godfather of surgery

Chapter 82 Surrender
The access is open, the operation is only halfway through, go on.

For top experts, the difficulty of this operation lies in the approach, and the reduction and fixation at the back should be able to be done by Dr. Zhong. The only difference is speed and quality.

At the beginning of the reduction and fixation of anterior acetabular fractures, the surgeon was not skilled, but consummate, making the originally difficult operation extremely simple and easy.

Then there is the fracture of the ilium wing, the fracture of the sacrum, the dislocation of the sacroiliac joint, the fracture of the pubic bone, and finally the symphysis pubis.

Numerous resets are fixed, one after another, smooth and accessible, with a clear rhythm, and even a few minutes of stagnation in the middle did not appear.

Even when dealing with sacral fractures and sacroiliac joint dislocations, the difficult bleeding of the presacral venous plexus can be handled very easily.

The steel plates are horizontal, vertical, and oblique, all of which are well attached and fix the fracture and dislocation firmly.

The whole process is pleasing to the eye and highly ornamental. If an operation has a certain ornamental value, it is not as simple as completing the operation, but a comprehensive manifestation of superb surgical techniques, with a sense of speed, fluency, rhythm, and details. Perfect and so on.

Dr. Zhong's forehead was covered in sweat. In order to prevent the sweat from falling off and contaminating the operation area, the visiting nurse reminded him several times before he heard it, and turned his head to let the nurse wipe the sweat.

The fractures that need to be dealt with on the front road have been successfully completed.

"Wait for the next turn, and we have to do the back." Song Zimo reminded that there was still a fracture in the back of the acetabulum. He was afraid that the operation would be too smooth and Yang Ping would forget it.

"Do it once, you don't have to turn over." Yang Ping said.

"Knife!"

The incision was lengthened, the course changed, and the ilioinguinal approach evolved into a pararectus approach. The surgeon's use of the incision has been creative.

Pararectus incision, a new approach in recent years, can complete the anterior and posterior acetabular fractures through a single approach, without turning over to complete the posterior acetabular fracture from the posterior approach.However, for complex and difficult-to-repair posterior acetabular fractures, this approach is still very difficult to complete the anterior and posterior acetabular fractures at the same time.

At that time, Director Tian was in Shipo, and it was with this in mind that he gave up the single approach and adopted the classic front-back approach.

"Pararectus approach?" Tan Boyun saw the surgeon's intention at a glance.

At this time, he dared to use the rectus abdominis side approach. He was too bold, and Tan Boyun straightened up.

The pelvic cavity has been seriously adhered. At this time, the frontal battle will be quickly ended, the body position will be changed, the sheets will be re-sterilized, and the posterior acetabular fracture will be done from the posterior way. It is much safer and easier, because it seems that this adhesion is caused by pelvic tuberculosis. It will obviously affect the structure of the back road.

boy!Really art master bold!Director Tian also adjusted his posture.

However, Yang Ping's level was clear when Shipo helped deal with the retracted dead artery, so he didn't have much to worry about.

The usual sharp knife and double-click electrocoagulation are advanced layer by layer, fast and rhythmic, the nerves and blood vessels are exposed and retracted, the peritoneal-encapsulated intestinal tube is pushed open, and the gap is separated. The bloodless operation is carried out to the end.

Before Tan Boyun could evaluate, he had already fractured the posterior part of the acetabulum and began to reduce and fix it.

In the suffocating space, the fracture of the rear of the acetabulum, which was difficult to recover, was easily reduced. The plate template went in and out, and it was already shaped. Su Yixuan handed over the plate and bender prepared by him.

Song Zimo immediately clamped the steel plate, and Yang Ping restored the steel plate in a few movements, which was exactly the same as the template. At the same speed, another steel plate was bent.

Put the steel plate in, drill the holes and screw the screws, see through!

Dr. Zhong was still in a trance, Zhang Lin had already pushed the C-arm machine, and everyone avoided.

After completing the fluoroscopy, go back to the operating room.

The fluoroscopic images on the screen, the anteroposterior position, the exit position, the entrance position, several perspective angles, the fracture is perfectly reduced, and the position of the plate and screw is very satisfactory.

There was no snapping of the active hip, and no accidental entry of the screw into the joint cavity.

It's not an order of magnitude. Dr. Zhong has forgotten his previous sense of shame and began to focus on the perfect operation.

The back of the hand beaten by Yang Ping still hurts a little.When I first came here, that condescending sense of superiority was completely extinguished at this time.

He is in the second annex, and technically has a bit of status. It is no problem to follow Director Tan, not to mention walking sideways, but taking a few steps diagonally.

