The second operation returned to Professor Xue Xiude's assigned long bone fracture of the upper limb and a comminuted fracture of the middle part of the radius. The first operation was a tibial fracture, but Xue Xiude was still admitted.
However, Xue Xiude has long said that the so-called agreement is just a verbal agreement, and everything is centered on the patient. If the agreement is a shackle, then it is okay not to follow it.
After all the preoperative preparations were completed, both Mao Yuxuan and Chen Shengwu were eager to reset the technique.
However, Xue Xiude waved his hand, and after putting on the sterile surgical gown, he automatically stood in the main operating position: "Xiao Zhou, for this second operation, I will prepare it for you."
According to the previous arrangement, Zhou Cheng completed the first three sets, and Xue Xiude tried the last two. The manual reset is a more important part, so you can familiarize yourself with the feel in advance.
Zhou Cheng naturally did not dare to say anything. Mao Yuxuan and Chen Shengwu both turned their heads in astonishment. The master left the stage in person, not daring to seize the opportunity again.
Associate Professor Gu Zhongliang greeted the students: "On weekdays, I tell you that fractures and trauma are the basis of orthopedics, but you don't believe it."
“Mr.
Even Shen De greeted Gu Zhongliang.
On weekdays, when patients with fractures come in, Xue Xiude doesn't even move his eyelids and never goes on stage. There are also certain rumors among lower-level doctors.
Xue Xiude is a master of joints and a doctor of trauma, but he is not good at fracture treatment.
But when Associate Professor Gu Zhongliang entered the department, it was Professor Xue Xiude who was in charge. There were many fracture patients at that time, and Xue Xiude was about to vomit. After he was taken out and promoted to associate professor, he stopped intervening.
I don't care about gossip, so I didn't show it, but it's not because I'm not proficient in fractures.
Xue Xiude turned back and glared at Gu Zhongliang, his eyes burning with authority. Gu Zhongliang said with sincerity, "Teacher Xue, I haven't seen you perform fracture surgery for many years, and I still admire you in my heart."
"Are you going to put me on a fire rack to roast me?" Xue Xiude rolled his eyes and then took a deep breath.
As a professor of trauma surgery, there is no reason why he is not familiar with basic introductory surgery such as fractures. And because he is going to be the surgeon today, he has spent a lot of time before the surgery and is extremely familiar with the four surgical patients today, so he does not need to
Read the film again.
Manual reduction of fractures is also one of the basics. In fact, it is also used during open reduction and internal fixation.
Therefore, Xue Xiude did the reset of the fracture without much effort in front of everyone. After finishing, the thumbs of both hands were still touching the broken end of the fracture, and then he made slight adjustments.
Xue Xiude breathed a sigh of relief: "Fortunately, I have not forgotten the basic skills, otherwise I would have been put on the bed by Professor Gu today."
Gu Zhongliang was too busy to reply, and then called the specially hired C-arm master to push the C-arm machine.
As he walked out, Zhang Zhengquan looked at Zhou Cheng doubtfully, as if he didn't quite understand and hesitated in his steps.
Zhou Cheng gently touched Zhang Zhengquan with his arm: "There are only a few principles of manual reduction, but who is Professor Xue? He has his own experience and insights, which are slightly different from mine."
When Xue Xiude was operating just now, Zhou Chengcheng saw that Xue Xiude's reset technique was above proficiency, but not perfect. Moreover, the method of reset was also slightly different, which did not affect the final effect.
Different theories lead to the same goal, but the end of the road is different. Xue Xiude's approach to reset the concept can lead to the end of perfection. Zhou Cheng's redefinition of perfection is an improvement based on this basis.
There is no distinction between high and low treatment.
When Xue Xiude heard this, he nodded slightly, looked at Zhou Cheng, and then at Zhang Zhengquan: "It seems that Boss Zhang's exposure to the world of method reset is quite broad."
Zhang Zhengquan did not dare to make a high profile: "Professor Xue, you have misunderstood. It is because of my shallow knowledge that I am confused. Otherwise, I am not surprised. I have been following Brother Zhou Cheng before, thinking that this is the only way to reset the body."
