medical simulator

"For the sake of insurance, we decided to use the surgical method of reverse intramedullary nailing."

"This is the intraoperative C-arm fluoroscopy image taken from the operating room 5 minutes before the skin incision. It can be seen that after preoperative traction, the fracture did not shorten and the fracture fragments did not shift in any way. The pre-inspection is basically the same."

"Next, I will officially announce the start of the operation. I hope to participate in the evaluation together with my colleagues. I wonder if you have anything else to know?"

Naturally, the preoperative situation is simply introduced. The key is the surgical process, which is what everyone pays attention to.

There must be nothing special in the preoperative examination. If there is something special, this operation will not be performed.

However, the Affiliated Hospital of Shonan University is very well prepared. The reason why the temporary C-arm fluoroscopy is required during the operation is to avoid the situation of showing off and avoiding the situation that the peers think that the operation is performed after the reset has been done!

It is equivalent to only going through the surgical process, not the surgery itself.

With the C-arm fluoroscopy 5 minutes before the operation, which was consistent with the results of the preoperative examination, it was a real wild operation. Everyone knew how to do it, so naturally they would not be picky. This is a real live broadcast of the operation, not a show.

No one spoke, but some people were discussing with their heads tilted left and right, as if they were pointing out the difficulty of the operation and the complexity of the fracture.

It’s not too small, it’s C3, basically it’s an extremely difficult and complicated case of a long bone fracture, and if it’s more difficult, it’s a joint operation.Or surgery for complex pelvic fractures.

A white-haired person in the audience said: "Let's start the operation. There is nothing to talk about before the operation. The diagnosis before the operation is clear and the indications for the operation are obvious."

He said that mainly to avoid wasting time and to avoid encountering idiots.

There are too many people, and there are everyone.

Ding Changle immediately used the microphone to contact the operating room: "Start the operation!"

After giving an order, a voice came from the other party: "Professor Ding said to start the operation..."

Then, everyone saw that the hands in the operation began to move.

No skin cutting, originally prepared to be internally fixed directly after skin cutting, but after careful consideration and after the exchange and communication between Ding Changle and Zhou Cheng, it was decided to start the live broadcast directly from the skin cutting!

However, before the skin incision, everyone saw the picture in the operating room, and first switched to the pre-operative C-arm perspective picture.

"This is the plain film of the fluoroscopy just now, and the time is recorded at [-]:[-]. Now, we are going to try to do a preliminary manual reset..." In the operating room, a simple explanation was also brought.

At the same time, Ding Changle also said: "The traction before the operation and the simple reset before the operation, I believe all colleagues can understand, I will not say more, let's look at the operation carefully."

but!

Just when everyone saw the screen, after a few hands simply reset their hands, they saw everyone leaving the operating room again!

Everyone at the scene was stunned!

What is this for?

Intraoperative C-arm fluoroscopy?

Still see through?

Brother, this is a live broadcast of surgery, you can do another perspective!

What means?

The normal process of surgery is fluoroscopy, many times, but this is a live broadcast, so why don't you show us the fluoroscopy?

"???"

I'm here to watch the operation, not to watch you play in the operating room.

The venue began to riot.

However, in the operating room, the operation was still going on normally, and they started the operation process on their own.

About 2 minutes later, the screen came to the intraoperative C-arm perspective panel again.

However, this moment.

The situation that appeared on the C-arm perspective panel is no longer the previous picture, but the broken ends of the fracture, somehow connected together inexplicably, although there are also broken bones. across the middle.

but.The marrow cavities at the distal and proximal ends of the fracture have been aligned relatively well.

What to look at for a fracture, look at the fracture line.

The previous fracture line was a mess of wool balls, but the current fracture line is quite neat broken ends.

At this point, the picture is divided into two parts, one picture focuses on Qiepi, and the other picture focuses on the display panel of the C-arm machine during the operation, and it seems that Qin Tianzhu is adjusting the display screen and looking at it. Explanation, the picture clearly shows the perspective time.

"Everyone at the venue, teachers, hello, this is this surgery. The X-ray results three times before the operation. The time of the first X-ray is at 45:[-], and the time of the second X-ray is at [-]:[-]. Minutes. The third perspective time is [-]:[-]:[-]!"

