For surgical operations, there is a situation called "perfect surgical state".
What is a perfect surgical state?
For example, cholecystectomy is generally not a big problem, but due to repeated attacks of cholecystitis and the existence of special circumstances, it can lead to large areas of adhesions in the triangular area of the gallbladder.
This will make the entire triangular area appear a mess. How to separate the triangular area of the gallbladder, how to remove the gallbladder, and how to separate the adhesions between the gallbladder and other tissues...
etc!
These are all key factors that increase the risk of surgery, change the surgical process, and even increase the difficulty of surgery proportionally!
same……
Orthopedic surgery is no exception, especially surgery related to fractures in the joint area.
Fracture of the ankle joint will cause chaos in the tissues in the joint cavity, such as tendon tension, which limits the surgical area and requires incision and then repair, such as large areas of ligament entanglement, falling into bone cracks, such as damage to blood vessels and nerves, or changes in the anatomy.
Structure etc...
Any accident will make the operation more difficult. The operation itself is a process of destruction and correction.
Any damaged soft tissue will need to undergo a repair process after surgery.
Therefore, the speed of recovery, the degree of recovery, and whether the level of recovery reaches the expected value, all have a lot to do with the degree of damage to the patient's fracture area!
The so-called perfect state means that during the operation, there is no need for too much intervention in the tissues, blood vessels and nerves that do not need to be processed, and the damaged tissue is simply repaired and removed. This is the perfect state!
Performing surgery in a perfect state. Several articles have been reported in the foreign journal "The Lancet", which are about good perioperative management and allowing patients to perform surgical repairs in a perfect state. Under a perfect surgical state, the patient's prognosis is
There will be significant improvements in recovery and later stages!
Therefore, in recent years, further research on surgery has often focused on perioperative operations and how to achieve perfect surgical conditions for patients.
For example, why you are not allowed to eat during gastroscopy surgery? If you eat something and the condition of the gastric mucosa cannot be seen clearly, you are not allowed to flush it? Doesn't it increase the difficulty of the surgery?
A truth!
And at this moment!
Luo Qiping, Meng Si, Li Ke and others looked at Zhang Xiao's damaged joint area and were silent for a while.
Everyone looked at the scene in front of them dumbfounded, a little unbelievable!
"Is this... is this... a perfect surgical condition?"
"But...how is that possible?!"
Li Ke couldn't help but said excitedly!
As his words rang out, several people around him, including master's and doctoral tutors or expert professors, all became excited.
You know, everyone knows what Zhang Xiao's situation was like before.
How can this be a perfect surgical situation?!
But the facts are right in front of you. What can you doubt?
Perfect surgical status is directly related to the patient's postoperative recovery and the patient's recovery!
Meng Si also nodded excitedly: "Yes!"
"This is the perfect surgical condition!"
"Director Chen, you...you are really amazing!"
Luo Qiping's face turned red, his eyes were staring closely at the patient's ankle joint capsule, and his eyes were also a little excited.
Luo Qiping, as a big boss in the field of orthopedics, naturally quickly thought of the relationship between Chen Nan's previous manual reduction and the perfect surgical status at this time!
What an amazing young man!
I still underestimated this young man... he is really amazing.
Manual reduction is manual reduction.
The perfect state of surgery is the perfect state of surgery.
However, Chen Nan used manual reduction, TCM bone-setting techniques, and perfectly combined the perfect surgical conditions in modern surgical theory to achieve such an amazing scene!
This is simply...amazing!
Luo Qiping feels that he has lived on a dog for so many years. He has been engaged in orthopedic research and clinical work for decades, and his understanding of bone setting has been deep into the bone marrow.
But...why don't I have such an idea?
Through bone-setting techniques combined with reduction techniques, the patient can achieve a perfect surgical condition before surgery. Isn't this what I pursue?!
All of a sudden!
Luo Qiping was extremely excited.
Because he seems to have found the secret to success.
This is a feasible and broad road with a bright future!
Western medicine can also set bones, but... with their three-legged cat skills, how can they understand the essence of our rubbing, pinching, and pressing?
