I Spent Those Years In the Operating Room Fighting Monsters
Chapter 39: 1 group of unreliable people
In the operating room, the two shadowless lights connected to the white robotic arms are all on, and the roving nurses are constantly adjusting their angles.
Anesthesiologist Lin Zixiang sat in front of the anesthesia machine, not even daring to play with his mobile phone.
The operating nurses who are not usually equipped with simple fracture operating rooms are also on the stage, looking nervously at three young people in their twenties operating there, feeling a little nervous.
Fracture reduction and internal fixation, after all, is not a simple first-level operation like internal fixation.
No matter how simple the fracture operation is, the experienced doctors can’t guarantee that they will be 100% safe. So in fact, Cai Xuan arranged for Lu Chenglai to perform the operation. I was a little flustered.
How did Lu Cheng behave on stage before, it was Cai Xuan or even Chen Bing standing next to him, then they were naturally uneasy, even if Lu Cheng had a problem, someone would clean him up.
But now, it's really just three people, Lu Cheng, doing this operation.
The preparations before the operation were all done. Lu Cheng held a round knife with a pen in his right hand, and called Tang Deye and Guo Xiaoyong to lift the affected limb and beat the tourniquet first.
Then after the tourniquet inflating machine rumbling, Lu Chengcai said: "The operation has officially started, the tour teacher, can you please press the operation timer again."
Today’s tour is Lu Cheng’s usual acquaintance Mei Lan. She walked to the surgical board, glanced at the time displayed in the operating room, and then pressed her hand on the timer that had been reset to zero, and said: "13:15:54, surgery Officially begin!"
Anesthesiologist Lin Zixiang repeated: "13:15:54, cut the skin!"
It seems that this time, they have all returned to the time when they were facing the enemy when they first started working.
The fracture of this patient was in the middle of the tibia, and Lu Cheng selected an anteromedial arc incision.
Because of the tourniquet, there is actually no need to stop the bleeding. After the round knife pierced the skin, the electric knife made a few bleeding spots in the electrocoagulation mode, and the surgical field became clear and clean.
There is not much tissue in the front of the tibia. After the skin layer is the subcutaneous fat layer, and there are not too many blood vessels and nerves out of shape.
But Lu Cheng still unconventionally completed the anatomical layers, the skin layer, the subcutaneous fat layer, and the bone fascia layer were separated one by one, and they went straight to the tibia fracture.
Fractures are simple fractures. The slightly uncomfortable thing is that there is a fracture fragment that is not very small. If this fragment is lost, it will have a certain impact on the recovery of the fracture, but if it is not lost, there are certain technical requirements for reduction. .
This situation is very unfriendly to novices, but Lu Cheng has no problems in this regard. If it is Guo Xiaoyong and Tang Deye, I don't know how to deal with this fractured fragment.
After being exposed, Mei Lan also took a look at the surgical field, and suddenly looked suspicious: "Xiao Lu's basic skills are very solid. This style of making wounds is a bit like Director Zang's meaning, and the anatomical level is very clear. ."
The wound is basically not bleeding, very clean, and the surgical field is very open.
This is Zang Xun's usual surgical style.
Meilan smiled a little after she said, "If you don’t know, you might think you are a student of Director Zang, not like a student of Cai Ge."
Lin Zixiang also stood up. He was standing next to the anesthesia machine. He looked down from the patient's head and his vision was very clear. He nodded and said, "That's true. Cai Xuan never pays much attention to these details. The surgical incisions are all bloody."
"Director Zang has talked about him before, saying that this habit is not good, but Cai Xuan has always felt that this kind of detail is unnecessary to pay attention to, but it delays the operation time. His philosophy is that the longer the operation, the trauma to the patient. The bigger it is, the better the operation will be faster."
After finishing, Lin Zixiang said again: "But I still think that sharpening the knife does not cut wood by mistake, and the clean operation field will not increase the length of the operation."
Lu Cheng's praise to Mei Lan and Lin Zixiang was heard, but he did not respond. This is a necessary quality for a surgeon and surgeon.
In the audience, someone shouted that you shouldn’t be a matter of life.
But on the operating table, everything is based on the patient and the surgery. You can only see the surgery.
"Bone peeling." This is the first fracture operation performed by Lu Cheng with a single surgeon, so he must be cautious and must strictly follow the procedures in the textbook, first peel off the periosteum first, and then choose the opportunity to reset. Although Cai Xuan didn't care about these details every time, Lu Cheng didn't want to learn this from Cai Xuan.
He himself now has a certain personal understanding of the fracture.
Two minutes later.
Lu Cheng peeled off the periosteum and said to Guo Xiaoyong, "Tang Deye, you are responsible for the hook. Xiaoyong, you take a bite forceps and I will traction and reset. After seeing the reduction, I immediately use bite forceps to clamp the position of the fracture. live."
Reset and fix, this is a very critical step.
"Well, I know. Brother Cheng, don't worry." Guo Xiaoyong immediately picked up the bite and said confidently.
At the same time, he was also looking forward to seeing Lu Cheng reset. Last time, Lu Cheng had all the complicated tibia comminuted fractures reset. There must be some skills in it.
Guo Xiaoyong was watching earnestly, while Tang Deye was earnestly pulling the hook. He didn't know what Lu Cheng had done.
It’s just that Lu Cheng’s hands seemed to touch the back edge of the patient’s tibial plateau and the distal ankle joint. The fractured end of UU Reading www.uukanshu.com automatically resets as if it has a long memory.
Guo Xiaoyong suddenly shrank his pupils, thinking in his heart, what am I doing? What am i missing?
Why did it reset automatically?
Guo Xiaoyong was not the only one who was stunned at this time.
There is also Tang Deye, who is earnestly pulling the hook.
In his field of vision, it was the fractured end with the displacement. I don't know what happened. It was sucked up like two magnets, as if it was a magic trick. At that time, he was stunned and his brain was blank.
Lu Cheng thought that Guo Xiaoyong had not reacted, so he gave him some reaction time. It was not until five seconds later that Lu Cheng said: "Xiaoyong, hurry up and bite, what are you surprised?"
Guo Xiaoyong immediately began to operate.
Tang Deye raised his head and looked at Lu Cheng with his eyes straight. The shadowless lamp hits in front of his eyes. It was very dazzling. He didn't realize it. It was not comparable to how Lu Cheng broke the bone before. Then it was reset in an instant.
Although this is a simple fracture, you can't use it like a play!
At any rate, fracture surgery is also a second-level surgery.
"Sister Ya, Kirschner wire, with electric drill!" Lu Cheng also saw Tang Deye's eyes, and suddenly felt a little uncomfortable.
You said that you Tang Deye and Guo Xiaoyong should provide me with a channel. One was stunned and the other looked at me with a shadowless lamp, as if there were flowers on my face. Is this what a mature assistant should do?
I still have to practice more, my mental quality is completely unqualified.
"Huh? What did you say?" Jiang Ya seemed to hear someone calling her, but she didn't hear what the other person said.
Lu Cheng: "..."
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