I Spent Those Years In the Operating Room Fighting Monsters

　　 Medicine is not a free art, and it cannot tolerate madness and unconventionalism.

　　 But medicine is definitely a work of art that is played on a given stage, and there are both lower and upper limits.

　　 When the basic principles are good, every surgeon may have different treatment and surgery ideas.

　　 The medical treatment process must not only look good, but also have a good effect.

　　 Whether it looks good or not is judged by the peers, and whether the effect is good or not, it is up to the patient to feel it personally.

　　 This operation is very large, for the safety of the patient, so I chose general anesthesia.

　　Chen Bing is the director of the third ward of the Orthopedics Department of Changshi First People's Hospital.

　　 At that time, he had already stayed at Xiangya Hospital. Later, due to personal reasons, he returned to Changshi, and later went to Xiangya Hospital to find a job. There was no need for Chen Bing’s resignation.

　　 But in the end, Chen Bing stayed for some special reasons.

　　 If you can enter and exit at Xiangya Hospital, known as Beixiehe and Nanxiangya, you will know how good his level is.

　　 Now he is only slightly inadequate in seniority, so he only became the director of the third orthopedics ward, but he is almost the successor of the next director of orthopedics.

　　 Therefore, Chen Bing's surgical level is extremely high, and the upper limit of the surgical effect he has seen is not comparable to that of ordinary people.

　　 Lu Cheng is just doing his own help in a regular manner, without even knowing that Chen Bing is observing him, he is sorting out Chen Bing's surgical thoughts.

　　 Lu Cheng himself has done some research on open reduction and internal fixation of fractures. However, it does not represent the ideas of others, and must be like him. Therefore, he is grasping many details of Chen Bing.

　　 Many details in the operation are the key to improving the effect of the operation. This is the difference between the intermediate and advanced level of operation.

　　The junior representative understands that they can barely follow the procedure of the operation step by step.

　　 Intermediate representatives already have a certain idea, and can design certain surgical ideas and procedures according to the specific conditions of the patient.

　　Advanced, it means that you can be very familiar with the operation, and you can take care of many details, knowing which details can be controlled to get better results, and you can polish your own art of surgery.

　　Similarly, when you reach the advanced level, you will start to think about and characterize other people's operations, and compare with yourself, where might be better and where might be slightly worse.

　　 I can compare it like this in my heart, but I definitely wouldn't talk about it.

　　The first principle of surgery is that you can ask the surgeon's thoughts, and even give suggestions that you understand, but don't disturb the surgeon's operation, and don't try to change him forcibly!

　　A battlefield cannot have two generals, let alone two different commands,

　　 This is a taboo in the art of war and a taboo in surgery.

　　 So Lu Cheng would not say where it would be better to actually do it.

　　 These exchanges can be carried out after surgery, which is out of date now.

　　 "Tissue shears."

　　 "A sharp knife."

　　 "Touring, the suction device has no suction power."

　　 Chen Bing kept giving orders in the position of the chief sword.

　　 is like a general leading the battle,

　　You must do what you say,

　　 After peeling and exposing the upper edge of the pelvic ring again, and protecting the blood vessels and nerves under the abdominal wall,

　　 Chen Bing was relieved again:

　　 "Bone stripping,"

　　 "Bite clamp, fixed clamp."

　　 "Prepare the steel plate."

　　 This is Chen Bing who is about to perform fracture reduction again.

　　 After seeing the fracture, Lu Cheng also had his own reduction plan.

　　 is different from the reduction plan that Chen Bing is doing. Chen Bing's plan is to use pliers and bone peeling to restore the upper ring of the pelvis.

　　 And Lu Cheng’s idea is that if the soft tissue can be loosened again at this moment, after the soft tissue structure of the upper edge of the pelvis is sorted out, it may be better to reset...

　　 Twenty minutes later.

　　 Chen Bing is finally reset.

　　 steel plate comes up,

nailing…

　　 Four hours later.

　　The three steel plates are finally finished.

　　 This speed is already very slow. After all, this kind of complicated pelvic fracture is the most complicated kind.

　　 It ended in more than five hours, which has exceeded the expected six to eight hours.

　　After washing,

　　 Chen Bing looked at his fingers slightly flicking, and didn't know if his hands were itchy Lu Cheng, so he said: "This operation has more holes, Lu Cheng, come and sew separately with me."

　　 "Li Zhiliang, you cut the thread for us, Xu Chongliang, you are responsible for the hook."

　　 "Wash your hands, you also come over to help pull the hook."

　　 This is not a superficial wound, but multiple wounds on the front abdomen, and they are all deep, so a person can pull the hook unless he grows four hands.

　　 The nurse who was washing his hands immediately responded and called the itinerant nurse to prepare six more micro-Joe sutures of different sizes.

　　 Lu Zhi came to prepare to retreat and returned to the simpler incision position where Chen Bing was, but after Chen Bing took Wei Qiao, he began to sew.

　　 Lu Cheng only froze for a moment, and said to his heart, Director Chen could see something, so he gave me the job of closing the bone sheath?

　　 Chen Bing sewed the simpler wound on the upper part, and it was not easy to sew his wound.

　　 The bone sheath contains the femoral artery system. If the bone sheath is not closed well, the blood remaining in the pelvis will seep down along the opened bone sheath, and finally the patient will have ‘inexplicable’ pain in the medial femoral area.

　　 This little detail may not be known to many people, anyway, the patient’s pain will only last for four or five days, and will disappear as the hematoma is absorbed.

　　 Lu Cheng took the sutures and carefully matched the fascia of the bone sheath with tissue forceps.

　　 It took a lot of time, more than half a minute, UU reading www. uukanshu.com

　　 The hand-washing nurse who gave Lu Cheng a hook was a bit impatient. Originally, hooking was not her job scope, and the operation time was already very long, but she could not help but listen to Chen Bing's words, after all, it was the director.

　　 Lu Cheng was still grinding there: "Can you sew or not? The hook doesn't need to be strong, right?"

　　 Lu Cheng raised his head, and Li Zhiliang also raised his head.

　　 quickly said: "Sew, we need to sew. Teacher Jiang, Xiao Lu is a newcomer from the department, don't worry, I will pull the hook and you will cut the thread."

　　 Retracting hooks is a personal effort, so Li Zhiliang is considered considerate.

But after taking a look at Lu Cheng's movements, Chen Bing said directly to Jiang Ya: "Xiaoya, you can pull the hook, and you can get off the stage! Go to the head nurse in the operating room and tell her to call someone to pull the hook again. ."

　　The hand-washing nurse was slightly unhappy, "Director Chen, he is always wasting time grindly."

　　 "You step down!" Chen Bing was very decisive.

　　 "Director Chen."

　　 "I told you to step down!"

"immediately!"

　　 Chen Bing suddenly became angry and stunned Jiang Ya directly. With tears in her eyes, she quietly retreated from the operating table. But he did not take off his clothes and left the operation area directly.

　　 Chen Bingcai asked Li Zhiliang casually, "Can you understand what Lu Cheng is doing? Do you think he is wasting time too?"

　　 Li Zhiliang's expression tightened immediately.

　　 Chen Bing’s question made him bewildered.

　　 The corners of his mouth wriggled for a while.

　　 Jiang Ya's expression changed a little immediately, and he glanced at Lu Cheng, and asked, could it be that what Lu Cheng is doing now is an operation that Li Zhiliang can't understand?

　　 What about me?

just?

　　 Director Chen’s anger is not a nameless fire.