I Spent Those Years In the Operating Room Fighting Monsters

　　 Chen Bing and Li Zhiliang came up soon after the meal, and after they explained to Lu Cheng carefully where the meal was, they guarded the patient and urged the anesthesiologist to get anesthetized.

　　 When Lu Cheng finished eating and came to the operating room again, the patient was already anesthetized, and Li Zhiliang and Xu Chongliang began to lift their legs, and the other began to spread the order with the hand-washing nurse.

　　 While Chen Bing was sitting in front of the anesthesia table and was talking with the anesthesiologist about what to eat at night.

　　 As usual, after Li Zhiliang and Xu Chongliang basically disinfected the shop, Chen Bing should wash their hands, but Chen Bing still sat there on his back and didn't intend to move.

　　 Chen Bing glanced at Lu Cheng and said: "You quickly wash your hands and put on clothes and go to the stage to help. This operation is simple. I won't go. You and Xu Zhongliang should be able to help Li Zhiliang."

　　 Lu Cheng nodded, and ran to wash his hands.

　　 Li Zhiliang is a graduate student. He has graduated for three years and has been following Chen Bing. The attending physician has passed the exam.

Moreover, in the group, Lu Cheng also knew that Li Zhiliang had already started to do some internal fixation, amputation and debridement suture alone, and debridement and drainage of wound infection after surgery. It seems that Chen Bing has slowly let go of some simple fractures. Surgery.

　　 Step by step, it's nothing.

　　 Lu Cheng is not so narcissistic that he thinks that this is the extent to which Chen Bing thinks he is doing well and wants to leave the operation to him.

　　 Wash your hands quickly, then, with the help of the visiting nurse, get dressed and come to the stage.

　　 Li Zhiliang and Li Zhiliang have connected the electric knife, round knife, tweezers, and suction tube.

　　Preparing to start the stage, Li Zhiliang glanced at Chen Bing. Chen Bing was still chatting with the anesthesiologist, just looking at the stage from the corner of his eye.

　　 Li Zhiliang said calmly and calmly: "Teacher itinerant, remember the time and start the operation."

　　 Itinerant nurse immediately pressed the operation timer, and then Li Zhiliang again identified the fracture site of the patient, and then cut the skin on the front edge of the tibia with a round knife.

　　 Until the skin, I changed the electric knife to start electrocoagulation to stop the bleeding and continue to go deep. After reaching the muscle layer, use tissue forceps to peel off bluntly.

　　 The operation is still very smooth, and the basic skills are very good.

　　 Finally, I quickly came near the periosteum of the tibia,

　　 Li Zhiliang was not in a hurry to open the periosteum, but continued to repair the soft tissue, expand the place where the incision should be opened, and try to expand the surgical field of view under the limited surgical incision.

Whether an operation is done well or not, the exposure of the surgical field is very important. This is Li Zhiliang’s second fracture reduction and internal fixation operation. The first one failed. He went back and sorted out his thoughts and summary, and found that the first one was I was too afraid to expand the surgical field and did not expose the surgical field well.

　　 This time, he has to do all the preparations so that he can sharpen his knife and chop wood by mistake.

　　 In this way, five minutes later, the fracture was finally exposed.

　　 Fractures are very simple. There are three subtypes of shaft fracture type A2 and long bone fracture type A. A1 is a simple spiral, A2 is a simple oblique, and A3 is a simple horizontal. No joints are involved, no crushing.

　　 Oblique fracture, there is displacement!

　　 The basic operation is basically temporary fixation after traction reduction. After X-ray fluoroscopy fracture reduction is satisfied, steel plate screw internal fixation,

　　 The overall idea is very simple and clear. First, reset.

　　Second, fixed!

　　 Then, the operation is over!

　　 Lu Cheng saw Li Zhiliang also very clear about the idea of ​​the operation. He said to the hand washing nurse: "Sister Ya, give me a bone clamp."

　　The hand-washing nurse for this operation is still Jiang Ya. Although Chen Bing was mad at her in the first stage, this does not affect personal relationships, nor does it affect the follow-up work.

　　 Work is work, and you can’t just stop coming because of disputes at work.

　　 And Jiang Ya also apologized to Chen Bing afterwards.

　　 Jiangya quickly handed the bone clamp to Li Zhiliang.