Traumatology orthopedics can mainly handle complex pelvic fractures, and those who can stand on their own in large hospitals.

It's too much. I have done so many pelvises, but I have never encountered such a strange one. This pelvic surgery is full of scars and adhesions. It's like boiled noodles that have been left for a few days and turned into dough. Root of noodles.

But people just separate the noodles one by one.

Why!fortune!It's all luck!
If it weren't for bad luck, now I have accepted the admiration stronger than the equatorial sunshine.

Dr. Zhong sighed that the time is not good, and the buzzing in his head, like wearing a hood, blurred.

During the fluoroscopy just now, Zhang Lin called twice before he heard it, and followed everyone out to avoid the rays.

"Perfect!"

"knock off!"

The itinerant nurse began to count the gauze and instruments and count the blood loss.

Song Zimo said, "Senior brother, it's been hard work, you should go down and rest. Dr. Zhong and I are concerned. Dr. Zhong, are you alright?"

"No problem, no problem." Dr. Zhong returned to the operating table immediately, and now his whole body is like a top, where he hits, he goes.

Yang Ping began to take off his surgical gown and gloves, and Xiao Wu also went to the operating table to help.

"Take a rest!" Su Yixuan said, her eyes were complicated, with admiration, admiration, and gratitude mixed together.

"Are you okay?" Yang Ping pointed to her hand.

Su Yixuan shook her head, very sweet.

Irrigation, drainage tube placement, layered suture.

The surgery is over.

"Big Brother is too good"

"Yeah, look, that doctor in Fu Er has lost his temper."

"This operation can be won, and it is so beautiful, worship!"

There is a little boiling next door, as long as everyone is not too wooden, everyone can feel the significance of this operation.

dignity!Not just one person, but the dignity of a team.

Now, dignity is strongly maintained!

"Ding Dong! Mission successfully completed: Battle of Dignity, an ultra-difficult pelvic surgery, the surgery was perfect, successfully maintained the dignity of the team, and rewarded [-] points."

"This kind of pelvis, from the beginning to the end, is almost bloodless, and it is too powerful." Dr. Jin said.

Director Ouyang said: "The two people's surgical skills are not on the same order of magnitude. Xiao Yang's surgery really keeps improving!"

Director Bai smiled: "It's still our young man from Sanbo."

"Director Tan?" Director Han stopped beating his thigh.

Tan Boyun didn't respond.

"Director Tan?" Director Han's voice was a little louder.

"Oh!" Tan Boyun came back to his senses.

Surgery is over?It's so fast.

This operation, really, has nothing to complain about.

Tan Boyun said embarrassedly: "Director Han's generals are like clouds, a pastoral field is already amazing, and there is such a young general, his descendants are terrifying, unbelievable, unbelievable, we attached two are not as good as ourselves."

"Brother Tan, don't lift up my brother. Brother Tan will be the first tiger general under Director Han in the future." Tian Yuan came up.

"Where!" Director Tan's neck was burning.

"In the future, the Department of Microtraumatic Orthopedics will have to rely on Director Tan to lead it to a higher level." Director Han patted Tan Boyun's shoulder.

"Under the leadership of Director Han, we will do our best." Tan Boyun suddenly felt a little short.

Tan Boyun was in Attachment [-], and he didn't get along well with the chief director, and he was always dissatisfied.To be honest, Sanbo was transferred this time because he coveted the director of the Department of Orthopedics.This is good, I was completely beaten by this operation and I can't find the north. I am completely convinced, and I have no more coveted hearts. I just want to sit at ease as the director of the microtrauma orthopaedic department, and make some achievements while I am in my prime. .

"Tianyuan, walk with Director Tan to get acquainted with the operating room. I have taken a step back in advance."

Director Han got up, and Tan Boyun and Tian Yuan also got up.

Director Han made a gesture of invitation: "Director Tan please!"

Tan Boyun immediately bowed and led his hand: "Director Han first, Director Han first."

Director Han held his hand: "Okay, then, let's go around and get together again in the evening. President Xia will hold a banquet in person."

"You're busy, let's talk at night!" Tan Boyun's edge was completely put away in front of Director Han.

Director Han strode out, and Tian Yuan said, "Director Tan, let's walk around together and get acquainted with the operating room here."

"Well! Director Tian, ​​please." Tan Boyun was a little more humble towards Director Tian.

Dr. Zhong also came out and saw Director Tan: "Director!" There was a look of shame on his face.

Director Tan patted him on the shoulder: "Let's go, let's walk around with Director Tian and have a look at the operating room."

Meaning: It's ok, don't have any psychological pressure.

(End of this chapter)