godfather of surgery

Chapter 79 Surgery Show
Professor Tan's airborne trauma orthopedics is like throwing a stone into a calm lake, which is bound to cause waves.

The three directors Ouyang, Bai, and Ding were naturally the ones who responded the most. On the surface, they were calm, but they were definitely dissatisfied and dissatisfied.After more than ten years of hard work, the trauma orthopedics department has become bigger and stronger, and now it is handed over to foreign monks. How can it be tolerated.

Fortunately, Director Han's majesty is big enough, sitting in the position of the chief director, no one dares to pick things up, and no one dares to make any waves.

Peaceful Saturday and Sunday passed.

On Monday morning, Dean Xia, Dean Sun and Director Zhao of the Medical Department visited the Department of Traumatology.

After finishing the shift, President Xia and Director Han bowed their heads and whispered a few words, and then announced in a serious tone that the Department of Traumatology was renamed the Department of Microtraumatic Orthopaedics, and Director Tan and Dr. Zhong joined the Department of Traumatology.The appointment of director has not been announced for the time being, but everyone knows it.

This was originally announced by Director Zhao, but now it is announced by Director Xia to show a strong platform.After the announcement, everyone applauded, President Xia made a speech, and then President Xia and Director Tan shook hands.

Everyone knows that the new director wants to show the operation, so all the operations are scheduled to be in the afternoon, and the morning will be empty to watch the show.

Legend has it that Tan Boyun performed an emergency pelvic and acetabular surgery at an academic conference, which was quite successful and his fame greatly increased.

New Director!Everyone wants to see how the technology is. After all, it is rumored how powerful he is. It is just a rumor, and there are many people who have a false name.

There are some directors who have never done clinical practice. They have raised rabbits abroad for ten years, and come back to sit on the throne. Surgery is relatively rare, and internal medicine is more common.

After checking the room, Director Han took Director Tan and Dr. Zhong to the operating room and introduced the situation of the operating room as they walked.

In the operating room, Director Tan checked the operating table, the C-arm X-ray machine, and said, "Put the two assistants on stage."

Tian Yuan said: "I'm going!"

Director Tan refused: "No, no, let's see it under the stage. This operation can be done by a young man. Let Dr. Zhong do it. You can arrange two people to help him. He is already very skilled in this operation."

I don't know what Director Han thinks. Anyway, Tian Yuan is very dissatisfied. What do you mean, let a subordinate chief come to power, meaning that your chief can kill us people in seconds.

Director Han asked Tian Yuan to arrange for two people to go up.

Tian Yuan thought for a moment and said, "Then let Song Zimo bring Xiao Wu up, Song Zimo first, Xiao Wu second."

"Where's Yang Ping?" Director Han asked.

Tian Yuan smiled and said, "Yang Ping reserve team."

This arrangement is reasonable, and Director Han has no objection.

"Director Tan, how about I ask Dr. Song to be the first assistant and Dr. Lu the second assistant?" Tian Yuan asked Tan Boyun softly.

Tan Boyun said easily: "It's okay, just two people, just hold hands."

Everyone went to the next door and the video was on.

Director Han and Director Tian accompanied Tan Boyun in the front row, left and right. Director Tian saw Yang Ping and beckoned: "You sit behind me, don't walk around."

Yang Ping understood what Director Tian meant and was ready to send himself to power at any time.

Several directors of Ouyang sat in the second row.Director Ouyang's happiness and anger are not obvious, Director Bai's face is not very good, and Director Ding always looks indifferent.

Director Ding rarely participates in this kind of operation observation, and he is here today. He is a rare visitor.

In the operating room, several people were busy, and the anesthesia had already been administered. Dr. Zhong instructed Song Zimo and Xiao Wu to set their positions. It seemed that they were not very satisfied, and they adjusted them a few times.

The head nurse personally made arrangements under the stage, and the equipment nurse temporarily replaced Su Yixuan on stage.

Finally satisfied with the body position, the three people who came to the stage washed their hands and dressed, and disinfected the sheets.

The preparations are done, the sacred ceremony of opening the stage, the preoperative check is completed, and the stage is opened!
Dr. Zhong is really proficient in the groin approach. He should be an excellent presence in Nandu Fu Er. He holds the knife in a standard posture and makes a standard anterior incision. He needs to do anterior surgery first, and the anterior approach is more difficult , so you can enjoy his performance when everyone is full of energy.

To be honest, in City G, a hospital like the Second Affiliated Hospital of the Southern Metropolis, looks down on Sanbo, which has only been established for more than ten years. Even if Han Jiangong is extremely strong, it is difficult to make up for the hospital's reputation.

The swordsmanship is very good, and there is a show of capital.

Cut the skin, subcutaneous tissue, and then to the deep fascia, and begin to dissect muscles, nerves, blood vessels, and spermatic cords in turn.

The gaps in these structures form three classic windows, which become safe passages for surgical exposure, and through these three passages, the fracture site can be reached smoothly.

The muscle is a little bit hard, but it does not affect the operation.

The first window was easily opened. The abdominal muscles and iliac muscles were stripped from the ilium and lifted upwards. The electrocautery quickly stopped the bleeding, and the front of the iliac fossa and sacroiliac joint was easily exposed. The surgeon was extremely skilled.

The piece of gauze handed over contained only a few small pieces of blood.

Professor Tan is very satisfied: "Young people need to be trained, and Director Han will give more advice in the future."

Director Han said: "Dr. Zhong's operation is very beautiful. You see, the basic skills of separation are very good, and Director Tan has trained them well."