Zhou Cheng did a lot of fracture reduction techniques when he was in the Eighth Hospital, and also taught Zhang Zhengquan. However, Zhang Zhengquan had limited qualifications and was not very familiar with it, but he roughly knew the theory.
Everyone arrived in the isolation room while he was talking, and then the results of the C-arm fluoroscopy came out. The initial classification of the fracture had long been imprinted in everyone's mind. At this moment, the plain radiograph after the reset might take Zhang Zhengquan a certain amount of time to refer to.
Plain radiograph before reduction.
The others kept nodding, and just as they were about to praise, Xue Xiude's words came in advance: "It's just quite satisfactory. It's not as good as Xiao Zhou's. You guys don't have enough skills, so don't let me make you laugh."
After blocking the flattery of Gu Zhongliang and others, Xue Xiude smiled at Zhou Cheng: "Xiao Zhou's talent in studying medicine is really enviable."
Zhou Cheng is just that old, not too old, not too young, so he started studying right after he was born, but he still doesn't have as many cases as Professor Xue Xiude has come into contact with.
But it can still reach such a high level, which can only be attributed to talent. Xue Xiude has long seen that Zhou Cheng's reset method is unusual, but Gu Zhongliang and others may not be able to see that if they continue to flatter him, it will only embarrass him.
Zhou Cheng smiled and said: "Teacher Xue has not been exposed to fracture cases for a long time, so maybe he is a little bit handicapped."
"I am still relatively junior. I used to be exposed to fracture cases every day, so I am naturally more familiar with it. Besides, there are not many simple fracture patients in the Ninth Hospital."
"Teacher Xue, you are too modest."
This is the truth.
However, Xue Xiude replied meaningfully: "Xiao Zhou has been exposed to a lot of fracture patients, but he still has special insights in treating complex cases of infection. This is not just a matter of familiarity."
"I won't mention Hu Qian's words any more. The surgery has progressed to this point, and now it's up to you, Xiao Zhou."
It had been agreed long ago that Zhou Cheng would complete the first two, and the last two would be completed by Professor Xue Xiude. This was considered a preparation by Xue Xiude for his own surgery, and it was also a disguised message to Zhou Cheng.
I, Xue Xiude, am not an old man like Jingxing Xing. I am not in a hurry, but I also have my own skills. In fact, I can try it in private. It is not that I have no understanding at all. I will let you explain everything to me.
Zhou Cheng had never had such an idea before, so he nodded and said, "Thank you, Professor Xue."
The effect after reset is quite good. Although it can be adjusted again, it is no longer necessary.
The next equipment was fixed. Although Xue Xiude, Gu Zhongliang and others watched it many times, and Zhou Cheng explained it every time, it was a new technique after all, and practice makes perfect. Every time they heard the explanation, they would have new insights.
The instruments for small-incision open reduction and internal fixation are designed to reduce the difficulty of the operation, but there are also certain operating skills. If you cannot deeply understand them, it will be difficult to achieve a good reduction.
Zhang Zhengquan was in a better mood as he watched Zhou Cheng skillfully insert the internal fixation devices into the patient's body with joy. Although these devices are all free now, this is an initial investment.
The more examples there are, the more chances of exporting fees and patents will increase by 10%. Now that this new technique has come out, due to some changes, not only the professors in the Magic City know about it, but there are also professors in Kyoto, Guangdong Province and other places.
know.
I have contacted other equipment companies privately, and they are also doing some things secretly, but fortunately, Lao Zhang's company is in front of him, protecting Zhang Zhengquan from the wind and rain.
But Zhang Zhengquan also wants to grow up as soon as possible and support his father's company. Although this investment is not a desperate move, it will have a slight impact on Lao Zhang's company. If it benefits more in the end, then Wanqing will not
More gossip.
An operation was completed very quickly. The entire operation time, including the anesthesia time, did not exceed an hour. Such a turnover rate was not considered slow in the No. 9 Hospital of Shanghai.
But the anesthesiologists here are more knowledgeable. After the operation, the teaching anesthesiologist asked his students to be responsible for the aftermath and said to Professor Xue Xiude: "I ran out to take a look. I thought I had performed the wrong operation."
I went to the obstetrics and gynecology or ophthalmology surgery room."
