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【2528】Surgery without drilling

Xie Wanying put the child in her arms and hugged her hard.

The pain of losing a loved one does not actually differ between adults and children.

The family members waiting outside wiped their tears when they saw this scene. Shanshan's parents ran into the ward and hugged their eldest daughter tightly.

As classmate Xie said, family members are not one of the vulnerable groups.

Afraid of a long night and many dreams, the doctor immediately contacted the operating room. When the operating room became available at five o'clock in the afternoon, Xie Wanying and Wei Shangquan sent the child to the operating room.

Nowadays, the mainstream of surgery is minimally invasive surgery. In general surgery, minimally invasive surgery involves drilling a hole and inserting laparoscope and other instruments into the patient's body. In orthopedics, minimally invasive surgery can be even more advanced and does not require drilling. Yes, even a scalpel is not needed.

What is this kind of minimally invasive orthopedic surgery? Why is it that no scalpel is used? In fact, as mentioned before, some fractures need internal fixation because they are not firm after manual reduction, and this internal fixation does not require incision.

A drastic operation such as opening the skin and driving steel plates and nails on the bones only requires percutaneous insertion of a few needles to fix it. In this kind of minor surgery, the commonly used internal fixation needles are called Kirschner wires.

Kirschner wires can be made of steel, stainless steel or titanium alloy. The diameter is very small, and the largest one does not exceed 4 mm. Today's surgery only requires a 1.5 mm diameter needle. 1.5 mm, but it is about the same as a thicker embroidery needle.

The doctor holds it with his hands and inserts it into the patient's skin and bones.

An injection hurts, but inserting a needle into the skin and bones is definitely more painful. Anesthesia is required. Generally, local anesthesia is enough. This local anesthesia does not require an anesthesiologist to do it, and the orthopedic surgeon will do it himself.

In fact, if it were not for the need for machine assistance and the fear that the fixation would not be in place during the fixation process, it might be necessary to temporarily change the operation, such an operation could be done in the treatment room of the ward.

As mentioned above, how can the doctor see the bone fragments inside and insert the pins without performing an operation? Just like interventional surgery, an X-ray machine can be used to direct the doctor's positioning in a convenient and timely manner. In orthopedics, a C-arm X-ray machine is commonly used.

Therefore, medical personnel need to wear lead clothing to protect themselves from radiation.

Place the child on the operating bed, and place the C-arm X-ray machine parallel to the operating bed.

At the scene of the car accident, everyone could see that Shanshan was a very strong child. Sure enough, now lying on the operating bed, Shanshan did not show any fear and watched the actions of the doctors with her eyes.

The nurse saw her and said, "Oh, does this child want to be a doctor in the future?"

Most children are extremely afraid of entering the operating room. Children who dream of wearing a white coat will not be afraid.

Shanshan's little face turned red. After seeing the dashing doctor sister in a white coat today, she had this idea in her mind: one day she would be as handsome as the doctor sister, and would she be able to cure her sister Xiaoyu?

.

"Doctor Liu, are you alone?" the nurse asked when she saw Liu Huaiyu coming in after washing his hands.

"Aren't they two human beings?" Liu Huaiyu pointed at the students.

"I've never seen those two before."

It is normal for the two classmates who have just arrived to be doubted by their seniors about their technical abilities.

An anesthesiologist passed by the door of the operating room and noticed Xie Wanying and said: "I recognize her. With her here, there will be no problems in the operation."

This senior insisted that she was very powerful, which aroused the curiosity of a large group of people.

Pediatricians who were about to get off work came to watch the fun.


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