Chapter 128 Director Shen's advice, growing in orthopedics

Author: Jiangbianyu Weng

Chapter 128 Director Shen's advice, growing in orthopedics

"This is useless to ask me, I have to listen to Dr. Zhou's own opinions and Director Shen's opinions."

Dr. Shan must not want to let Zhou Can this talent.

Displicablely refused to offend Dr. Chi.

She kicked the ball to Zhou Can and Director Shen.

Who is Periodic and who follows, in general, the Periodic Sheng himself does not have much to speak.

The ability to be a little bit of ability, you have to walk around the back door and give a gift, so you can divide it to a slightly better teacher name.

Those who really have the right to decide are the director of the department and the deputy director of the department, the director of the department.

In order to save trouble, some departments will directly get a teaching team leader.

That person's power is also quite large.

"Thank you Dr. Chi's love for me. You don't forget the root of the tree. If you are not forgetting the book. If you want me to choose, I will follow Dr. Shan."

Zhou Chan has never been an forgotten person.

Dr. Shan took care of him, and he could feel this goodwill.

For him, the three -month orthopedic training time is very short. Following a attending doctor with a certain trust foundation, there are more exercise opportunities.

At this moment, he does not choose Dr. Chi, who does not choose to, but choose a Dr. Shan, which will definitely deepen this trust.

"Haha, just make a joke, Dr. Zhou doesn't have to take it seriously. I didn't expect you to know how to be grateful."

After Dr. Chi tentatively tentatively, he saw that things could not be done.

Laughing.

It can be seen that although there are competition in the group, it is still united in general.

Director Shen has initially completed the construction of the bone interface of the implantation site.

"Come over and watch and learn carefully! Bone docking parts, I chose this position. The maximum retaining his original hand thumb joints. This is very good for the functional recovery of the finger function after the operation."

Zhou Can also came forward to watch and learn carefully.

This micro -level four -level surgery has high technical requirements for all aspects.

There are a lot of things that can be learned.

"Solving the problem of bone tissue docking. It is also necessary to solve many problems such as flap coverage, tendon, nerve, and moving vein vascular connection. In particular, this patient belongs to congenital malformations and lacks thumbs.

Nerves, vascular contracture or lack of situations. "

This kind of surgery, the unknown risk of detecting during the operation is even greater.

The difficulty of surgery is also doubled.

It is a great test for doctors.

"The docking of the bone can refer to the discipline and re -plant. Generally, the method of fixing the bone is used."

Director Shen skillfully connected the bone of the toe with the finger of the patient's right thumb.

"In the future, you encounter such a similar surgery, you can judge according to the patient's hand finger. Like this, the first quarter of the thumb's finger is intact, then you can cut the right foot finger.

The second finger next to the big foot finger (ring finger?). ".". "."

Director Shen explained patiently while receiving his bones.

There are different transplant methods in the face of different situations.

"Dr. Chi, the tendon reconstruction will come by you! If you don’t understand, you can ask me at any time."

After Director Shen was completed, the inspection was correct, and the main knife was made.

Almost all the main knife doctors only do the core key part. The rest of the surgical work is left to the other people in the surgical team to do it.

This is why the directors like to bring talented doctors.

Generally speaking, the better the talent, the higher the success rate.

After taking the apprentice out, it can be much easier to be a master.

Especially for a major surgery, all need to be done alone, and almost dare not imagine.

At least the deputy director level can be qualified to host the surgery of the third level.

The age is generally too old.

Energy and physical fitness are not as good as young guys. They have not enough energy and physical fitness to complete all the steps of the entire surgery.

Let the apprentices worry about it, this is the most ideal way.

Director Shen deliberately handed the exercise opportunities of this reconstruction tendon to Dr. Chi.

It is also intended to cultivate Dr. Chi's surgical ability in this regard.

After taking over, Dr. Chi started to find tendon, and then tried to docking.

When he didn't understand, he asked Director Shen in time.

Even Director Shen personally operated.

Zhou Can stood beside him silently to study, some surgical skills, and the treatment methods when encountering various problems, are very valuable core technologies. He can follow the study, which is already a great opportunity.

Jin Mingxi desperately admitted to Tuya Dangsheng, in order to have the opportunity to learn *** technology.

Nympho

This operation lasted for nearly four hours.

The difficulty is beyond imagination.

The search and reconstruction of tendon is extremely difficult. Especially the lack of tendon to finger tendons, the surgery almost stagnated.

The lattering neuroma is also extremely difficult.

In terms of fine surgery, Dr. Shan was very good at. But it was in line with those nerves and almost made her collapse.

In the end, there were two nerves or Zhou Chan.

This is still because Zhou Can has the talent of nervousness.

Otherwise, I am afraid that Director Shen will take it in person.

The vascular kiss in the back is so difficult.

The blood vessels with a diameter of one millimeter are sutured under the microscope, which is too difficult.

And there are still inconsistencies that need to be consistent.

These need to find a way to solve it.

The last skin coverage is also difficult.

Fortunately, the entire team worked together and bumped into the operation. Finally, the operation was completed.

The next step is to bandage and observe the blood transportation after transplantation.

After passing the blood, the nail cover has a trace of blood.

It just looks like a whole, and it is still a bit dry.

This is a normal phenomenon. After a day or two, if the transplantation is preliminary, the color of the finger will become rosy, the pressing will become pale, the handiches will rebound and recover rosy quickly.

This means that the fresh blood in the fine blood vessels is full.

Conversely, there is a problem with blood transportation.

Just like the patient who encountered the four fingers in the morning, the finger was pale and there were obvious problems.

It takes about a week to determine whether the transplanted finger is alive.

If a week later, the finger is rosy, with temperature, full, and the capillary of the capillaries is good, then it means that it will be alive. If it is black, dry, or even infection, it is the failure of transplantation.

Must be processed immediately.

One thing to say here is that the earlier the necrotic limbs, the better the amputation.

Otherwise, necrotic limbs or body tissues will produce a large amount of toxins, harmful substances, bacteria, invading the human body along the blood.

At that step, can you keep your life and say two?

There is a municipal hospital because of the artificial blood vessel bridge surgery for the patient. During the period, the main knife was on a business trip, and all kinds of irresponsibility. The demands and reactions of the patients were pushed all the time. In the end, the patient's high amputation failed to keep his life.

This kind of neglecting and depending on the patient's life is like a play, it is time to prohibit employment for life.

But unfortunately, in this case, the family members of the person and the hospital were litigated with the hospital. Often they got a compensation.

The doctor continued to be a disaster.

"Okay, you can wake the patient anesthesia!"
To be continued...