My medical path

Chapter 73 Wu Zhennan's Surgery Stuck
After returning to the department from the outpatient clinic, Chen Bo could finally sit down comfortably and drink a few sips of water.

Fortunately, I was quick-witted and called off the number early on. If I didn't get another twenty or thirty patients, I would really explode.

Chen Bo's surgery was not arranged today, after dealing with his own hospitalized patients, Chen Bo snapped his fingers and was about to go home from get off work, when he saw Zhang Yu's cunning appearance in front of Chen Bo.

"Have you heard? The patient with the broken bone has been going up for three hours today, and he hasn't come down yet...According to reliable news, the operation is almost over!"

Zhang Yu was a little gossipy.

After hearing what Zhang Yu said, Chen Bo remembered the situation of the patient who was undergoing surgery.

Lei Shaoyun, a 23-year-old boy, was injured in a car accident and his femur was broken into three sections, which is commonly known as "three-section stick"...

Chen Bo had seen the film when the department was handing over the shift early to read the film. There were multiple fractures, and the bone in the middle had completely dissociated and was seriously injured.

The opinion discussed by the department is that there are two options for intramedullary nailing and plate fixation, and intramedullary nail fixation is the first choice, because the whole thigh will be completely cut open if the plate is fixed, and the trauma is very large.

Since it was Wu Zhennan's patient number and Zhao Donglai was in charge, the problem should not be serious, so Chen Bo did not follow up on the patient's situation further.

It is a bit strange to hear that the operation is about to fail.

"What's the situation? Isn't Director Zhao here, and he can't take it down? Logically speaking, it shouldn't be?"

Chen Bo looked at Zhang Yu and asked.

"I heard that Director Zhao just happened to be on a business trip today, and Wu Zhennan was working on it. This guy, it's been almost three hours, and it's said that he hasn't even reset his fracture... It doesn't mean that Director Wei just rushed to save the scene!"

Zhang Yu explained to Chen Bo.

"So that's how it is." After listening to Zhang Yu's words, Chen Bo thought for a while and said:

"Intramedullary fixation is indeed very difficult for this operation. If the entire thigh is cut open, the damage will be too great. It is really difficult to choose..."

"Then it happens that there is no operation today, let's go up and have a look?"

Zhang Yu looked at Chen Bo and shrugged his brows:

"It's hard to say that this expert can give them two tricks at critical times..."

After finishing speaking, I still don't forget to flick the hair that I think is handsome.

When Chen Bo saw Zhang Yu's humble appearance, he immediately handed him a 75-degree left contempt, and then hit him:

"Your cowhide is so swollen... Be careful that you won't be able to hold a fart for a while, but you will burst the chrysanthemum..."

"...But you're right, idle is idle, so go up and have a look!"

Chen Bo left as soon as he said.

"Hey, wait for me!"

Zhang Yu quickly followed.

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

In the orthopedic operating room, the atmosphere was a little tense and dignified.

As the chief surgeon, Wu Zhennan was already sweating on his forehead, and his back was even wet.

The operation has been going on for two hours, four and 10 minutes, and he still hasn't been able to complete the reset, which makes Wu Zhennan frustrated and stressed at the same time.

Although it was estimated before the operation that intramedullary fixation was not easy for this patient, Wu Zhennan felt that it was a bit difficult to show his ability.

So although there were alternatives, he insisted on choosing intramedullary fixation.

When the operation lasted an hour, the fracture did not return to its original position. He thought it was normal, because the operation was so difficult that no one could say anything if it did not return to its original position within an hour.

When the operation went on for two hours, he began to feel a little anxious, but he refused to admit defeat, he felt that he would definitely be able to recover...

However, it has been nearly three hours since the operation, and his original confidence and hope have been completely obliterated by time.

But if the plan is changed now to cut the entire thigh open, it will take longer, and even if it is done by itself, the patient is likely to have problems.

Dilemma!

So he had to choose to ask for help.

Deputy Director Zhao who supported him the most had already gone on a business trip, so he could only ask Director Wei for help.

…………

When Chen Bo and Zhang Yu appeared in the orthopedic operating room, Director Wei had already washed his hands and was putting on surgical gowns.

Seeing Chen Bo and Zhang Yu coming in, Director Wei nodded his head as a greeting, while Wu Zhennan's expression darkened.

Letting the two of them see it at the most embarrassing moment made Wu Zhennan feel ashamed.

Lu Shiqing was also on stage today, and Wang Ruoyun happened to be anesthetized. The eyes of the two girls lit up when they saw Chen Bo coming in.

Looking at Wu Zhennan's operation just now, they all felt that the end of the operation was still far away, so they were all ready for a protracted battle.

However, when they saw Chen Bo coming in, both of them had an inexplicable feeling in their hearts, that is:
"With Chen Bo here, the surgery should end soon!"

If Wu Zhennan, who was already suffering from internal injuries, could hear what the two of them were thinking at this time, he would probably be able to spit out hundreds of milliliters of blood in one breath...

Chen Bo didn't know the changes in their hearts, and watched Director Wei, who was wearing gloves, officially take over Wu Zhennan's operation.

Director Wei first looked through the X-ray film of Wu Zhennan when he was reset.

The bone becomes three segments, and intramedullary fixation is to string these three segments together, and then insert an intramedullary nail of the same size as the bone marrow cavity to achieve the so-called "central fixation".

It sounds simple, but everyone in the know knows that this operation is actually very difficult.

The first thing is to insert a guide wire from the center of the three bone fragments, and the electric drill will pass through the guide wire to expand the pulp opening after a while.

However, it is not easy to insert the guide wire, and Wu Zhennan also spent a lot of time on this link.

Because the bone in the middle was completely free, the guide wire would always slip out of the fracture when it was inserted. Wu Zhennan tried several times before he managed to place the guide wire properly.

After the guide wire is set, it is to open the pulp with an electric drill through the guide wire. This step is also the most difficult part. Wu Zhennan is stuck in this link.

Because the middle and distal bone fragments are not fixed, they will shift as the drill is rotated.

In this way, there will be no way to reset the bone block or the drilled bone tunnel will be biased to one side. When the intramedullary nail is actually installed later, it will not be installed or cannot meet the technical requirements.

If there is difficulty at this step, experienced surgeons will choose to open a small opening on the outside of the thigh, and insert a pair of forceps or hooks that can fix the bone block through the small opening to assist in the operation.

But Wu Zhennan obviously hasn't reached this level yet, he also opened a small mouth, but after operating it, he realized that it was not what he imagined.

First of all, there is no vision at all when you go in through a small hole, it's all about feeling.

Wu Zhennan tried several times to no avail.

Now that Director Wei is taking over, this is the step he wants to take.

Chen Bo watched Director Wei reach in and hold the bone forceps...

Obviously, Director Wei is still very experienced, and the pliers that went in groped a few times and managed to clamp the bone in the middle.

This is a big step forward. Wu Zhennan felt a little relieved when he saw the film, because after completing this step, he could start to open the pith with an electric drill.

But this step is obviously not as easy as imagined...

　Thanks for the strong support of book friends, there is nothing to say, come on and code, and strive to contribute better works~
　　
　
(End of this chapter)