I Spent Those Years In the Operating Room Fighting Monsters

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Min Hong took Lucheng and the others all the way, and soon exposed the shape of the femoral tube, and the patient's luck was relatively good, the blind end did not extend upwards, only to the inguinal ligament, it stopped abruptly. This shows that the patient is simply a rare tuberculous arthritis with sinus tubes extending upward, rather than tuberculosis in the abdomen or lumbar spine, which flows through the gaps in the body and causes secondary tuberculous arthritis at the hip joint.

In this way, the patient's prognosis can be assessed well, and the trauma of this operation will not increase!

However, in patients with tuberculous arthritis, the sinus duct extends to the position of the femoral duct. Fortunately, it is discovered early. Otherwise, once the sinus duct here forms a capsule in the later stage, it compresses the femoral nerve.

Surgery will become more difficult, not to mention, the sequelae caused by compression of nerves and blood vessels cannot be solved by surgery.

But even so, it is not the worst. It is a relatively dangerous behavior to peel off the stock tube at the position of the stock tube. During many operations, Lin Hui was so scared and sweaty that he wanted to hold the phone at any time. , And then be ready to call Professor Zhou Xuanqing, or Professor of Vascular Surgery at any time.

The femoral artery, the femoral vein, and the femoral nerve are surrounded by the bread in the femoral tube. Once it breaks open, it will be massive bleeding, and a vascular surgeon must come and intervene. In the process of coming, it is unknown whether the patient will hemorrhage and die!

Even with the arrival of vascular surgery, where to clamp the blood vessel, how long the clamp will last, and whether it will cause irreversible damage to the distal end is unknown.

Our nerves usually touch the back of the elbow, and the numbness of the forearm and hand with one hand is very sour. If the femoral nerve is accidentally torn or cut, even if it is called microsurgical suture immediately When I get up, the sequelae of the numbness caused to the patient after the operation will last at least one or two years or even life.

So, under such circumstances, even if the operation is completed, there is no improvement in the quality of life of the patient. What is the significance of this operation?

The preoperative preparation of this patient is still not complete!

Lin Hui only felt scared for a while, because he was hospitalized as the general manager. After the operation, if the above situation occurs, then his nightmare has just begun. Of course, Professor Min will also be extremely troublesome.

For such a patient, if the evaluation is done before surgery, then Lin Hui might not recommend surgery directly!

It's too difficult, and there are too many risks.

It is not over yet. There is another sinus tube leading to the direction of the sciatic nerve. The sciatic nerve is on the posterolateral side of the hip joint. This direction is actually easier to operate than the femoral tube.

Although it is a good operation, Lin Hui is still nervous!

Because of the high variability of the sciatic nerve, even after a nerve that looks large is separated, there may be branches of the same size hidden elsewhere. In this case, it is easy to cause injury!

Min Hong took a deep breath after earnestly operating the operation, and then glanced at the timing panel of the operation.

Said: "This time the debridement operation, we are still doing pretty smoothly, Lin Hui, don't you think?"

Of course Lin Hui nodded and checked the timing of the operation. It took less than two hours: "Professor Min, our estimated operation time for this operation is six hours, but most of the debridement operations have been completed in two hours. This is still the case with multiple sinuses, which has greatly shortened the time we expected for the operation."

quick? It is very fast, but he has never wanted to urge Min Hong to end the operation quickly. Today, he hopes to end this operation as soon as possible, lest he always makes himself nervous.

"This is very good, it proves that our team is still relatively good, and the cooperation is also appropriate. Including our anesthesiologists, hand washing and roving nurses, we have built a very professional team that can overcome this higher difficulty. Operation."

"Professor Dai, don't you think?" Min Hong looked at his old partner and asked with a smile.

Professor Dai is a middle-aged man in his fifties with a calm face. At the moment, he is wearing a mask and an anesthesiologist's back and back clothes. Wearing a silk flower hat on his head, he sat in front of the patient, adjusted the flow rate of inhalation anesthesia a little, and said with a smile: "Professor Min is mainly for you to conquer the city. I just do the logistics work. Professor Min I have always believed in the surgery."

