Chapter 121 Do you call this Level II surgery? (Please subscribe!)

Zhou Cheng also saw An Ruo's dodge and smiled kindly at her, even though she didn't see it.

Zeng Yi also saw this series of actions and shrugged his eyelids, feeling a little funny.

As a student, he seemed to be a little scared by people from the Department of Orthopedics, but in fact, Zeng Yi still felt that the Department of Orthopedics was still one of the most benevolent departments among all surgeries.

Except for the occasional violence, it's actually quite clean. Isn't it much prettier than neurosurgery to turn over the brain, thoracic surgery to turn over the lungs, or general surgery to turn over the intestines?

…

Cai Dongfan washed his hands, dressed and walked into the operating room. After approaching the operating table, he faced Dou Chengpeng and asked: "Chief Dou, we are all ready, can we start?"

The medical department is a functional department. It is the superior management department of all disciplines and departments in the hospital, and it is also the management department of all doctors.

Therefore, it is another level of leadership besides the director.

It's just that the medical department doesn't care about clinical practice and doesn't walk in the arena of specialists. When it's time to scold, you can point your nose and scold, but when you want to be respectful, you still have to be polite.

Dou Chengpeng said confidently: "Let's get started. I'd like to see if our hospital can, for the first time for the first time, grant a level II surgical authority to residents in advance. This will also help improve the teaching strength of our hospital."

It will definitely help.”

Although the medical department does not care about teaching, the Eighth Hospital has been working in two general directions recently -

Special hospital.

Teaching hospital.

Each one is extremely tempting, and every hospital would very much like to put their brand in the hospital before they get the above two titles.

Teaching hospitals are also secretly divided into many levels, which are related to the medical schools they are affiliated with. It's just that the schools that the eight hospitals rely on to cooperate are a little different, but they have no choice...

Cai Dongfan nodded and said to Zhou Cheng to start.

After hearing this, Zhou Cheng took a deep breath, and in order to show his respect and respect for the event arranged by Zeng Yi, Director Wang Yongjin and others today, he took a few steps away from the operating table, and then walked to the reader again.

.

The ninth time before surgery, and the third time after entering the operating room, carefully observe the patient's imaging examination data.

This is an assessment for surgical authorization, not an ordinary surgery.

Zhou Cheng naturally had to pay enough attention to it.

When they saw Zhou Cheng walking out of the operating table again and going to the image reader, no one felt upset that he was putting on airs and wasting time. Instead, they all understood Zhou Cheng's nervousness at this moment and praised him for his stability.

.

Cai Dongfan whispered to Luo Yun: "Xiao Zhou seems to be such a mature and steady person since he entered the department, right?"

Luo Yun nodded, agreed with Cai Dongfan's statement, smiled, and said helplessly: "If he wasn't such a person, Director Cai, you must have noticed him long ago."

"On the contrary, I feel that his thinking is too tightly bound by today's secular rules."

"It's a bit pitiful, and it will also affect his future."

Zhou Cheng was so stable, from beginning to end, if someone hadn't asked him to come on stage to help, he would have looked on coldly, just like Yama in this world, without any energy.

Momentum is a characteristic of young people, and it is also one of the essential characteristics of young people with unlimited potential.

Dare to venture and dare to do something, this is what young people should have.

Cai Dongfan shook his head: "No, no, you are wrong, Luo Yun."

"You can't rely on Xiao Zhou's own experience. Instead, you have to consider the problem from Luo Yun's perspective. Before and now, he was just an ordinary person. He was not stable. If something happened, where would there be a teacher to help him?

endorsement?"

Luo Yun shook his head and stopped talking.

To be honest, he has never been a simple residential trainee, so he may not understand Zhou Cheng's current situation.

When Luo Yun graduated, the standardized training had not yet been promoted nationwide. At that time, he only had to follow his teacher and just manage the bed, and there were not so many things.

——

After Zhou Cheng carefully read the film and determined that the patient had only a simple fracture of the lower end of the fibula, without any other hidden injuries or other accompanying problems, he slowly exhaled and left.

Come to the stage.

Then he asked Cai Dongfan in a low voice: "Teacher Cai, should I start first?"

"Well, let's get started. Do you want to do some fluoroscopy first?" Cai Dongfan immediately started to go through the procedure, which is also the routine procedure of closed/open reduction and internal fixation of fibula fracture.

