I Spent Those Years In the Operating Room Fighting Monsters

"Phew!" Lu Cheng took a breath after transferring the liquid in the wound into the culture tube, and then carefully looked at the situation in the wound.

In the end, he decided to turn his head to the tour who was about to send the culture tube down and said, "Teacher tour, please open another sharp blade for backup."

The tour has not been to the operating room of Jingwei Building, and I am a little puzzled: "Isn't it open? I just saw what you are holding in your hand? Did it fall?"

While asking, he still walked to the spare instrument table in the operating room.

"Open a spare." Lu Cheng didn't look back, but returned.

The itinerant nurse was depressed and turned on the backup. What the **** is this reason? Of course, now that Lu Cheng is the chief knife, she doesn't have much to say.

Qu Hongsheng had never had an operation with Lu Cheng, and naturally he didn't know what the magic effect of Lu Cheng's calling the roving nurse to prepare an extra sharp blade. However, the sharp blade is not expensive, and it is not included in the conventional surgical consumables at all, and he did not ask much.

But the next moment, Qu Hongsheng understood.

When Lu Cheng called the patrol nurse to prepare the sharp blade, Fang Nixin knew what Lu Cheng was going to do, and even Xie Jian knew that he was using the thyroid retractor to pull the opening that Lu Cheng had just exposed. A little more open.

Lu Cheng held tweezers in his left hand and a sharp knife in his right hand, starting from the incision of the skin, and slowly began to debride.

But Qu Hongsheng caught Lu Cheng's movements very keenly. Although Lu Cheng's sharp knife and tweezers cut off not much necrotic skin, Lu Cheng's right hand was floating slightly quickly.

The action looks like a first-time master knife trainee, a tense shaking of both hands, but.

Qu Hongsheng had long known about Lu Cheng's coercion. It is estimated that there are at least one or two hundred patients who have undergone surgery in his hands, and such a situation will definitely not occur.

Then when you look more closely, you can find that Lu Cheng's right hand is shaking slightly, the thumb, index finger and **** are constantly changing the angle slightly, controlling the tip and shoulder of the sharp blade, and quickly on the skin And scratch inside the subcutaneous space!

The principle of operation is somewhat similar to the scraping and sweeping of benign bone tumors in the Department of Orthopedics. However, bone tumors are generally located in or around the bone, and are relatively hard. During the scraping process with a curette, there will be feedback. scratched somewhere.

The place where Lu Cheng is now operating is only the soft tissue. It is not easy to complete the sweeping action in this place.

If the force is not enough, it is irrelevant, and if it is heavy, the skin can be directly dried with one stroke.

Amputation can be performed with a sharp or round knife, and soft tissue can be cut everywhere. This is no joke.

"Little Lu, who are you?" Qu Hongsheng asked immediately.

Ever since Qu Hongsheng knew about Lu Cheng, he slowly and deeply did a little investigation on Lu Cheng, not a back-office investigation. He just asked some old acquaintances in various departments and found that the department was almost the same as Lu Cheng. People who knew him, whether they were juniors or professors, all praised Lu Cheng incessantly.

Moreover, Qu Hongsheng does not feel that he surpasses Lu Cheng in the knowledge of orthopedics, but he is much deeper than Lu Cheng in the depth of a single discipline.

If you don't know, you must ask.

Of course, he was also afraid that Lu Cheng would do something stupid, although the chances of doing something stupid were very small.

"Mr. Qu, I'm doing debridement. This is a concept I came up with some time ago with a few interns who followed me. It's a supplement to debridement."

Lu Cheng continued the operation in his hand while continuing to explain: "It can be roughly divided into two parts, the first part is similar to the application of bone disease scraping and sweeping techniques in debridement, using micro-manipulation to avoid damaging normal muscle tissue. , and scrapes necrotic tissue quickly and cleanly."

"The second part is the theory of the cavity. Our conventional debridement mainly focuses on excising necrotic tissue and not retaining tissue that cannot be determined to be infected."

"But we think that the bacteria that infect the wounds of patients are generally lurking in various cavities. If these cavities can be excised in a limited manner using micromanipulation, the residual normal tissue can be guaranteed to a greater extent."

"And it can clean up the infected tissue to a greater extent, reducing the chance of infection recurrence."

