Professor Tan parachuted into the Department of Traumatology and Orthopedics, just like a stone thrown into a calm lake, it is bound to cause waves.
Naturally, the three directors who reacted the most were Ouyang, Bai, and Ding. On the surface, everything was calm, but in their hearts they must have been dissatisfied and dissatisfied. They had worked hard for more than ten years to make the Department of Traumatology and Orthopedics bigger and stronger, and now they were surrendered to outside monks. How could they bear it?
.
Fortunately, Director Han is dignified enough. Sitting in the position of the chief director, no one dares to stir up trouble or cause any trouble.
Saturday and Sunday passed peacefully.
On Monday morning, Dean Xia, Dean Sun and Director Zhao of the Medical Department visited the Department of Traumatology and Orthopedics.
After handing over the shift, Dean Xia lowered his head and whispered a few words to Director Han, and then made a serious announcement: the Department of Traumatology and Orthopedics will be renamed the Department of Microtrauma and Orthopedics, and Director Tan and Dr. Zhong will join the Department of Traumatology and Orthopedics. The appointment of directors has not been announced yet, but everyone knows it. Originally it was announced by Director Zhao, but now it was announced by Dean Xia to show his strong stance. After the announcement, everyone applauded, Dean Xia spoke, and then Dean Xia and Director Tan shook hands.
Everyone knew that the new director wanted to show off the surgery, so they all scheduled the surgery to the afternoon and took the morning off to watch the show.
Legend has it that Tan Boyun performed an emergency pelvis and acetabular surgery at an academic conference. It was quite successful and his fame greatly increased.
New director! Everyone wants to see how his skills are. After all, there are rumors about how powerful he is, but they are just rumors. There are many people out there who are just in vain.
There are some directors who have never been clinical. They raised rabbits abroad for ten years and then came back to sit on the director's chair. Surgery is relatively rare, but internal medicine is more common.
After the ward check, Director Han took Director Tan and Dr. Zhong to the operating room and introduced the situation in the operating room while walking.
In the operating room, Director Tan checked the operating table and C-arm X-ray machine, and then said: "Let the two assistants come on stage."
Tianyuan said: "I'm going!"
Director Tan refused: "No, no, let's take a look in the audience. Just let young people do this surgery. Let Dr. Zhong do it. You can arrange two people to help him. He is already very skilled in this surgery."<
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I don’t know what Director Han thinks, but Tian Yuan is very dissatisfied anyway. What do you mean by letting a subordinate surgeon come to power? It means that your surgeon can kill the rest of us instantly.
Director Han asked Tian Yuan to arrange for two people to go up.
Tian Yuan thought for a while and said: "Then let Song Zimo lead Xiaowu, Song Zimo will help first, and Xiaowu will help second."
"Where's Yang Ping?" Director Han asked.
Tian Yuan smiled and said: "Yangping reserve team."
This arrangement is reasonable and Director Han has no objection.
"Director Tan, look, how about I ask Dr. Song to come up as the first assistant and Dr. Lu as the second assistant?" Tian Yuan asked Tan Boyun softly.
Tan Boyun said easily: "It's okay, just two people can help each other."
Everyone go next door and the video is on.
Director Han and Director Tian sat in the front row with Tan Boyun, accompanying him on the left and right. When Director Tian saw Yang Ping, he waved: "Sit behind me and don't walk around."
Yang Ping understood what Director Tian meant and was ready to send him to the stage at any time.
Director Ouyang sat in the second row. Director Ouyang showed no emotion or anger, Director Bai looked unhappy, and Director Ding always looked indifferent.
Director Ding rarely participates in this kind of surgical observation, so he is here today and is a rare visitor.
In the operating room, several people were busy. Anesthesia had been administered. Dr. Zhong directed Song Zimo and Xiao Wu to position themselves. They seemed not very satisfied and adjusted them several times.
The head nurse personally arranged the arrangements in the audience, and the equipment nurse was temporarily replaced by Su Yixuan.
Finally satisfied with the position, the three people on stage washed their hands, dressed, and disinfected the sheets.
The preparations are done, the sacred ceremony of opening the stage is completed, the pre-operative checks are completed, and the stage is opened!
Dr. Zhong is indeed very skilled in the inguinal approach. He should be an excellent person in Nandu Annex 2. The posture of holding the knife is very standard. He makes a standard anterior incision. He has to perform the anterior approach first, which is more difficult.
, so that you can enjoy his performance when everyone is energetic.
To be honest, in G City, hospitals like Nandu Affiliated One and Two look down upon Sanbo, which has only been established for more than ten years. Even if Han Jiangong is extremely powerful personally, it is difficult to make up for the hospital's reputation.
His knife skills are very good and he has the talent to show off.
Cut through the skin, subcutaneous tissue, and deep fascia, and begin to dissect muscles, nerves, blood vessels, and spermatic cord in sequence.
The gaps between these structures form three classic windows, which become safe pathways for surgical exposure. Through these three pathways, the fracture site can be reached smoothly.
The muscle is a little hard locally, but it does not affect the surgical operation.
The first window was opened very easily. The abdominal muscles and iliacus muscles were peeled off from the ilium and lifted upwards. The electrosurgery quickly stopped the bleeding, and the iliac fossa and the front of the sacroiliac joints were easily exposed. The surgeon's technique was extremely skillful.
There were only a few small pieces of blood on the piece of gauze that was handed over.
Professor Tan was very satisfied: "Young people need training. Director Han will give you more guidance in the future."
Director Han said: "Dr. Zhong's surgery was very beautiful. You see, the basic skills of separation are very good. Director Tan trained him well."
When we started to separate the spermatic cord, the surrounding tissue was not normal and a bit hard. Dr. Zhong touched it several times with his hands to confirm the shape of the spermatic cord. The blunt separation of the vascular clamp seemed to be ineffective.
