My medical path

Chapter 111 Perfect ending
After finishing the sixth station, it was time for dinner. Chen Bo didn't continue to squeeze everyone in the operating room, but asked everyone to eat.

At this time, everyone feels more relaxed.

Surgeons often have no way to eat on time during operations, so after the intense battle just now, everyone can eat on time comfortably and on time, and everyone is in a very happy mood.

Although Chen Bo was not physically tired, he was mentally tense and underwent six operations in a row, so he was still a little tired mentally.

While eating, the news that Chen Bo performed six orthopedic surgeries in the morning slowly spread among the nurses and anesthesiologists in the operating room.

At this time, Deputy Director Zhao happened to join the lunch team with a meal. The version he heard was this:

"Did you know? Chen Bo is not a human being today. He performed six surgeries in one morning, making Shi Qing so bad that she is still cleaning instruments..."

"Ah, is it really that powerful? What kind of surgery is it, so fast? It can't be stitching wounds, right?"

"Four fractures, one ligament reconstruction, one collateral ligament repair, all are real operations!"

"How did he do it? It's incredible, isn't it?"

"Who knows, anyway, it's terribly evil. I heard that Mr. Huang, who is in charge of the tour, has suffered from arthritis... The head nurse's toes were also swollen by the inspector Ben... I don't know exactly what happened... "

The more Deputy Director Zhao heard, the more shocked he became.

Already finished six sets?
Fortunately, he still thinks that the speed of finishing the first difficult intertrochanteric fracture after eleven o'clock is not bad...

Although the next few sets made by Chen Bo are a bit simpler, the first set itself is also very difficult...

How did he do that?
Even if you start at 08:30, it will take you three hours until 11:30.

In other words, Chen Bo spent no more than half an hour on each operation?

It also includes the time for intermediate anesthesia, sterilizing draping, and transporting patients!

Deputy Director Zhao's outlook on life is showing signs of collapse...

...............

Half an hour into the meal time, at twelve o'clock, Chen Bo and others appeared in the orthopedic operating room again.

There are still four operations, one fracture of the patella, one rupture of the Achilles tendon, one tear of the meniscus, and the uncle with maggots that Chen Bo received yesterday.

Now lying on the operating table is a patient with a fractured patella, and Wang Ruoyun is under anesthesia.

Today, all of them are patients with spinal anesthesia. Wang Ruoyun feels that after wearing so many in a row, it is getting smoother now.

This time it was successful, and the anesthesia time also entered single digits for the first time, 9 minutes.

It is also teamwork, and Chen Bo will be able to take the knife soon.

The patient's patella is a transverse fracture, and Chen Bo plans to fix it with Kirschner wire tension bands.

The patella is a fulcrum of the lower limb joints, and the action of straightening the calf depends on it as the fulcrum.

Therefore, as long as the fracture at this position is displaced, there is basically no way to treat it conservatively.

Normally, this operation needs to make an incision in the middle of the knee, expose the bone, connect it back, string it up with a steel needle, and then wrap it with a steel wire to tighten it...

But this patient was a transverse fracture, and there were no small fracture fragments to clean up, so Chen Bo chose closed reduction.

This invisibly increases the difficulty.

The first thing to solve is the reset problem, which is not too difficult for Chen Bo.

Following the curvature of the outer edge of the patella, Chen Bo pinched the upper and lower patellas together, and then fixed them with two large point-shaped reducers...

Under the system's scanning and monitoring, the upper and lower bones were perfectly aligned.

"Chen Bo, how do you determine whether the articular surface of the patella is open?"

At this time, Zhang Yu asked a more professional question, which also attracted the attention of Ma Shangqu and Pang Minghui.

"Mainly look at these three surfaces, one is the surface of the patella, it should be smooth without steps, and it cannot be angled outwards, and the second is to look at the edges on both sides of the patella, it should be smooth without steps and gaps... If all three surfaces are ok , then the articular surface should not have opened its mouth.”

Zhang Yu was thoughtful after listening to Chen Bo's explanation.

After Chen Bo completed the reset, he took a knife and made incisions about two centimeters at the upper and lower poles of the patella. This is the part that must be exposed when the steel wire is tied later.

Then drive two parallel Kirschner wires through one of the mouths perpendicular to the fractured end.

This is also the most difficult part of this operation.

The Kirschner wire is best placed at the inner 1/3 of the patella thickness, which is a test of the skill of the surgeon.

