The Godfather of Surgery

Dr. Yao and Dr. He are ready for surgery. Not only are the various pipelines connected, but the focal length of the lens has been adjusted.

Yang Ping took the stage, tried the lens, and adjusted it very well.

He was really in a hurry. Since Su Nanchen had already dispatched two instrument nurses and two doctors, don't be polite, try not to procrastinate on the premise of ensuring the quality of the operation.

The sharp knife opened the way, and opened two small openings in the anteromedial and anterolateral side at one time. Because he was too skilled, he directly used the sharp knife to pierce the skin, joint capsule and synovial membrane. The three layers were completed in one step. Any structures in the joint cavity can be damaged.

Most people use a sharp knife to open one opening. After inserting the lens, another opening is opened under the guidance of the syringe needle, so that the other opening can be opened more accurately.

But Yang Ping didn't use it at all, and opened the two ports directly, because he didn't need the syringe needle to guide him at all, so he could open the ports in the best position.

Lin Hao frowned, this is not according to the norm, wild way.

The arthroscope went in with the sheath tube. Dr. Yao had already connected the water inlet and outlet pipes in advance. There was no resistance to the mirror entering, which means that not only did the mouth open well, but also that the surgeon was very familiar with the path through which the opening passed. The relative movement is blocked, especially the synovial membrane is somewhat blocked, so when the lens or instrument enters, it is necessary to try a little to find the direction of the path.

But Yang Ping didn't need to try, he entered at one time without any obstruction, he entered the joint cavity very easily, started arthroscopic examination, thoroughly rinsed the joint cavity, and Yang Ping closed the water outlet.

The size of the two openings is very particular. It is difficult for instruments that are too small to enter. If they are too large, the water in the joint cavity will flow out from the gaps around the instruments.

Yang Ping's mouth was opened very well, and there was not a drop of water flowing out of the gap, indicating that the instrument just passed through, and the surrounding gap was just closed by the synovial membrane. In this way, after the operation, it was clean, on the stage, under the stage, and there was nothing in the water collection bag. leaking water.

After some people's arthroscopic surgery, there is water everywhere on and off the stage, and it's a mess. These details are not everyone's ability to master, and they are already a higher-level pursuit outside of surgery.

Starting from the suprapatellar capsule, every area in the joint will not be missed, in strict order, one by one, every time the mirror moves, it is exactly in the gap, will not cause abrasion to the cartilage, and moves to the most important part of the target area at one time. position for the best view.

Yang Ping held the camera in one hand and the patient's calf in the other, constantly adjusting his posture, and his hands cooperated flawlessly.

Observing different positions, the posture of the limbs is also different. For example, the suprapatellar capsule needs to be straightened, and the medial joint space needs to be flexed by 20-40 degrees, abducted and externally rotated, and the lateral joint space needs to be in a 4-position position.

Every time the camera is moved and the limb posture is changed almost simultaneously, the moving arthroscope will never be squeezed, blocked or rubbed due to limb changes. Everything is very smooth, such as the fish nimbly shuttle among the aquatic plants, without touching A weed.

"Dr. Yao, Dr. He, start weaving tendons!" Su Nanchen commanded.

Without his command, no amount of people would work. These people, especially the two nurses, didn't seem to realize that the rhythm was getting faster and faster.

"You are going to prepare the guide needle and electric drill for the tibial tunnel in the next step! You have to report the size of the tendon!" Su Nanchen instructed the nurses and doctors.

If it wasn't for Su Nanchen's reminder, everyone wouldn't be able to react.

"Tibial tunnel, drill guide needle!"

Here, the electric planer and the plasma knife were alternately cleaning the intercondylar fossa, and Yang Ping informed them in advance to prevent wasting time.

As soon as the words fell, the intercondylar fossa had been cleaned, but the electric drill and guide needle did not fall back, because there were several people supporting the platform, Yang Ping did not take care of the other party's rhythm at all.

Yang Ping looked at the screen, but did not look at the instrument table. The outstretched hand didn't get what he wanted, and then he moved his palm up and down a few times, indicating that things should be hurry and don't grind.

When the electric drill guide pin arrived, Yang Ping immediately said: "Eight-strand double-beam anatomical reconstruction, report the size of the two tendons to be implanted in the front fork, and then drill the tibial tunnel with the electric drill."

Just now, although Su Nanchen was in command, the two nurses didn't pay attention and didn't get too into the state. Now the rhythm is in a hurry, trying to catch up, but it is very difficult. This kind of cooperation, if one step is not well connected, will affect the next step, unless the operator deliberately stops and waits.

faint! I just said that I want something, and when the words fall, I really want something.

The tibial locator is not needed, and the guide pin directly opens the mouth of the two tibial tunnels of the front fork, one for the anterolateral bundle and the other for the anteromedial bundle.

Fork Rebuilt! There are many types, there are single bundles, there are double bundles, there are isometric reconstructions, there are anatomical reconstructions, the most advanced is the eight-strand double bundle anatomical reconstruction, because research shows that the fork is functionally and anatomically divided into two bundles - anterior The lateral bundle and the anteromedial bundle, only double bundles, reconstructed in the anatomical position, can restore the maximum function.