There is a bit of adhesion, and the gaps between the layers are not very clear. At this time, sharp separation is the way to go.
"Tissue scissors!" The scissors were sent over.
"Hurry up!" Dr. Zhong shouted in a serious voice, showing his authority as the chief surgeon.
Su Yixuan's movements were very fast, but she was still considered too slow. It seemed that the surgeon on stage did not have a very good temper.
The sharp scissors opened and closed, and suddenly, blood came out, and a small artery underneath was cut.
"Vascular forceps! Hurry up!"
Once again, he felt that the equipment was too slow.
Dr. Zhong took the vascular forceps, clamped them immediately, and cauterized with the electric knife to stop the bleeding. His movements were very fast and well-trained.
We continued to advance and separated the spermatic cord, but the progress was not as fast as expected. Small arteries were injured several times, but the bleeding was quickly stopped.
A large piece of gauze has been dyed red.
"Pick it up and keep the tension!" Dr. Zhong's scissor handle gently tapped the back of Song Zimo's hand.
Song Zimo raised his head, with cold eyes, lowered his head to adjust the tension in his hands.
"If it's too big, please make it smaller."
Song Zimo lowered the vascular forceps in his hands to reduce the tension on the spermatic cord lifted by the forceps.
"Aren't we usually doing a lot of these surgeries?" Dr. Zhong was dissatisfied.
Song Zimo remained silent.
The spermatic cord was successfully separated, and a rubber strip was inserted for retraction and protection.
Next, start to separate the external iliac arteries, veins and lymphatic vessels.
The approach to pelvic surgery involves many blood vessels and nerves, and they are also very important. The approach is the prerequisite for successful surgery.
Dr. Zhong frowned and carefully searched for the feeling of blood vessels under his hands. There were more and more hard and brittle tissues, and the structural layers were getting blurry. Just now, the spermatic cord could be vaguely found based on experience.
Now the external iliac blood vessels are completely unrecognizable, there are adhesions everywhere, and there is no feeling at all under the hands.
This patient has extensive scar adhesions. Has this area been operated on before?
CT cannot reflect this kind of soft tissue adhesion, and even MRI requires a very experienced person to make a judgment.
Before the operation, he personally asked Professor Tan carefully. He had no history of previous surgeries, and there were no small scars in this area during physical examination.
Then how come there is adhesion? There is no use in investigating the cause. Now we can only move forward.
"Knife!"
Hand over the knife.
Use a knife to perform sharp separation, and gently cut open bit by bit. A stream of blood spurted out, with a range of more than ten centimeters. Dr. Zhong immediately applied gauze to compress it.
"Pull the retractor!"
Song Zimo didn't know where the hook was not pulled properly, but he still adjusted the position of the hook.
"You! Use more force!"
The instrument hit Xiaowu's hand.
"Vascular clamp!"
The hemostatic forceps are delivered.
"Small size!" Dr. Zhong's tone was a bit unfriendly.
A smaller size vascular forceps will be delivered.
Loosen the gauze, Dr. Zhong clamps to stop the bleeding, and cauterizes with the electric knife.
Continue!
Another stream of blood spurted out, but this time it was suppressed with gauze in time.
"Vascular clamp!"
Dr. Zhong's voice became softer and sweat began to form on his forehead. The adhesion was too severe and he could not continue to move forward.
The smile on Professor Tan's face gradually diminished and became serious. He looked at the screen and said: "This patient may have had an infection before, probably pelvic tuberculosis. He later recovered on his own, but developed extensive adhesions.
The anatomy is not clear, and the young people seem to be inexperienced, so I brushed my hands."
Adhesions and extensive adhesions are the enemy of the surgical approach, especially in the pelvis. There are many blood vessels and nerves that need to be avoided, and any one of them will make it impossible for you to get off the stage.
This patient is a bit unexpected.
Tan Boyun originally wanted Dr. Zhong to show off his skills, but it didn't matter. I am afraid that only Director Han can perform this kind of surgery for extensive adhesions, and only a handful of other hospitals in G City can perform it. At this time, he came to power.
It’s not a shame.
The patient's safety is the most important thing. Tan Boyun stood up: "I'm going to brush my hands!"
Tian Yuan said: "Director Tan, don't worry, sit down. This kind of surgery is done by young people. We can just take a look. Nothing will happen, Yang Ping! Brush your hands. Go up and help Dr. Zhong."
Director Han doesn't know much about Yang Ping's pelvic surgery. He only asked him to be an assistant and didn't let him perform it, so it's hard to comment.
But seeing Tian Yuan being so confident, he knew it well. He knew Tian Yuan's prudence and stability best, and it was impossible to let him come on stage without knowing it. Tian Yuan must have had pelvic surgery on him at some point, and he knew it well.
"Xiao Yang, go!" Director Han said.
Yang Ping stood up.
***The author has something to say***
Thank you Qianqianjunzi and Hibishumu for n times of rewards! Thank you King Kaikaikaikai for your rewards! It’s a new week, please vote for recommendations! Regarding Chapter 0013, a chapter about the replantation of a baby’s severed finger, some book friends raised questions:
I think that the van elevator will not break your fingers because of the induction device. Don’t be superstitious about the induction device. Accidents often occur under abnormal conditions. We can responsibly say: the van elevator door can break your fingers, cause fractures, and cause
Skin tearing and degloving injuries. There are only very few cases of broken fingers, not as many as in escalators. There are many cases of broken fingers in escalators. In order to make everyone feel that the plot is reasonable and easy to accept, the plot is changed to:
The escalator crushed my finger. Thank you book friend for your carefulness and thank you book friend for raising the question. Thank you very much!
