I Spent Those Years In the Operating Room Fighting Monsters

There are two surgeries scheduled by Chen Bing today. The original plan was to take the surgery room after Liu Deqian's surgery day, but I didn't expect to have a separate operating room, so I could go to the operating room early for surgery.

According to Chen Bing's idea, after Liu Degan had two operations, he would definitely go there in the afternoon. He had one operation and the remaining one was given to Lu Cheng. It didn't matter if it took a little time.

But now that things have changed, the thinking can also be changed slightly. Today, there are two operations, one is arthroscopic rotator cuff suture, and the other is arthroscopic frozen shoulder debridement.

With plenty of time, Chen Bing really wanted to see where this hairy boy who was brought out by himself went. The last time he was in the Youth Sports Medicine Competition, Lu Cheng was brilliant, but after all, it was just a simulation instrument. That's it, it was a game, and today this is a real operation.

After putting on his clothes, Chen Bing checked the time and said, "Xiao Lu, can you handle the two operations today?"

When Lu Cheng heard this, his eyes suddenly brightened. Director Chen is here to give himself experience points and gold coins.

Immediately said: "You can give it a try."

Chen Bing is not a lower-level doctor. It is estimated that the current technical level is about the same level as Chang Weilong and the others. There is no need for much practice at all. As for Chen Bing, Guo Xiaoyong is the only one who has Chen Bing's trust. However, it is estimated that Guo Xiaoyong's pre-operative preparations are too choking, and it is estimated that he has not yet reached the stage where he can practice surgery.

There are specialized instrument nurses in charge of arthroscopy in the operating room, but they are all in Liu Deqian’s operating room, but the instrument nurses do not have many operations. Chen Bing can complete the operation of arthroscopy with a little teaching. .

After doing this, Chen Bing said: "Our mirror may be different from the mirror you used in the Second Xiangya Hospital. You can take pictures by yourself on the operating lever, so you don’t need a special professional instrumentalist to cooperate. ."

"You do it."

Chen Bing gave up the main knife position and walked between the hand-washing nurse and the operating table.

Shoulder arthroscopy surgery generally chooses the lateral position with the upper arm suspended, so in fact, there is no need for an assistant to help too much, and Chen Bing is afraid that the nurse of vascular surgery does not know some instruments of the full arthroscopy, so he can only serve as an assistant. , A semi-part-time instrument nurse gave Lu Chenglai a set.

Lu Cheng immediately shifted his position, and as soon as he reached the operating position, he immediately said, "Xiaoyong, did this patient bring the accessory kidney when he was sent for surgery before the operation?"

Guo Xiaoyong glanced at Chen Bing, as if he didn't understand.

Lu Cheng understood it, and said, "Then take a tube of saline."

Chen Bing said: "Walk around, open a syringe and come up."

Then explained: "The preparation of the accessory kidney and saline can reduce the bleeding of the wound. It is a standard operation before the arthroscopic approach. I usually think it may not be very useful, so I don't bother to do it."

"Xiaoyong, when you want to learn arthroscopy in the future, you have to learn it with Xiao Lu. My path is a bit wild now."

This is indeed the case. People with particularly good arthroscopy skills may not be suitable for elementary teaching, because generally such doctors or professors have enough experience and confidence to perform very large-scale operations.

But for beginners, if the pre-operation preparation is not enough, the field of vision during the operation will be extremely poor, so it is not suitable for learning from the old fritters.

Guo Xiaoyong became energetic when he heard these words: "Okay, Director Chen."

Then smiled mysteriously at Lu Cheng, meaning you are my eldest brother! It is your duty to take care of the younger brother.

Lu Cheng’s arthroscopic arthroscopic technique is sufficient now, but Lu Cheng still feels that following the standard steps is the most appropriate and can get a better vision.

Fill the joint cavity, open, and puncture bluntly to the shoulder joint capsule.

This series of operations has become Lu Cheng's instinct, so basically Lu Cheng has penetrated into the joint cavity with a sharp knife and straight pliers.

After picking up the arthroscopy and talking to each other, Lu Cheng was dumbfounded. Looking at the clear portrait in the arthroscopy, he said, "Director Chen, this arthroscopy has such a good field of vision?"

The clarity of the arthroscope's display screen is at least twice that of the arthroscope made by Lu Cheng in the Second Xiangya Hospital, and even the pores on his face can be seen.

