically and cleverly, link by link.
In the end, all the reconstructed and restored structures were coordinated with each other to form an organic whole.
"The operation is not over yet, can you show some professionalism?"
After the five metacarpal bones were tapped, the probe hit the radial styloid process and ulnar styloid process, and the superficial bones of the hands and wrists on both sides were tapped all over.
Every time he struck, Director Wu did not dare to pull his hand away. If he did so, it would seriously affect the progress of the operation, and everyone watching would feel a twinge in their hearts.
Oops, the usually awesome Director Wu is in a panic today!
Well, hell, not to mention eating alone, and even the night shift pay is withheld. How can it be said that doctors are voluntary, have selfless dedication, and voluntarily do not receive night shift pay.
No one volunteered, no one signed it, no one knew about it, but it was a little money earned at the risk of sudden death, and he used it to pave the way for his promotion.
It's inhumane. Hit him a few more times.
Several young doctors cursed in their hearts. Usually they dare not vent their anger, but now someone is helping them vent their anger without saying a word, and they all feel happy in their hearts.
Several vice-presidents looked at this scene and thought it was funny. Every time the probe appeared, Director Wu could not help but tremble because he had a phobia of probes.
Director Fu stood aside and did not dare to speak. The director himself did not say what he was like as a subordinate.
The operation was over in less than an hour, including an intermission.
"Thank you, Lao Wu!"
Yang Ping watched him rub his hands.
Yang Ping pulled out the mirror, put away the instruments, and handed them to the nurse.
When Director Wu saw one of the probes, he subconsciously avoided it.
"What's wrong?" Yang Ping fiddled with the probe a few times.
Director Wu tilted his body, fearing that the probe would hit again, and smiled bitterly: "Little--Teacher Yang, this thing hurts a lot!"
"You said this?"
Yang Ping flashed the probe in his hand.
Director Wu nodded with fear in his eyes.
"It's a good weapon, why use it to beat people?"
Yang Ping handed the probe to Xiao Su.
(End of chapter)