I Spent Those Years In the Operating Room Fighting Monsters
Chapter 11: This is called an ordinary monster?
After Lu Cheng left the office of the director, he directly chose to use the open reduction plate screw internal fixation (intermediate, advanced) for lower limb fractures.
In an instant, a lot of experience and skills got into Lu Cheng’s mind.
gave him a particularly in-depth understanding of the open reduction and plate screw internal fixation of lower limb bone fractures. From intermediate to advanced, layer by layer, gradually deepening, it is a leap in texture.
After all, in large provincial-level teaching hospitals, the level of senior attending physicians and associate professors may not necessarily be inferior to the level of chief physicians in prefecture-level city hospitals.
The acquisition of advanced skills made Lu Cheng's heart more comfortable with the open reduction of fractures, as if he could treat the disease as a branch, and he twisted it all at once.
There are a lot of bones in the lower limbs,
From a professional point of view, the ischium, ilium, and pubic bone of the pelvis.
Femur, patella, tibia and fibula, root bone, cuboid bone...
Types of fractures,
Different types of treatment options, etc...
This is an all-round divine empowerment,
Huh, Lu Changchang breathed a sigh of relief, feeling even more that his future could be expected.
With Guo Xiaoyong's sensibility and help, he just spent less than half an hour and basically wrote down all the medical records. As for the medical records of the newly admitted patients yesterday, Lu Cheng planned to write them in the evening.
Because of asking for detailed medical records and medical history, it takes more time.
Although Chen Bing is only at the level of deputy chief physician, he is the director of the ward, so he has the power to lead the group alone, and he is a Ph.D. He also has the strength to lead the group.
When assigning staff in the department, Chen Bing did not seek personal gains, so he was the only attending physician in the department. There was one physician at the level of deputy chief physician and Cai Xuan, the attending physician, who followed the chief physician. Under the name, but not attending.
There are two people who are trained.
The staffing is the same as the other two groups, and there is a shortage of staff in the department.
When Lu Cheng arrived in the operating room, there were only three people on the operating table: Chen Bing, the attending physician Li Zhiming who followed Chen Bing, and Dr. Xu Zhongliang Guipei, plus a hand-washing nurse.
Another regular doctor needs to complete the chores such as changing the dressing of their group of patients and leaving the hospital.
This patient is in charge of Xu Zhongliang, and he naturally has to come on stage.
After Lu Cheng arrived, Chen Bing hurriedly said: "Xiao Lu is here, hurry up to wash your hands and get on the stage to pull the hook. This operation is a bit complicated."
Chen Bing has already taken the groin approach at this time, exposing his pelvis.
So Lu Cheng can see the grade of this fracture.
"Pelvic fracture (Tile classification C3 type): lv56! (Ordinary monster, no mutation, no complications!
As Lu Cheng's own understanding of fractures increased, his knowledge and understanding of monsters also deepened.
good fellow,
Level 56 monster,
Can you call this a normal monster?
Isn't this a super best product?
Lu Cheng immediately became excited,
This level of monster, maybe only the chief physician level or a ward director like Chen Bing can be qualified to deal with it, right?
Among pelvic fractures, TileC3 is the most serious and complicated type of pelvic fractures.
Before Lu Cheng came down, he also looked at the patient's information. Fortunately, there were no other complications, such as vascular injury and nerve injury, and the patient had some special complications. Otherwise, the level of this monster may be even higher. Some.
Hurry up to wash your hands, put on clothes, and disinfect your towels.
After got on stage, after Lu Cheng carefully looked through the large incision to see the situation inside, he was even more surprised.
Type C fractures originally meant that the pelvic ring became unstable in the vertical and horizontal directions, but the situation of this patient was more complicated. On this basis, there were also injuries to the posterior ring and fractures of the acetabulum!
It is really a big monster. Even if Lu Cheng has advanced skills, he still feels that facing this monster is particularly difficult. The time for this operation is conservatively estimated to be up to five hours.
is the absolute highest level of orthopedics surgery, four types of surgery.
Surgery is classified into one, two, three, and four in the surgical classification.
Level 1 surgery is the simplest operation, such as internal fixation, cutting one or two subcutaneous cysts, debridement and sutures, etc., as long as they have obtained a doctor’s qualification certificate, they can do it alone, and even some resident doctors can do it under the guidance of higher-level physicians. can do.
Secondary surgery, both senior residents and attending physicians can perform.
Attending physicians can perform three-level surgery, and senior attending physicians can perform four-level surgery as long as they have the authority.
At the level of deputy chief physician, there are actually not too many restrictions on the level of surgery. The hospital is happy to see that you can improve professionally, so there will be no too many restrictions.
The level of chief physician can even pioneer research on some new surgical methods...
Lu Cheng came onto the stage, just in the position of Sansuke, that is, Lalago, sucking blood.
The second assistant can perform some simple traumatic operations, such as cutting some soft tissues when the first assistant is inconvenient, and cutting the thread when sutures and knots are needed during the operation.
One help can perform any operation ordered by the surgeon, as long as he dares to let you do it, it is the best position.
Such a large-scale operation, Lu Cheng feels that his own knowledge is enough.
The operation is very complicated, so every step must be slow and precise.
For example, when taking the groin approach, UU reading www. uukanshu.com Chen Bing has carefully separated the external iliac abdominal nerve and the three-piece set (femoral artery, femoral nerve and femoral vein) in the femoral canal, and pulled a belt cut with gloves to the side for protection. very good,
When peeling the muscles in the pelvis, it is also very careful, because the pelvic ring has lost its original stability at this moment. Therefore, it is necessary to avoid secondary trauma when peeling the soft tissue.
Dangdang is the process of stripping soft tissues after exposure,
took more than 40 minutes,
As of the operation till now, Lu Cheng can still see the huge and astronomical health bar on the monster's head. There is no trend to decrease it. On the contrary, because of the trauma of the operation, his health bar has increased a little.
"Sucking blood." After peeling off a muscle, Chen Bing watched the old dirty blood pop out of it, and quickly said to Xu Chongliang.
Xu Chongliang also followed Chen Bing for a lot of operations, and quickly followed up with his eyesight and hands.
After seeing the broken pubic bone, ischia, acetabulum and fan-like iliac bone again, Chen Bing still frowned fiercely.
took a deep breath and said, "Let’s continue to explore first to see if there is any damage to the sciatic nerve."
"Lu Cheng, you and Xu Chongliang change places,"
Xu Chongliang was stunned after hearing this, but this was Chen Bing's order, and he didn't dare not listen.
Lu Cheng was overjoyed in his heart and ran to the second helper's position.
was very clear in his heart that if his skills hadn't been improved and Cai Xuan had told Chen Bing, then even if he was on the operating table today, he would only have his life on the third aid!
I want to collect, I want to invest, the contract has been sent out, everyone quickly pick up the money.
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