Chapter 271(1/4)
: When you take away old chaff, you give someone new rice
Professor Jingxing chatted with Zhou Cheng for a while, and then discussed some professional issues with Zhou Cheng.
After calculating that the time was almost up, the two of them walked back to the operating room.
Scenery Star turned sideways and said, "Xiao Zhou, I'm going to need your advice later. This is my first experience with this kind of surgery, and I'm not as skilled as Professor Xue."
Zhou Cheng saw that the face of the landscape did not change, and he secretly admired it: "Professor Jing, your level, all in all, must be higher than mine. It's just that I took a trick on the fracture."
"The trick you made, Xiao Zhou, is extraordinary. For ordinary people to achieve such skill, it would take many years of accumulation." Scenery Star smiled and did not take it seriously.
In the operating room, Associate Professor Gu Kafa and others have made preparations for the operation.
The first operation was a fracture of the humerus, which was a fracture of the tibia. It was performed under spinal anesthesia, and the patient was awake.
At this moment, the surgical sheets were spread out in front of him, and he lost all his vision. He asked nervously: "Is Professor Jing here?"
"Uncle, don't worry, I'm here for this operation." Jingxing wanted to calm the patient's mood.
The patient interrupted him: "Professor Jing, we still think that if I don't have this surgery, I should continue to work hard for Dr. Zhou to perform the surgery on me? I'm very nervous."
After going around the Ninth Hospital and then to the Sixth Hospital, even he understood that Dr. Zhou, who looked young, was not a young doctor in the traditional sense. Professor Jing of the Sixth Hospital invited experts to treat Zhou Cheng
I was called to the Sixth Hospital for surgery.
On the contrary, looking at it, it was the first time for Jingjingxing to undergo such an operation. It was also the first time for him to undergo an operation. Thinking about it, it would be better for Zhou Cheng to perform it on him.
At any rate, Zhou Cheng had at least had several surgeries at the Ninth Hospital to practice his skills.
Landscape Star's expression suddenly became awkward, and the corners of his mouth twitched.
He was despised.
The patient's own request should not be ignored. Scenery Star then looked at Zhou Cheng. If the patient had the initiative, he would rather let Zhou Cheng do the surgery than cause trouble.
Otherwise, if there is any accident, the patient can go from the Ninth Hospital to the Sixth Hospital, which will make it difficult for him to sleep.
Zhou Cheng thought for a while and said: "Uncle, thank you for your trust in me. I will also be on the operating table. This operation will be performed by me and Professor Jing. Professor Jing is a well-known professor."
"I have eaten more salt than I have eaten rice. The quality of the surgery will not be bad. The surgery cannot be done by one person. We must form a temporary team now."
The uncle's muscles were still fibrillating, causing the sterile drape to tremble slightly.
After thinking for a while, he said: "Dr. Xiao Zhou, you have to watch how hard it is. Oh, if I had known it would be like this, I would have just stayed in the Ninth Hospital."
Returning to the Ninth Courtyard now is not only a hassle, but also because the Ninth Courtyard may not have a vacant bed to accept him, so this is the only way.
I can only hope that Landscape Star can give him some help and not spend a big hole in planting a centipede.
Jing Jingxing secretly cursed Xue Xiude and Yu Qiuhua for their lack of martial ethics and stopped talking.
The patient has dispelled most of his inner concerns, and now it’s time to start the surgery.
Professor Jingxing Xing was four or five years older than Professor Xue Xiude, and he had a bigger belly, but he was not fat. After all the preparations were done, Jingxing Xing continued to look at Zhou Cheng and patiently asked for advice.
"Xiao Zhou, do we still need to perform closed reduction first for this operation?" If you take the trouble to ask more, you won't go wrong.
Zhou Cheng nodded: "Professor Jing, basically except for a few cases that I have listed, where preparation for fixation is required first and then reduction, most fractures still follow the principles of fracture treatment."
Reduction, immobilization, rehabilitation training.
The same goes for the order.
Scenery Star took a deep breath, and then said: "Then I'll start, Xiao Zhou, don't laugh at me, I haven't had a fracture operation for a long time."
Haven’t had fracture surgery for a long time?
"Professor Jing is joking." Zhou Cheng replied with a pun.
Landscape Star knows that it is wrong to talk too much, and words cannot cover up what he has done. Everyone is not a fool, but there is no need to lift the fig leaf. Learning is the most important thing.
With a calm heart, Landscape Star quickly found his own rhythm and said in a cold tone: "Professor Gu, help me with the reverse fixed traction."
Gu Kafa is an old partner of Landscape Star. He is very knowledgeable in manual reset technology and found the right position without much hesitation.
Zhou Cheng's eyes frowned slightly. Scenery Star's reset concept was different from Xue Xiude's.
The world is so big, and it turns out that my knowledge is too short-sighted. The simulator can only bring me skills, but not detailed knowledge.
Different paths lead to the same destination.
The strength of the Sixth Academy is not something you can boast of. As the director of the Department of Orthopedics, Professor Jingxing Xing, who enjoys a special allowance from the State Council, is not easy to deal with.
After a while, Landscape Star finished resetting the technique. Zhou Cheng was thinking about things, and for a moment he was so distracted that he didn't see the principle clearly.
After reduction, C-arm fluoroscopy was performed just to be on the safe side.
