Start as a versatile emergency physician
Chapter 140
Ye Jianguo originally wanted to say something.
But look at Ye Chen's appearance.
Finally, he shook his head helplessly
"Okay, everyone’s pursuit is different anyway."
Ye Jianguo knew.
He couldn't talk to Ye Chen.
In fact,
Ye Chen was really too lazy to write the paper.
It was too troublesome, and he just wanted to keep it simple.
After that, the two had a brief chat, and Ye Chen returned surgical
"Director Lin, have the patients been arranged? I'm going to have surgery now"
"Now?"Lin Deqiu said in surprise
"It has to be done sooner or later anyway. The patient should have had an examination and there are no other complications, right?"
It stands to reason.
Under normal circumstances, there are no complications for patients who need Achilles tendon lengthening surgery.
Lindeqiu wanted to refuse, but the vice president had been here just now.
In desperation, he had to raise his hand and said:"Shi Lian, you do it. His assistant took him to the operating room and called Sun Xing, the orthopedic surgeon."
"ah? But what if Dr. Sun Xing doesn’t have time?"
"He doesn't have many surgeries today. Just call him directly and tell him that I owe him and ask him to follow up on this surgery."
In front of Ye Chen, he didn't shy away from it at all.
But Ye Chen didn't care at all.
He also understood.
Lin Deqiu was just worried that he couldn't do the operation.
After all, if a medical accident occurred, he would not only be responsible.
But also With him as the director of the department,
Lin Deqiu stood up and muttered:
"If it weren't for my own surgery, I would have watched it myself!"
Although the voice was small,
Ye Chen heard it clearly.
Shi Lian, who was called over, glanced at Ye Chen.
He knew very well that Ye Chen had a special relationship with the vice president.
Of course he did not dare to offend him.
He just obeyed and told Ye Chen Taken to the operating room.
Sun Xing, the orthopedic surgeon, also came to the operating room.
When he saw the surgeon, he couldn't help but say:
"Why does your surgery still perform Achilles tendon lengthening surgery? You've been in orthopedics before.
Ye Chen shook his head:"Been in the emergency department.""
Doctors in the emergency department are slightly different from doctors in other departments.
Because they encounter all kinds of patients, many doctors in the emergency department will do surgeries in several departments.
Especially doctors in small places.
The more surgeries they can do, the more likely they will be." It's more complicated.
Of course, they are not very good. But the doctors in each department of this big hospital specialize in one department, but their surgical skills are very good. , suddenly surprised
"Let the surgery begin. If you do anything wrong, I will remind you."
Ye Chen just nodded.
There was no arrogance at all.
As Ye Chen's assistant, Shi Lian.
Others were so envious that their faces were almost deformed.
He has been in this hospital for two years.
But the director never let him go to the second grade. Level operating table!
This Ye Chen is just a resident doctor. Not only that. It ’s really unfair in this world!" His eyes scanned the area where the patient needed surgery. He picked up the scalpel and quickly made a total arc-shaped incision on the medial side of the Achilles tendon, about 10cm.
"kindness? So fast?"
Although it's the first step.
Sun Xing, the orthopedic surgeon, couldn't help but be surprised.
After exposing the Achilles tendon, cut the two sections of the Achilles tendon at a radius outside the sheath, and then extend the foot strongly to make the two severed ends slide inside the sheath. Extend the instep to 90 degrees and suture the skin incision
"Place the patient in a prone position and elevate the affected limb."
The nurse helped raise the sick limb.
The anesthesiologist controlled the hospital bed to put the patient in a prone position.
Then,
Ye Chen made a slightly arc-shaped longitudinal skin incision along the inner side of the Achilles tendon, about 12cm long. He pushed the subcutaneous tissue to both sides, Expose the Achilles tendon, cut it longitudinally and pull it apart to both sides.
When you get here,
Sun Xing reminds:
"Don't separate the nutrient blood vessels above.……"
The words are not finished yet.
Ye Chen stretched the sick foot with force to strain the Achilles tendon. He inserted a sharp-edged knife into the center of the Achilles tendon and cut it into two halves, the left and right. He cut off the inner half of the Achilles tendon at the lower end and the other half at the upper end.
When Ye Chen was cutting.
Without any hesitation, just get started.
Sun Xing's heart skipped a beat when he saw it.
To know.
If the length is cut too much, the operation may fail!
But Ye Chen is not only fast.
It wasn't even cut wrong at all.
Not even a millimeter is wrong!
Shi Lian's eyes widened when he saw it.
Although he has not had secondary surgery in the past two years.
But it’s a lot like surgery. have to say.
Ye Chen's technique is quite powerful!
Nothing like the level a resident physician should have.
It’s almost like it’s been hacked!
While they were in awe.
Ye Chen used a knife to insert the Achilles tendon from the side 1cm above the root bone.
Divide it into two equal-thick tendon slices, the anterior and posterior tendons. The proximal end is close to the muscle fibers and gradually moves obliquely toward the back. The posterior tendon is cut off, and the anterior tendon is cut off at its insertion point.
Hold the patient's foot and gradually extend the patient's back, stretching the Achilles tendon and allowing it to lengthen.
After confirming the correction of the deformity, Ye Chen whispered:"Silk thread."
The nurse handed over the silk thread.
Ye Chen used silk thread to sew up the discontinuities
"Be careful when you sew.……"
Sun Xing couldn't help but remind him again.
But before he finished speaking, Ye Chen began to sew slowly.
The most important thing to pay attention to when suturing tendons is the appropriate tightness.
If it is too tight, the deformity will be undercorrected.
If it is too loose, it will make the patient's joint unstable.
So this surgery.
The doctor's hand is required to be steady enough.
And you have to have enough judgment.
Ye Chen has all of these.
He sutured the tendon perfectly, sutured the aponeurosis and skin at super speed, and finally fixed the patient's knee with a plaster cast.
"Finish"
【Ding! Congratulations to the host for completing the task and gaining experience points: experience value +3300 (with an additional 5% experience bonus), proficiency +1100 points, and money value +11,000 yuan. 】
The operation is over.
Ye Chen didn't say much.
He walked directly from the chief surgeon's position.
Sun Xing and Shi Lian were left confused.
When Sun Xing reacted, he looked at the operation time.
One hour and three minutes!
The typical time required for an Achilles tendon lengthening surgery is two to three hours.
He is affiliated with Orthopedics.
Achilles tendon surgery is also commonly performed.
But it took him more than two hours to complete.
But Ye Chen only spent more than an hour?!
Is this even a human being?
Shi Lian had never had Achilles tendon lengthening surgery. At this time, he couldn't help but sigh:
"Isn't Ye Chen's speed too fast? When the final stitches were done, it was so beautiful. Had he ever been in a plastic surgery department before?"
In his opinion, the plastic surgery department's suturing is the most powerful.
After all, it is for appearance.
But Ye Chen said that he came from the emergency department.
Isn't the emergency department the place that needs the most time?
Sometimes in order to save Patient.
Who cares about the final suturing? It’s okay if Ye Chen only performs the suturing very well! This is definitely not the level of a resident doctor!
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