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Chapter 40 You are too busy

"Sister Jiang Ya, Kirschner needles, electric drill, I want to fix it temporarily." Lu Cheng shouted repeatedly.

Although the bite forceps can be temporarily fixed, the size of the bite forceps is too large, which is not conducive to the operation of the steel plate. The Kirschner wire is only about 2.0, which will not affect the upper steel plate at all, so the Kirschner wire is temporarily fixed.

It is a necessary operation for many fractures.

Sometimes K-wires are even needed for temporary reduction.

Jiang Ya didn't react at all before. After hearing Lu Cheng repeat it, she immediately prepared what Lu Cheng wanted and gave it to Lu Cheng.

After doing this, she looked at the timing panel in the operating room.

"00:05:16!"

five minutes.

From skin incision to restoration!

Gone.

The next step was to temporarily fix it, including the moment when she was in a daze.

I'm afraid this surgery won't be completed within half an hour.

Yes, the two most difficult points in fracture surgery are exposure and reduction, and then applying the steel plate, driving screws, and closing the wound are all routine operations in all surgeries, and they are not difficult or time-consuming operations.

Reduction of fracture surgery is the key among the key. Whether the surgery is effective or not and how long the surgery takes depends not only on the location of the surgery, but also on how long the reduction takes.

A few minutes, Jiang Ya had never seen before, but more than 20 minutes, she may feel that it is very fast. Some complex fractures and displacements cannot be reset after three or four hours, and multiple surgeries are required.

The C-arm machine uses perspective to find the location.

Jiang Ya has seen it move little by little to a satisfactory position.

What the hell is this Lu Cheng?

However, although Jiang Ya had doubts in her heart, she did not dare to question Lu Cheng again.

Lu Cheng injected a Kirschner needle, and after achieving temporary fixation, he said: "Sister Mei, please push the C-arm machine and do a fluoroscopy."

After listening to this, Mei Lan walked towards the C-arm machine and said: "The effect of your reduction, even I, who is not an orthopedic surgeon, know that it is anatomical reduction, so there is no need for C-arm fluoroscopy, right?"

The C-arm machine is a bit heavy, and it still takes a lot of time. Mei Lan doesn't think it's necessary. Of course, if Lu Cheng insists, she will still do it.

Lu Chengcheng said: "Sister Mei, please take one photo. It will be safer and more secure."

Lu Cheng knew very well that in fact, according to the previous reset effect, he could skip the C-arm fluoroscopy process. However, Lu Cheng felt that it was still necessary to do a fluoroscopy to ensure nothing went wrong.

In surgery, the faster is not the better. Every step must be done properly. Stability is the most important. On the basis of stability, pursuing speed is the only high-quality development.

C-arm fluoroscopy, one minute later.

A very beautiful picture of the temporarily fixed lower limb bones was presented to everyone.

Mei Lan said at that time: "Look, let me tell you, this is a complete anatomical reduction. No fluoroscopy is needed, it can be seen with the naked eye."

Lin Zixiang also nodded: "Awesome. You have reached this level of anatomical reduction in just one reduction. You are amazing."

C-arm fluoroscopy has rays, so everyone must come out from behind the lead plate to avoid taking too many rays.

Lu Cheng smiled, thanked Lin Zixiang for the compliment, and then said: "Don't worry, the plate can be put on right away, and the operation is over. Thank you everyone for your cooperation."

At this point, the surgery can basically be declared over.

Everyone walked in again, and everyone except Lu Cheng unconsciously glanced at the surgery timer.

"00:08:15!"

The fluoroscopy was completed in less than ten minutes, and it was such a high-quality reduction.

Everyone was thinking, Lu Cheng, is this really okay with you? Just be a human being!

In the future, if other doctors perform simple fractures like this again, we will be embarrassed to praise them sincerely.

Placing a steel plate is the most basic operation. Take a steel plate of appropriate length and place it against the front end of the tibia. From top to bottom, put at least 3 screws on both sides of the fractured end to stabilize it.

