I Spent Those Years In the Operating Room Fighting Monsters
Chapter 17: These hands are simply born for surgery
This operation is a rare simple fracture. Li Zhiliang has already done the most critical part.
Although Chen Bing also knew that Lu Cheng did a lot of credit when he was reset, Li Zhiliang didn't even notice this, but now, it's at the last juncture.
It's slippery.
And the **** of the screw is basically parallel to the surface of the steel plate, and it is not close to the surface of the bone. There is still a certain gap from the surface of the bone. This is an unstable screw.
Xu Chongliang was so scared that his face turned pale. He has a hand feeling and it is absolutely slippery, but in fact, this nail should be the end if you continue to screw it a few more times.
Li Zhiliang cursed at the time: "What did you do? I told you to screw the screw, but not to ask you to wrench the wrist. What are you doing so hard? You think you have no place to do it, do you?"
Where did Xu Chongliang dared to speak out, and looked around blankly, knowing that he was in trouble.
This screw, take it now, it may take more than an hour.
If you don’t take it out now, and take it later when the internal fixation is taken out, it may take more time and cause more trauma to the patient.
Chen Bing walked back immediately and said, "Li Zhiliang, you can try it and see if you can screw it out."
As the leader of the group, Chen Bing did not directly scold him. He knew that it was useless to hold the blame for the incident. The most important thing now is to think about how to solve the matter.
Only by solving the matter first, and then summarizing, can the whole group be improved.
"Also, the broken screw must be found immediately. It cannot be left in the patient's body." Chen Bing said immediately.
Yes, sliding wire is not like **** a nail on the outside. If it slips, it will slip. If you can’t find it, you won’t find it. This is the patient’s body. Everything including internal fixation is a foreign body. If there are screws Residual, it may cause compression, inflammation and other irritation and injury to the patient.
The search is very easy to find. After all, it just happened. Soon Li Zhiliang used tweezers to screw out the broken piece and put it in the curved plate.
But when he took the screwdriver and looked at the screw butt, a quarter of the six-sided hole was gone.
He twisted it twice, but he couldn't get the force.
He looked at the itinerant nurse and Chen Bing, and said, "Director, take the nail tool, don't waste time."
This must be taken with a nail remover. Even if the screw and the screw hole are not needed this time, and replaced with a longer steel plate, the whole operation cannot be left behind.
The next time the internal fixation is removed, it is very likely that Li Zhiliang will do it. He doesn't want to dig such a big hole for himself.
Li Zhiliang's gaze scanned Xu Zhongliang's body, with an urge to choke him to death.
This time, Li Zhiliang has basically succeeded in the internal fixation of fractures alone, but in the final step, Chen Bing is still on stage.
It is estimated that Chen Bing will not let him perform the operation the next time he has a fracture.
Chen Bing said: "Don't worry, I'll come up and have a look."
If possible, Chen Bing is still reluctant to drill out the screws with a nail extractor, and then the whole operation is restarted.
And after using the nail remover, there will be a hole in the bone. Coupled with the injury of the fracture itself, there is a risk of re-fracture and fracture instability in the future.
Although Li Zhiliang sighed in his heart, he didn't say much.
Lu Cheng wanted to give it a try, but at this time, where did he speak, would he still say that taking screws by himself is better than Li Zhiliang and Chen Bing? This is impossible.
I can’t do this as a human being.
Five minutes later.
Chen Bing immediately washed his hands, put on his clothes, went to the stage, took the hexagonal screwdriver, and turned it left and right.
The front is a locking screw, so it is fastened very tightly. The six-sided holes are less than a quarter, and there is no way to receive force.
tried another five minutes or so.
Chen Bing said: "Go and get the nails, no time wasting."
The visiting nurse immediately understood: "Director Chen, I'll get it right away."
Every step of the operation must be controlled by the surgeon. She will only take it if Chen Bing tells her to take it. Otherwise, Chen Bing may feel that she dislikes Chen Bing and can’t take out the screws, which is not conducive to getting along with in the future. .
has reached this state, Lu Chengcai finally spoke.
"Director Chen, should I try one last time? I also want to experience what a nail feels like after a slip." Lu Cheng whispered.
Everyone glanced at Lu Cheng, and didn't think anything was wrong. Lu Chengcheng was a little doctor. He wanted to experience it at this time. This idea was quite normal.
As a teaching hospital, this is what they should do, not only to let the students know how to perform the operation, but also to let them know what went wrong with the operation.
Chen Bing handed over the screwdriver and said, "You take it well, don't use too much force, otherwise, if you screw off the remaining nuts, we really can't find it."
Chen Bing had a reflection on Lu Cheng, so he gave it to Lu Cheng.
Lu Cheng put the screwdriver in, and then pressed hard,
Then he twisted it to the left and right, and found that the screw started to turn back in the direction of his screwdriver movement.
Seeing this scene, Xu Zhongliang, who has been paying attention to his failures, pointed to the stage and was so excited that he didn't know how to speak, and said, "Brother Zhi, Director Chen, look."
Two people including the hand-washing nurse looked at the stage.
Then I saw the screw that was already slippery, and a quarter of the screw had fallen off its buttocks. Lu Cheng turned it back slowly and evenly.
Chen Bing's breathing was a little tight, and the rest of the shock was all nervous.
quickly said: "Slow down, don't worry, take another five turns, you can change the biting pliers to remove the screws immediately!"
Yes, as long as it can be pulled out, it can be screwed out forcibly if there is a bite in the vise-like bite.
Lu Cheng is not in a hurry, but he also knows that it can't be too fast this time, so he still twists back evenly.
After half a minute, after five turns, the buttocks exposed the surface of the steel plate.
Chen Bing immediately caught the biting pliers, and then retreated out.
After another half a minute, the screw is inserted into the bend plate,
Everyone breathed a sigh of relief, and Chen Bing shouted confidently: "Wash your hands and replace it with a 7.5 screw."
Chen Bing himself went into battle to screw it, and there was no problem.
After another four minutes, all the screws are finished.
Rinse and close the wound.
walked in from the door at this time,
"The nail picker is here, Director Chen, do I have to come up?" Ten minutes is already very fast for the tour to pick up the equipment.
Chen Bing just said: "No need to come up."
The hand-washing nurse Jiang Ya immediately said: "No, sister Lin, the broken nail has been taken out."
When she said this, her heart was still a little vacant,
Lu Cheng's hands are definitely surgical hands. The sutures are smooth, and even such difficult broken nails can be taken out. You will definitely be able to do something in the future. It's just that if he thinks of himself who set up a stage with him, he has been disliked.
I don't know what it's like.
may only smile, don't take yourself seriously.
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