Great doctor starts with adding points

Obviously, such a silky and safe operation timing was deliberately created by Wu Xie.

After all, Luo Wei had stood in Wu Xie's position for so long before, and there was no special change.

And as soon as Wu Xie went up, the perfect timing for the operation came just in time. If it was just right, then it was not just right and just right.

The front and the back formed a stark contrast. How could it be possible not to let the three people focus on Wu Xie?

Long Yuan remained silent, his eyes narrowed slightly, and his mind was spinning rapidly.

Wu Xie's tendon unloading action just now, was it unintentional or deliberate?

Strictly speaking, he and Wu Xie are brothers and sisters.

But from another level, Wu Xie is also Long Yuan's student, or the two of them are also teachers and friends. Long Yuan has brought Wu Xie, and also exchanged some things from Wu Xie. They are partners and brothers. It's just that there is no master-student relationship.

Can?

In Longyuan's impression of Wu Xie, there are only two words, genius and partner.

Only that was before.

...

Lu Junyin wanted to touch the back of his head very much at this moment, because he was also puzzled at the moment!

But as a mature surgeon, Lu Junyin knew that he could not do this, which violated the most basic aseptic principle of surgery.

Lu Junyin doesn't understand Wu Xie!

Even Wu Xie's arrival was a mistake.

In addition, Wu Xie is usually very low-key and hard-working. When he first came here, he was very good, and then occasionally he was a little better, and sometimes he was a little better.

So Lu Junyin didn't know what Wu Xie would do...

However, when thinking of this method, Lu Junyin immediately thought of the old Chinese doctor Xiong Yao.

To treat bruises and fractures and dislocations, Lin Peiyuan could only stand and watch in front of Xiong Yao, but Wu Xie's contact with Xiong Yao was very short? This kid, can you?

Luo Wei was a little dazed. When he saw Lu Junyin, Wu Xie's director, and Long Yuan, Wu Xie's senior brother, he seemed to be at a loss at the moment, he became even more confused, and his eyes flickered.

...

Wu Xie looked into the three pairs of eyes, organized his words a little in his mind, and said generously: "Senior brother, why don't we also inject the other Kirschner wire first, I dare not let go of my strength now!"

"It takes a lot of effort to slide and unload the muscles along the middle of the muscle."

As Wu Xie spoke, the thumb of his left hand and the other four fingers were trembling slightly!

The arm can't twist the thigh, and the muscle strength of the fingers is completely out of proportion to the muscle strength of the thigh. Wu Xie's movements seem to be nothing special, but in fact, it still takes a lot of strength to get a certain effect.

In principle, the temporary fixation of the Kirschner wires needs to be cross-fixed to reach the most stable state. Wu Xie still dare not let go of his strength.

Don't waste your time explaining anything.

Let's do things first, after finishing the work, ask and answer again, and it's never too late to doubt.

Hearing this, Long Yuan immediately reacted.

Immediately installed another Kirschner wire on the electric drill, and then found the correct position.

Then the Kirschner wires crossed with the previous Kirschner wires and punched in vertically, completing the temporary fixation.

At the moment, he is not so stable psychologically. At the first moment, he knew that surgery is the main thing, but now, he followed Lu Junyin and Luo Wei to embark on the path of fuss and taboo in surgery.

Now it's undergoing surgery, first surgery, then push!

This is the first principle on the operating table.

Just like in a hospital, saving lives is the top priority.

After completing the cross fixation of the two Kirschner wires, the temporary fixation is basically over. Wu Xie also unloaded her strength in a timely manner.

Three principles of fracture treatment.

Reset, immobilize, recover.

Now that the reduction and temporary fixation have been completed, the next step is to do steady final fixation, that is, internal fixation with plates and screws.

Long Yuan didn't ask any more questions, knowing that the shorter the operation time, the better the patient's later recovery. No matter how many questions he had, he would put them in his stomach first, send the patient out of the operating room smoothly, and finish the operation first!

For mid-tibial fractures, locking nail plates are generally used for internal fixation with plate screws.

The biggest difficulty in fracture surgery is reduction, and the second difficulty is temporary fixation in the reset state. If everything is left behind, the follow-up is only the fixation operation of internal fixation devices.

It's not difficult.

Very smooth, with the help of Lu Junyin's first assistant and Luo Wei's second assistant, Long Yuan nailed the steel plate onto it!

The important treatment of the operation is now complete!

The follow-up operation ended without any disturbance, and Wu Xie didn't bother to do more, and there were too many brilliant performances, and Long Yuan and Lu Junyin didn't deliberately ask Wu Xie to have a brilliant performance.

After the operative surgery is over, however, there is one more step.

That is stitching.

Long Yuan relaxed a little at this moment and said, "Director Lu, Brother Wei, why don't you let Xiao Wu try to sew up the wound?"

Gain a little more opportunity for Wu Xie to operate, and at the same time, let's take a look at Wu Xie's current level!

Luo Wei sneered and moved away naturally, looking at Wu Xie with gentle eyes and gratitude.

To be honest, if it wasn't for Wu Xie just now, no one can predict how the surgery will progress now.

This ability, clinically, can be eye-catching.

Even if Long Yuan decided to replace him and Lu Junyin, neither of them dared to lose their temper, let alone Long Yuan did not do so.

