My medical path

Chapter 108 Crazy Surgery Day

Today Tuesday, the weather is sunny.

Chen Bo admitted [-] patients to the hospital yesterday, setting a record for the number of patients admitted to the Department of Orthopedics.

The direct result was that Chen Bo had scheduled ten surgeries today, plus Deputy Director Zhao had five surgeries, and the Department of Orthopedics had a total of fifteen surgeries scheduled.

This data has refreshed the record of orthopedics.

Director Wei also expressed his concerns to Chen Bo before the operation.

Because although the surgery was arranged in two operating rooms, there were only ten in Chen Bo's side.

Deputy Director Zhao had only five surgeries due to other surgeries.

Can ten surgeries be completed?
On average, it takes an hour for each, and it takes ten hours, not including the time in between...

After ten surgeries are completed, it is estimated that they will go to the early morning...

Regarding Director Wei's worries, Chen Bo didn't say anything to death, he just said that we should wait and see, and if it was too late, we would reschedule the subsequent surgery.

In order to speed up the progress, Chen Bo brought Zhang Yu, Ma Shangqu, Pang Minghui and Luo Ming to the operating room early today.

The first one is the reconstruction of the posterior cruciate ligament. It has been injured for more than half a year, and it is an old injury.

Seeing Chen Bo and his group sitting in the operating room early, the nurse Lu Shiqing and the anesthesiologist Wang Ruoyun were a little surprised, but they all knew that there were ten operations in the operating room today, and they were ready for a protracted battle.

The work at hand was naturally prepared more intensively.

The anesthesia usually takes more than half an hour to complete, but this time Wang Ruoyun completed it in ten minutes.

Chen Bo, Pang Minghui and Ma Shangqu went to wash their hands first, and asked Zhang Yu to take Luo Ming to do other preparations.

Because of the tacit cooperation, Wang Ruoyun checked the time after finishing the disinfection and laying the towels, and it was exactly 08:30.

Usually, the anesthesia can be completed at this time at the earliest, and it is at least after nine o'clock from the completion of disinfection and draping to the start of surgery.

Chen Bo brought Pang Minghui and Ma Shangqu to the stage.

Zhang Yu in the audience can finally find a good position this time, take out his mobile phone, turn on the video, and be ready to capture the scene of the operation at any time.

Luo Ming is still watching from the audience for the time being.

After making preparations, Chen Bo asked the roving nurse to apply a tourniquet.

To everyone's surprise, this time Chen Bo didn't start right away, but asked the roving nurse to arrange for the next patient.

"It hasn't started yet... Is Doctor Chen sure you want to be in such a hurry?"

The itinerant nurse suspected that she had heard wrong.

Because she has never seen Chen Bo do this operation, but according to past experience, the operation will take more than an hour at the fastest. Now the operation has not started yet, so it is called to pick up the patient...

Isn't that picking up the patient and hanging it in the corridor for an hour?
So the itinerant nurse couldn't help but ask:
"Doctor Chen, do you want to pick it up so quickly? Did you do it almost the first time?"

At this time, without waiting for Chen Bo to answer, Zhang Yu directly gave her an affirmative answer:

"Take it, or it will be too late, a waste of time!"

The itinerant nurse saw Zhang Yu's determined eyes, and saw Chen Bo nod to her after listening to Zhang Yu's words, and finally decided to listen to Chen Bo.

However, the doubts in the itinerant nurse's heart were not eliminated. When she glanced at Lu Shiqing and Wang Ruoyun, seeing that they were both calm and calm, the doubts in her heart became even deeper...

"Come the knife!"

Chen Bo stretched out his hand, and firmly handed a sharp knife to his hand.

With a lot of cooperation, Chen Bo didn't have to urge Lu Shiqing anymore, and the latter would know his next move.

The old rupture of the posterior cruciate ligament has been confirmed, Chen Bo did not go into the mirror to confirm, but directly took the tendon.

Like the previous ACL reconstruction, Chen Bo took the hamstring tendon.

Zhang Yu's camera is now aimed at Chen Bo's tendon extraction port.

Unsurprisingly, there was still a one-centimeter-long opening.

