In the fourth round, pelvic and acetabular fracture surgery, no one performed it for several days.
Many doctors requested the organizing committee to change the format of the competition. All surgeries will be broadcast live, and similar surgeries will be completed at the same time at the specified time. The scores will also be based on current scores. This will make it more exciting and have a strong contrast.
It may be unrealistic to concentrate the surgeries into one time period and the judges to this time period.
The contestants and judges are both doctors and are very busy, so it is difficult for them all to concentrate on the scheduled time.
A few judges took time out to watch the video playback at night and complete their scoring. Each of these scores was given after careful consideration.
Unlike sports competitions, which are simple and clear, with clear winners and losers, an operation is broken down into dozens of steps, some with hundreds of steps, and there are many aspects surrounding the operation.
Even if the finals are broadcast live on the same stage, the judges are required to complete the scoring within 24 hours, and there is no requirement for immediate scoring.
Therefore, due to the special nature of surgical operations, it is difficult to apply them all across the board, so live broadcast real-time scoring is used.
Only those who are willing to watch the live broadcast can watch the live broadcast. If you don’t have time to watch, you can also watch the video replay.
Some people have suggested that videos come first, and if the technical level is the same, the one who does it first will suffer, while the one who does it later will have an advantage, and can avoid making the mistakes that happened earlier.
It makes sense, but every operation has its own individual characteristics, not to mention the public surgical scoring rules lack detailed rules, which are in the hands of the judges.
Only when all participating doctors complete such surgeries will the points deduction details and reasons be announced.
Before this, you know that points will be deducted for performing the previous surgery, but you don’t know where the points will be deducted.
For example, for some patients whose appearance needs must be considered when scoring, suture selection is only included in the details.
Before the details and reasons for deductions are announced, it will be difficult for others to learn lessons from this surgery.
When it comes to pelvic and acetabular surgery, everyone remains cautious. No one rushes to perform the surgery first. They are all waiting for others to do it first, letting others go through the trouble. It seems that only in this way can we feel at ease and feel safe.
In the demonstration classroom of Sanbo Comprehensive Orthopedics, a hand-drawn pelvic anatomy map is frozen on the high-definition screen.
Immediately, it switches to a drawing of a right acetabular fracture.
This patient's acetabular fracture is relatively serious, Judet-Letournel classification: two-column fracture, AO classification: C23.
The patient's images: anteroposterior view of the pelvis, anteroposterior view of the right hip, oblique iliac view, obturator oblique film, four plain X-ray films, and three-dimensional reconstruction pictures of CT scans of the pelvis and acetabulum, all listed.
On the X-ray film, six radiological markers: the edge of the posterior wall of the acetabulum, the edge of the anterior wall of the acetabulum, the roof of the acetabulum, the tear drop, the ilium ischial line, and the ilium pubic line, are all specially colored. p>
All the case information is well organized and every detail is carefully considered. Song Zimo explained it on stage.
Yang Ping led everyone to listen in the audience. In comprehensive orthopedics, all trainees are now required to learn drawing. Drawing has become a basic skill, which is to cultivate the ability to think in images.
The steps of the operation are all expressed by hand drawings and annotations, including several large steps and dozens of small steps. They are able to grasp the operation as a whole without getting bogged down in details, while also pursuing details and striving for perfection in the operation, showing the team's deep and detailed understanding of the operation.
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"No one has started the stage yet. Everyone is waiting. Should we wait too?" Although Takahashi did not take the stage, he had already regarded himself as a member of the team.
After experiencing such a major event, he learned a lot from Yang Ping, from preoperative diagnosis, selection of surgical indications, preoperative preparation, surgical planning, postoperative recovery, to completely learn the entire diagnosis and treatment process.
"I don't think there is any need to wait any longer. In the Southern Division, we will be the first to perform pelvic and acetabular fracture surgery." Song Zimo felt that there was little point in waiting and it would be a waste of time.
"There are no loopholes in the surgical plan. It is recommended to start the surgery." Xu Zhiliang agreed with Song Zimo's opinion.
