Chapter 28 This incision is so well done!
Lu Cheng was very inconspicuous on the operating table.
Soon the two doctors who followed Director Zhou Xuanqing came to the stage to wash their hands and put on clothes respectively, and soon occupied the main stage. However, they did not overwhelm the guests, but called Liu Kaihua to prepare for the pre-operative work together, and put all the necessary materials for the operation together.
Sharp knives, round knives, electric knives, tweezers, etc. are placed in categories.
Tu Chaoran also explained: "Director Liu, I'm sorry, it's not that we think what you prepared is not right, it's because Professor Zhou will get more accustomed to such equipment placement later, and our team also has this habit."
Liu Kaihua was stunned, nodded and said, "This is a good habit. It is much better to put things in categories on the stage than to place things randomly."
Lu Cheng also nodded. Before the operation started, he was taught a lesson. If everything on the operating table can be placed in an orderly manner, try to put the same things in the same place for every operation.
This will help the progress of the surgery by at least 10%.
The medical skills of the Second Xiangya Hospital are impeccable, but they still have these habits, but Lu Cheng didn't notice them during his usual operations.
This is definitely a gluttonous feast.
Lu Cheng got excited, and soon Zhou Xuanqing and Zang Xun also came on stage. As a result, six people were crowded on the operating table.
It can be said to be luxuriously equipped.
Liu Kaihua managed to sneak into a position, while Lu Cheng was squeezed directly into the connection between the operating table and the instrument nurse's table.
It's impossible to get a hand on it, let alone do anything, but fortunately, the field of view from this position is relatively wide. It should be possible to see the entire surgical process very smoothly.
Zhou Xuanqing took the round knife and asked: "Has this patient applied a tourniquet?"
Liu Kaihua's heart suddenly tightened: "Professor Zhou, we thought this patient's soft tissue damage was a bit serious, so we didn't apply a tourniquet. If you need one, I'll call for a sterile tourniquet."
Zhou Xuanqing probably didn't want to waste time, so he said: "If there is no tourniquet, there will be no tourniquet."
The lancet holding the pen landed lightly on the patient's skin, and then quickly made an arc-shaped incision.
One strike and never look back.
This is a principle of surgery. Repeated incisions can easily lead to uneven incisions. Therefore, more powerful doctors generally do not make a second incision and go straight to the spot with one incision.
Zhou Xuanqing directly made an incision on the outside of the patient's tibia, extending from the side of the patella to the inside of the tibial tubercle. The incision was not small.
Then Tu Chaoran and Wu Wei cooperated very well. One person sent out a sharp knife and tweezers, while the other person held the tweezers on the upper edge of the outside of the patella and waited for Zhou Xuanqing. It seemed that they cooperated very well.
Zhou Xuanqing glanced at Tu Chaoran. Tu Chaoran immediately understood that this was not an operation in their own operating room, so he handed the forceps to Zang Xun.
Zhou Xuanqing and Zang Xun then began to separate the subcutaneous layer and fascia layer inside.
That is to say, Zhou Xuanqing and Zang Xun used tweezers to pull apart the surface of the skin at the same time. Lu Cheng also knew that the knife that Zhou Xuanqing had just cut incised only the skin and subcutaneous layer, not even the fascia layer.
No harm done.
This kind of strength control is simply too precise and in place.
The skill is very deep.
Even if no electrosurgery was used or a tourniquet was applied, there was not much bleeding at this moment.
Tu Chaoran was ready with a thyroid retractor in one hand, while Wu Wei was waiting with an electric knife and a suction device, seemingly capable of stopping bleeding and sucking blood at any time.
Just a few seconds later, Zhou Xuanqing finally incised a blood vessel in the fascial layer. Wu Wei immediately performed electrocoagulation to stop the bleeding, smoked, and sucked blood, and cleaned the surgical incision again. It looked like the patient had no skin at all.
It's like there is no blood.
Seeing such cooperation, Zang Xun sighed: "Professor Zhou, your teamwork is really good."
While Zang Xun was talking, Tu Chaoran had already pulled apart the fascia that separated them, exposing the muscle layer under the fascia layer.
Zhou Xuanqing smiled softly and said: "They are all young people with quick eyesight and quick hands, and they cooperate well. Sometimes my hands can't keep up with them."
Zhou Xuanqing sounded a bit self-deprecating, but he was actually very proud. I think Zhou Xuanqing was particularly satisfied with his two students, Tu Chaoran and Wu Wei.
Only when the assistant thoroughly understands what the surgeon is going to do next, why he is doing it, and fully understands the surgery, can he be able to cooperate without any gaps. This is a real surgical team.
Zang Xun immediately smiled and said: "It seems that Professor Wu and Dr. Tu are very impressed by your true heritage, Brother Zhou. They are really young and promising."
Wu Wei has the title of associate professor, and Tu Chaoran has the title of attending physician. They are both people who can truly take charge of the Second Xiangya Hospital. Zhou Xuanqing can often be away from the department, go out to perform knife skills or have meetings, sit in outpatient clinics, etc. Just the two of them can
He led his group of graduate students and regular trainees to complete the surgery.
Only a few times, Zhou Xuanqing would go on stage in person, and they were particularly familiar with the stage arrangements.
Zhou Xuanqing didn't say anything, and Wu Wei said: "Director Zang is ridiculous. Compared with your seniors, we are still far behind. I heard Professor Zhou say it before I came here. When Director Zang performs surgery, the anatomical levels are
But it’s very clear.”
"Most surgeons cannot be so patient."
Zang Xun laughed at himself: "My skills are not good, so I can only copy what is written in the book. Moreover, I think Director Zhou, what you did for the wound is like taking an anatomy class."
"Being able to restore the anatomical levels according to the book is something I can't do. Let me tell you, when Director Zang was young, he was very famous in our Xiangya system. My teacher was very surprised at the time
His anatomical knowledge and surgical operations." Zhou Xuanqing explained.
"We can then bluntly separate the muscle layer below to reach the lateral edge of the tibia. Some people like to free the iliotibial band at this step, but I don't like to do this..." Zhou Xuanqing quickly explained himself
stand up.
Lu Cheng nodded frequently as he heard this. As an expert, he would know if there was anything wrong as soon as he made a move. Just making this incision showed that his level was definitely higher than his own.
Lu Cheng's current level is at an advanced level. He can penetrate the hole and distinguish the layers. However, it is basically impossible to achieve this without applying a tourniquet with so little blood leakage.
Zhou Xuanqing's level is at least top-notch or even expert level.
However, Lu Cheng still felt a little strange. This patient's blood oozing seemed to be a little less.
So Lu Cheng put on the pair of glasses. Lu Cheng usually didn't wear them. Otherwise, it would look like everyone had a pain score on the blood vessels of his body, or there would be a pain score on the blood vessels.
Although it allows Lu Cheng to see blood flow fluctuations, it seems that he can only see the flow of blood flow. Even if Lu Cheng is a doctor, seeing a bunch of blood vessels flowing is very perceptive, so he can definitely not
Take it or leave it.
But now that he was sweeping the patient like this, my dear, he felt a chill in his heart on the spot!
Chapter completed!