"Anyway, we did everything as Director Min ordered."

Dai Ruping was joking.

Dai Ruping is a professor. Although he is not currently the director of the anesthesiology department, even the director of the anesthesia department will privately ask him some questions about anesthesia. The reason why he didn't ask for advice in person was that he was the director after all, and he still wanted face, and he was also a strong competitor for the next director of anesthesiology.

Lin Hui heard Dai Ruping and Min Hong’s business talk, and suddenly said inwardly: It's over!

Dai Ruping said that he was Min Hong’s anaesthetist. He may not use the correct words. It should be said that Min Hong’s favorite anaesthetist is Dai Ruping, and Dai Ruping is as courageous as Min Hong. Don't talk about this in pediatrics, what about thrombocytopenia, hemophilia, patients with pulmonary infarction, patients with fat embolism syndrome before surgery.

As long as the professor in the operating department dared to send the patient down, unless it was an operation that would kill you at first sight, Dai Ruping would dare to numb the patient!

Not limited to orthopedic surgery.

Let's put it this way, the reason why Min Hong dared to be so courageous seems to be his courage and good skills. In fact, the most important thing is Dai Ruping behind.

The surgeon is a dancer for the long-term prognosis of the disease, so the anaesthetist is the **** during the operation. A good anaesthetist can increase the patient's unharmed rate by at least 90% on stage. This is not just a joke. of.

If it is an operation performed by an outside hospital, Min Hong would not dare to go alone when the patient’s situation is very complicated, but generally at this time, Dai Ruping would work overtime on weekends...

"You always wear high hats for me, it's not good."

"If the department agrees, I actually don't want to be the director." Min Hong smiled.

This is the truth, but also a joke. Min Hong does not have much pursuit of being an improper director. It just seems that since he became a professor, no one dares to let him lead the group alone, because if the professor who leads the group has problems, the director of the ward will also have a joint The director of the department will also be held accountable.

Professor Wang Shidong is Min Hong's master and the head of the section. There is no way, but even so, he dared not put Min Hong in his own department, so he was simply separated.

Therefore, Dai Ruping had a merit in Min Hong becoming the director of the ward.

"Professor Min, what you said is Versailles in terms of what is now popular on the Internet. The director is something we don't want to be, so don't be stinky here."

"Hurry up and operate. You have been chatting for so long, maybe you have finished my old friend's debridement." Dai Ruping wrinkled the corners of his eyes and looked in other directions casually.

Dai Ruping's anesthesia, the most powerful is nerve block anesthesia, basically can well control the anesthesia area and anesthesia effect of any nerve block.

Naturally, he is better at sciatic nerve block, so Dai Ruping used to call the sciatic nerve his old friend.

Of course, the reason why Dai Ruping shouted was to warn Min Hong that what I do best is to bring down my old friend. You have to be careful, little brother!

Min Hong said quickly: "Yes, I'm afraid of you! You are my elder brother."

"Come on, let's continue the operation."

"Walking, I am ready to get new surgical instruments and a full set of instruments for joint replacement, and then bring two connecting tubes of arthroscopy. We will use indwelling drainage later." Min Hong immediately arranged the next operation The equipment to be used proves that Min Hong has evaluated all the surgical procedures and knows every step of the operation.

Immediately afterwards, everyone returned the surgical area to the posterolateral incision of the hip joint again.

When Min Hong stood at the main knife position, with Lu Cheng and others assisting in exposing his field of vision, when he saw that the fat sleeve wrapped around the sciatic nerve was loosened, he asked, "Lin Hui, the sinus sleeve here. , Did you strip it? It stripped well."

Lin Hui shook his head quickly: "Xiao Lu used blunt bone to separate."