"This is also the fluoroscopy situation before and during the operation that we witnessed together. In fact, I don't need to say it, everyone should understand that this operation has come to an end..."

puff!

With Qin Tianzhu's unhurried tone and the way he said the most awesome words, even Ding Changle couldn't help but spit.

Although he thought about it, the operation process this time would definitely surprise people.

Unexpectedly, in this situation, even my father is about to fall off!

Ding Changle noticed the stunned eyes and expressions of everyone in the venue, and he was in a good mood!

Second Olympic!

It turns out that Zhou Cheng still has this ability. He is simplifying the complicated fractures. He turned the complicated fractures into simple fractures. In this situation, it is a matter of iron and nail to perform follow-up operations. It's just a formality!

However, seeing many people below the stage looking at each other with bewildered expressions on their faces, even some old seniors and old teachers in his own department were adjusting their glasses and wiping their eyes, Ding Changle felt that it was so fucking weird!

After Qin Tianzhu finally explained the plain film after reset, he ordered the live broadcast staff to focus the picture on the operation.

Then, everyone saw that the operator in the operation was already using his golden finger to get in.

Isn't this still peeling just now?how?

Although Qin Tianzhu was also in shock, he still said in a calm tone: "We just saw that, we have already completed the skin incision, and the approach from the side of the patella is exposed..."

When Qin Tianzhu said this, everyone in the venue scolded their mothers——

What do you mean just saw it, did you see it?I didn't see it!

I haven't even seen clearly how the previous fracture was made into what it is now!

Of course, I can think so in my heart, but the operation is already going on in an orderly manner. It’s just that the process of the operation, because before the internal fixation operation, the reduction of the fracture has been done quite well, so, During the operation, everyone felt the smoothness of the operation process!

It's just that such silky smoothness does not have a very good viewing experience.

Because, if the fracture is repositioned, there is really no need for a professor at the Affiliated Hospital of Shonan University to do this operation, just find a deputy director of a prefecture-level city hospital to do it!

There is not much room for displacement, and guide pins and golden fingers can be inserted with eyes closed. What's so good about it?

After the golden finger goes in, put the guide pin in, and the operation of reaming is just a few steps!

Until the intramedullary nail is fixed, there are no mistakes, because there can be no mistakes.

However, noisy discussions began to sound in the venue, because after the fixed blade of the intramedullary nail was installed, the operation can be declared over, and there is nothing to see. The whole operation process was quite satisfactory, and there was nothing profound Level, I can only say that this reset is really well done!

Before opening the stage, firstly, the difficulty of the operation was reduced by several geometric levels!

What else is there to say?

Awesome!

"Crash!" There was applause, the process of surgical fixation was not bright, but the process of reset was enough to blind most people's eyes! ~

Even Ding Changle secretly applauded Zhou Cheng, when he was about to cut off the operation scene and start talking.

All I saw was that Zhou Cheng actually made a small incision in the middle of the patient's femur after the intramedullary nail was installed.

Moreover, in the operating room, Qin Tianzhu began to explain: "Teachers, don't worry, this operation has only completed four-fifths so far, and there is still one-fifth left, let us wait and see!"

Qin Tianzhu's tone was calm, without any signs of panic, but Ding Changle was a little flustered at the moment, what does Zhou Cheng mean by superfluous this week?

Is this what Qin Tianzhu meant before, adding a little drama to the live broadcast of the surgery?

Looking at the camera again, we saw that the main knife was at the broken end of the fracture, and made an incision about 2.5cm long. After peeling off layer by layer to the muscle tissue layer, everyone did not see the main knife moving the knife, but passed through Through the muscle gap, a pair of curved forceps was inserted.

The curved forceps went there, blocked by the muscle gap, and there was no color ultrasound monitoring during the operation, so everyone didn't know what the chief surgeon was doing now.

However, the main knife is almost 2 minutes later.

The scene also followed dead silence and ignorance for 2 minutes!

Those who can sit here and participate in the meeting are either the deputy directors or the attending physicians with rich experience in surgery. It is completely unexpected that this operation has already ended. Why is it so superfluous!