Chen Bo took a right-angle pliers and stretched it in through the small opening. Under the scanning and monitoring of the intelligent system, Chen Bo easily hooked the two parallel hamstring tendons.

In the next second, Zhang Yu's eyes lit up because he saw that Chen Bo's right-angle pliers had fished out the tendon...

too fast!
In less than ten seconds, when Chen Bo handed over the removed tendon to Ma Shangqu, Zhang Yu said with emotion in his heart.

For ordinary people, it takes two to three minutes to do this step quickly, and there are times when it is slower than ten minutes.

Of course, if you are not familiar with it, it is possible to take the sartorius muscle without taking out the hamstring tendon.

Ma Shangqu went to braid the tendon, while Chen Bo and Pang Minghui continued the operation here.

Because there were too many surgical arrangements today, Chen Bo didn't let Pang Minghui do it again.

To reconstruct the posterior cruciate ligament, Chen Bo needs to establish an anterior approach first, clean up the stump of the femoral ligament, and then establish a posterior approach, and complete tibial ligament cleaning and drilling under the supervision of the camera.

Chen Bo checked the meniscus and other structures under the anterior approach and found no problems, so he used the transillumination method to establish the posterior approach.

Because last time Pang Minghui had the opportunity to complete the establishment of a rear approach under the guidance of Chen Bo, he felt even more deeply when he saw Chen Bo operating now.

Seeing Chen Bo, Pang Minghui hardly hesitated or paused. After making two small incisions in a row, the puncture device naturally entered the posterior joint cavity...

Chen Bo's seemingly simple operation is so pleasing to Pang Minghui's eyes!
Pang Minghui knew that Chen Bo's operation seemed simple, but in fact he had reached the point of returning to the basics and being able to do a job with ease.

This time, he paid special attention to observing Chen Bo's demeanor, the grip of his hand, the angle of the piercing, etc. when he pierced, and he couldn't help imitating Chen Bo's movements...

After finishing cleaning the stumps of the femoral and tibial ligaments, Ma Shangqu also reported the size of the tendons, which was 0.8 cm, which means that the bone tunnels at both ends of Chen Bo will be built according to size [-].

Establishing a posterior approach to complete the establishment of the tibial tunnel can be said to be half the success of this operation.

This step is also the hardest.

Not to mention that there are not many doctors who can master the posterior approach surgery, and the cleaning process after the establishment of the posterior approach is like walking on eggshells. Even Chen Boqie had to be careful when he had a popliteal cyst last time.

This step was also the only one that slowed down Chen Bo's speed a little.

"Is your tunnel opening so low?"

Zhang Yu saw that the position on the side of the tibia that Chen Bo chose to open was not the original position of the stump of the ligament, but a lower position, so he couldn't help asking.

Pang Minghui also discovered this question, and Zhang Yu just asked it out for him.

"The corner of the posterior cruciate ligament is too big, and the lower part of the tunnel can increase the angle and reduce the tendon wear caused by this 'death corner'..."

Chen Bo explained.

After completing the tunnel on the tibial side, Chen Bo successfully completed the tunnel on the femoral side.

At this moment, Zhang Yu looked at the time specially. From the beginning of the operation to the present, it has just passed——

5 minutes!
Ma Shangqu, who is busy braiding his tendons, has performed exceptionally today.

Since the last time he had a chance to knit his tendon, he came home and did a crazy drill with shoelaces, and then wondered when his mother washed his shoes:

"Could it be that lazy cat at home scratched it with its claws? Why are the shoelaces fluffed everywhere?..."

After this kind of practice, Ma Shangqu is confident that the speed of his tendon braiding can catch up with the progress of Chen Bo's operation...

The 3 minutes that Chen Bo waited for him last time should be saved!

So this time after he compiled it, he was planning to show his results, when he looked up and found that everyone was looking at him...

Ma Shangqu shrugged his drooping eyelids, but he still didn't understand the situation.

It was Zhang Yu who said:
"You kid, hurry up next time, Chen Bo has been waiting for you for another 3 minutes! What a waste of time!"

When Ma Shangqu heard Zhang Yu's words, his originally excited mood became a little dazed...

"I've obviously increased my speed a lot, why is it still the one that's lagging behind?"

(End of this chapter)