godfather of surgery

Chapter 353

At midnight on the first day of the competition, the website of the Golden Knife Award was opened on time, and the website was built using Alibaba Cloud.

At eight o'clock in the morning, in the locker room, Yang Ping took out his mobile phone, and the pattern on the Golden Knife Award app was a delicate scalpel.

Whether it’s a website, an app, or a WeChat official account, only registered members can log in. Registered members are free, but they need ID cards and doctor’s qualification certificates, which we have already prepared before the start of the competition.

When Yang Ping boarded the APP, the video of the South China competition area was still blank. Everyone should not be so early. The video area of ​​the Southern Metropolis First Attachment has already shown that it is connecting, and the operation should begin immediately.

The video cameras are all on the shadowless lamp. If the surgery is performed under a microscope or laparoscopic surgery, it is directly connected to the video system of the equipment, so the shooting area is limited to the surgical area, and the privacy of the patient is not exposed.

Before the operation, an informed consent agreement will be signed with the patient, informing that the operation area will be videotaped for the competition, which will be watched by surgeons of this specialty across the country.

Most patients will agree, because everyone feels that the doctors who can participate in the competition are all selected and have excellent surgical skills.

There are also a small number of patients who refuse, but this does not affect the selection of participating cases. The number of cases in large tertiary hospitals will only be more or less, which is not considered at all.

After the live broadcast of the video, it will be encrypted and stored in Alibaba Cloud, and the judges can watch the live broadcast and replay after scoring.

Judges generally like to watch replays, so that they can observe repeatedly and score more accurately.

Doctors prefer to watch live broadcasts, which makes them look more emotional, but most doctors don't have so much time, and they also watch videos after get off work.

Within 24 hours after an operation is completed, all judges must complete the scoring, and the deduction of points must explain sufficient reasons.

In the final scoring, the highest and lowest scores are removed, and the remaining scores are averaged.

The judges have a pool of experts, and adopt the avoidance system, avoiding those in the same competition area, avoiding those who have kinship relations, and avoiding those who have a teacher-student relationship.

Don't worry about someone hiding the identity that needs to be avoided, because of the existence of the Internet, everyone will clean up any possible special relationship.

Therefore, on the open network platform, there is very little possibility of favoritism. If there is any act of favoritism, doctors across the country will watch it and criticize the favoritism to the ground.

Perhaps because of the advancement of network technology, this year's Golden Knife Awards are particularly lively. Now it shows that the number of people online has exceeded 300. The number of practicing doctors across the country, including assistant physicians, is only over [-] million, and the online number has exceeded [-]. The participation rate is already very high .

At this time, everyone had just entered the operating room, changed clothes in the locker room, and was able to glance at their mobile phones to see which hospital was the most confident, and was the first to start the live broadcast.

The surgeries in the regional competition are all traumatic orthopedic surgeries, so many hospitals can provide cases, and some grassroots county hospitals are also eager to try. Although they know that they cannot qualify, even if they upload a few surgeries, it can be regarded as an experience.

The comment area opened next to the video area is equivalent to a barrage. In order to watch the video while watching interesting comments, the barrage and the video are separated.

The comment section of some hospitals is deserted, and some hospitals are very lively, such as Nandu Fuyi. The video has not started yet, and many people are swiping the screen.

"I'm here to see Su Nanchen."

"He was in my class, and he was the number one student in science in Southern Metropolis."

"I heard that he is Professor Su's son? Respond knowingly."

"That's right, the number one student in science, the Concorde eight-year system, without the relationship of Lao Su, it is not a problem to enter the first attached school, right?"

"His wife is a 28-year-old Ph.D supervisor from Nandu Medical University."

"Is it true? At 28 years old, you will be a doctoral supervisor, at what age will you go to university?"

"People who engage in basic medicine are not like climbing up step by step in clinical practice. One or two articles in "Nature" or "Science", the Ph.D. supervisor can handle it."

"A 28-year-old doctoral supervisor? Are you talking about Lin Lan from the genetics laboratory of Nandu Medical University? She is really beautiful, with both talent and appearance."

"At this level, it seems that only Su Nanchen can calm down."

"Where is Lin Hao, the chief swordsman in Fu Yi?"

"It's also the eight-year Concorde system."

"He is a deputy high school at the age of 30. I'm still pulling the hook. Let's not talk about it. Hurry up and pull the hook, or I will be scolded again."

Chatting and chatting, the topic is off topic, but as long as it is not illegal, everyone can speak freely, which is also the reason why the Internet has exploded the popularity of the competition.

Yang Ping was curious, and entered the video area of ​​Sanbo Hospital. Song Zimo and everyone were still preparing for the operation, and the video area was not opened.

But the barrage is no less than Fuyi.

"Brothers, who remembers replanting at five stages?"

"Who doesn't remember? The village has just been powered on, right? The third-degree and fifth-stage replantation have passed away. The strange surgery at the academic conference crushed the Japanese. That is the heavyweight."

"Does anyone know the main knife, Yang Ping? I heard that guy is awesome."

"Even Takahashi was overthrown by him, you say it's awesome."

"Did he do the operation? I can't believe it."

"Brother in the capital city, someone should know Song Zimo, right?"