I started to separate the spermatic cord. The surrounding tissue was abnormal and a little hard. Dr. Zhong touched it several times with his hands to confirm the shape of the spermatic cord. The blunt separation of the vascular forceps seemed to be ineffective.

It's a little sticky, and the level gaps are not very clear. At this time, sharp separation is the kingly way.

"Tissue scissors!" The scissors were delivered.

"Hurry up!" Dr. Zhong scolded in a low voice solemnly, showing his authority as the chief surgeon.

Su Yixuan's movements were fast, but it was still considered slow. It seemed that the main swordsman on the stage had a bad temper.

The sharp scissors opened and closed, and suddenly, blood came out, and a small artery was cut under it.

"Vascular clamp! Hurry up!"

Again he felt that the machine was too slow.

Dr. Zhong took the vascular clamp, immediately clamped, and cauterized with electric knife to stop the bleeding. The action was fast and well-trained.

Continue to push and separate the spermatic cord. The progress is not as fast as expected. The small artery was injured several times, but the bleeding was quickly stopped.

The gauze has been dyed a large piece of red.

"Pick it up, keep the tension!" Dr. Zhong's scissors gently tapped the back of Song Zimo's hand.

Song Zimo raised his head, looked coldly, and lowered his head to adjust the tension in his hands.

"Too big, a little smaller."

Song Zimo lowered the vascular forceps in his hand again, so that the tension of the spermatic cord lifted by the forceps was less.

"Don't you usually do a lot of these operations?" Dr. Zhong was dissatisfied.

Song Zimo was silent.

The spermatic cord was successfully separated and a rubber band was inserted and retracted.

Next, start to separate the external iliac artery and vein and lymphatic vessels.

There are many blood vessels and nerves involved in the pelvic surgical approach, and it is also very important. The approach is the premise of successful surgery.

Dr. Zhong frowned, carefully looking for the feeling of blood vessels under his hands. There were more and more hard and brittle tissues, and the structure level became more and more blurred. Just now, the spermatic cord could still be vaguely found by experience.

Now the external iliac blood vessels are completely indistinguishable, there are sticky tissues everywhere, and there is no feeling at all under the hands.

This patient has extensive scar adhesions, has this area been operated on before?
CT does not reflect this soft tissue adhesion, and even MRI requires a very experienced judgement.

Before the operation, he personally asked Professor Tan carefully. There was no history of previous operations, and there were no small scars in this part of the body.

Then how could it stick? It's useless to investigate the cause, and now we can only continue to advance.

"Knife!"

Handed the knife.

A sharp separation was performed with a knife, and it was gently cut open little by little.

"The hook is pulled!"

Song Zimo didn't know where he didn't pull it properly, but he still adjusted the position of the hook.

"You! Use some force!"

The instrument hit Xiao Wu's hand.

"Vascular clamp!"

Hemostatic forceps delivered.

"One size smaller!" Dr. Zhong's tone was a little unfriendly.

A smaller vascular clamp was brought up.

After loosening the gauze, Dr. Zhong clamped to stop the bleeding and cauterized with electric knife.

continue!

Another burst of blood spurted out, but this time it was suppressed with gauze in time.

"Vascular clamp!"

Dr. Zhong's voice became a little quieter, sweat began to ooze on his forehead, and the adhesion was too severe to continue.

The smile on Professor Tan's face gradually diminished, and he became serious. He looked at the screen and said, "This patient may have had an infection before, most likely pelvic tuberculosis, which later healed on its own, but developed extensive adhesions. The anatomy is not clear, and the young man seems to be inexperienced, so I brushed it on my hands."

Adhesion, extensive adhesion is the enemy of the surgical approach, especially the pelvis. It needs to avoid many blood vessels and nerves, and any one will make you unable to step down.

This patient is a bit unexpected.

Tan Boyun originally wanted Dr. Zhong to show off his skills, but it's nothing. I am afraid that only Director Han can win Sanbo, and there are only a handful of other hospitals in G City that can win this kind of extensive adhesion operation.At this time, it is not ashamed to be on stage.

The safety of the patient is the most important, Tan Boyun got up: "I'll brush my hands!"

Tian Yuan said: "Director Tan, don't be in a hurry, sit down, this kind of surgery is for young people to do, we can just see, nothing will happen, Yang Ping! Brush your hands, go up and help Dr. Zhong."

Director Han didn't know much about Yang Ping's pelvic surgery. He only let him be an assistant, and he didn't let him do it, so it's hard to comment.

But when he saw Tian Yuan so confident, he knew it.Tian Yuan is prudent and steady, he knows best, and it is impossible to let him come to power without a bottom line. At some point, Tian Yuan asked him to have pelvic surgery, and he knows it.

"Xiao Yang, let's go!" Director Han said.

Yang Ping got up.

　Thank you Qianqian gentleman and humble self-shepherd N times!Thank you Kai Kai Kai Kai King for the reward!New week, please recommend tickets!Regarding chapter 0013, the chapter on replanting of broken fingers of babies, some book friends raised doubts: they thought that the van elevator would not crush the fingers because of the induction device.Don't be superstitious about the induction device. Accidents often occur under abnormal conditions. It can be said responsibly: the van elevator door can crush the fingers, cause fractures, and cause skin avulsion and detachment injuries.It's just that there are very few cases of broken fingers, not as many as escalators, and there are many cases of broken fingers in escalators.In order to make everyone feel that the plot is reasonable and easy to accept.Change the plot to: The escalator crushes the finger.Thank you for your attention, and thank you for your questions.thank you very much!
　　
　
(End of this chapter)