"Everyone has no objection to the surgery plan, so the surgery will start at 8:30 tomorrow morning." Yang Ping made the decision.
In fact, Yang Ping's thinking about surgery has gone far beyond the requirements of the competition. He passed this thinking attitude and method to Song Zimo.
Therefore, Song Zimo's understanding of this surgery has exceeded the scoring outline.
If the intraoperative operation can carry out the plan to the end, this is another perfect surgery.
Song Zimo stood on the podium, taking off his white coat as usual. The team's second-in-command calmly and confidently turned off the screen. The surgery will start tomorrow.
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According to the notice on the website, the surgery at Sanbo Hospital will start soon.
This is true not only in the southern division, but also in the national division. Everyone is standing still and waiting for the first one to start.
Sanbo Hospital was actually the first to open the hospital, and it was still the first assistant to perform the surgery. Some people even wondered whether Yang Ping was not good enough and was just the mascot of Sanbo. He had to rely on Song Zimo to protect him in order to complete the regional competition.
If it weren't for the competition, Professor Hong would pull them out alone to deal with the competition, and they would usually have time to rest.
Wen Rentao, Mu Jun, and Zeng Ran gathered in the demonstration classroom to watch the video.
Wen Rentao is also waiting for the first shot. If no one fires again, he will fire the first shot.
"They were the first to perform this operation, so they have the courage." Mu Jun, the deputy chief physician who was also the chief surgeon in the competition, said in a joking tone.
"It's still Yishu who is the main surgeon. Is this the rhythm for Yishu to finish the regional competition?" Mu Jun said with a smile.
"The car is going a bit fast, are you afraid it will overturn this time?" Mu Jun said three sentences in a row.
Wen Rentao seemed very calm: "No, Sanbo, who is good at traumatology and orthopedics, has very good basic surgical skills as a first-aider, and it is unlikely that he will overturn a pelvis and acetabular fracture."
The less people care about Sanbo, the more they want to watch it. This is a function of curiosity.
At this time, the general strategy is that the main team's surgery will be postponed, and the assisting team's surgery will explore the path in advance, which can avoid the main team making mistakes.
"How can you let your assistant rush to the end? Is this chief surgeon probably a special person who will be carried to the Golden Sword Award to make his presence felt?" Mu Jun snorted.
There are people like this in all walks of life. They are not good enough but want to enjoy themselves. They want to get a high-profile name. What should they do? Take advantage of loopholes, take shortcuts, and let others carry them in.
"The rules of the Golden Knife Award are that one assistant is allowed to complete all surgeries in the regional competition. The regional competition is just a basic operation and does not affect the evaluation of the surgeon's level. We will talk about it after reading it." Wen Rentao was a little impatient with Mu Jun.
When the operation begins, this level can shut everyone up.
After pelvic and acetabular surgery, something can still be seen.
With Yang Ping's help, Song Zimo's ability to control the operation has been far better than before.
An excellent surgeon must be able to control the operation freely, which is an invisible manifestation of comprehensive ability.
Let the surgery follow your will instead of being led by the surgery.
Drivers must be able to control their own cars, bosses must be able to control their own businesses, chefs must be able to control the heat and ingredients, and basketball players must be able to control the rhythm of the game.
The rhythm of the operation is completely under the control of the surgeon, including incision, hemostasis, and incision again.
The proficiency of the local anatomy of the pelvis makes it impossible to believe that this is a young surgeon under the age of thirty.
"The operation is stuck. It's a waste of time." Mu Jun saw that the operation speed was gradually slowing down.
"The anastomotic branches of the external iliac blood vessels and the obturator blood vessels are most likely to have mutations here. Slow down and speed up after the anatomy is clear." Wen Rentao has a different view.
In terms of pelvic and acetabular fracture surgery alone, this unit is indeed at the top level in the country.
Actively decelerating where several mutated blood vessels or nerves may appear, this surgical pace has surpassed many people.
I am afraid that even in the Sixth Hospital of Shanghai, there are not many doctors who have this kind of surgical awareness.