In the Department of Obstetrics and Gynecology of the No. 9 Hospital in Shanghai, the fastest operation can be completed in just ten minutes, and a high-end ophthalmology professor can complete the key part in just two or three minutes.
"Thank you for your hard work, Professor Du." Xue Xiude clasped his fists slightly after stepping down.
Professor Du shook his head and said, "What's so hard about this? Your new surgical techniques are equivalent to giving new topics to our Department of Anesthesiology. I don't know how many people are staring at my position."
The issue lies in variables.
With the development of new surgical techniques, the Department of Anesthesiology can also take the opportunity to write an article on anesthesia that has never been touched by others before, which has a great impact. Professor Du was able to earn this opportunity because of his own background and dozens of SCI papers.
Only then was I able to get it from the director.
Anesthesiology and orthopedics are parallel departments and partners.
Xue Xiude said: "Professor Du, there will be more opportunities for cooperation in the future, and there may be emergency patients. Naturally, it will be more difficult, and I will definitely be tired by then."
Du Xiadong said: "Professor Xue, our anesthesiology department is very cooperative with your clinical department. I will only follow your surgery for a long time in the future, so it is not hard, haha."
Xue Xiude suddenly had a strange look on his face, secretly saying that Du Xiadong was really capable, and that he was able to get such a privilege, which was a plus, and he didn't know what the director of the anesthesiology department and Su Guoyuan were thinking about.
After walking around, I didn't see Zhou Cheng. I thought that Zhou Cheng had been taken away by me at the first station. Now he might be catching up with his good friend, Boss Zhang. I also went to the office alone to calm down and have a good time again.
Go through the surgical procedures of the next two stations.
As far as he knows, there are currently two people, Jingxing Xing and Tong Dahe, who have failed in such a technique, but they have bypassed Zhou Cheng to do it secretly. If he still got out of the way when Zhou Cheng was in the Ninth Academy,
Unexpected, it would be even more ridiculous.
The pressure is not small, but pressure is also motivation. Xue Xiude has his own considerations...
In the common room of the operating room, Zhou Cheng was lying there, slowly drinking water from a paper cup, and then tilted his head and asked: "You are not a qualified equipment dealer. You got off the stage before the operation was over."
"
Zhang Zhengquan rolled his eyes: "No equipment instructor from the Ninth Hospital has been in the hospital for many years. There are at least ten people waiting in line under the stage. Do you still need me to work?"
"I just happened to have some fresh energy. Otherwise, I would just send the instruments to the operating room and then have to leave."
Equipment companies need to send guides to hospitals, usually prefecture-level city hospitals or county hospitals and small private hospitals, to provide certain technical guidance and serve as labor force.
But in a place like the Ninth Academy of the Magic City, when they come to power, it is a waste of learning resources. The subordinates do not allow it, and the superior professors do not need it.
Are you kidding me if you go to guide them?
"Isn't this relaxing?" Zhou Cheng said with a smile, a little envious.
"You're so free, you think you can really have some free time if you don't go on stage. The competition is fierce. Right now, other equipment from our company have to queue up if they want to enter Professor Yu from the Ninth Academy."
"But there is no way. There are too many device suppliers. Patients have the right to choose independently. But the only advantage is that our price has a certain advantage, so starting from last week, there are only two or three devices, which is better than nothing."
When Zhang Zhengquan said this, he tilted his head and said: "Oh, by the way, I heard from the person in charge of Shashi Company that our company has entered the operating room of the Shonan University Affiliated Hospital and has a certain degree of relationship with you."
"I'm here to thank you."
"But today's prices are too low. If you don't move in volume, you won't make any money, so I can't give you a particularly practical discount. So I thought of paying the rent for the house you're renting now."
"Don't refuse. This is what Lao Zhang, my brother, and my mother have said personally. If you don't agree, they will have objections to my public relations and business capabilities."
"It's not much money, but it's interesting." Zhang Zhengquan replied.
Zhou Cheng thought that his rent was indeed not too expensive now, and one month's rent was not enough for him to attend a class, so he agreed.
Then he said: "Quanzi, my basic living security is basically no problem now. You don't need to be under too much psychological pressure. I invested in the stock based on technology, and I will definitely make a lot of money in the future."