To put it aside, just the use of this energy can stump a group of people!
The more Luo Qiping thought about it, the more excited he became!
but……
When he saw the patient's condition, he suddenly frowned.
Because he found that when the joint capsule was exposed, the posterior tibial blood vessels and nerve bundles were intact and the anatomical distance was good.
this……
He suddenly recalled Chen Nan's previous reset technique...
Suddenly!
He finally understood.
I see.
You should know that during ankle surgery, you need to pay attention to two very important and difficult points.
First: When exposing the joint capsule, do not damage the posterior tibial blood vessels and nerve bundles!
Second: It is accompanied by injuries to the anterior tibiotalar ligament and the anterior and posterior tibiofibular ligaments, requiring primary repair.
But there was no such picture in Zhang Xiao's joint capsule area at this time.
This is a bit awesome!
At this time, Luo Qiping finally realized that this perfect surgical condition was something he could not have imagined...
But it can’t be done!
If you want to maintain such tension and position of the posterior tibial blood vessels and nerve bundles in the joint capsule area, the technique... is not simple.
What is needed is no longer simple smooth strength and soft strength, but a kind of strength that combines strength with transformation.
This allows the position of the posterior tibial blood vessels and nerve bundles to be adjusted at the same time without damaging the anterior and posterior ligaments!
This is strength!
In all my years, I have never achieved such a perfect surgical condition for a patient through manual reduction.
Amazing!
Luo Qiping nodded and said: "Director Chen, you are really... amazing!"
"When we first met, you really gave us all a powerful showdown!"
“I’ve learned a lot!”
"Luo has really learned a lot!"
"Everyone, please take a look, this is the true meaning of manual reset."
"No, to be precise, this is a modern Chinese medicine reduction technique that combines modern anatomy and surgery!"
"Everyone, take a good look and study hard!"
"The opportunity is so rare!"
"Director Chen, you have to forgive me for not greeting you properly!"
"Don't worry, I don't know what to do with other departments. Orthopedics will definitely support you in becoming the deputy director of the ward!"
Chen Nan heard the sound and smiled: "Director Luo's words are serious!"
"Don't worry about it, everyone."
Meng Si smiled: "Director Chen, you are too humble, but you are proud!"
"We recognize your strength!"
"In our hospital, or rather in our ward, nothing else can work. No matter what kind of connections you have, it can't compare to real skills!"
"We are all convinced by you!"
Li Ke and others nodded in agreement: "Yes!"
"Director Chen, this is your real skill! It made me... gain more knowledge!"
Chen Nan smiled: "Nothing!"
"real!"
"It's just a little trick!"
"Didn't I teach you? You can learn it too!"
"It's really insignificant."
As soon as these words came out, the group of experts and professors in the operating room were all speechless.
this……
I just said that your excessive modesty is pride.
You just call this a little trick!?
Luo Qiping's old face turned red. What's your little trick? What does this mean to me?
But...if I think about it carefully, Chen Nan really taught everyone everything without reservation.
You still can't refute it!
This guy...is a bit interesting...
Listening to everyone talking and laughing, Zhang Xiao on the operating table was a little confused.
Or panic!
He even regrets it now. Is it too late to say general anesthesia now?
I'm lying on the fucking hospital bed, can you...respect me?
It is said that... those doctors like to chat during the operation. One of his senior brothers had an operation last year. He said that when the doctors were operating on him, they discussed which restaurant to eat hot pot at night and... what kind of hind leg meat to eat. They also talked about lamb.
A stick bone or something... He shuddered when he heard it.
At this moment, Zhang Xiao really felt the slightest bit of empathy.
He couldn't help but said: "Excuse me..."
"Am I...serious?"
"Director Luo, Director Chen."
Luo Qiping suddenly laughed: "Seriously?"
"Zhang Xiao, let me tell you, you have to thank Director Chen very much."
"I can responsibly tell you that you can resume training in less than two months!"
"Besides, your physical fitness and athletic ability will never be compromised!"
"Director Chen's method just now solved a lot of problems!"