This kind of operation is like driving. When you reach a dangerous road section, such as an intersection, a crosswalk, or a corner, you will habitually slow down and move your foot from the accelerator to the brake to prevent accidents. Be ready to brake at any time. After passing the intersection, confirm your departure.
Danger, refuel and leave quickly.
This is Yang Ping's experience for Song Zimo. During the pelvis and acetabular fracture surgery, Song Zimo was given a few deceleration points to avoid risks, trouble and waste of time.
But most people don't understand the meaning of this operation, just like people who don't understand music feel completely restless when listening to music.
"It's not the position of the crown of death. Slow down?" Mu Jun didn't understand.
"The probability of encountering mutated blood vessels and nerves during pelvic surgery is low, but if they do, the patient's life will be ruined if the knife is not stopped." Wen Rentao had no choice but to explain.
Wen Rentao saw three of Song Zimo's deceleration points, but failed to understand a few others.
Doctors can't take any chances. In the hands of doctors, it's only one ten thousandth, but for patients, it's really 100%.
A mutated anastomotic branch is picked out with vascular forceps, clamped, cut, ligated, and then accelerated forward.
Wen Rentao couldn't help but take a breath. The low-probability event actually happened. If there had been no slowdown during the operation and the knife had passed through, not only would it have been life-threatening, but at least thousands of milliliters of blood would have been lost.
If this Song Zimo could receive the same training as him in Moliu and complete the same number of surgeries, he might really become his opponent. Unfortunately, he went to Sanbo Hospital.
Sanbo Hospital’s platform and more than ten years of hospital history cannot produce a Golden Knife Award winner.
The bleeding during the operation was minimal and clean, and even the placement and strength of the retractors were very appropriate.
The acetabular retractor did not slip out once, nor did the surgeon need to adjust it due to poor exposure of the surgical field.
The anesthesia and muscle relaxation are sufficient, and the surgical field is easily exposed.
Takahashi is really amazing, he actually helped Sanbo develop such a level.
"The hidden mentor behind them is Mr. Takahashi from Tokyo!" Wen Rentao said, while Mu Jun next to him was confused.
Mu Jun's heart trembled. Fumiya Takahashi is an international master of trauma surgery. He achieved great success at a young age and became world-famous in his early forties. Takahashi has a strict style. When he was studying in Tokyo, he scolded him several times, and he scolded him to pieces.<
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"No wonder, Teacher Gaoqiao is giving guidance behind the scenes." Mu Jun finally understood the reason not to overturn.
It is not an exaggeration at all to call Fumiya Takahashi their teacher. Both Wen Rentao and Mu Jun received training from Takahashi in Tokyo, and they still have lingering fears about Takahashi's severity.
"I called and asked, Mr. Takahashi is not in Tokyo, but came to China Sanbo. As for what he is doing, the doctors in their department don't know, or out of confidentiality, I think I should be invited by Sanbo to help train the team." Wen Ren
Tao felt that his judgment was not wrong.
With the training of Teacher Gaoqiao, Sanbo's trauma and orthopedics department is definitely not weak. Mu Jun is a little scared, not from Sanbo, but from Gaoqiao.
"Teacher Gaoqiao can only improve their level of trauma and orthopedics at most. Even if he teaches for a short period of time, it won't improve much." Mu Jun comforted himself.
"Pelvis and acetabular fracture surgery is scheduled for you tomorrow. Are you feeling stressed?" Wen Rentao asked.
This is a bit like cannon fodder. With Wen Rentao here, Mu Jun has no idea of winning the Golden Sword Award and can only be cannon fodder.
In other words, Mu Jun's team is assisting, and this is Hong Zhigang's arrangement.
Song Zimo's surgery has been completed. If he were to be the judge instead, where would the points be deducted for this surgery?
He thought of what you thought of, and he also thought of what you didn't expect.
Their level of trauma and orthopedics is really good, Wen Rentao has always thought so.
Zeng Ran didn’t know why, but he hadn’t spoken a word, maybe because of his psychological shadow.