"Because according to the principle of normal debridement, try not to open the cavities that can not be opened. However, we found that many experts at home and abroad have achieved complete debridement when debridement is actually done by searching the literature. The effect is good, but there is still a 27 to 43 percent chance of recurrence."

"so……"

Lu Cheng put his hand in hand and spoke skillfully, and the movements in his hand did not stop.

Although these things were not proposed by Lu Cheng at the beginning, Lu Cheng participated in the whole process and has been refined. Therefore, Lu Cheng now has a very professional grasp of the relevant data.

Hearing Lu Cheng's words, many people in the operating room were stunned.

The hand-washing nurse stared at Lu Cheng for a few times, first the literature, and then the operation of experts at home and abroad, which seemed to sound like that.

If you were the same level as Professor Min Hong or Professor Huang before, you are so young?

All of a sudden boast such a big mouth?

The anesthesiologist didn't think much about it. In fact, when he saw that there was a Lu Cheng in the surgical team, he thought of the recent introduction of a very talented young doctor in the hospital. had a fight.

Lu Cheng is very powerful. It goes without saying that Professor Zhang Yuewei of Vascular Surgery, the so-called international Zhang, has all tried to rob Lu Cheng. If he is not capable, he is Zhang Yuewei's illegitimate son.

But age doesn't matter.

After Lu Cheng entered the hospital, he would make some big moves, and he was not surprised.

After all, a young man like Lu Cheng is talented and capable, and now he has a platform and autonomy. If he doesn't come up with something, he will be sorry for himself.

However, the anesthesiologist never thought that Lu Cheng would choose debridement to start with.

What is the basis of surgery, every medical student will tell you, debridement, debridement, or debridement.

The first step in the development of surgery is debridement. At present, the development of all surgical techniques cannot be separated from debridement.

Debridement teaches surgeons how to tell which is necrotic tissue and which is healthy tissue. The essence of more than 95% of surgical procedures is actually to remove necrotic tissue and then preserve the function of the patient.

It's just that basically all technologies come from debridement, so this one, after more than 100 years of surgical development, has basically been studied rotten.

Then can you play tricks?

Of course, if you can really play tricks, then this time, the Second Xiangya Hospital will really find a treasure.

The foundation, what is the foundation, is the cornerstone of everything.

Each discipline has two major experimental directions, one is clinical experiment and the other is basic experiment.

In clinical experiments, many conclusions or conjectures made are not as influential as the results of basic experiments. Basic experiments are generally done in the laboratory, and once they are done, high-scoring articles can be published.

Why can high-scoring articles be published? Naturally, the impact is greater than that of clinical trials.

Some basic clinical skills, such as debridement and suturing, have basically become operations on the street. After graduation, junior college students can also know how to sew and debride some basic concepts.

At present, the basic operation of research in the world is actually various fancy sutures.

No one has ever thought about doing debridement. It's not because they don't want to, but because it's too difficult.

So, if it is really possible to add something to the already outdated basic theory of debridement, then I'm sorry, big brother, you don't want to be famous.

You are all rushing to write the conceptual things in the textbook.

After Qu Hongsheng listened to it, he was stunned for about ten seconds. Lu Cheng thought that Qu Hongsheng didn't want to ask any further questions, so he continued his operation, and it became more and more smooth and smooth. It's smooth, it's already from the skin to the subcutaneous fat layer.

In the operation of the fat layer, Lu Cheng has changed another mode of operation.

Qu Hongsheng coughed twice, then asked blankly, "Lu Cheng, what did you just say?"

Qu Hongsheng is a professor of the Department of Orthopedics and Oncology. He is currently the acting director of the Department of Orthopedics. He used to be a management class in the School of Basic Medicine. Although he follows an administrative line, it does not mean that he is not sensitive to the development of the discipline.

It's not that Qu Hongsheng didn't understand, but he hoped that Lu Cheng could confirm some of the things he was doing...

Lu Cheng frowned, and Fang Nixin took the initiative to say, "Mr. Qu, Xiao Lu said that he has certain ideas about debridement. However, it is only at the theoretical stage, and even the preliminary research work of the subject is not ready, so he is still Temporarily unavailable!"

Qu Hongsheng understood it clearly and clearly.

It turns out that debridement can still do this?

It turns out that debridement can also be reinterpreted.

Debridement, and a new understanding!

The re-understanding and interpretation of debridement, what is the concept in surgery, that is, the Chinese language, a new definition of initials, finals and part of the tones, if it can be done, then all the concepts, It may all change because of this!