Zhang Xiao didn't understand the techniques or joint capsules, but he understood the previous sentence, which meant... that he could recover better?
Will it not affect your training, let alone cause damage to your athletic ability?
Is this...really fake?
Zhang Xiao couldn't help but get excited: "Really?"
Hearing Zhang Xiao's question, everyone couldn't help laughing.
Luo Qiping even smiled and said, "Can I still make this joke with you?"
"hehe!"
"real!"
"believe us!"
After speaking, Luo Qiping said to Meng Si and Li Ke: "Okay, you two, get ready to start!"
Meng Si nodded quickly and smiled: "To be honest... I can't wait!"
"It's like someone who has been hungry for several days and sees a plate of braised pig's trotters!"
Zhang Xiao: "???"
I'm still awake, brother!
Can you consider my feelings?
Isn’t it just a little...a little bit too much?!
While talking, everyone was preparing for the operation.
Sha Guangzhong on the side finally had time to observe the patient's reaction to anesthesia.
He wanted to see how effective acupuncture and anesthesia was.
If this... can relieve pain without so many side effects of anesthetics, and is stable and long-lasting, this... would be extraordinary!
After the surgery begins.
Along with the incision of the joint capsule, the soft tissues and fractured ankle joint are observed and examined.
Zhang Xiao did not show the pain that he should have. On the contrary, the patient's reaction was not much different from spinal anesthesia.
Sha Guangzhong couldn't help but look at Chen Nan, who was observing the operation, and asked with a smile:
"Well...Hello, Director Chen, I am Sha Guangzhong, director of the anesthesiology department in our ward."
Chen Nan turned around and looked at Director Sha, who was smiling with wrinkles on his face, and smiled: "Hello, Director Sha."
Sha Guangzhong smiled slightly: "Well... Director Chen, I have also done some research on acupuncture and anesthesia."
"But, it really can't achieve your effect!"
"How do you achieve different levels of anesthesia and pain relief?"
Chen Nan said with a smile: "Different acupuncture points have different effects, but for anesthesia in the lower limb joint area, there are actually not many acupuncture points."
"After the operation is over, I will sort it out and send it to you."
"Let's go back and think about it together."
"After all, I come from a wild background, and many things are not very systematic."
When Sha Guangzhong heard this, he waved his hand quickly: "Director Chen, you don't have to be modest!"
"You are like a dragon crossing the river and a tiger descending from the mountain. You are so tight!"
"To be honest, Director Luo rarely gives people such high praise."
"Stop being modest."
"I have a lot of questions here and I want to consult."
"I just noticed that the waveform, wave width, frequency, intensity, and combination method you used to adjust the electroacupuncture seem to be different from ours."
"Does this make a difference in the anesthesia effect?"
Chen Nan thought highly of Sha Guangzhong, and he observed him very carefully.
He nodded in agreement and said, "Yes, for acupuncture anesthesia, I usually use high frequency (40-200HZ) at the incision acupoints, and low frequency (2-8HZ) at distant acupoints."
Sha Guangzhong heard the sound and nodded thoughtfully: "This should be the reason why the muscles are completely relaxed!"
"The high-frequency waveform, frequency and intensity will strengthen the stimulation of acupoints, and at the same time help speed up the secretion of neurotransmitters, making the suppression of the central nervous system more obvious."
"The remote assistance helps the surrounding organs and tissues not to be implicated!"
"This is a good idea!"
"But... I have a question, Director Chen, how do you achieve multi-level and multi-faceted harmful stimulation to the organization?"
"This is something I haven't understood all this time!"
"I am an anesthesiologist. In order to learn acupuncture, I have been studying with a teacher for more than ten years."
“Since the establishment of our integrated traditional Chinese and Western medicine ward, I came here and started learning acupuncture.”
"Hey... I haven't been able to find the method for a long time, so I'm a little anxious!"
"When I have time, I have to ask for advice."
Chen Nan smiled and nodded: "Okay!"
“Exchange and learn from each other.”