Lu Junyin immediately arranged to say:

"Prescribe two 2-0 and 1-0 antimicrobial micro Joes respectively."

Antimicrobial Micro Joe is the trade name for a suture with a needle.

2-0 and 1-0 are the diameter of the suture, also called the model number.

The inner part of the skin needs to be stronger, so 1-0 sutures are used to suture the subcutaneous tissue, and the surface of the skin requires smaller scars, so 2-0 sutures are used.

And because the subcutaneous fat layer in the pre-tibial area is not thick, and the steel plate is added, the skin tension is relatively high. Sutures below 3-0 are easy to break after the operation and the wound will be broken, so they are not used anymore. Consider scope.

Of course, if the subcutaneous sutures are good, you can also choose cosmetic sutures, but this is not necessary.

The cosmetic thread of cosmetic sutures is not cheap. And it's not covered by health insurance.

Except for children and girls who love beauty, basically they will not deliberately ask patients if they need cosmetic sutures, unless the patients themselves ask for it...

Wu Xie nodded, thanked Senior Brother and Director Lu, and walked to the operating table.

Soon, the circulating nurse brought the sutures to the table.

For suturing the skin, generally two 2-0 sutures are definitely enough, but for subcutaneous suturing, the periosteum, muscle layer and subcutaneous layer are sutured, and it is estimated that two sutures may not be enough.

Wu Xie and Luo Wei each held a pair of tweezers, and Wu Xie held the only needle holder, waiting for the stitches to come.

Luo Wei looked at Wu Xie with a smile on the corner of his mouth, but his eyes were closed.

The reason why I dare to laugh is because there is a mask, which blocks the shape of the mouth and prevents the saliva from splashing out. The reason why the eyes are not sharp is because I don’t want to be too obvious——

What the hell are you, Xiao Wu, doing? When you were in the county hospital, you picked your feet for food, but when you come to the town hospital, you will be extraordinary.

He didn't dare to behave like this, because Long Yuan was here, maybe Long Yuan was more curious than him at the moment.

Looking at Long Yuan's expression, he really found that there seemed to be light in Long Yuan's eyes at the moment, and this kind of expectant light was beyond Luo Wei's experience and understanding.

Wu Xie was not in a hurry while waiting for the line.

The current level of my suture is proficient, and it is different from the past. In the past, I just need to suture, and no one will say anything. But this time, with Senior Brother Longyuan around, Wu Xie still hopes that he can do it more meticulously and realistically.

It's a confession to Long Yuan and let him teach.

As far as Wu Xie can understand, there are probably two different divisions of sutures——

Suture is equivalent to entry-level suture, which can complete simple intermittent suture of surgical incision or trauma, interrupted mattress vertical valgus suture, to achieve smooth skin surface, and the suture time of each stitch should not be too long. This level is basically a bachelor degree. At that time, most people who intend to develop into a surgeon can do it.

Proficiency level stitching requires understanding of some more things. For example, it is necessary to clarify the sense of layering, the suture depth should not be 0.6cm deep under the skin, and it should not be 0.5cm shallower than the skin surface. Skillfully suture the subcutaneous layer, fat layer and muscle layer with distinct layers.

Because each layer has internal logic and principles.

Therefore, after a circle in his mind, Wu Xie did it step by step, pushing it out layer by layer.

Until the suture reaches the skin layer, there is no golden flash, no profound skills and pleasing movements, just every layer is sutured with precision, and every stitch, needle in and out, thread through Needles, knots, etc., are all in the most perfect state.

The result of the final suture is that the suture wound is smooth and slightly full, without too deep needle knots, and the skin does not have too much tension, which should be regarded as a relatively high-quality suture level.

When Luo Wei cut the last suture, Long Yuan let out a sigh of relief.

"Director Lu, we can step down now. Let Xiao Wu cast a plaster cast and wrap it up." Long Yuan has something to ask Lu Junyin——

He could understand the level of Wu Xie's suture technique just now, and he could understand Wu Xie's level of film reading skills, but he couldn't understand what was going on with this technique of reset and unloading muscle strength.

And this level, Wu Xie had never reached it before, so he wanted to ask Lu Junyin, what did he know and don't know? Then decide how to ask Wu Xie.

Lu Junyin nodded, hurriedly stepped off the stage together, walked up quickly, and said with a smile: "Doctor Long."

"Director Lu, do you know what Xiao Wu did just now when we were doing fracture reduction?" Long Yuan didn't understand, but he understood what Wu Xie was doing, because this kind of thing is usually done by him Master occasionally did it when he encountered a complicated case when he was being operated on.

Lu Junyin shook his head, but tried his best to explain: "Maybe it's due to his skillful technique, Dr. Long."

"You may not know it when you first came here. Dr. Wu in our department had contact with Dr. Xiong Lao before, and maybe he got some tricks from him." Lu Junyin can only speculate like this.

"Old Doctor Xiong?" Lu Junyin was puzzled, as if he had never heard of Old Doctor Xiong.

As Lu Junyin walked, he said, "Xiong Yao, I can't tell you the specifics of these two words. Doctor Long, you can look them up."

Long Yuan then searched suspiciously, and after checking the results, he stood still at the door of the operating room, about ten steps away from the direction of the operating room, and was stunned for half a minute.

Finally, he exhaled slowly: "No wonder!"