As soon as the results came out, Jing Jingxing laughed: "Fortunately, after all these years, I haven't lost my basic skills. Xiao Zhou thinks that in such a reset situation, upper internal fixation is appropriate?"
Zhou Cheng's face froze slightly. The secret path landscape star was able to become the leader of the magic city's trauma team. Sure enough, he had his own way.
If Xue Xiude's skill is more than proficiency but not perfection, this landscape star has already achieved the ultimate level in this world by resetting fractures.
The philosophy of his lineage has already reached the level of perfection, but it is only slightly inferior to Zhou Cheng's redefined perfection!
Zhou Chengcheng joked: "After Professor Jing opened my eyes, did he come to test my evaluation criteria for fracture reduction?"
Anyone with a little bit of experience can tell that Professor Jingxing’s technique has an excellent reset effect.
The old landscape star blushed slightly: "It's embarrassing. In front of you, Xiao Zhou, I don't dare to say the word "evaluation". I really want to learn from you."
Gu Kafa interrupted and said: "Professor Jing handled many emergency cases of fractures for me during his time as an attending. Unfortunately, he no longer performs manual reduction of fractures, and we have only learned a little bit."
Jing Jingxing said: "Times have changed. When I was working, there were a lot of patients with fractures. But now, the medical resources are divided, and fewer patients with fractures come to our hospital."
"This is something that I don't need to teach you, but graduate students can have a little exposure to it if they are interested."
Not many people with master's degrees can go on to get Ph.D. degrees, and even fewer can stay in school. It will be useful if they go out to work.
Gu Kafa hurriedly said to a group of students: "Why don't you thank Professor Jing quickly? Professor Jing's reduction technique has impressed all the three academies in Kyoto."
A group of masters and doctors were overjoyed when they heard this, and expressed their attitudes one after another. After organizing a group meeting, they invited Professor Jingxing.
The focus is still back on the surgery.
Zhou Cheng found that Professor Jingxing was very familiar with the operations of opening windows, placing mirrors, and placing internal fixtures, so he remained silent the whole way.
Accompanying him silently, Landscape Star placed one side of the internal fixation into the bone marrow cavity, and then realized that he had just gotten high from the surgery. Didn't this expose the fact that he had done the surgery secretly?
But he still asked for advice politely, and his tone was not special: "Xiao Zhou, how do you think this second internal fixation should be placed?"
"Or based on what you said before?"
Having already told all the details before, Zhou Cheng nodded: "Professor Jing, you can try this."
Scenery Star just followed what Zhou Cheng said and tried to stick to the distal end of the fracture instead of strictly placing the internal fixation in the center. Then when he held the forceps with both hands at the same time, he really felt a snapping feeling.
With a click, it seemed as if all the previous doubts of Scenery Star were blown away, and he said: "Experts look at the details. Xiao Zhou's understanding of this technique is indeed very profound."
Zhou Chengze smiled and said: "Professor Jing's operations are also extremely sophisticated."
Scenery Star took a breath and stopped talking. He controlled the forceps to spread the internal fixation. After achieving the fixation effect, he took out the forceps. Then, as before, he evaluated the method of surgical alignment and performed a physical examination.
.
Feeling the broken end, the fit was excellent. Even the broken bones of a comminuted fracture were tightly clamped on the broken end under the tension of the internal fixation.
"Xiao Zhou, I think this is enough. What do you think?" Scenery Star asked Zhou Cheng again, hoping that Zhou Cheng would not hold back any more.
Zhou Cheng had already simulated Landscape Star through the simulator on the way here. He knew that Landscape Star was actually very proficient in this technique, and he could learn the essence of this technique with a little help.
Secretly calculating, Jingxing Xing's clinical talent, or such reserve, is actually deeper than Xue Xiude's.
Zhou Cheng did not refuse and did a physical examination on his own, saying, "Professor Jing, this is excellent."
"When placing the internal fixation, if it is only limited to the center of the insertion tube, it will cause the position to deviate. It is most appropriate to operate closer to the distal end."
"Some other questions can also be answered in one go."
"Then let's do it first!" Scenery Star turned to look at the surgery timing panel, which was only ten minutes old.
After comparing it secretly, Zhou Cheng could shorten this time to less than ten minutes, or even five or six minutes. Although today was teaching, he still could not reach Zhou Cheng's level.
However, since this is my first time getting involved in this technique, I don’t need to insist on speed. I will have the opportunity to slowly understand it in the future.
After further fluoroscopy, the fixation results were excellent and the alignment was perfect, which fully demonstrated the skills of a top professor.
Jing Jingxing walked into the operating room again and said to the uncle: "Uncle, the operation was completed. It went very smoothly and the postoperative results are also very good. Don't worry."
"Tomorrow, you will probably be able to use crutches and get out of bed. But don't use too much force on the affected limb. The main thing is to use the power of the crutches to get off the ground."
After a good fracture reduction and intramedullary nail internal fixation, you can get out of bed the next day. Landscape Star has seen the compression resistance measurement of this new type of internal fixation and it is not weak, so I don’t have to worry about getting out of bed with crutches.
.
This is the principle of fracture treatment that each hospital has its own understanding of.
"Is this done?"
"Did the operation go well?"
"Thank you, thank you Professor Jing, thank you Dr. Zhou. Oh, it's better not to get sick. Look, my trip..." He began to read again.
Then Gu Kafa and others took over the conversation and started the finishing work of the operation.
To be continued...