The operation progressed quickly, and there was not much that needed to be dealt with. After the patient's talofibular ligament and deltoid ligament were repaired, intramedullary ankle screws were used to fix the fracture.
The materials chosen are also of the best quality, in order to avoid secondary damage later.
This is good news for athletes.
The operation didn't last long and was over!
At this time, Zhang Xiao wanted to ask several directors how the surgery was going.
He looked at Meng Si's unfinished expression and felt somewhat uneasy.
He was about to speak.
Luo Qiping suddenly spoke. He looked at Chen Nan and asked, "Director Chen, how long will this anesthesia effect last?"
"After you don't know how to take out the needle, the pain will go away, right?"
"This patient has just had surgery and still needs some time to adapt."
Chen Nan smiled slightly: "No."
"The acupuncture anesthesia I just used is actually not a simple anesthesia."
"It's a combination of acupuncture anesthesia and acupuncture analgesia during surgery."
"The purpose is to avoid the occurrence of wound pain intolerance after surgery."
"Get the needle, you can do it right away."
"After the needle is removed, the patient's pain will not be obvious."
"Of course, the feeling in the lower limbs is there, it just limits the intensity of the pain."
"I will take the needle now, and everyone can check on the patient's condition."
Meng Si glanced at Li Ke, and both of them saw each other's thoughts in each other's eyes.
I’m still not finished!
They want to do more surgeries of this kind.
After all, the allure of perfect surgical conditions to surgeons is like the temptation of gourmets to delicious food. They are reluctant to eat and want to savor it carefully, but... unknowingly, after eating, they start to feel unsatisfied. Their stomachs are full but their mouths are not.
Same.
At this time, when the two of them heard the news about Chen Nan getting the needle, they were suddenly stunned!
Meng Si said with some disbelief: "To be honest, I am not a patient who has never tried acupuncture and anesthesia."
"But... to be honest, during the operation just now, I forgot that it was acupuncture and anesthesia!"
"The patient's reaction was nothing at all. The anesthesia effect was very good and the response to all tissue levels was very good!"
"If Director Chen hadn't mentioned acupuncture and anesthesia just now, I would have almost forgotten it!"
"Why……"
"The effect of acupuncture and anesthesia is really good!"
Li Ke nodded in agreement: "Yes, the anesthesia effect is not inferior to spinal anesthesia at all."
"Director Chen, it really opened our eyes!"
Sha Guangzhong smiled and said: "Yes, I definitely give this anesthetic effect a thumbs up!"
Luo Qiping originally admired and admired Chen Nan very much, but now... looking at the people around him who have never seen the world, he suddenly felt a little embarrassed.
These bastards!
Do you want to act like such a country bumpkin?
You are the backbone of the China-Japan Friendship Hospital, okay?
You are the future of the integrated traditional Chinese and Western medicine ward, do you understand?!
Do you look at yourselves now?
Luo Qiping wished he could pee and show these people his face at this moment!
Shame on you!
Pooh!
At this time, Zhang Xiao saw that everyone was silent and was working up the courage to ask questions.
Luo Qiping interrupted again.
"Get the needle."
Zhang Xiao's words came to his lips, but he was choked back again.
Chen Nan nodded with a smile and said: "Everyone is welcome, let's see the effect."
"Actually, my understanding of acupuncture anesthesia for surgical anesthesia is that it is a combination of long-acting analgesia and short-acting analgesia."
"Short-acting analgesia is to strengthen acupoint stimulation so that patients will not have too much pain reaction during the operation."
"The long-term mechanism is to use analgesic methods to reduce pain."
While talking, Chen Nan turned off the power of the electroacupuncture, and then began to take the needles one by one.
After all the acupuncture needles are removed.
Chen Nan nodded to Meng Si: "Director Meng, give it a try."
Meng Si heard the sound and was eager to try. He nodded quickly and gently touched the patient's ankle area with his fingers.
Zhang Xiao closed his eyes.
He finally understood it now.
I... am redundant!
Happiness is theirs, excitement is yours, and I am just a tool to make you happy...
At this moment, he wanted to pick up an iron block and smash his other ankle to make them worry about him.