"However, I still want to immerse myself in learning for a while. So in the future, you can send another 'engineer' to Shanghai, and I will negotiate with him remotely."
The things Zhou Cheng needs to do now are not small. The clinical application of the topic is a relatively long route, so it really doesn’t take a lot of time.
"Of course, I have already considered this. I have already transferred him to Shanghai. MD, a doctor from the Affiliated Hospital of Guangdong University, with an annual salary of 80,000 yuan. He originally planned to enter this hospital." Zhang Zhengquan was quite voluptuous.
Said painfully.
Zhou Cheng himself had never seen so much money. He was just envious: "You have money, this is just an initial investment."
Zhang Zhengquan sighed, and then said: "So, I don't know how to pay you for the time being. As far as I know, there are headhunting companies looking for you, and the price offered by some companies is an annual salary of 5,000 W."
"But I don't dare to make any moves because you are still a student. Academician Gui Yuanping can still suppress some people."
When Zhou Cheng heard this, his eyes immediately lit up and he joked: "No, with an annual salary of 50 million, I will be able to live in Shashi after one year of work. Then I will work behind Teacher Cai, and my life will be wonderful."
To be honest, the annual salary of 50 million yuan is far beyond Zhou Cheng's expectations. However, Zhou Cheng had already expected that when he released the small incision open reduction and internal fixation technique, its potential profits
, it’s far more than that.
But since Zhang Zhengquan happens to be engaged in this industry, he will not take advantage of others. Moreover, this is only the early stage, and Zhang Zhengquan will definitely not treat him badly in the future.
Damn it, a person who earns tens of millions in interest a year can shamelessly take advantage of someone who earns thousands of dollars a month. Such a person is not trustworthy. Where can you find trustworthy people?
"Cut~~~"
Zhang Zhengquan could not deny: "Don't think that I don't know that your girlfriend can make you lie down in a matter of minutes. And you must have known about it. If you just want to lie down, just let her sit up."
It’s over.”
Zhou Chengcheng knew that ivory could not come out of a dog's mouth, so he wanted to pour water directly on Zhang Zhengquan's face, but he couldn't hold it back.
He cursed: "What the hell are you doing?"
Zhang Zhengquan rolled his eyes: "Who told you to trick me first? Damn it, I've been troubled recently. There's a lot of junk."
"Why did I trick you?" Zhou Cheng was stunned and asked.
Zhang Zhengquan sat up directly: "You haven't tricked me yet? Let me tell you, didn't you ask me to trick you last week? I really saw the effect."
"But that girl has a classmate and best friend who is really a tiger. She didn't know how she found out about this. Niang Xipi, you've been giving me trouble every day lately."
"Here." In order to express his difficulties, Zhang Zhengquan handed the phone to Zhou Cheng to see.
He also complained: "Besides, this bitch is a student of the director of the Sports Medicine Department of the Ninth Hospital, so I can't just block her directly."
Zhou Cheng looked at the conversation between Zhang Zhengquan and the other party, and then looked at the avatar. Good guy, isn't this Ding Dian?
Oh, okay, it turns out that Chen Shengwu’s girlfriend is Ding Dian’s classmate and best friend. Then Zhang Zhengquan was caught playing tricks by Ding Dian. With Ding Dian’s temperament and annoying skills?
Zhang Zhengquan took the phone back and murmured: "I called her yesterday and scolded her twice, and she even cried. Damn it."
"I coaxed you for more than five minutes. How am I good at doing this kind of thing?"
You tiger!
Zhou Cheng silently pretended that he didn't know Ding Dian at all and stopped interrupting.
After a while, Zhou Cheng patted Zhang Zhengquan on the shoulder and said, "Let's go to the operating room. Professor Xue Xiude is the sole surgeon in this operating room. We still have to go and take a look, especially you."
"That's natural. My equipment is all free, and Professor Xue Xiude didn't ask me for any money. This is a huge favor for me."
"Oh no, it's for your sake, brother Zhou Cheng. You are my eldest brother." Zhang Zhengquan put the phone away and started licking it again.
Zhou Cheng stood up and was too lazy to pay attention to him.