"I know him. He is from Fudan University, but he completed his clinical practice in Magic Six. We call him Kaede Rukawa. This buddy can challenge the University of Wenzhou, but he is actually just a first aid. This year is worth seeing."

"Sanbo's body size is not good enough. Scoliosis, bone tumors, upper cervical spine, these surgeries are the highlight of the finals. It would be good to reach the quarterfinals. It is unlikely to win the championship."

"I heard that robot surgery was added to the finals this year?"

"Yes, robotic surgery is a must for the finals."

Yang Ping was not interested in these comments either. He called out some standard procedures of the operation. At the same time, each step has a score. In fact, if he gets a full score, it means that the surgeon has truly mastered every detail of the operation.

For unknown reasons, many hospitals regard open reduction and internal fixation of double fractures of the forearm and radius as the first operation.

The first operation uploaded by Song Zimo was open reduction and internal fixation of double fractures of the right forearm and radius.

This is a relatively simple operation, which belongs to the entry-level operation of trauma orthopedics.

The regional competition is three months, and the operation in the first month is a fracture of the limbs. As long as all the required operations are completed before the end of the month, there is no need to follow the order.

If the surgical cases are not prepared within a month, then the hospital will have to consider whether it will take another ten or eight years to participate in the competition, and first develop and expand the department.

The regional competition mainly examines basic skills --- basic knowledge, basic theory, and basic skills. At this stage, the most important thing is to be stable and never overturn.

Yang Ping opened the surgery score instructions for double ulnar and radius fractures of the forearm. If it was printed out, it would probably take several pages.

Song Zimo and Xu Zhiliang should start the stage soon. Yang Ping is not worried about Song Zimo at all. He still knows about this help.

So he didn't plan to go in to see it for the time being, he simply went to the lounge to lie down for a while, and casually watched the operations in other hospitals.

The video area started broadcasting one after another, and there were judges who watched the live broadcast and scored. The scores of each step in the scoring column came out as the surgery was being done here. These judges are indeed big bosses.

Yang Ping took a look, and all of them started with double fractures in the forearm.

Some people deducted a lot of points when the surgery just started.

Double fracture of the forearm, the preoperative X-ray film lacks complete upper and lower joints, points will be deducted!
There is dislocation of the DRUJ, which has been reset in the emergency department. The triangular cartilage complex, DRULD and other injuries were not considered, and MRI of the wrist joint was not performed. Points will be deducted!

Points will be deducted for non-standard use of blood drive belt before surgery!
Points will be deducted if you hold the knife incorrectly!
If the incision is not vertical, points will be deducted!

After entering, the protection of blood vessels and nerves is not effective, and the rubber strips are not used to gently retract, and points will be deducted!
The superficial branch of the radial nerve passes through the fracture site of the radius. The first course record and admission record did not record the hand sensation in detail in the physical examination. The superficial branch of the radial nerve was not explored during the operation. Points will be deducted!

Excessive peeling of the periosteum, unprotected awareness of blood circulation at the fracture end, points will be deducted!

Points will be deducted for improper grip of the electric drill when drilling!
The order of sounding and tapping is reversed, and points will be deducted!

For simple transverse fractures, locking plates are used, and implants are improperly selected. Points will be deducted!
There is another operation, the fracture of the ulna and radius uses a single incision, which is likely to cause cross-healing, which violates the basic principles of surgery, and points will be deducted!
There are dozens of points for a simple double fracture of the forearm, and each point of concern is clear and well-founded. No point is randomly deducted.

Yang Ping recalled all these surgery scoring instructions, and read them carefully. There are still some differences between the competition and the usual surgery. For example, when doing cruciate ligament reconstruction by himself, he never uses a positioner and drills holes with his bare hands.

If this is put in a competition, then a step will be missed and points will be deducted directly. Therefore, it is also very important to be familiar with the scoring instructions.

This is like solving problems in the college entrance examination, every step must be clear.

Anyway, there were still three months left. Yang Ping read a part of the grading instructions, and recalled the information about Andrew Jr., a patient with multiple ligament ruptures in the child's knee that Robert sent to him.

Plan how to do this surgery in your mind. This surgery is really difficult. There is no ready-made surgical plan to refer to. It is necessary to redesign a personalized surgical plan and design special surgical instruments.

Yang Ping simply entered the system space, where he carefully studied the operation.

He drew a complete set of surgical instrument drawings in space, and then drew the surgical steps with pictures, and after several revisions, he finalized the plan.

Coming out of the space, he went to the anesthesiologist's office to get a stack of A4 paper and began to draw surgical steps and surgical instruments.

Now I am very proficient in drawing, not to mention that I drew it in the system space, and now I just copy it from my memory. With a pencil, I can quickly draw one by one.

Yang Ping took pictures of all these pictures with his mobile phone, and then sent them to Robert, asking him to find OrthoPediatrics to produce all the surgical instruments in advance.

Robert estimated that he would not be able to handle this operation. He only studied here for a week, and he only learned the basics of the operation in a week, and he was temporarily unable to understand it in depth.

But little Andrew's surgery, the further back, the more difficult the surgery will be. Yang Ping is worried, and I believe Robert is also worried.

(End of this chapter)