Moreover, the field of surgery is not big, and they don't know what the main sword is doing. Qin Tianzhu and Ding Changle, who are in charge of explaining, are too closed to explain.

Let everyone be puzzled!

Finally, the chief surgeon pulled out the curved forceps, covered it with a sterile cloth, and said, "Perspective! Sideways!"

Then another 2 minutes later.

The postoperative plain film appeared in front of the big screen in the middle of the meeting again. The picture inside directly stunned most people!

A femur that was almost anatomically restored stood upright.If the only difference is that the location of the fracture is slightly larger than other locations, other than that, it is difficult to see the trace of the fracture!

and! ~

in particular!

Those free bone fragments that were obviously before the operation disappeared.

From the side view, you can't even see it!

You should know that intramedullary nail fixation only fixes the proximal and distal fractured ends of the fracture. Everyone ignores such free bone fragments and lets them disappear by bone resorption, because there is no way to remove them. Tube.

But it seems?

here!

The little hole just now was doing this.

"Wow! ~" There was an explosive thunderous applause in the venue.

If the previous operation was a step-by-step operation, then this scene just now was a surprise in the live broadcast of the operation prepared by the Affiliated Hospital of Shonan University!

There is no room for ostentation in medicine!

However, in order to allow patients to obtain better treatment results, some technologies themselves are a show of skill!

Even when Ding Changle saw him, he immediately saw several professors from the Affiliated Hospital of Shonan University standing up, or raising their hands, or directly asking the people next to them for a microphone, and they were about to start asking questions.

However, because of the previous communication, Ding Changle said: "Dear comrades, teachers, professors, this is the end of today's live broadcast of surgery at noon! ~ It is also the end of the first half of the meeting. I know everyone agrees. There will be many questions, but for this question, I still hope that everyone will stay and answer it together after the practitioners arrive at the venue."

While talking, Ding Changle looked at the time and said, "It's time for meal now, don't delay everyone's meal time."

Ding Changle is full of smiles, very satisfied with the current effect, but what he said sounds like he cares about everyone, but he is!

Sell ​​off and sell half of it-no more.

In the midst of an orgasm—suddenly cut off!

The main show is here, I have taken off my pants, you give me the health exercises...

There was an urge to beat Ding Changle to death, but what Ding Changle said was right, if you have any questions, ask the chief surgeon, Ding Changle is just an explanation at the venue.

No one knows an operation better than the chief surgeon, this is the common sense of surgery!

Although this is the truth, it is quite uncomfortable if it does not go up or down...

Chapter 194 So fucking real!

After Ding Changle finished speaking, he didn't explain other meanings, and everyone in the venue gradually dispersed.

One is that what Ding Changle said is true, now is really a meal.

The second is, no matter how you say it, the medicine in Hunan Province and the affiliated hospital of Hunan University are all top-notch.

Not to mention the academic reputation or professional ability of Shonan University in China, but no medical school in the country will underestimate this medical school.

It's not that it hasn't developed, it's still developing, but it may be a little slower, and its strength is beyond doubt!

In fact, as early as when such a live broadcast of the operation was arranged at the venue of trauma surgery, everyone knew that the Affiliated Hospital of Shonan University came prepared. one light.

Then the following standard surgical procedure seemed a bit anticlimactic.

But, in fact, they are still too young. The Affiliated Hospital of Shonan University, or the old man Ding Changle, is better at playing than they are, and he can control everyone's hearts to death.

When you don't think it's worth watching, it will give you a hard hit at the beginning, and then when you feel anticlimactic, a lion will jump out.

If it is really just a very standard intramedullary nail fixation, will the Affiliated Hospital of Shonan University take it out?Probably not.

For the annual meeting of the Department of Orthopedics, the Affiliated Hospital of Shonan University and the Second Hospital usually take turns as the sponsor and co-organizer, and then the Third Affiliated Hospital of Shonan University and other hospitals are mostly co-organizers!

Ding Changle's sudden interruption actually made Professor Ni Hong feel quite uncomfortable. This year Ding Changle did this, and next year when it's the turn of the second party to report the annual meeting, it will be a bit difficult to operate! ~