This is the easiest step for Chen Bo who has the system, but it is very difficult for Zhang Yu and the others.

Seeing that Chen Bo finished the two Kirschner wires with ease, although they didn't know the position, but they saw that Chen Bo had done so many operations, and they haven't left the word "perfect" for a single time, so there is no One worries.

After the Kirschner wires were inserted, Chen Bo wound two Kirschner wires with steel wires to form a "8" shape and tightened them. This is the most classic tension band operation.

Then bend one side of the Kirschner wire and cut it off.

At this point, it means that the operation is basically over.

This time, Chen Bo was no longer in a hurry and left the wound to Pang Minghui and Ma Shangqu to stitch it up.

Chen Bo, the Achilles tendon of the next set, was directly handed over to Ma Shangqu.

Because the method is similar to braiding tendon.

Chen Bo only needs to tell Ma Shangqu the method of minimally invasive surgery, and then point out some important anatomical structures of this surgery...

Ma Shangqu will be fine as long as these structures are avoided during surgery.

Under Chen Bo's guidance, although Ma Shangqu did not have Chen Bo's speed, he completed the operation beautifully, which made Comrade Xiao Ma very excited.

When he arrived at the patient with a torn meniscus, Chen Bo looked in the mirror first, and found that the tear was located at the free edge, which was a flap-shaped tear, which was not suitable for suturing.

So this time, Chen Bo directly handed it over to Pang Minghui, who learned how to operate the arthroscope to slowly remove the torn meniscus, and then make proper repairs.

Except for the last time Chen Bo asked him to puncture, this is the first time that Pang Minghui operated the arthroscope himself.

Of course, even though he was very careful and tried to repair the remaining meniscus proficiently, he obviously still couldn't do it. Chen Bo made up the operation later.

When it came to the last man with maggots, the operating room was instantly filled with stench.

It also lifted the spirits of a few people who had been numb from the surgery...

This time, Chen Bo gave full play to the advantages of the intelligent system. Under the monitoring of the system, Chen Bo would do everything possible to eliminate all the necrotic tissues. As for the vigorous organizations, Chen Bo would try to keep them...

Of course, when they saw Chen Bo catch more than a dozen maggots halfway, the contents of Lu Shiqing and Wang Ruoyun's stomach rushed to their throats instantly...

In the end, Chen Bo used nearly [-] milliliters of sterilized water to wash his leg besides hydrogen peroxide and povidone iodine, which made the itinerant nurse feel sore and muttered, "This operation will not pay back. ..."

After finishing the final cleaning work, Chen Bo still found that bacteria remained in some of the grandfather's toe bones.

Chen Bo gritted his teeth, and used up a spiritual energy card that he had finally saved...

...............

The completion of the uncle's operation also means that all ten operations today have been completed!
Wang Ruoyun, who had never stopped, could finally take a breath at this time, and looked at the time tiredly. The last four operations were all completed, and it was only [-]:[-] in the afternoon!

Now she also kind of misses that Chen Bo who drives a yellow car...

But today is destined to be a memorable day, because Wang Ruoyun's fastest waist piercing record has been refreshed to 5 minutes!
The most miserable thing today is Lu Shiqing, ten operations in a row, cleaning the equipment is enough to make her collapse...

The head nurse in the operating room didn't dare to come to Chen Bo's room to inspect again this time, she was afraid that her swollen toe would hurt her again...

After hearing about Chen Bo's glorious deeds at noon, Deputy Director Zhao also rushed forward, and finally achieved the speed of one fracture surgery in an hour. It's all done...

The desire to survive that Deputy Director Zhao had just earned was wiped out by a one-meter internal injury!

The most relaxed thing at this time is this small group that has just taken shape, and everyone has something called pride in their hearts.

Today, Luo Ming, who has the least sense of existence, also smirked along with him...

...............

Walking out of the hospital gate, the sun was shining outside, Chen Bo snapped his fingers and hummed happily:

"Every move, every move, every move..."

　Thank you Dajie for your reward, thank liwei9051, Zhong Nana 987, Suan Ran, book friends 20200116064747064, Ye Xi, and Mr. Shen Baoqiang for their monthly ticket support, and thank you other book friends for their votes and subscription support!There is no recommendation now, relying on the support of book friends, thank you three times~

　　
　
(End of this chapter)