My medical path

Chapter 86 Instructing Young Doctors to Perform Surgery

Today Wednesday, Chen Bo arranged two surgeries.

Both are patients admitted by Chen Bo Clinic.

One is Li Lanzhen, anterior cruciate ligament cyst, and the other is Zhong Yuan, femoral tumor.

The first one is to do anterior cruciate ligament cyst surgery.

Today Chen Bo brought Ma Shangqu and Pang Minghui to the stage, while Zhang Yu and Luo Ming watched from the audience.

The nurse on stage is Lu Shiqing, and the anesthesiologist is Wang Ruoyun. Now the two women and Chen Bo have almost become a fixed match, and they are arranged for routine surgery.

When Chen Bo came up, he had already drawn marks on Li Lanzhen's legs. Because of Luo Ming, Chen Bo specially explained each mark in detail.

"This is the head of the fibula, this is the tibial tuberosity, this is the patella, this is the deformed lateral collateral ligament..."

How could Luo Ming have this kind of learning opportunity before, receiving Chen Bo's hands-on guidance, and being able to touch the corresponding anatomical landmarks, for him, it was an experience from scratch, so Luo Ming's enthusiasm was particularly high.

Ma Shangqu had already finished disinfecting the operation area and laying the drape, and Chen Bo signaled the circulating nurse to put on the tourniquet after hemorrhaging the operation limb.

"Shangqu, today you come to establish an entry path."

After putting on the tourniquet, the nurse handed the knife to Chen Bo, who turned his head and handed it to Ma Shangqu, who looked confused.

"What's going on? Is it true?"

This question arose in the minds of everyone in the operating room at the same time, so all eyes turned to Chen Bo.

Ma Shangqu couldn't believe his ears at all. From the most idle surgical assistant, he could hold a mirror, weave a tendon, and sew a wound...

Progress has been made with almost every surgery.

Now that Chen Bo actually allowed himself to establish a way out, this Ma Shangqu didn't even dare to think about it.

Pang Minghui next to him was also full of envy.

When it comes to the real core technology, the chief surgeon generally has to do it by himself, and they have almost no chance to do these operations as assistants.

Unexpectedly, Ma Shangqu would get such an important operation opportunity so soon, and Pang Minghui secretly made up his mind that he must hug Chen Bo's thigh tightly and strive for an early exercise opportunity.

"Why are you in a daze? First touch it with your hand, confirm the positioning again, and see if our logo is accurate, and then perform the puncture, mainly to find the feeling."

Chen Bo looked at Ma Shangqu in a daze, and said.

Nodding gratefully, Ma Shangqu did not speak any more, and followed Chen Bo's instructions to confirm the anatomical landmarks one by one.

There was no mistake in the sign. Ma Shangqu took the sharp knife handed over by Lu Shiqing, and first poked two small slits in front of the knee according to the position of Chen Bo's sign.

This patient is different from the popliteal cyst that was done last time. In addition to a relatively large cyst at the back, there is a smaller cyst between the two cruciate ligaments. Therefore, an anterior and posterior approach should be established, and now an anterior approach should be established. road.

"Use the working cannula to puncture, and I will help you adjust the position later."

Seeing that Ma Shangqu's incision had been made, Chen Bo said:

"The working cannula should be placed flat, and the abduction should be larger, pointing to the intercondylar notch!"

While Chen Bo was speaking, he put his hand on Ma Shangqu's pierced hand, and started the system scanning and monitoring at the same time.

He wants to prevent Ma Shangqu from injuring the patient's articular cartilage due to hand loss.

Don't let go, this is the premise to ensure the quality of medical care.

"Puncture now!"

After Chen Bo took precautions, he gave instructions to Ma Shangqu.

Hearing Chen Bo's instruction, Ma Shangqu raised his drooping eyelids, and then carefully rotated the working sleeve with his hand...

"stop!"

When Chen Bo saw that the working sleeve had entered the knee joint smoothly, he stopped Ma Shangqu from further movements in time.

"Remember the feeling of breaking through the joint capsule just now," Chen Bo looked at Ma Shangqu and said:
"Now switch hands and do the other side piercing!".

Ma Shangqu was still reminiscing about the sense of breakthrough just now. Hearing Chen Bo's instructions, Ma Shangqu switched hands to operate.

This time, Chen Bo didn't give any guidance other than putting his hands where he could stop Ma Shangqu.

Ma Shangqu was still very careful in this puncture. Under the scanning and monitoring of Chen Bo's system, Chen Bo saw that the working cannula had successfully penetrated into the joint capsule, and when Chen Bo was about to shout "stop", Ma Shangqu's hand stopped down.

"Not bad, I already feel a little bit, the puncture operation was successful today!"

Chen Bo looked at Ma Shangqu and nodded.

After getting the working sleeve from Ma Shangqu's hand, Chen Bo saw that Ma Shangqu's hands were trembling...

This reminded Chen Bo of the same thing when he did this operation for the first time. It was not nervous, but excited...

So Chen Bo can understand Ma Shangqu's current mood.

The next step is to cut off a cyst between the two ligaments. This requires a lot of experience in operation, otherwise the good ligament may be cut off if you are not careful.

So Chen Bo must have done this step by himself.

