There are red flowers and green leaves, but whether it is the Department of Orthopedics at Kyoto University School of Medicine or the Third Affiliated Hospital of Kyoto University, when have they ever been green leaves for others?
Therefore, Gui Lao's words made Zhou Cheng and others panic.
This is not a good compliment, nor can it even be regarded as flattery, and it is just a one-sided attempt to attract hatred. Zhou Cheng and others did not even have an adult to answer the conversation, so they could only listen to what Gui Lao said throughout the whole process.
It's hard for them to interrupt.
Immediately afterwards, Zhou Cheng and others saw that the onlookers began to be unconvinced one by one, but perhaps because Gui Lao, Pin Lu and others were still there, they restrained themselves a little.
Otherwise, someone will definitely come up and beat you right away!
Why?
No one in my family could eat my own cabbage, it was all eaten by others. It turned out to be a guest, and I have never seen a guest squatting on top of his head to shit...
After a long time, when Mr. Gui finished speaking, he was actually just trying to attract hatred.
Zhou Cheng and the other five people all bowed down in a polite manner. Starting from Zhou Muyun and continuing to Zhou Cheng, the five people introduced themselves in a formal manner, and then performed the apprenticeship ceremony to all the superior doctors from Peng Peng and above.
Then he lowered his seniority in a flattering manner to doctors and graduate students, hoping not to be targeted.
Although Zhou Muyun's move was a bit undermining the suspicion that Gui Lao and Pinlu had set up for them before, he didn't say much. I guess they didn't take their words seriously, and they probably hoped that Zhou Muyun and others would take them seriously.
If I take my words seriously, I really feel that I am awesome.
However, the reason why it is not easy to really put five people on the stand is because after all, Zhou Muyun and Zhen Xing are local students in Kyoto. One is from Hexie and the other is from Jishuitan. If you beat the younger one, the older one will be better soon.
Come, then there is no need.
After Zhou Cheng and others had introduced themselves, it was the Kyoto University students' turn to introduce themselves. However, at this time, Gui Lao said again: "Forget your names, there is no need to introduce them. You are not famous or famous."
special."
"For the next surgery, you should take a closer look from beginning to end to see how others perform surgery, how others learn, and what the gap is between you and them."
After saying that, Mr. Gui turned his head and looked at Zhou Chengdao: "Let Dr. Zhou perform the surgery for you casually."
Mr. Gui was the first to point at Zhou Cheng 'casually'.
Seeing what Gui Lao pointed out, Pinlu and others who knew what was going on began to mourn and pity the students in their department.
This Zhou Cheng doesn't look very 'serious' and has a lot of hidden abilities.
Zhou Cheng was stunned for a moment and looked at Peng Peng and Mo Chengkong. Peng Peng stood up and explained: "The surgery Zhou Cheng performed before was the most difficult among the five of you. Therefore,
This surgery is an extra surgery.”
"You should have no objections to Zhou Cheng being the surgeon, right?"
There is nothing wrong with Peng Peng's words. In terms of the difficulty of the operation, the transposition of the biceps tendon and supraspinatus muscle performed by Zhou Cheng was the most difficult.
Under such circumstances, Su Min was too timid to perform the surgery.
It was Zhou Cheng who rose to the challenge. Under such circumstances, it would definitely be no problem to have more than one surgeon.
Zhou Muyun and Zhen Xing raised their hands at the same time: "Teacher Peng, I apply to follow Zhou Cheng on stage."
Zhou Muyun's hands are very tall and strong, and they don't look much taller than Zhen Xing.
After Zhou Muyun and Zhen Xing said these words, Su Min looked very alert and said sharply: "Teacher Peng, follow the previous team allocation."
"Zhou Muyun and Zhen Xing were in the same group as the teaching teacher, so they took advantage!"
“You can’t always take advantage!”
A smart person will be very keen to catch any calculation that is beneficial to him. Whether he can trust it or not depends on whether it is worth it.
Everyone knows that Zhou Cheng's operational ability is very strong, but they all hope to be on the same stage with Zhou Chengduo, study at a close distance, and be able to notice more details.
Zhou Muyun and Zhen Xing were already on the same team as Peng Peng and Mo Chengkong, and they wanted to come to Zhou Cheng's place to compete in the autumn wind. How could they agree?
Yu Hengze said: "Teacher Peng, neither Su Min nor I are tired."
Another possible loophole has been filled, and all suspicious roads have been blocked.
In fact, when Yu Heng and Su Min said this, they didn't notice that they had actually regarded Zhou Cheng as a very important figure in the small team, even as a backer.
Peng Peng waved to Zhou Muyun and Zhen Xing: "The operation has begun, follow the rules..."
Yu Heng and Su Min immediately stood at the first and second assistant positions, helping to put the patient on the operating table and do pre-operative preparations. It was a great pleasure.