When he returned to the operating room, Professor Xue Xiude was already sitting upright, reading the films carefully and making constant calculations.
Beside, Professor Gu Zhongliang and the attending physician Shen De rushed Chen Shengwu and other students to the side, leaving only Mao Yuxuan on the stage to start disinfecting and spreading towels himself.
Xue Xiude is the one who leads the team. They are a team. Professor Xue Xiude is in charge of the new technique today, so naturally he is the most proud assistant.
“Mr.
"Xiao Zhou, Boss Zhang, wash your hands and go on stage together."
"Especially Xiao Zhou, you have to stop thinking your words are expensive and give more advice." Xue Xiude himself was in a good mood and joked with Zhou Cheng and Zhang Zhengquan.
Zhang Zhengquan apologized and Zhou Cheng said, "Teacher Xue, let's go wash our hands."
After hearing too many flattery words, Zhou Chengdu didn't bother to respond anymore. He just got things done first and it wouldn't be too late to do them later.
After washing hands and dressing, Zhang Zhengquan immediately spread out the corresponding instruments one by one when he got to the stage. Professor Xue Xiude could only give instructions. In fact, the appropriate size of the instruments was measured on the plain radiograph before the operation started.
However, Zhang Zhengquan still prepared four more types of instruments in case of emergencies. Although he had to take these instruments back for disinfection, which was a waste of time and cost.
Professor Xue Xiude continued to perform the surgery and still followed the principle of fracture treatment, which was reduction first and then fixation.
Technique reset!
However, in order to be on the safe side, Xue Xiude did not pursue speed. He did three thorough scans and three reductions in a row! Each time, the broken ends of the fracture were aligned more properly.
After the last session, Professor Xue Xiude said: "That's enough. I'm not you, Xiao Zhou. I just think it's just appropriate. Then I can fine-tune the reset by placing the instruments. I have to make all the favorable factors more in place."
OK."
Professor Xue Xiude was so cautious, which made Zhou Cheng's heart tremble: "That's right, Teacher Xue. I'm usually too Meng Lang."
Xue Xiude shook his head and said: "You have done so many platforms, what else is there to say about Meng Lang and not Meng Lang? With all the favorable factors, it is the view from under the platform."
"You are looking down, so naturally you have concerns in your mind. There is no high or low level in learning, but there are uneven skills. My experience does not apply to you. If you apply it, it will be a constraint on you."
"You don't have to follow my ideas."
Zhou Chengcheng smiled: "The principle of caution must be learned more."
In fact, it is more appropriate to flatter Xue Xiude now, but Gu Zhongliang and Shen De did not say a word. This is a critical moment for business, who can keep talking?
The usual joke was because Xue Xiude knew what he was doing and was sure of it. He could drive very fast on the operating table, but it was obviously not suitable at this moment.
Zhou Chengze said: "Professor Xue, now we are still taking four to five centimeters above and below the fracture line, opening the opening to the fascia layer, breaking the fascia layer and then entering the muscle space to the periosteum surface, taking the coaxial direction, different
Drill holes in the axial position, separate the instruments and put them down, and then naturally retract the instruments above and below the fracture to achieve the goal."
Xue Xiude is not Zhang Zhengquan, so there is no need to say more about the anatomical levels and which muscle spaces are, so the teaching will naturally be very simple.
Xue Xiude closed his eyes slightly, and then ordered: "Bring me the round knife. Prepare the vascular forceps and the hole opener."
Holding the round knife in his hand, he used the standard pen-holding method to make two incisions each. The incisions were not large, and the skin and subcutaneous fat were directly incised. The fascial layer was not easily injured. Then Zhou Cheng used tweezers to assist and used the electrosurgical coagulation power to perform the procedure.
Stop the bleeding slowly.
Controlling your vision well is the most critical thing.
After the electrocoagulation broke through the fascial layer, the muscle layer was exposed. Xue Xiude quickly used a hemostatic forceps to slightly open the muscle, exposing the gap between the muscles. This operation was extremely smooth, and his basic skills were solid to the extent that Zhou Cheng had come into contact with his superiors.
, ranked at the top.