In order to ensure the strength of the ligament, a double-bundle anatomical reconstruction is performed with quadrilateral tendons, and two tibial tunnels and two femoral tunnels must be opened well, which is very difficult.

Dr. Yao and Dr. He were sweating on their foreheads. They were mentally prepared, and they were a little better, but no one had ever been on Yang Ping's stage. They just listened to Su Nanchen repeatedly saying that he had to keep up with the rhythm. His operation was fast.

How fast is it, I have no experience in my heart, and now the speed is so terrifying, I am naturally under pressure. After all, so many people are staring at it, and the two of them can't keep up with the speed, how embarrassing.

Measure, measure now! Two bundles of tendons, two people knitted and sutured at the same time, and finally managed to finish the knitting. This is still in advance, as soon as the stage starts, the tendon knitting in the next step will not be so fast.

Dr. Yao and Dr. He reported their measurements respectively, and they didn't dare to say a word where they dared to rest. Su Nanchen had already laid out the tendons for the next step in front of them, and immediately began to work hard again.

A row of large and small drill bits was spread out on the instrument table. The nurse began to look for the drill bits of the required size, and finally realized the pain of not being able to keep up with the speed.

The last two people said hello a few times in advance, but they didn't pay attention to it. Su Nanchen was a little angry. He was well disciplined and wouldn't lose his temper with a nurse, but at least he was dissatisfied.

"You prepare an electric drill guide for the femur!" Su Nanchen ordered another nurse.

Today, there are more surgical instruments than usual. I have prepared several electric drills and two instrument tables.

Finally, the nurse put the drill on and handed it over to Yang Ping. Yang Ping opened the two tunnels for the tibia, and the two tunnels for the femur were about to be opened. Because Su Nanchen gave instructions in advance, this time the guide needle for the femur was more timely. .

Yang Ping resisted the entry point of the femur, drilled in and pulled out, then drilled in and pulled out again, just two strokes, a few seconds, two tunnel paths were opened, nothing needed, locator! what? Not at all now.

"Depth sounding!"

After Yang Ping measured the depth of the femoral tunnel, based on the tendon size reported by them, he determined the length of the thick and thin tunnels of the two femoral tunnels.

"Rough drill! Fine drill!--"

Disjointed again, two nurses prepare at the same time, one prepares thick, one prepares thin, the femur and tibia are not the same, each tunnel, the front part is thick, to accommodate the tendon; the latter part is thin, used to pass through the suspension. Hanging steel plate and hanging wire.

"Give me both sets of drill bits?" Yang Ping stretched out his hand for too long before the thing arrived, so he put down his hand and rested.

I haven't looked here just now. It turns out that it hasn't been done yet. People haven't done it yet. It's not good. Su Nanchen will be embarrassed.

Two tunnels, two sets of drill bits, one set of thick and thin, ready at one time, four electric drills to be prepared.

What Su Nanchen was worried about still happened. It seems that when people were in Liquan Hospital, they were already controlling the speed of surgery. Now they still control the speed. They didn't turn on the full speed. Even a few people couldn't keep up. .

At this time, the head nurse came in, like a gust of wind: "Nan Chen, can you change the equipment nurse, transfer the one from Professor Ye's side, and the one from here?"

What's the meaning?

Although Su Nanchen is educated and has a good temper, he is also a human being. Originally, he couldn't keep up with the rhythm and the operation was delayed. He was a little dissatisfied, and now he wants to change his person.

Su Nanchen said with a sullen face: "We still lack people here. We want to replace our people, can you see?"

On the head nurse's stand, the chief surgeon was waiting, and the doctors and nurses on the stage were busy, and I could see that those who matched the stage didn't keep up with the rhythm. How many people matched the stage? Can't keep up with the rhythm? what's the situation.

If it was someone else, she was now showing the authority of the head nurse. The head nurses in the operating room are very good, and they have the power to arrange operations in the operating room. Not to mention young doctors, the general director who is not very hard-headed has to give some points. .

But to Su Nanchen, lose your temper?

I can't, I don't dare, my parents are a dean and a director of the nursing department.

Not to mention his father, the dean, even the three blue bars on his mother's hat can't afford to offend him.

The head nurse said in a low voice, "Professor Ye is very angry now, saying that the nurses are not cooperating well and asking for another one, Nan Chen?"

Some professors have a good temper, some have a bad temper, and some have a bad temper. The operation went well, but the operation didn't go well. The doctors and nurses on the stage were all miserable. The operation didn't go well. Okay, the nurse's desk is not well matched.

"What are the key steps here!" Su Nanchen said angrily.

"There's no need to change, just transfer one, we need only one nurse, it's still early." Yang Ping saw that the atmosphere was a little tense, so he adjusted it. Originally, he was a little embarrassed that two nurses were occupied here.

If it wasn't for unavoidable necessity, the head nurse would not have come over and made this request to Su Nanchen. When she spoke, her face was always red, her voice was still low, and she kept asking for advice.

These nurses are all most familiar with arthroscopic surgery, and they will be scolded on the stage when they transfer others. In fact, the one who assigns a table to Professor Ye is already the best in business, even better than these two.

"Okay, you can arrange it!" Su Nanchen nodded.

Both sides were not easy to offend, and they were in a dilemma. After hearing Su Nanchen's promise, the head nurse breathed a sigh of relief.