Zhou Muyun and Zhen Xing could only stand aside and watch quietly, knowing that it would be impossible to snatch things from Yu Heng and Su Min through informal means.
They were just thinking secretly, since they couldn't rob them, how could they take their things away through formal means?
…
Around the operating table, Gui Lao, Pin Lu, Mo Chengkong, and a few people whom Zhou Cheng and others did not know or were familiar with for the time being, gathered around and pointed.
There are also a large number of students who are thoughtfully there.
Even because they lost the pressure from Gui Lao and others, there were already whispers.
"Brother, are all these people awesome?" asked a junior who seemed to have just joined the department.
"Very good!"
This is the answer.
No matter how reluctant you are to admit what Mr. Gui said, one fact is certain, that is, the strength of Yu Heng and others cannot be matched by ordinary people in the department!
Even Teacher Peng Peng may not be much better than their clinical abilities.
And you know, Peng Peng is Corey’s deputy senior professor and doctoral supervisor?!~
The preoperative preparation finally came to an end in an orderly manner, and then it was time for the formal surgery.
The nursing team here is no worse than the team Zhou Cheng met at the No. 9 Hospital in Magic City. They are quite professional and almost always prepare equipment sets one or two items in advance.
Yes, their instruments are arranged in sets, which proves that they are very proficient in the surgical process!
Zhou Cheng was naturally not bad either. Without much verbal communication, he filled the knee joint directly with the syringe, and also left a skin at the surgical approach to avoid excessive blood loss.
These are all small details. The inverted blade cuts through the skin, reaches outside the joint capsule, and bluntly breaks through the joint capsule. Then the cored sheath of the arthroscope directly enters the joint cavity. Under the protection of the arthroscope sleeve, the arthroscope is
The view inside the knee joint was done.
After adjusting the angle, go in and out of the water to disperse the blood stains in the field of vision. The refreshing field of vision makes the surgery smoother.
In all arthroscopic surgeries, the first step is always a microscopic examination.
The arthroscopy equipment here is similar to that in Shanghai. The surgeon can operate the semi-automated equipment to take photos during the operation.
"Synovial folds, medial meniscus rupture, anterior fork rupture, and bone marrow edema are a relatively typical medial triad."
"Let's remove the tendon first."
The diagnosis must be made first. Only after the diagnosis is confirmed can the indications for surgery be determined, and autologous tendon transplantation of the anterior cruciate ligament is required.
Tendon harvesting is also a basic skill. Basically, the parts selected are similar, with the gracilis and adductor muscles selected first, and then braided...
There is a special tendon remover for tendon removal, so the process of tendon removal becomes extremely smooth and silky.
Zhou Cheng basically took out the two tendons in a very short time.
However, the two tendons that Zhou Cheng took out were completely different from the tendons that Su Min took out before. Su Min's tendons carried part of the muscle tissue and needed to be rested.
However, what Zhou Cheng took out was only a very small amount of muscle tissue remaining. This means that the angle at which Zhou Cheng cut the tendons was extremely appropriate, minimizing the damage to the muscles and only removing the tendons.
Describing tendons as thin as cicada wings may be a bit exaggerated, but like a white hairtail fish, it is very appropriate.
The total time to remove the two tendons was less than a minute.
Simply, old and spicy.
…
"Did you see it?"
"This method of removing tendons is cleaner than a butcher cutting meat."
Pinlu murmured: "This is a disaster for how many people have learned this skill?"
Everyone was silent.
Technology is the general term for skills and techniques.
"Skill" is a kind of experience gained through specific practice, and its expression is a series of operational behaviors of practitioners during the practice process!
"Skill" is a summary of certain essentials of the aforementioned series of operations (including the basic procedures of operations and the basic steps of behavior).
In the medical field, whether it is internal medicine or surgery, the real master does not have too many fancy operating skills, which looks thrilling. Even compared with jugglers, the doctor's operations look mostly ordinary.
Nothing special.
In other words, they are just very simple operational skills, but it is such simple operational skills that are often the content that creates miracles.
Techniques are more important than skills. This has always been an unspoken rule in medicine.
Technique, from another level, is a kind of cognition.
Technique is just a manifestation of your technique, a reality or operational manifestation of how you achieve your own cognition, nothing more.
Therefore, at this moment, Zhou Cheng's operating techniques seemed a bit flashy to Gui Lao and others.
…
After taking it out, Zhou Cheng handed the tendon to Su Min without looking at the length, and then he and Yu Heng directly began to operate the inside of the knee joint.
"Exploring the hook!" Although Zhou Cheng had previously confirmed the rupture of the medial meniscus, in order to confirm the rupture, he still had to explore whether the meniscus was unstable.
If there is no impact on the stability, the ruptured meniscus only needs to be rested. If there is a certain impact on the stability, it must be sutured.