Chen Bing then smiled and said shyly: "I told you before that I usually don't do arthroscopy for filling. You will see the same thing later. Actually, this arthroscopy was brought in by Liu Degan. All the latest models."

"And the arthroscopic equipment you made at the Second Xiangya Hospital is probably the set of more than ten or even twenty years ago, and of course it is not as good as the current one."

The development speed of sports medicine in each hospital is different. For example, the arthroscopy of the Second Xiangya Hospital of Xiangya Hospital has been developed for at least 20 or 30 years, and the equipment will certainly not be easily replaced. A set of equipment is at least dozens of years old. Ten thousand or even millions.

Except for the high-end private hospitals, whoever can afford to buy new equipment, but the newly developed sports medicine hospitals are definitely buying the latest equipment.

So this is actually an advantage.

Wearing the arthroscope sleeve, Lu Cheng put the arthroscope into the shoulder joint cavity, and immediately saw a clear view of the shoulder joint. This is definitely the kind of high-end camera that can even be very small and rough. See.

This patient has a rotator cuff injury and has been in the hospital for a short time, so the synovitis is very mild.

Lu Cheng walked around in the shoulder joint, only to polish a little roughness with a planer to complete the joint debridement of the shoulder joint capsule.

Lu Cheng took pictures of the biceps long head tendon, bankart and other positions one by one, and said: "Director Chen, this arthroscopic surgery is really cool. I have never seen such a clear joint. The vision in the mirror. The water is strong enough."

"No wonder you don't need the step of joint filling and accessory kidney."

All the details are actually for facilitating the operation, expanding the field of vision, and reducing bleeding. But this arthroscopic device itself can avoid so many things, so Lu Cheng's previous operation seemed a bit redundant.

This made Lu Cheng feel like he came from the country.

Chen Bing said: "It's not completely the case. Your operation is still necessary. In addition to reducing the bleeding in the joints, the accessory kidney can also reduce the bleeding in the approach. It is still quite good. Xiaoyong, you must remember to raise it later. Into this habit."

Then Chen Bing said: "Xiao Lu, you can be a little slower when doing arthroscopy. We can see clearly, but we can give Xiaoyong a little explanation."

Lu Cheng thought about it and said, "Director Chen, I'm thinking about the cleaning of the next frozen shoulder. It must be done in detail, so this one will save time as much as possible. The next one will definitely want to be cleaned. You can see the structure you see."

The operation of frozen shoulder is simple and simple, but complicated if it is complicated.

Chen Bing nodded, and stopped talking.

Guo Xiaoyong suddenly felt that he was superfluous.

Then Lu Cheng transferred the arthroscopy and moved directly to the subacromial space, so that the rotator cuff can be seen in the subacromial space. This patient has a tear of the supraspinatus muscle, so the supraspinatus muscle must be under the acromion. The gap is sutured.

The stitched routines, Lu Cheng's thoughts are exceptionally clear.

After reaching the gap under the acromion, Lu Cheng made another opening for the operating position, and at the same time directly made a third opening, which was the opening for the sleeve.

While doing this, Lu Cheng explained: "Dr Chen, I am used to directly making the hole for the sleeve first, because it must be put, so I can have one more approach to clean up the joints in advance, which can save a little bit. Time can also avoid opening another mouth."

Chen Bing smiled on the face, but he cursed in his heart, you rascal kid I believe you are a ghost, what if you open the third hole directly? Are you about to open the fourth or even fifth hole?

Chen Bing nodded and said, "Yes, but Xiaoyong, you just pass this step, don't follow him to learn, this is also a wild way."

Only when there is almost absolute certainty about the rotator cuff stitching, the way to put the sleeve is also done at the beginning.

Looking at the level and technique of a person's surgery, you can actually see from these details. Chen Bing instantly raised Lu Cheng's assessment point.

However, when Lu Cheng put the planer into the gap under the acromion, Lu Cheng's speed immediately picked up.

While cleaning the synovial membrane, he said: "Xiaoyong, help me pull the shoulder joint a little bit more, just give me a little bit of strength."

Guo Xiaoyong was still at a loss. Chen Bing immediately took Guo Xiaoyong's hand to the place he should put it, and at the same time he cursed: "After I go back, read more books, just rely on the stage to learn surgery, when do you want to learn? Go? Be sure to clarify the procedures and principles of the operation in advance."