Moreover, Xue Xiude's technique was very sophisticated. He quickly drilled through the muscle space and reached the periosteum layer. After clamping the periosteum with a vascular forceps, he used the feel of the blunt force to open it, and then inserted a 2.5mm diameter needle.
The Kirschner wire, exposed by the vascular forceps, was fixed at the bone end.
This serves as a line for the opener to reach the end of the bone, and also serves as a marker for the second incision.
Zhou Cheng is very familiar with it and does not need this operation, but Xue Xiude needs that if the upper and lower K-wires are parallel, they must be on the same axis.
Taking advantage of all the favorable factors to perform the surgery was what Xue Xiude had to do for his first surgery.
After inserting another Kirschner needle in parallel with the same method, Xue Xiude breathed a sigh of relief and said: "It's done. Only when I actually practiced it did I realize how stable your hand is, Xiao Zhou, and you don't even need a Kirschner needle."
As an auxiliary line for openings.”
Zhou Cheng smiled naively. He hadn't considered it so carefully before, so he used too much force. At this moment, Xue Xiude re-exposed the awesomeness of this feeling, making Zhou Cheng blush slightly.
He never thought of being so pretentious...
At this time, Associate Professor Gu Zhongliang and others intuitively relived Zhou Cheng's seemingly careless operation, but in fact there were so many details and difficulties hidden. After careful consideration, he still felt that during the learning process, he and others had
We still have to follow the path that Xue Xiude is taking now.
Then came the opening.
With the auxiliary approach, it is not difficult to open the opening, followed by the insertion of two endoscopic tubes similar to those of an arthroscope.
After this, Professor Xue Xiude introduced the mirror to one end through the mirror tube. The tube at the other end is the entrance for placing the instrument, which can be operated intuitively under the mirror.
The instrument is special, has the right size, and is shaped like an umbrella. It is not difficult to place it into the medullary cavity.
However, next, there is another difficulty. The end of the scope tube has been occupied, so one end needs to be operated blindly. In fact, the best backup method is to open a third hole and visually see the placement process of the instrument.
.
This is also an alternative, but it's still difficult!
Blindly performing the operation made the operation even more difficult. This was the point where Landscape Star and others failed. As a result, the instruments at the last two ends could not be folded in the lumen and failed to be placed. They could only withdraw and repeat the operation.
Moreover, they placed a third scope tube, which meant that they could see the entry of the second instrument, but it was still not easy to align it.
Seeing this step, Zhou Cheng quickly said: "Professor Xue, when the second instrument is inserted again, it can be slightly closer to the distal end of the fracture. It does not necessarily need to be placed in the center of the insertion site."
"After inserting the instrument into the lumen, first remove the back of the instrument, then put the mirror in, operate the operable instrument end, and after the instruments at both ends are anastomotic, open a section of the mushroom."
"Then after one end is fixed and shaped, the tail end of the instrument is naturally at the center of the medullary cavity. Then the mirror is withdrawn, the back holder of the fixed instrument is put in, the mushroom is opened, and finally the capsulum is pulled and closed at the same time, and the mushroom end is naturally grasped into the medullary cavity.
Within a few seconds, you can achieve a fixed effect!”
Xue Xiude smiled: "I'm afraid this is the trick you are hiding, Xiao Zhou, right?"
As he said it, he did it.
Zhou Cheng remained silent, not intentionally, but to protect himself. He only knew its shape but not its quality, so it was naturally difficult to copy. Zhou Cheng did not do it deliberately.
However, it is simple to say, but short to say, and the operation process is still not easy.
Professors with equivalent skills have failed. Therefore, Xue Xiude's first operation still failed to connect the instruments at both ends.
It is not easy to operate under direct vision, let alone blind operation.
Seeing this, Zhou Cheng said, "Professor Xue, don't worry about whether your hands are shaking or not. Just imagine how it feels when you close your eyes and close the two ends of the instrument. It's not difficult."
Xue Xiude made a lot of preparations before the operation, and Zhou Cheng also used auxiliary training methods.
Closing eyes is also a kind of blind exercise. Xue Xiude has practiced it countless times. One failure does not mean anything. He is worried about it!
As for this step, he has been practicing blindly in the simulation world for more than ten years!
