Chapter 39 A group of unreliable people
In the operating room, the two shadowless lights connected to the white robotic arm were on, and the circulating nurse was constantly adjusting the angle.
Anesthesiologist Lin Zixiang sat in front of the anesthesia machine, not even daring to play with his mobile phone.
The surgical nurse, who is not usually equipped in a simple fracture operating room, was also on the stage, nervously watching the three young people in their twenties operating there, feeling a little uneasy.
After all, fracture reduction and internal fixation is not a simple first-level surgery like removing internal fixation.
No matter how simple a fracture surgery is, a very experienced doctor cannot guarantee that he will not go wrong 100%, so in fact, Cai Xuan arranged for Lu Cheng to perform the surgery, and there was no more senior doctor than Lu Cheng to see the table.
I felt a little panicked.
In the past, when Lu Cheng performed on stage, it was always with Cai Xuan or even Chen Bing standing next to him. Naturally, they were not afraid. Even if Lu Cheng caused problems, there would be someone to clean up his tail.
But now, it is actually just Lu Cheng and three people who are doing this surgery.
The preparations for the operation were all done. Lu Cheng held the round knife in his right hand like a pen, and asked Tang Deye and Guo Xiaoyong to raise the affected limb and apply a tourniquet first.
Then, after the tourniquet inflator machine rumbled and finished inflating, Lu Chengcai said: "The operation has officially begun. Tour teacher, could you please press the operation timer for me again."
Today's tour was conducted by Lu Cheng's daily acquaintance Mei Lan. She walked to the operating board, glanced at the time displayed in the operating room, then pressed her hand on the timer that had returned to zero, and said: "13:15:54, surgery.
Officially begin!"
Anesthesiologist Lin Zixiang repeated: "13:15:54, skin incision!"
It seems that after this operation, they all returned to the time when they first started working and felt like they were in danger.
This patient's fracture was in the middle of the tibia, so Lu Cheng chose an anteromedial arc-shaped incision.
Because of the tourniquet, there is actually no need to stop the bleeding at all. After the round knife breaks the skin, the electrosurgery uses the electrocoagulation mode to touch the bleeding point a few times, and the surgical field becomes clear and clean.
There is not much tissue in front of the tibia. Behind the skin layer is the subcutaneous fat layer, and there are not many blood vessels and nerves. Even if there are, they are only the endings of blood vessels and nerves. Cutting them off will have almost no impact on the patient.
However, Lu Cheng still prepared the layers of anatomy in a very orderly manner. After separating the skin layer, subcutaneous fat layer, and bone fascia layer one by one, he reached the tibial fracture.
The fracture is a simple fracture. What is a little complicated is that there is a fracture fragment that is not very small. If this fracture fragment is lost, it will have a certain impact on the recovery of the fracture, but if it is not lost, there will be certain technical requirements for reduction.
.
This situation is very unfriendly to novices, but Lu Cheng doesn't have this problem. If it were Guo Xiaoyong and Tang Deye, they probably wouldn't know how to deal with the fracture fragments.
After the exposure, Mei Lan took a special look at the surgical field, and suddenly said with a surprised look on his face: "Xiao Lu's basic skills are very solid. This style of doing wounds is a bit like what Director Zang meant. The anatomical level is very clear.
.”
There is basically no bleeding on the wound surface, it is very clean, and the surgical field is very open.
This is Zang Xun’s usual surgical style.
After finishing speaking, Mei Lan said with a smile: "If you don't know, they will probably think that you are Director Zang's student, not Brother Cai's student."
Lin Zixiang also stood up. He stood next to the anesthesia machine and looked down from the patient's head. His field of vision was very clear. He nodded and said, "That's true. Cai Xuan has never paid much attention to these details. Every time
The surgical incisions are all bloody.”
"Director Zang has told him before that this habit is not good, but Cai Xuan has always felt that it is not necessary to pay attention to such details, but it delays the operation time. His philosophy is that the longer the operation, the more trauma to the patient.
The bigger it is, the faster the surgery is."
After finishing speaking, Lin Zixiang added: "But I still think that sharpening the knife will not delay the chopping of firewood, and a clean surgical field will not increase the length of the operation."
Lu Cheng heard the praises of Mei Lan and Lin Zixiang, but he did not respond. This is an essential quality for a chief surgeon and surgeon.
In the audience, if someone shouts at you, it's not your fault as a person.
However, on the operating table, everything is focused on the patient and the operation. You can only focus on the operation.
"Bone stripping." This was Lu Cheng's first fracture surgery performed by himself, so he had to be careful and strictly follow the procedures in the textbook, peeling off the periosteum first, and then choosing an opportunity to perform reduction. Although Cai Xuan every
He never paid attention to these details, but Lu Cheng didn't want to learn this from Cai Xuan.
He himself now has a certain personal understanding of fractures.
Two minutes later.
Lu Cheng peeled off the periosteum and said to Guo Xiaoyong: "Tang Deye, you are responsible for retracting the hook. Xiaoyong, you get a bite forceps, and I will pull and reduce it. After seeing the reduction, I will immediately use the bite forceps to clamp the fracture position.
live."
Resetting and fixing is a very critical step.
"Yes, I know. Brother Cheng, don't worry." Guo Xiaoyong immediately picked up the pliers and said with confidence.
At the same time, he was also looking forward to seeing Lu Cheng's reset. Last time, Lu Cheng managed to reset such a complicated comminuted fracture of the tibia. There must be some skill involved in this.
Guo Xiaoyong looked at it seriously, while Tang Deye pulled the hook seriously. He didn't know what Lu Cheng had done.
However, Lu Cheng's hands seemed to have just touched the patient's posterior edge of the tibial plateau and the distal ankle joint, and the fractured end automatically reset itself as if it had a memory.
Guo Xiaoyong's pupils suddenly shrank, and what he was thinking was, what am I doing? What have I missed?
Why is it automatically reset?
Guo Xiaoyong was not the only one who was stunned at this time.
There is also Tang Deye who is serious about pulling the hook.
In his field of vision, there was the fractured and displaced fracture end. Somehow, it was attracted like two magnets, as if it was a magic trick. At that time, he was stunned, and his head went blank.
Lu Cheng thought Guo Xiaoyong didn't react, so he gave him some time to react. It wasn't until five seconds later that Lu Cheng said: "Xiaoyong, bite it quickly. Why are you so stunned?"
Guo Xiaoyong immediately started operating.
Tang Deye raised his head and looked straight at Lu Cheng. The shadowless lamp shone in front of his eyes, which was so dazzling that he didn't realize it. This was nothing compared to how Lu Cheng broke the bone before.
Then it was reset in an instant.
Although this is a simple fracture, you can't play with it!
After all, fracture surgery is a second-level surgery. It doesn’t cost face, right?
"Sister Ya, Kirschner needle, electric drill!" Lu Cheng also saw Tang Deye's eyes, and suddenly felt a little uncomfortable.
You said that you, Tang Deye and Guo Xiaoyong, should arrange the channels for me. One was in a daze, and the other looked at me with a shadowless lamp, as if there were flowers on my face. Is this what a mature assistant should do?
I still need to practice more, my mental quality is not up to par at all.
"Ah? What did you say?" Jiang Ya seemed to hear someone calling her, but she didn't hear what the other person said at all.
Chapter completed!