　　 "Lu Cheng, you hook up,"

　　 "Xu Zhongliang, you go to lead! You must lead in place." Li Zhiliang instructed.

　　Towing is a very important operation. Li Zhiliang is not familiar with Lu Cheng, so he prefers to use Xu Chongliang, which he is more familiar with.

　　 Xu Zhongliang handed all the hooks to Lu Cheng, then held the patient's ankle with both hands, and began to pull towards the far end of the body.

　　 I used too much force all at once, and the fracture was separated directly.

　　 Li Zhiliang quickly said: "The power doesn't need to be so great!"

　　 Xu Chongliang's strength is a bit smaller.

　　 At this time, Chen Bing also walked to the side of the stage and stood half a meter away from the operating table to look inside.

　　 "You can't just loosen them all, you have to keep pulling!" Li Zhiliang tried to bite the fractured part with bone clamp while letting Xu Zhongliang adjust his strength.

　　 Xu Zhongliang slowly began to tow again,

　　 "Pay attention to the traction force slightly inwardly!" Chen Bing commanded from the side!

　　 Xu Chongliang did it,

　　 Li Zhiliang found the right time and caught it immediately.

　　 In the end, the pliers bite, but the alignment is not good, and there is still a bit of displacement and not doing well.

　　 Chen Bing said: "Don't worry, let go, do it again."

　　...

　　 Five minutes later, Xu Chongliang was exhausted.

　　 said: "Brother Zhi, I can't do it anymore."

　　 Continue to traction for five minutes, and the patient’s weight is not light. Individuals will be tired and have sore hands.

　　 Li Zhiliang furrowed his brows and glanced at Xu Zhongliang. He was almost able to clamp it, but Xu Zhongliang can't be blamed, and he said, "Then you and Lu Cheng change positions."

　　 Lu Cheng waited for Xu Zhongliang to shake his hand to take the hook again, and squeeze his hands directly at the patient's ankle.

　　 backward, inward just a little pull!

　　 clicked.

　　 There are some gaps between the originally displaced fractures that will get stuck, and because of the traction of the soft tissue, the direction of the fracture will be incorrect. When the position of the card is restored, a slight bounce will occur.

　　 "It's this time, hold it!"

　　 "Lu Cheng, don't let go." Chen Bing hurriedly shouted.

　　 Li Zhiliang finally clamped the fractured end with bone clamps, and then shouted to the nurse who was washing his hands: "K-wire, 2.0 with electric, give it to me."

　　 Jiangya was ready a long time ago, and I have been waiting for Li Zhiliang for four or five minutes.

　　 Pass it over immediately.

　　 Li Zhiliang quickly perpendicular to the fracture line, hitting two Kirschner wires in. U U Reading www.uukānshu.com

　　 said: "Lu Cheng, you can loosen it, it's basically fixed."

　　 Chen Bing nodded slightly when he saw this. At this point in the operation, it’s a little and a half finished.

　　 He personally started to push the C-arm machine, and then penetrated the patient's leg.

　　 I can hardly see the fracture line anymore.

　　 It can be seen with the naked eye, but this step is still needed to leave a proof for the patient to prove that we have restored the fracture.

　　 Chen Bing pushed the C-arm machine away again, and then the itinerant nurse said thank you.

　　 Chen Bing didn’t reply, he just glanced up and down on Lu Cheng’s body. He was not stupid. After Xu Chongliang had been reset for so long, he was basically unable to lead him.

　　 As soon as Lu Chengcai got started, the fracture was basically steadily aligned, combined with the experience of the previous operation.

　　 There is a problem with this Lu Cheng.

　　 is not easy.

　　 Chen Bing watched Li Zhiliang step by step and started nailing.

　　 is going to leave.

　　 The drill was drilled by Li Zhiliang, but Li Zhiliang gave Xu Chongliang the hard work of screwing. This was a reward for him, and also to save a little effort.

　　Xu Zhongliang twisted it into the air. He twisted two in a row. It was not until the fourth one that he smiled and said, "Brother Zhi, today we can get off work very early again!"

　　 "Hmm!" Li Zhiliang felt that there were two screws left and he could step down, and he just nodded.

　　 "Click!"

　　 There was a sound of metal breaking in the incision,

　　 crisp and loud.

　　 No need to guess, it must be slippery.

　　 Chen Bing, who was walking at the door of the operating room, turned green all at once.

　　 Ask for collection and recommendation tickets.