medical simulator

As a doctor of hand surgery, Chen Tingye encountered a big problem in limb salvage surgery because he did not have a top vascular surgeon to cooperate with him.

In fact, although the hand surgery in Attachment [-] is slightly more famous than that in Attachment [-], its development is a bit slower, because there is no good partner.

If Professor Shu, the vascular surgeon of Attachment [-], was in Attachment [-], Chen Tingye thought, how could Deng Lianggen, a latecomer, catch up with him?

Chen Tingye felt that Deng Lianggen was a post-scholar, not because he wanted to make a big contribution to Deng Lianggen, thinking that he was his junior, but that Deng Lianggen himself was not a hand surgeon, that's all.

But attached one, the sub-specialty of hand surgery has been inherited for a long time.

If a good team can be built, that is the most comfortable thing.

It is impossible for Chen Tingye to go beyond his own hospital to ask for foreign aid in the vascular surgery department, the hospital does not allow it.Vascular surgery will not allow it, and Professor Shu will not come.

However, this is the first time Chen Tingye felt that with a good partner in vascular surgery, replantation and limb salvage would actually be much easier. He only needs to worry and think about how to do the surgery well. !

Zhou Cheng didn't think about and point out the steps of replanting Chen Tingye's severed limb, but went straight to the opposite side.

Wang Yongjin and Zeng Yi immediately went to help Chen Tingye start the follow-up operation, and Li Changhong brought two subordinates to continue to assist Zhou Cheng!

Li Changhong still said: "Xiao Zhou, I have to work hard for you again today."

Li Changhong knew very well that the patient himself had no status, but his company did not know why he came forward. Not only did Chen Tingye invite him for a consultation operation, but the hospital probably also paid close attention to this operation.

I just don't understand why the company doesn't directly transfer the patients to the Affiliated Hospital of Shonan University, but insists on sending them to the Eighth Hospital.

Zhou Cheng smiled and said nothing.

It's his job, but it's really hard. He's actually a little tired, but he's still going on.

But what made Zhou Cheng quite happy was that the blood flow on the side he was dealing with now seemed to be better than that on the opposite side.So after Zhou Cheng found two arterial thrombus, the blood flow immediately became smoother.

In this way, Zhou Cheng completed the step of smooth blood circulation in just 45 minutes.

That's it.

After finishing, Zhou Cheng can actually step down.

Li Changhong also let out a long breath, and said, "Xiao Zhou, you have worked hard, you should step down and rest for a while."

The blood supply is smooth, at least the possibility of replanting the severed limb is preserved.As long as the blood supply continues to slowly penetrate, the timeline of the operation can be slowly lengthened, and there is no need to worry too much about ischemic necrosis of the distal limbs.

I gave them more time to finish, but while observing Chen Tingye's operation, although it was a bit hard, they had to stay up late.

But when studying, everyone came here like this.

At the very beginning, Li Changhong stayed in the ward day and night in order to learn debridement, just to wait for the emergency department in the hospital in the middle of the night, learning surgical anatomy while debridement.

Zhou Cheng was about to nod his head slowly, but he could see that after Chen Tingye temporarily fixed the radius and ulna with Kirschner wires, it was no problem doing tendon suturing, but.

The severed end of this limb is just near the joint, and most of the joints are the starting and ending points of the muscles, and most of the muscles are damaged, so the starting and ending points must be reconstructed.

If you suture randomly, you can step down, and the second phase of skin grafting will be done.

But ah.

If the starting and ending points of the muscles in the first stage are not rebuilt, the recovery after surgery will be very troublesome.

Before coming down, although Zhang Zhengquan didn't confess anything, he also told him personally that this is Zhang Zhengquan's brother's friend.

Zhou Cheng is not familiar with Zhang Zhengquan's elder brother, but the word Quanzi is enough for him to try his best.

So after frowning slightly, he suggested, "Director Li, why don't I help Professor Chen and replace Director Zeng here to start stitching?"

Chen Tingye has already done a perfect job in the early stage of careful debridement. Although there are still some decorations, there is no need to spend so much effort.

The flaws do not hide the goodness, this flaw is irrelevant, the suturing and reconstruction of the muscles are obviously more important.

Zhou Cheng's suggestion was not greedy for merit, and the previous blood vessel incision and thrombus removal was affirmed by everyone. Zeng Yi raised his head and glanced at Chen Tingye.

At his age, he already had a solid foundation. The main thing he learned from Chen Tingye was his thinking. Now that he understood that it would be of great benefit if he could do it himself, he was quite moved: "What do you think, Professor Chen?"

"Director Zeng, let's go. We will open the stage at the same time, so the operation will end sooner." Chen Tingye naturally knew something about Zeng Yi.