Guo Xiao nodded valiantly, and secretly said, alas, the gap between me and Xiao Lu is getting farther and farther. Lu Chengcheng has already started the operation, and I don't even know the procedure.

Lu Cheng didn't care about so much, he just started to clean up.

This is a fresh injury, so there are not many things that can be cleaned. Then, I saw Lu Cheng use a probe to pick from the third approach to a certain position of the rotator cuff, and he immediately hit the'weakness'. Click, and lightly push inside to break through, and the torn rotator cuff sticks out his head.

This is an incomplete rupture of the supraspinatus muscle, but only a small amount is lost, and it is impossible to maintain the stability of the shoulder joint and fully responsible for the abduction function of the upper limb.

Lu Cheng then said, "Director Chen, luck is still pretty good, it's not completely broken, just sew it."

"Um."

"It's time to put the nails on the outside." Although Chen Bing was surprised that Lu Cheng found the location of the breaking point so quickly, there were still auxiliary materials such as nuclear magnetism before the operation, and it was normal.

Lu Cheng quickly used a plasma knife to hit two spots where the outer row should be nailed, and then said: "Teacher tour, nail the outer row."

"Hole punch!"

Chen Bing had given the punch to Lu Cheng a long time ago, and then walked to a pile of instruments and pointed out what the outside row of nails was.

When Lu Cheng banged out the holes in the outer row of nails, the two nails with wires had already arrived on the stage.

This cooperation was simply crooked, and Lu Cheng felt that the procedure was simply invincible.

After **** in the two external nails, when Lu Cheng was about to call to take the stitches again, Chen Bing mysteriously handed it over again and said, "Xiao Lu, this stitching bag belongs to me. Name, this is the special stitcher I bought."

"Are you going to try? You just need to thread the thread into it, then buckle here, and the suture will pass through the tendon, and then take the thread."

Chen Bing said, experimenting with this thing for Lu Cheng.

Lu Cheng was a bit petrified on the spot.

MLGB, what is this?

Anything like this?

The most difficult part of rotator cuff stitching is to sew the thread through the sleeve and bring the thread out from the opposite side. This is also the key point in the rotator cuff stitching process, and it is also a person's understanding of the rotator cuff injury stitching. problem.

but?

However, this thing is simply out of balance.

After Lu Cheng pulled the suture out of the operating hole, he installed it on the suture device. After adjusting the direction, he flicked it.

Suddenly, the suture was taken through the tendon, and Lu Cheng used the hook to pull the suture out of the sleeve.

One stitch!

Gone!

Lu Cheng's forehead was slightly wrinkled, as if he felt that the operation of the operation was simply too bad, and then he tried to pass another suture through again.

It's gone again.

Cross knot, cut the thread!

Just the operation.

Gone.

Lu Cheng tilted his head and gave Chen Bing a helpless look.

I saw Chen Bing staring at him with eyes wide open. The bloodshot eyes were clearly visible, and the pupils were dilated as far as possible, as if a cerebral hemorrhage had occurred.

"Director Chen, where did you come from? With so many babies, isn't this making rotator cuff suture as simple as debridement suture?" Lu Cheng vomited.

Chen Bing pointed to the operating room without looking at Lu Cheng.

I scolded Lu Cheng madly in my heart, what are you talking about?

All tools are man-made, and they are made to make it easier for people to use tools. However, people who use tools must also have a strong understanding.

Just like, is the computer powerful?

But ordinary people with computers, besides surfing the Internet, playing games, chatting, and watching TV, what else can they do?

It is a working tool in the hands of programmers, and it is just a consumer product in the eyes of ordinary people.

The scalpel is a life-saving weapon in the hands of the surgeon~www.wuxiaspot.com~ In the eyes of ordinary people, it is simply an extremely sharp murder weapon!

Can this be the same?

Can this be the same?

Did you guys know that I broke the bullet when I first used it, and then I looked for the broken needle for more than an hour and you came to mock me?

Is there a tool that is the reason why you can sew the rotator cuff in 20 minutes?

The tool is the reason why I can’t understand the speed of your operation the first time you use it?

If you have tools, you can be wrong? Going to be a dog?

It is as simple as debridement and suture!

You tell me what surgery in this world is actually simpler than larger debridement and suture + put something?

"get out!"

"I don't want to listen to you, and I don't want to see you for the time being." Chen Bing spit out two words in a frenzy.