The surgical plan he prepared was both open reduction and closed reduction. He also discussed this with the patient. He mainly hoped that Zhou Cheng would not do anything difficult, and this small surgery, the simplest level II surgery, was performed on Zhou Cheng.

Used it for practice today.

So I put it on the first channel to give Zhou Cheng some confidence.

Moreover, even Du Yanjun can perform this surgery, and Cai Dongfan believes that Zhou Cheng can also do it.

Zhou Chengcheng took the initiative to answer the conversation: "Let's not do fluoroscopy for now, Teacher Cai."

"Two of you and Teacher Luo, one of you will help me fix the pelvis, and the other will fix the mid-thigh. I will perform a manual reduction first to see if I can reduce the existing fractures that are not displaced much."

In fact, it is quite difficult to simply perform manual reduction for a simple fibula fracture.

The tibia and fibula are parallel lower limb bones, and the tibia is very strong.

If the fibula is fractured, if the pain factor is not considered, it will not affect the patient's walking or any functions, because the length and hardness of the tibia are enough to support a person's normal walking.

It is precisely because of this, without the characteristics of plasticity and displacement, that it is quite difficult to reduce the fracture of the fibula.

But that's for ordinary people.

Zhou Cheng's understanding of the manual reduction of fractures is that it is a perfect redefinition, so naturally he does not find it difficult.

Closed reduction and Kirschner wire internal fixation is also one of the standard orthopedic level II surgeries and operations.

Luo Yun and Cai Dongfan nodded instantly.

After standing in their respective positions——

Zhou Cheng immediately started the reset operation.

Three-piece set of standard fracture reduction techniques.

Continuous traction——

Orthopedic displacement——

Keep the traction position temporarily fixed——

After continuing to pull with both hands for a while, Zhou Cheng gently pushed the patient's ankle joint toward the medial malleolus.

Then the left hand continued to exert force, and the right hand immediately and neatly reached the patient's fracture position, and began to palpate and stroke it up and down.

After wandering up and down for ten seconds, Zhou Cheng quickly turned around and shouted: "Sister Yan, the Kirschner needle is equipped with an electric drill, I will fix it temporarily!"

Liu Yan is a very professional orthopedic specialist nurse, otherwise Cai Dongfan would not call Liu Yan to the operating room every time he encounters a critical operation, either as a circuit nurse or as an instrument nurse——

Liu Yan quickly handed it over.

After Zhou Cheng took the Kirschner wire with the electric drill, he immediately aimed at the protrusion of the lower part of the fibula, which is also something that all of us ordinary people can feel, the bony protrusion on the outside of the ankle——

The lateral malleolus is formed by the swollen lower part of the fibula.

For Zhou Cheng's first K-wire, the needle insertion point was slightly outside the lateral malleolus, and the needle insertion direction was obliquely upward.

By crossing the fracture line diagonally in this way, the fixation effect can be achieved.

The principle can be naturally referred to the candied haws skewers -

"Da da da da da da!"

The Kirschner wire was very sharp and the battery of the electric drill was new, so the Kirschner wire was driven in quite smoothly and the fixation effect was achieved.

"Teacher Cai, Teacher Luo, okay, that's all."

After Zhou Cheng said something to Cai Dongfan and Luo Yun, he turned back and looked at the roving nurse: "Teacher roving, please push down the C-arm machine."

But for this tour, it had been prepared for a long time. It seemed that the patient had been informed of the operation process in advance, and a fluoroscopy would be performed before the operation started.

Although Zhou Cheng omitted this step, she was always ready behind the C-arm until she received other orders.

Today's surgery was special. Cai Dongfan thought of every detail and was thorough in every aspect.

Although Cai Dongfan's eyes are small, his mind is not small. Only by perfecting more details can he have more room for error.

When the circulating nurse started pushing the C-arm machine, Zeng Yi and others stood up naturally, including Dou Chengpeng.

Because of the detailed steps of the surgery, I wrote this article.

Zeng Yi shouted softly: "Ruoruo, the X-ray is done, get out of the isolation room."

——

After everyone calmed down for a while, they all came to the isolation room and closed the lead door.

The results came out immediately.

Cai Dongfan and Luo Yun looked normal, while Zeng Yi and Yan Haihan rubbed their eyes in disbelief.
To be continued...