The foundation, although simple, is the cornerstone!

Immediately, Qu Hongsheng started to become hot and excited, and he raised his voice and asked, "Little Lu, how much data have you collected now? What's the result?"

"Have you told Li Dongshan about this?"

"he?"

"Did he not support you?"

"Then you shouldn't come to the Fifth Division." Qu Hongsheng's tone became a little messy, and he also carried his own anger.

It can be said that it is compared with paving the way for Lu Cheng and getting Lu Cheng to be promoted early, or so that his students can gain a firm foothold in the five majors. All of this is compared with what Lu Cheng intends to do. Get up, this is shit!

Qu Hongsheng wanted to take the administrative route, and wanted to compete for the position of the vice president, but don't forget, his most basic bottom line was a professor of orthopedics, a professor of orthopedics.

This kind of thing that can change the entire orthopaedics and even surgery, even if it is only a possibility, but as long as there is a little sign, it can be done.

It was absolutely impossible for Qu Hongsheng to let Lu Cheng give up.

Even if it persists for five years and ten years, it is still useless, so what?

Lu Cheng is still young, he can still afford to delay, what if?

If Li Dongshan knew about this and transferred Lu Cheng from the trauma center where more data could be obtained to the Department of Orthopedics, Qu Hongsheng really wanted to go and talk to Li Dongshan, Li Dongshan's brain Son, what are you thinking?

"Mr. Qu, some data have been collected so far, forty-six in total, and the results are okay. It's just that it hasn't been completely sorted out, and the follow-up work is still in progress."

"As the preliminary work of the project, even if you exclude some inapplicable data, it should be enough. If you want to continue to do it further, you still have to do it on some complex cases, simple trauma cases, the probability of infection itself is not high. It’s big, so it’s not very persuasive.”

"My master knows about this. In fact, another plan of my coming here is to have more complicated and frequently-infected patients here." Lu Cheng stopped the operation and returned.

"It's just that this matter is still immature, so I haven't had time to tell you about it."

"However, for this topic, I don't think the possibility of applying for the project is very high, so the follow-up research may still use the research start-up funds given to me by the hospital, and first do some data to see the effect." Lu Cheng put himself plan to speak out.

Debridement, if you want to re-establish a project, it is unlikely that it is very likely. Even if everyone knows how influential this area is after being successful, it is too difficult, so I don’t want to waste money.

Moreover, it is very expensive to do projects, so Lu Cheng didn't want to disclose anything when there was nothing particularly credible and feasible, for fear of provoking a show.

After all, many people will definitely say that they are so ambitious that they want to change the textbook before they even understand the clinical practice.

[To tell the truth, recently I have been using Mimi to read and read books to keep up with updates, switch sources, and read aloud tones, which can be used by Android and Apple. 】

At first, Lu Cheng didn't think about rewriting textbooks in the past, but he just happened to meet ~www.wuxiaspot.com~ and he could still do it, so he did it. Although the reform of the general hospitalization system was stranded later, but now that I have come to the five departments of orthopedics, I can still do it.

Only forty cases? If this data were to be used as a general pipeline clinical project, it would definitely be enough, but it was far from enough for what Lu Cheng had to do. There should be more than that in emergency patients in trauma centers, right?

However, Qu Hongsheng immediately thought of it. After his restructuring in October, Lu Cheng was only on duty for five days in October, so the accumulation of data must not be as fast as before.

Qu Hongsheng probably pondered for a while in his heart, and then said slowly, "It doesn't matter, it doesn't matter."

"Xiao Lu, you can do it with confidence. Don't worry about the research fund. There are many research groups in our orthopedics department, and there are many funds in the research group that have some active quotas that can be used."

"I believe you can definitely make something different."

Although Qu Hongsheng was very excited, he was not overwhelmed by the excitement.

"Just go ahead and do it first. As for success or failure, you can only know if you do it. But no matter what, I think your current micro-operation concept of debridement will definitely be able to integrate the basic operation of surgery. , it turned upside down."

Qu Hongsheng said, his eyes were fiery, and the way he looked at Lu Cheng was different. This Lu Cheng is a living treasure.

It is a real living treasure, not the kind of funny living treasure mentioned on the Internet, which is a living treasure.

Talent is the most important, this is the theory of the new century, this sentence is really true.

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