After all, as a major director of a party, he still has the name of hand surgery. Although he also took care of messy work such as spinal fractures, but if he can be the director, at least he will be able to step down from the surgery.

The purpose of his coming here is to save his limbs. It is not a problem for Zeng Yi to complete some finishing work and side jobs.

So Zhou Chengcheng and Zeng Yi switched places.

Moreover, Chen Tingye's surgery level is already extremely advanced, and the speed is not slow. When Zhou Cheng took out the thrombus on the opposite side, he was already suturing muscles and tendons.Of course, during this period, he had already found out the severed end of the nerve, and after resting, he only needed to be stitched up.

For the suture of the nerve, it is best to suture it in one stage, but it can be delayed for two or three months at the latest, which is no problem. Instead, it can not be rushed for a while.

Zhou Chengxian only took over Zeng Yi's position as assistant, and pulled hooks with Wang Yongjin.

However, after Zhou Cheng stood still, he found that Wang Yongjin's hand pulling the hook was shaking slightly now and then, and even the magnitude of the shaking affected Chen Tingye's operation to a certain extent.

Although Chen Tingye didn't say much, he just glanced at Wang Yongjin's hand occasionally, and then continued the operation.

Zhou Cheng looked at the time, and it was already [-]:[-] in the morning.

Wang Yongjin was re-employed and admitted to the hospital after retirement. He is close to 70 years old, so staying up late is naturally not as good as young people.

He lowered his voice and asked, "Mr. Wang, would you like to step down and rest for a while?"

It is difficult for Chen Tingye to bring this up, but after Zhou Cheng said it, he immediately responded: "Yes, Director Wang, look at me, I didn't notice at all, you are so old, you should take a break Already, another young man will come over?"

The operation started at ten o'clock, and Wang Yongjin was already in a bad mood when he was called over.

At this moment, he was all on his own. Hearing what Chen Tingye said, he blinked his eyes a little, and his eyes were obviously complicated.He is actually very tired, but as a surgeon, he can be regarded as a master of orthopedic surgery in the Eighth Hospital for a lifetime.

Now that he can't even stand on the platform, he feels quite uncomfortable in his heart, but Wang Yongjin also knows that if he stays on the platform, not only will it not help the operation, but it will affect the normal operation of the operation.

Zeng Yi immediately shouted: "Wang Yaoxiang, go and replace Director Wang."

Then he said to Wang Yongjin: "Teacher Wang, you should go back to rest first, and you will continue to work tomorrow. There are a few of us young people here, and you have really worked hard today."

The tone is sincere, and he really thinks about Wang Yongjin's body.

Wang Yongjin just sighed and nodded: "Professor Yang, I've worked hard for you in the future. People don't rely on their muscles and bones. I really can't hold on a little bit."

Chen Tingye immediately said: "Director Wang is serious. You are still young and strong. I don't know if I can be on the operating table at the age of 60."

This is the truth, a surgeon is actually a job of selling one's body.

Between the ages of 40 and 60 is the golden age. After this age, it is estimated that the physical strength is exhausted.It really looks like Wang Yongjin 67 is still active on the operating table, not many.

At least those professors in the Affiliated Hospital of Shonan University have long been in outpatient clinics.

Wang Yongjin silently got off the stage, twisted his waist, and left the operating room.

When he was at the door, he looked back at the incandescent lamp and shadowless lamp in the operating room with great reluctance, his eyes were complicated, and there was reluctance and helplessness in his eyes.

This used to be his battlefield, and now he must hand over the battlefield to others.

This is for their own consideration, but also for the safety of patients.

……

In the operating room, after Wang Yongjin left, Chen Tingye was still saying: "Director Zeng, Director Wang in your department is really in good health. Can he still be on stage at this age? Are you still leading the team?"

Zeng Yi said guiltily: "Yes, Professor Chen, I'm not afraid of your jokes. Teacher Wang should have reached the age of retirement long ago, but there are not enough staff in the department. Now only Teacher Wang is left alone in the older generation. Active in the department."

"We young people can't handle it, so we can only continue to support Director Wang through exhaustion."

This is a joke, and of course it proves that the current operation process is relatively smooth, otherwise, everyone must have kept silent, not to mention that Wang Yongjin has stepped down, and the words are simple and cold.

Li Changhong said: "Yes, we are too unworthy to say it. Director Wang is considered to be the senior generation of Professor Wu and Professor Li."

Chen Tingye immediately opened his mouth when he heard the words, then Wang Yongjin is really awesome!

So old people.

He also knew that the Professor Li that Li Changhong was talking about was probably the Professor Li who was the director of orthopedics department and the vice president of the Second Affiliated Hospital of Shonan University. As for Professor Wu, he must be the boss of his department.

The head of the orthopedics department has long since stopped undergoing surgery frequently, and I heard that he only performs one operation every month or half a month.A group of people below are helping him with surgery, and are now focusing on scientific research and teaching.

