I Spent Those Years In the Operating Room Fighting Monsters
Chapter 12: Irregular physician
Second help can perform some simple traumatic operations,
An assistant will always be inconvenient.
can be promoted to the second help, when you kill this monster, the contribution value will increase, and the probability of gaining experience points and the possibility of obtaining pages will also increase, which is a good thing.
After Lu Cheng and Xu Chongliang changed positions, they got closer to Li Zhiliang and Chen Bing.
I saw Chen Bing and Li Zhiliang at this time preparing to explore the sciatic nerve first to restore the patient's vertical stability.
The sciatic nerve passes through the foramen sciatica, but if you want to detect whether it is damaged, it is of course not enough to simply separate the foramen sciatica that is now free.
Open reduction and internal fixation of pelvic fractures, of course, is more than just a simple prying reduction of fractures.
The advanced understanding of the open reduction of lower extremity bone fractures allows Lu Cheng himself to have a deeper understanding of the current pelvic fracture surgical procedures, including when he sees the current situation, he will think How to explore the sciatic nerve.
Although this idea may be inconsistent with Chen Bing’s, it is definitely not as confusing as Xu Chongliang.
Even when Lu Cheng saw Li Zhiliang’s eyes filled with confusion, he could know that among the four people standing on the stage, his level of fractures has surpassed that of Li Zhiliang. As for how he compares with Chen Bing Sample,
Lu Cheng is not easy to compare.
After all, the associate professor level in the large tertiary teaching hospitals is also a Ph.D., just like Chen Bing.
The planning of the operation in my heart may be complicated, but the completion of the simulation and planning is just a dozen seconds.
Li Zhiliang pulled the hook well with one help, in order to fully expose the position for Chen Bing.
This process was a bit stiff, and Lu Cheng actually thought that if Li Zhiliang's hook position could be slightly higher at this moment, it might be more suitable for the free pelvis exposure.
While thinking about this, Chen Bing really took Li Zhiliang's hand again, moving the position, and said: "Go up a little bit, the strength of the hand can be slightly lighter, the current pelvis is in a free state, you hold it. Pull the soft tissues, the bones will also shift, and the hook will not make much sense."
Saying that, Lu Cheng's heart was overjoyed for an instant.
As expected.
Chen Bing immediately said again: "Lu Cheng, you help me press the seat bones down, Xu Chongliang, you come to **** the blood."
The front of the ischium is the pubis, and the back is the hole for the ischi.
Lu Cheng smoothly found an unused bone strip from the operating table, and then leaned down along the anterior edge of the pubic bone. In an instant, the position of the ischial foramen appeared obediently.
Chen Bing immediately said: "That's it, don't move, don't move!"
He immediately began to squat apart some muscles, followed the anatomy of the sciatic nerve, and began to move downwards. He said, "Don't move, it's very good, that's it, it's good."
Chen Bing is a habit. He likes teaching and encourages others.
There are many surgeons who have the habit of saying something very encouraging and confident during the operation.
After peeled down about ten centimeters,
I still see that the integrity of the sciatic nerve is very good.
Chen Bing knew that the sciatic nerve was not severely damaged. His current stripping of the sciatic nerve is both an examination and a decompression.
After the operation, the soft tissue will be swollen. If the sciatic nerve is not treated, the patient will definitely experience numbness of the sciatic nerve after the operation.
After this step, it is necessary to perform a partial reduction of these broken bones.
It’s just that Chen Bing didn’t say anything. Lu Chengcheng’s bone peeling finger in his hand, that is, the bone peeling slightly pressed in one direction, and then immediately after lifting the medial edge of the pubic bone with his left hand.
Chen Bing discovered that at this moment, the front of the pelvic ring came together very well.
"Yes, this is the position, don't move, it's very good."
"hurry up,"
"Prepare a steel plate for me!"
"I will explore the upper edge of the pelvic ring again."
The timing of the operation is fleeting. Now that there is such a good position, if the position above the pelvic ring is relatively good, then the steel plate can be hit first, first fix one position, and then fix the other positions. .
This is also a pelvic surgery. There is no reason why the surgery will be repeated.
The surgical nurse hurried to get the curved steel plate.
"How many holes did you take?"
"Give me a ten-hole one, and hurry up a little bit. This position is very good." Chen Bing said quickly.
He was afraid that Lu Cheng's hand would tremble at this time, so he twisted the position: "Lu Cheng, hold on again. After I hit two nails, you can loosen it."
Lu Cheng naturally knew that he must have screws on both sides of the fracture before he could achieve temporary fixation.
"Okay, Director Chen, I'm fine!" Lu Cheng didn't sell his work either.
With these few experiments, Lu Cheng can totally believe that the knowledge, details, and experience he has obtained are real. He represents his own strength and is far from what Lu Cheng can compare to the previous few days.
With a strong ability, Lu Cheng is not worried about whether he can perform, let alone anxious.
Only the more capable people can handle things more easily and more easily.
He doesn't need to worry now.
Compared with the steel plate, which is about the same size, Chen Bing immediately smiled after having two screws. "Very good. Today, our surgery is going very fast."
"Now that one side has been fixed, the operation is one-third completed. Now we continue to look at the upper edge of the pelvic ring. If this is fixed, our operation will be three-quarters completed."
"Let’s go through it first."
"..."
In orthopedic surgery, C-arm fluoroscopy is very necessary. Some operations may even require hundreds of fluoroscopy, especially for pelvic fractures. Some cautious doctors will perform fluoroscopy once before, after reduction, and after fixation. When resetting, it has to go through more than a dozen times.
is not an exaggeration.
After the perspective,
The position of the lower edge of the pelvic ring is very beautiful. Basically, there is no need to change it.
I also probably saw the position of the upper and lateral edges of the pelvic ring. They still have shapes. If there are shapes, they can be reshaped. If the shape is broken, or the shape is completely destroyed, then this operation will be particularly troublesome. .
"Li Zhiliang, you continue to hook up,"
"Xiao Lu, let's continue doing the upper pelvic ring, I think the sense of operation between the two of us is still very tacit." Chen Bing said in a good mood.
The handwashing nurse agreed with this statement and nodded and said, "Yes, Director Chen is in very good condition today. This operation took less than half an hour, and the temporary fixation was completed below, which was nearly two times faster than before. To triple."
Chen Bing laughed loudly: "Maybe my level has improved?"
Honey juice confident.
While saying this, Chen Bing naturally glanced at Lu Cheng unconsciously.
A master knife has enough knowledge of his own level,
If the progress of an operation exceeds his usual average level, and during the operation, the feeling process and cooperation are very smooth, then you have to start looking for the advantages of an assistant.
When the opponent's level is at least one third of yours, you will feel that your cooperation is very smooth.
If the other party has more than half of you, you will later feel that you really want to bring this assistant to the table again.
If the two are similar, you will regret why the other party can no longer pair with you.
If the other party is higher than you, then you will feel that your own surgery level has suddenly improved by several levels.
This Lu Cheng is not a serious doctor, but Chen Bing hasn't measured his level yet.
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