You...you don't treat me as a patient at all, okay?
indeed!
When the operation goes smoothly and there are no setbacks, the doctor is very happy in the operating room.
If the doctor becomes solemn and the atmosphere is tense, it can only mean one thing: this surgery may be... dangerous.
Zhang Xiao closed his eyes and ignored this group of people.
At this time, Meng Si gently touched Zhang Xiao's wound with tweezers: "Does it hurt?"
Zhang Xiao closed his eyes and said nothing.
He didn't even realize that the other person was talking to him.
When Meng Si saw this, he was stunned. Several people around him also glanced at Zhang Xiao curiously, and then looked at Meng Si.
"You touch it?"
Meng Si was helpless: "I touched it!"
Seeing this, Luo Qiping rolled his eyes: "Give it to me!"
While talking, I touched it myself.
Zhang Xiao: Close your eyes and don’t disturb me.
Meng Si looked at Zhang Xiao at this time and asked: "Zhang Xiao, are you in pain?"
Zhang Xiao quickly opened his eyes and looked at several people excitedly. Did you finally think of me?
"I... hurt? Where does it hurt?"
Meng Si: "..."
People around: "..."
Meng Si: "Is your ankle hurt?"
Zhang Xiao was stunned for a moment: "It doesn't hurt. Why does it hurt?"
Luo Qiping's eyes widened immediately. It was all over. Could it be that... acupuncture and anesthesia also have an effective period?
Need to wait for the anesthetic to wear off?
Chen Nan said at this time: "Use more force!"
Luo Qiping nodded a little harder.
"Oops, I can feel it!" Zhang Xiao said quickly, "But...it's not very painful, it's just...a numb feeling."
Luo Qiping breathed a sigh of relief: "Oh!"
"good!"
"Okay, let's send the patient away."
"Go back and have a good rest."
"Nurse."
The nurse nodded quickly, and everyone moved Zhang Xiao to the hospital bed, about to be transferred.
And Zhang Xiao quickly said: "Wait!"
"Did my surgery go well?!"
If he doesn't ask now, he will go back to the ward soon.
This damn... it was an operation, and I had no say in it.
When everyone heard the sound, they were stunned for a moment, then looked at each other, and then laughed.
Zhang Xiao was confused!
I...I am asking this question, is it very 2?
What are you laughing at?
At this time, Meng Si smiled and said: "Okay, don't worry, it was a success!"
“The operation went well!”
"Take good care of yourself."
"Nurse, push me away."
Zhang Xiaoran just watched as he was pushed away.
That's it?
The joys and sorrows of human beings are indeed not the same...
…
…
After returning to the ward, Chen Nan suddenly became popular.
Luo Qiping asked Li Ke to prepare the patient's VAS score and test the patient's recovery in three days.
Then he said to Chen Nan: "Director Chen, I really trouble you today!"
Chen Nan smiled: "Director Luo, you call me Director Chen. Isn't this my job?"
Luo Qiping smiled slightly: "Haha, yes!"
"That makes sense."
"By the way... it's the same thing again. Do you have a department you want to go to? Let's discuss it in the afternoon."
Chen Nan listened to Luo Qiping's words, thought for a moment and then said: "Forget it, let's talk about it tomorrow."
When Luo Qiping heard the sound, he suddenly became curious.
After all, he now offered to help Chen Nanlai settle the situation, but he was no longer in a hurry?
You can’t really hang on to a title and not have actual work, right?
Could it be that... Chen Nan wants to be in orthopedics?
Thinking of this, Luo Qiping's eyes suddenly lit up, it should be like this...
After all, the work Chen Nan has carried out since his arrival today has been recognized by everyone.
This is undoubtedly the best place to start work.
But……
Luo Qiping actually had his own concerns. If Chen Nan went to the Department of Orthopedics, it would be a bit inappropriate to work in this ward. After all, there are many internal medicine and massage and acupuncture.
"Director Chen, I am straight-tempered, and you are also quick-talking. Let's not beat around the bush. What do you think? Can you tell me?"