Of course, even if the stability is good, it can still be sutured, which will provide more protection to the knee joint. This is also one of the components of knee preservation surgery.
However, if the rupture of the meniscus does not affect the stability, suturing it would be a slightly wasteful operation.
Different scholars have different understandings of this. Zhou Cheng still advocates not suturing, only trimming.
So, after using the probe hook to confirm that its stability was acceptable, I used the bite forceps to reach into the joint cavity and make slight modifications.
During this trimming process, Yu Heng and others discovered that the bite pliers in Zhou Cheng's hand were like nail clippers. They hit wherever they pointed. In just three or five strokes, they were trimmed very neatly, and there were also
Lost the original arc!
this?
When ordinary people use bite forceps to perform meniscusplasty like this, the result is a rattling sound, as if it has been bitten by a mouse. It is very ugly and uneven.
But what Zhou Cheng is doing now?
How is this possible?
How many times has it been?
dream?
When Yu Heng came back to his senses and looked at Zhou Cheng, he found that Zhou Cheng had already returned the bite forceps, and then said to Yu Heng: "Stretch your legs a little, I'm going to treat the synovial plica under the patella."
"Oh, okay! I'm sorry." Yu Heng realized later.
In fact, he was distracted just now, so he didn't follow Zhou Cheng's operating ideas. This was considered a dereliction of duty on his part as an assistant.
Zhou Cheng shook his head casually. Then, after Yu Heng put the knee joint into the corresponding slightly flexed position, Zhou Cheng used an arthroscope to expose the synovial folds. With the other hand, he used a plasma electric knife to remove the synovial folds.
The wrinkles are so little.
The synovial folds that were originally like a fan suddenly disappeared!
It's like magic.
Yu Heng's hand shook slightly.
"Finished?" he asked.
"Well, the synovial plica only needs to be removed by removing the pedicle."
"Flex the knee joint! We start to do the femoral and tibial sinus tracts." Zhou Cheng said.
This operation of the synovial folds took Zhou Cheng only half a minute, as if he was juggling.
And just like that, Gui Lao and others saw the difference in Zhou Cheng's operation.
Accurate!
fast!
No procrastination.
After Yu Heng flexed the knee joint again, his field of vision came to the stump of the anterior cruciate ligament in the intercondylar fossa. Zhou Cheng cut off the stump and then began to deal with the femoral end.
In a flexed state, insert a Kirschner wire from the stump of the anterior cruciate ligament in the intercondylar fossa of the knee joint, exit from the medial condyle, and then break out of the skin...
Then start making the femoral tunnel.
The channel of the femur can be divided into several concentric circles.
depth calculations,
Then the channel at the tibial end is processed, and a locator is used to drill the tendon area.
The outlet is chosen at the insertion point of the anterior cruciate ligament at the tibial tubercle...
Zhou Cheng seemed to have rehearsed this entire process countless times.
As an assistant, Yu Heng didn't even know that his and Zhou Cheng's surgery could be so casual and smooth.
Yu Heng only knew that his consciousness was a little numb, and he was no longer as arrogant and unconvinced as he was in the morning.
The whole time I was saying, "Is that okay?"
Zhou Cheng replied: "Okay."
"Is this okay?"
"It will be all right."
Then it really works. It seems that no matter how Yu Heng acts as an assistant, it is always right.
What kind of surgeon is this?
After the passages were completed, Zhou Cheng looked over and saw that Su Min had just finished weaving the tendons.
Zhou Cheng looked at the operating table and added a suitable loop steel plate. He pulled it through the femoral channel through the guide wire and shook it left and right. The loop steel plate passed through the double isocenter channel of the femur just right.
, reaching above the medial condyle of the femur.
Then he combed the loop steel plate and adjusted the length of the tendon appropriately. After the top of the braided tendon reached the top of the large channel of the double equal center channel, Zhou Cheng directly passed the other side through the tibial channel and pulled the tendon back.
An absorbable screw.
"Click!"
"Click!"
The absorbable screws rub against the bone of the tibia, and the clicking sound is very sharp and sensitive.
But after a few clicks, the clicking sound gradually became smaller.
After a while, Zhou Cheng removed the fixing screw at the tibia end.
There is still a certain amount of tendon tissue left at the tail end, which is the excess tendon tissue. Use a sharp knife to cut off all these tendons.
Being rich is much better than not being long enough.
Then, Zhou Cheng moved in all directions again, and after confirming that the current anterior cruciate ligament was handled quite properly, he slowly placed the patient's feet on the operating table and started rinsing.
Suturing and other operations.
Next to them, Su Min and Yu Heng noticed from the corner of their eyes that the faces of the onlookers beside the operating table seemed a little uncomfortable. Then they raised their heads and found that many people were constantly going to the operating table.