Lu Cheng has a universal screwdriver, and this step is still very fast.

After this step, Lu Cheng bit the broken piece into pieces, and then hit the broken end with a thin bone knife.

This is autologous bone grafting, which can be considered a small benefit to patients. Many people may choose to stick a large piece of the fracture piece to the broken end of the fracture, but in fact, the effect is not as good as chewing it into pieces and driving it into the broken end.

Go between the broken ends of the fracture.

There is already a trabecular bone structure in the fracture fragments, which is very suitable for bone regrowth.

After this, Lu Chengcheng did not intend to continue the operation. Guo Xiaoyong saw Lu Cheng finally stopped and immediately said: "Brother Xiaocheng, the operation is over. Leave the rest to me and Tang Deye. You can go and rest."

That’s fine, let’s take care of the wound.”

Guo Xiaoyong felt that if he didn't mention it again, they might not have a chance to suture the wound.

Even now, the operation only lasts about 18 minutes. Is Lu Cheng doing the operation or flying?

Lu Cheng thought for a moment, and seeing that there were two people on the stage, it seemed that he was no longer needed for cutting threads, so he got off the stage. He said to Guo Xiaoyong: "Xiaoyong, then you can send the patient back to the ward later.

, I’m going to write the doctor’s orders and create a surgical template.”

"I'm sending the patient. It's okay. Brother Xiaocheng, please go first. Leave the rest to me." Guo Xiaoyong urged Lu Cheng to leave, as if he was afraid that he would regret it.

After Lu Cheng left, Guo Xiaoyong said to Tang Deye: "How is it? I'll tell you. Brother Xiao Cheng is very fast."

Tang Deye nodded after hearing this, then looked at Guo Xiaoyong seriously and said, "What you said is ambiguous."

Guo Xiaoyong smiled evilly, and he loudly said loudly on purpose: "Anyway, it's very fast in some aspects! I mean the surgery, I don't know about other things."

Lin Zixiang and Mei Lan both scolded Guo Xiaoyong for being led astray by Cai Xuan, and the atmosphere in the operating room was particularly harmonious...

Almost half an hour later.

A young man in his thirties, wearing a green surgical gown, a hat and a mask, walked to the door of an operating room, stepped on the door control mechanism, and the door opened automatically, but it was dark inside, not to mention anyone.

, not even a shadow of a ghost.

He said to himself and took a few steps back: "Did I find the wrong one?"

Then he looked at the name of the operating room and said, "That's right, this is it. Brother Cai called me specifically about this room. Didn't you answer the call yet?"

Li Zhiliang touched the blue hat on his head. In the process of touching it, he let out the covered hair, like half of a chicken coop. He quickly put the hat back in order to prevent others from seeing him and scolding him.

Then Li Zhiliang went to the dispatch room of the operating department and asked: "Teacher Du, in our third orthopedic ward, is there a fracture operation in room 34 today? Where did you transfer him?"

Li Zhiliang said that Teacher Du is the person responsible for the entire coordination of the operating room, including the arrangement of different stages, changing operating rooms, and queue jumping for emergency surgeries.

When she heard Li Zhiliang ask this question, she thought for a moment and said doubtfully: "No, today's orthopedic surgery did not change operating rooms or separate stages."

"Let me show you." Finally, she found the patient and said firmly: "There are no separate stations, just thirty-four rooms."

Li Zhiliang said: "Is that because the patient hasn't been picked up yet? I just went to the operating room and the lights were all off."

"Haven't you picked up yet? Just wait a moment and I'll ask Mei Lan about her specific situation."

Half a minute later, 'Teacher Du' hung up the phone unhappily, then turned his head to look at Li Zhiliang and shouted: "I said Li Zhiliang, are you too busy? This operation was completed twenty minutes ago. You

Now come over and ask me where the patient has gone."
Chapter completed!
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