"In other words, which department do you prefer to go to and which department are you good at?"
Chen Nan smiled: "Director Luo, I appreciate your kindness."
"I know what you mean."
"However... as you said before, the three generations of old, middle-aged and young people in each department are now very stable, and the department structure is also good."
"After I went there, I was undoubtedly destroying this chemical reaction."
"Of course I didn't come here to cause trouble."
When Luo Qiping heard this, he immediately shook his head: "Director Chen, this is just..."
Chen Nan waved his hand and continued:
"I was thinking, since the Department of Internal Medicine has a lot of objections to my coming, I won't be able to please them now that I'm here."
"After all, everyone's work should be focused on business, not on this intrigue."
"So, my idea is that there is no need to arrange work for the time being."
"Just be the deputy director of this specialized ward."
"Among these nine departments, I also looked at the pulmonology department, cardiology department, spleen and gastroenterology department, gynecology department, and medical oncology department. There are a total of five internal medicine departments."
"I don't know much about the conditions in each department, so I went there rashly. It's inappropriate!"
"What I think is that I will be the deputy director of this ward and then participate in the ward rounds of each department."
"In this process, I feel it is more appropriate."
“You can not only participate in the department, but also learn about the department.”
"Slowly, then integrate into it."
"To tell you the truth, when I was down there, I was always in charge of the Department of Traditional Chinese Medicine and rarely looked at problems from an outside perspective."
"It just so happens that when I came here, I stood in the position of deputy director of the Integrated Traditional Chinese and Western Medicine Ward and looked at various departments."
"Of course, I also want to learn about surgery, but... I still have to focus on internal medicine at the moment."
"Let me relieve you of some stress!"
Luo Qiping stared at Chen Nan, knowing that the other person was telling the truth, but... because of this, his evaluation of Chen Nan suddenly rose a lot.
This is a young man who understands the overall situation.
You can't use his age to predict his ability.
And...as Chen Nan said, from different perspectives, the way and starting point of looking at and thinking about problems are different.
It's just...he has a doubt.
That means Chen Nan can solve these problems?
You know, these departments all have something they are good at. Chen Nan is like this...it is undoubtedly a test!
"Director Chen... why don't we come from each department one by one?"
"Otherwise, this... involves so many departments, wouldn't it..."
Chen Nan smiled: "Director Luo, don't worry about this."
"Since I dare to come, I'm ready."
"Don't worry!"
Luo Qiping nodded and laughed, this is really... It's not like the Raptors can't cross the river!
"good!"
"Have some backbone!"
"I'm optimistic about you!"
"Well, since you just arrived, I'll call a few friends and we'll all sit together in the evening. After all, we will all be colleagues from now on."
Chen Nan smiled: "Then I will go with my mouth and belly!"
Luo Qiping was immediately happy: "Okay!"
"Just bring your belly and mouth!"
…
On that day, the news reported by Chen Nanlai spread throughout all departments in the Integrated Traditional Chinese and Western Medicine Ward.
The directors also knew that the deputy director of the ward was coming.
For a time, everyone's thoughts were very complicated.
But that night, Chen Nan received a system prompt.
[Ding! Trigger system upgrade task!]
[You have successfully taken office as the deputy director of the Integrated Traditional Chinese and Western Medicine Ward of the China-Japan Friendship Hospital, triggering the system upgrade task: a blockbuster!]
[Task requirements: I’m new here, starting from today, use your strength to prove yourself, and within three days, complete a blockbuster. 】
[After the task is completed, the system will be officially upgraded and a new section will be opened. 】
Chen Nan was stunned immediately!
System upgraded?!
This... is a bit sudden.
A blockbuster...how amazing?
Chen Nan couldn't help but think about it.
…
ps: I would like to thank the leader of the alliance for his generous 15,000 reward for "no matter what," thank you bro.
Thanks to my old friend "Military Blade" for the generous reward of 1500, thank you.
Thank you for your support. The new map will be written. In fact... the protagonist is already tied up in the source city. This map will have more exciting points and the writing will be more thorough.