That's why I have the power I have now.
Xue Xiude breathed a sigh of relief and continued to follow Zhou Cheng's instructions slowly.
At a certain moment, Xue Xiude suddenly felt that the two ends of the instrument were attracted to each other. Seeing this, he immediately exerted a little force with his hands, and there was a snapping feeling.
Xue Xiude's eyes widened: "Push arm C and see through it once!"
Zhou Cheng also looked through it, but that was the first time, just to show it to everyone. Later everyone knew that Zhou Chengdu basically didn't use fluoroscopy. But Xue Xiude still played it safe in everything.
No one has an opinion.
The fluoroscopy results were quickly displayed on the C-arm display screen. It can be seen that the muscimotomy instruments inside are aligned just inside the medullary cavity.
"It's done!" Gu Zhongliang was excited.
This step is the most difficult, and there is a trick to it. If it weren't for Zhou Cheng's guidance, most people would think that the placement process must be centered, and the alignment process must be meticulous.
But actually?
Professor Xue Xiude breathed a long sigh of relief and asked Zhou Cheng: "Xiao Zhou, do you think this is the case? Can we take the next step?"
He trained for seven or eight days, almost no surgery and just trained at home, but he still had no bottom.
Zhou Cheng nodded: "Professor Xue, it's okay. Let's stick to the same theory as before. First unfold one end and fix the instrument at one end. In fact, if it is really difficult to align this end with the other end, you can also unfold one end first.
fixed."
"Then operate on one side and fix both ends to reduce the difficulty of operation."
After Xue Xiude finished, Zhou Cheng told him a backup trick.
Xue Xiude's eyes instantly looked at Zhou Cheng with some resentment, as if, didn't you say this earlier?
"However, difficult exercises will further improve your touch and proficiency. If you just choose the alternative, you will be more stressed if there is an unexpected need."
"Professor Xue, if it is not necessary, it is better to join the two ends first, because this will make it easier for you to operate the radius, ulna, and tibia and fibula."
"The femur and humerus are large cavities in long bones." Zhou Cheng expressed his thoughts.
Xue Xiude then nodded slowly: "It is better to teach people to fish than to teach them to fish. I can understand that you are teaching surgery, not teaching surgery."
Then Xue Xiude took a deep breath, smiled, and calmed down his mood: "But do you know how nervous I was just now? I almost embarrassed myself in front of the students."
At the same time, I secretly said to myself, and the operating room is not immune to the law. If it fails this time, Hu Xianhe and other old men will definitely know about it tomorrow, and they may call to say hello, just like me.
So, fortunately, I can call them tonight.
This is a completely different story.
After the two ends were aligned, Xue Xiude slowly fixed one end, then the other end, and then tightened it at the same time, Xue Xiude nervously looked through it again.
"Success!" Even though Professor Xue Xiude was in his fifties, he still couldn't hide the joy in his heart. He clenched his fist hard and hammered it, and then blew his chest loudly.
"Congratulations, Professor Xue." Gu Zhongliang breathed a sigh of relief.
The success of Xue Xiude's surgery is not just a simple operation, it means that the trauma surgery department of the No. 9 Hospital in Shanghai is about to reach a new level, and!
This also means that trauma surgery in China is about to usher in a new subspecialty. This prelude, whether others accept it or not, is coming.
"Congratulations, Master." Mao Yuxuan and others also congratulated Xue Xiude.
Xue Xiude did not forget about the temporary success or failure. After calming down, he said calmly: "Suture, place a small drainage piece, and prepare for the next operation."
"In addition, for this surgery, inflammation indicators must be strictly reviewed after the operation, and plain films must be reviewed one day and five days after the operation."
"Ask the patients and their families to review the plain radiographs regularly one week, two weeks, one month, and two months after the operation. We will bear the cost of the review ourselves, and let the patient pay for the registration fee. Shende will be registered at that time."
"Everyone in the team has made detailed filings. When the patient comes for review, he or she can notify the attending physicians Mao Yuxuan and Shen De at any time, or associate professor Gu Zhongliang, or directly notify me directly."
"Record the blood drawing indicators for each review, and measure the changes in the fracture line each time..."