Bone dial, similar to a chisel, is divided into flat bone knife and blunt bone knife. The blunt bone knife is used to separate the periosteum, or to pry the steel plate, or to clean up the fragments of the fracture. The sharp flat bone knife is used for osteotomy because it is relatively sharp.

In fact, Min Hong had already guessed it in his heart. Just based on Lin Hui's current operation, he still didn't dare to play with the sinus tube outside the nerve so directly.

Min Hong paused for a while and said to Dai Ruping: "Professor Dai, look, I am also under a lot of pressure. The young people in our department are all small monsters. You can help me a lot, otherwise. I will soon be overtaken and crushed by them."

"Go go! I have no time to talk to you." Dai Ruping rolled his eyes, too lazy to care about the shameless old Min.

It’s a little monster, don’t you know how the little monster came? How do the nurses and other anesthesiologists in the operating room call you and fear you as an old monster, don't you know it in your heart?

There is an old monster like you, if there are not a few little monsters in the department, it would be strange.

However, Dai Ruping looked at the fresh face of Lu Cheng, and after a comprehensive assessment, he still felt that this young man was a bit fierce.

It should be said to be quite fierce.

Is a trespasser.

Min Hong touched the removable femoral duct scar sleeve that had been separated on the sciatic nerve with his hand, and said: "Our sciatic nerve is large enough and tough enough. The outer envelope of the nerve is also thick enough. , Then in this case, even if there is an external scar surrounding it."

"Because of its special anatomical structure, we can also be a little bolder. Although the blunt bone knife cannot be used for the peeling of neurofibromas inside the capsule, this kind of scar tube outside the capsule is definitely possible. ."

"Under normal circumstances, bacteria will not erode the envelope of nerves, because bacteria actually have tropism, tropotaxis and vasotropism. In places with fewer blood vessels, they are unwilling to pass. Fat tissue and muscle tissue. Are rich in nutrients and are the easiest place for bacteria to stay."

"Similarly, bacteria are also harmful. If there is a dead space after we debride the wound, once we use antibiotics, they will move to the dead space that cannot be reached by antibiotics and gather."

"Understanding this feature, we can have a good understanding of some symptoms and possible complications after infection."

"Once the sinus canal of this femoral canal is detached, in this case, we can actually use a sharp knife to reverse it."

While talking, Min Hong directly incised the sinus tube in one direction of the sciatic nerve. After peeling it off, he followed the shape of the sinus tube and boldly started to cut the sinus tube again.

"As long as we find the bones, we actually find a safe area. If we find the sciatic nerve and the femoral nerve, then our maneuverable area will be even larger. There is no important tissue in between. We can do whatever we want. The earth removed the sinus tube completely."

"Moreover, the soft tissue space in the middle, we don't have to worry about whether it needs to be sutured after the operation, because it is close to the surface of the femur..."

The operation went on smoothly without any sense of pause.

Just watching Professor Min Hong do this, Lin Hui suddenly felt a sense of guilt, because after Lu Cheng had already detached the sinus tube, he could actually solve the sinus tube easily, but he called Lu Cheng Changing the direction, Lu Chengcai stopped, and did not forcefully continue.

Give him enough face, UU reading www.uukanshu.com In fact, the sinus tube of the sciatic nerve can be dealt with long ago.

Before Lu Cheng could make a clear judgment about when it was more dangerous and when the danger was actually eliminated, he gave him guidance and dissuasion. This is not guidance!

This is called a mess.

After this, Lin Hui suddenly felt that his entire face was a little burnt, but it was not red.

Well, when I used to be red, I couldn’t stop being red.

At the end of the season and Deng Zhi, both faces were expressionless. After seeing this situation a lot, they got used to it. There is no need to see Lin Hui and put more pressure on Lin Hui.

You don't need to think about Lin Hui's psychological pressure at this moment.

Directly in front of everyone, he gave Lu Cheng a false persuasion demonstration. If the teacher wants to be like this, it would be so simple...

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