Glancing back and forth at the timing panel next to it.
"00:38:35:74."
"Ah?" Su Min was very surprised and couldn't calm down at all, so she made a sound.
Su Min and Yu Heng trembled slightly.
When Su Min was the surgeon at the last one, the operation lasted for one hour and thirty minutes, which was one and a half hours. If we just talked about the length of time, Su Min could have been hung up by Zhou Cheng.
Although Yu Heng couldn't see clearly what Su Min's expression was at this moment, his fearful eyes betrayed him a bit.
"Su Min, what's wrong?" Zhou Cheng asked after hearing Su Min's words.
Su Min quickly shook his head, knowing that he had gone too far. Zhou Cheng was the surgeon now. If he caused an accident during the surgery performed by Zhou Cheng because of his gaffe, it would be a big sin.
"Nothing!~" Su Min was a little distracted.
"How about I sew it up?" Zhou Cheng said proactively.
…
And just under the operating table, Gui Lao and Pin Lu watched the key operations of the entire operation performed by Zhou Cheng.
Mr. Gui gave Pinlu a look. Pinlu understood and pulled Mo Chengkong's sleeve next to him.
The three people withdrew from the operating room in the name of senior doctors. Although the others were curious, they did not dare to imitate them, let alone ask them why they wanted to withdraw.
Gui Lao, Pinlu, and Mo Chengkong had just left the operating room and started asking questions in a hurry.
"Gui Lao, Gui Lao, does this count as de-theorizing?"
"Is it a surgery that relies solely on manipulation?" Mo Chengkong asked.
Mo Chengkong is the youngest among the three, so he has the deepest doubts in his heart at this moment.
A layman watches the fun, an expert watches the door.
Perhaps the students also noticed that Zhou Cheng's surgery was fast and good, but they didn't know how to describe it as fast or good.
Being a scumbag and being a scumbag may be what they think is the pinnacle of praise.
But in fact, Mo Chengkong, although he looks like a fat man with a big head and big ears, as a professor, he knows how to praise, or in other words, how to describe Zhou Cheng's current strength and realm.
To de-theorize means to temporarily not consider any details and operational improvements that are related to good prognosis, but to perform the surgery in a tortuous manner according to the official official original operation of a certain type of surgery.
It can be said to be the most official surgical procedure. It is very basic and is so basic that it does not involve any personal understanding or philosophy.
For example, some people think that dual channels are not good and they need to add horizontal fixing screws.
Some people think that where and what treatment can be done will make the prognosis of the surgery better.
However, when these people, including Mo Chengkong, including academicians such as Gui Lao, improve the surgery, they are only improving the method, rather than simply transforming it from the operational and technical levels.
Technical skills, in fact, there are limits to a person's operational peak.
In layman's terms.
The quality of technology is related to both technology and technique. Maybe a person's operation is not top-notch, but his understanding of the game and operations are top-notch, then he can also play well.
And for some people, the operation has reached an incredible peak, and the details of every frame have reached the highest level of controllability. When they play games, they can not participate in and superimpose any understanding of the game, operations and situation.
understanding.
Just follow the equipment route recommended by the system and still be able to reach a high level and win the game. This is an operation without theoretical knowledge.
"It's not certain yet, but the possibility is very high."
"What a miracle."
"I have never thought that there are really people who can de-theorize in medicine. I can't even imagine it." Mr. Gui took a deep breath several times before finally saying this.
Pin Lu, who is currently the director of the sports medicine department, quickly thought of the crux of the problem: "Mr. Gui, let me ask a question, why does this Zhou Cheng do the de-theorizing operation?"
"Is he afraid that we will see his theorizing, his operating style and school?"
"Or, he just doesn't have any style at all?"
Mr. Gui immediately shook his head: "No, it's definitely not that Zhou Cheng has no style or his own school. He has it all. He just doesn't want to show it."
"So, his current surgery was done after he restrained himself."
"He is truly a born surgeon."
"Okay, very good."
When he said this, Mr. Gui's eyes almost glowed with light.
A person who can theorize and complete operations has a strong heart that ordinary people can reach.
The potential of a person who can perform an operation extremely well after de-theorizing will be unimaginable.
"Gui Lao, Gui Lao. This little Zhou is from Hunan Province." Mo Chengkong felt that it was necessary to remind him of Zhou Cheng's current identity to prevent Gui Laobai from being happy.
As expected, Mr. Gui heard Mo Chengkong's words, half-squinted his eyes, and said meaningfully: "Didn't I say before that this Xiao Zhou is not a student of the Affiliated Hospital of Xiangnan University?"
"Ah?" Mo Chengkong was stunned.
"Anyway, I haven't checked my student status yet."
"Leave the rest to the Admissions Office of Kyoto University," Mr. Gui said again.