Xue Xiude is a professor, and his understanding and depth of clinical topics are much more proficient than Zhou Cheng, who is only half-way through research, and he has more people available. Therefore, he gave a long list of instructions one after another.
Then he said: "Mao Yuxuan, Shen De, Lin Yousheng, Xiao He, the four of you are each responsible for a rating scale. Every time you receive a patient, you must re-score all the rating scales within three days.
And mark and record the original data, don’t be careless.”
"If the original data is lost, you can each stay in your original position for one more year."
Mao Yuxuan, Shen De and others nodded. How dare you be careless about such a big matter?
If the original data is lost, that's a big deal.
Mao Yuxuan said: "Master, don't worry, we will have at least four hand-extracted original data records, and four or more electronic original data form records, which will definitely not be lost."
The importance that masters and doctoral students place on raw data is not something that ordinary people can understand.
"Okay, you go ahead. Don't blame me for being too harsh. This is the focus of our clinical work for a long time to come. Everyone needs to spend some time making bias adjustments."
"We have to rush to at least four major journals on this topic. I won't tell you more about the benefits of signing this kind of article."
"Xiao Zhou, let's go down and have a rest."
"Huh!" Xue Xiude, who was highly nervous and highly focused, breathed a long sigh of relief at this moment.
Zhou Cheng smiled and said, "Thank you for your hard work, Teacher Xue."
"Harmful." Xue Xiude felt completely relaxed now.
While walking out with Zhou Cheng, he picked up his mobile phone: "Why is this hard work? Now I'm thinking about how to promote such a good thing and make it more popular."
"Moreover, if a good thing cannot be applied clinically, then its existence is of little significance. I hope that by then, Boss Zhang can lower the price a little so that many patients can afford it.
ah."
However, as Xue Xiude said this, he thought of Zhang Zhengquan's early investment.
He added: "Let's do it and cherish it. Anyway, it's best for Boss Zhang not to be unable to withstand the pressure of funds and sell the company!~"
When manpower was limited, Xue Xiude didn't know there was Lao Zhang behind Zhang Zhengquan. If Zhang Zhengquan sold the company abroad because of too much pressure, it would be a JUGG.
It's not like this has never happened before.
Zhou Cheng didn't reply to such remarks. He had a certain relationship with Zhang Zhengquan, so it was difficult for him to interrupt.
After a while, Xue Xiude changed the subject: "Xiao Zhou, you shouldn't be staying in Magic City for a long time, right?"
"It's almost half a year, it should end in June. It's the beginning of March now, and there are still more than three months. After my regular training exam is almost over, it's time to see the teacher." Zhou Cheng replied.
He calculated half a year from December last year.
"It's almost time. After our project in the Ninth Academy progresses smoothly, Xiao Zhou, where do you plan to go next?" Xue Xiude asked.
There are many hospitals in the capital, and if possible, Xue Xiude hopes that Zhou Cheng can take more care of the hospitals affiliated with Jiaotong University in the capital. Of course, the subconscious reason behind his question is that he does not need to worry about the promotion of this surgery in Kyoto.
There are people who would go to Zhou Cheng, a master master.
"It should be Renji Hospital." Zhou Cheng replied after careful consideration.
Professor Li Xuande had invited me early and came early. This is a matter of course.
And Zhou Cheng had other considerations: "Professor Xue, I think that such specialized fracture treatment should not be carried out in too many hospitals at present."
"There are more than just fractures in trauma, and not all fractures are suitable for small incision open reduction and internal fixation. If it's all about being innovative, then there will still be some patients who have nowhere to treat."
Xue Xiude glanced at Zhou Cheng and thought to himself, Xiao Zhou, are you very ambitious?
However, Xue Xiude did not say it clearly. Now Zhou Cheng has shown enough strength. With his calculations and current connections, the path of medicine will be smooth in the future.
Moreover, once this world-leading topic and subspecialty emerges, the current status of trauma surgery and even orthopedics in China will disrupt the entire world structure.
It is this chaos. Whether it is good or bad cannot be judged yet, but it will definitely stir up the situation and bring China's orthopedics career to a new milestone.
At present, none of the major subspecialties of orthopedics originated from China!