For Chen Bo, removing such a cyst is already very simple, but it is different for others.

Pang Minghui watched very carefully. When Chen Bo operated the arthroscope, his field of vision could always put the place he wanted to see in the middle of the screen, and his field of vision did not shake at all.

When doing arthroscopic surgery, one is afraid that the patient will not be able to find the right place, and the other is afraid that the operation will not be skilled and damage normal tissues.

These two points are of course not a problem here for Chen Bo.

Chen Bo reached in with a hydration forceps, grabbed a part of the cyst tissue and sent it for pathological examination, and then began to plan the rest of the cyst.

Pang Minghui saw very clearly that Chen Bo didn't leave anything that should be cut off, and didn't cut off anything that shouldn't be cut off.

Realizing the technical components contained in it, Pang Minghui was very convinced.

In order to give Luo Ming a chance to understand the anatomy, Chen Bo also explored the entire knee joint cavity, and helped Luo Ming identify each structure under the lens.

This kind of explanation was too timely for Luo Ming. Luo Ming already felt that the books he had read in the past were confirmed little by little...

He is even more grateful now that he chose to study here.

Needless to say, Teacher Chen's theory and technology are quite powerful, and his communication skills are also very good...

After completing the excision of the anterior cyst, Chen Bo will establish a posterior approach to resect the posterior cyst.

Because the anterior approach is established at this time, the establishment of the posterior approach can be positioned using the "transillumination method".

Although Chen Bo could see clearly under the system scan, he was still willing to give a few young people a chance to learn.

"This time, Minghui, you are here to build the entrance!"

Chen Bo looked at Pang Minghui who was fascinated by the operation and said.

"Ah I?"

Pang Minghui pointed to himself and asked Chen Bo his own questions.

He didn't even dare to think about it himself, and he had the opportunity to get started so soon.

Chen Bo nodded and gave him an affirmative answer.

A little excited, Pang Minghui took the sharp knife, poked two small holes according to the position of the light source operated by Chen Bo, and then started to puncture with the puncture instrument.

"Raise your hand a little higher and move it inward...Okay, just pierce at this angle...stop!"

"Remember the position and direction of the hand, and the feeling of breaking through the joint capsule!"

While Chen Bo used scanning and monitoring to guide Pang Minghui's operation, he also explained the key points of these key steps, which benefited Pang Minghui a lot.

"Now replace the piercing instrument with a planer, you just put it in, don't operate it."

Chen Bo gave Pang Minghui another chance to experience it.

Although this step is very simple, it is just a change of equipment. In fact, it is not easy to find the entrance just now under the camera.

This time, Chen Bo didn't make a sound, because Pang Minghui's operating equipment was always within the safe range under the system scanning and monitoring, and he was still willing to give Pang Minghui some experience in operating it.

After several attempts, Pang Minghui lived up to expectations and successfully found the entrance. At this moment, Ma Shangqu could feel that Pang Minghui's hands were trembling...

Ma Shangqu knew this feeling, he was like this just now.

The operating instruments returned to Chen Bo's hands, and Chen Bo began to remove the posterior cyst.

The two young people looked at Chen Bo who was serious about the operation, and their eyes were full of gratitude.

There are technical barriers in clinical practice. Not every senior understands many technologies. Not every senior who understands is willing to teach young doctors, and not everyone who is willing to teach can demonstrate and explain so clearly like Chen Bo. thorough……

So let's do it and cherish it, they now feel that they are absolutely lucky to meet a senior like Chen Bo.

After Chen Bo took over, the surgery was over as expected by Lu Shiqing and Wang Ruoyun.

Although it took a little more time to explain and practice with the two young people, I, Wang Ruoyun, noticed it. It took a total of half an hour, and the operation was completed.

The feeling of the two women looking at Chen Bo is different from before.

In the past, Chen Bo was good at performing surgeries, which was due to his own skills. Now that young people are given the opportunity to practice, the speed and quality of surgeries are equally high. What does this mean?
It shows that Chen Bo's mastery of these technologies has reached a relatively advanced level...

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

Chen Bo didn't know what the two women were thinking. He had been thinking about his own path for a while.

Apply for Professor Sha's postgraduate entrance examination, and go to a bigger hospital to get better development opportunities?

That may be a rare opportunity for others, but it doesn't mean much to Chen Bo.

Because Chen Bo's theory and technology have surpassed many big-name professors, he has not benefited much from this.

And higher-level hospitals mean more trivial matters, and those meaningless papers will consume a lot of his time.

There is another problem that is very real. The larger the hospital, the more specialized it is. That is to say, Chen Bo can only work in a certain field of orthopedics there.

However, the biggest advantage of Chen Bo's possession of this system is that he is versatile and specialized, so his value can be better reflected in primary hospitals.

Moreover, Chen Bo is very clear now that no matter how well a person does it, his time and energy are limited. If he wants to develop and grow, he must have his own team, so what Chen Bo wants to do now is to build his own team.

If you want to build a team, you can't rely on yourself alone, but you have to play the role of everyone.

It is better to teach people to fish than to teach people.

Although the road ahead is not clear enough, some ideas have slowly formed in Chen Bo's mind...

(End of this chapter)