Chen Tingye said with emotion: "Then Director Wang really deserves to be old and strong."

When she said this, Wei Wei felt sorry for Wang Yongjin. At such an age, she still has to run around in the department. This may be due to her different choices.

If he had continued his graduate studies before and stayed in Attached One Attached Second, he would have been full of disciples and grandchildren by now, instead of what he is now, just an old director of orthopedics in the Eighth Hospital.

Maybe even his teacher.

The platform is different, so?

However, it doesn't seem right to think so. Isn't Zhou Cheng just the blue out of the blue and better than the blue?

Chen Tingye glanced at Zhou Cheng, feeling that there was something wrong with this young man.

Surgery continues.

Chen Tingye suddenly discovered that since Wang Yaoxiang came to work as an assistant, his operation has progressed very smoothly.In the process of tendon suturing, every time, every stitch can have just the right suture point delivered to the door.

Just like the girl who went to the ancient "Jiyuan", she delivered it to her door very actively. (Intentionally typo.)

The operation went quite smoothly, and the suturing process was naturally very smooth.

But Chen Tingye is a man, man, too passive and smooth sailing is not good.

Roughness and folds can make people the driving force for continuous sprinting.

Very similar to the reader's mentality——

Too dry is not good, too dry feels uncomfortable.Too much water doesn't work, I always feel like a water hyacinth.

Frowning slightly, he temporarily interrupted the operation, his eyes lingering on Zhou Cheng and Wang Yaoxiang.

Either Zhou Cheng or Wang Yaoxiang took away the refreshing feeling that should belong to him.

He himself is like a tool machine.

The stick that stirs the water, the sound of the water is unpleasant.

Finally, when there was only the last muscle that needed to be sutured, he focused his attention on Zhou Cheng.

Yixin asked slightly: "Can Xiao Zhou know how to suture? Why don't you come and try?"

In fact, there is no need to guess, it is either Zhou Cheng or Wang Yaoxiang, just ask someone to go on stage to sew it up and you will know who is responsible.

And because the blood flow is smooth now, and the time is not so tight, he is happy to pursue the final "culprit".

When Wang Yaoxiang heard the words, his face immediately pulled, he bit his mouth, a little disappointed.

It's not as good as last week's co-authorship. Chen Tingye obviously wanted to teach and give advice on the spot.It's just that the opportunity was earned by Zhou Cheng himself, not by Chen Tingye.

Zhou Cheng was slightly surprised, nodded and said, "Okay, Professor Chen."

Both Zeng Yi and Li Changhong heard Chen Tingye's arrangement, but they didn't even raise their heads. Whether it was Wang Yaoxiang or Zhou Cheng, they were all from the department. They didn't care who Chen Tingye liked to teach.

I'm afraid Chen Tingye doesn't want to teach.

Then Zhou Chengcheng took the suture from Chen Tingye's hand, heaved a sigh of relief, and turned into a machine-like dexterity again, and started to move.

During the period when he just pulled the hook, he only needed to be an assistant, and he took a break for a while, so at this moment his physical strength has recovered a little.

bark.The needle tip penetrates the muscle surface.

puff.The needle tip penetrates the surface of the muscle.

In this way, several stitches were completed in no time.

Wang Yaoxiang was expressionless, and he was still wondering why Chen Tingye didn't choose him to stitch, but Chen Tingye's expression gradually became serious.

Experts look at the doorway and know it at a glance.

The 'culprit' was found, and it was the little guy Zhou Cheng, who pretended to be a pig and ate a tiger, and watched him for a long time, wondering if he wanted to stab him in the back.

Because from the angle of Zhou Cheng's injection and injection, Chen Tingye felt an extremely professional style.

And the action is fast, without stopping at all, and the technique is sophisticated!

What is old and what is spicy, in fact, it is simply and decisive.

In a short while, a muscle with a long axis of less than two centimeters was tightly stitched by Zhou Cheng, and Zhou Cheng also tested the tension of the stitches. It was just right, even slightly better than Chen Tingye's stitching. Little Diu Diu.

If the tension is wrong, it will be easy to cut.

It's easy to imagine why the tofu is broken when stitched with sutures. In fact, it is cutting, but it is possible to sew the tofu together through techniques and skills. This is kung fu. (To make a metaphor, I won’t go into in-depth discussion and popular science. If you are interested, you can go to Xingyin to search for knife skills, which is even more incredible.)

Zhou Cheng put down the suture and needle holder.

Then he looked at Chen Tingye and said, "Professor Chen, shall we continue suturing the nerve and rebuilding the insertion point of the muscle? Or should we suture the opposite side first?"

After the operation has reached certain steps, and after breaking through all the difficulties, you can actually play freely to a certain extent!

Both can be sour.