medical simulator

When Zhou Cheng woke up again, it was already eleven o'clock in the evening.

Clicking on the phone screen, I found that An Ruo had sent a few unread messages, which reported the basic situation that An Ruo was facing and was asked by a group of parents.

Zhou Cheng turned back with a smiling face, then went back to the door of the operating room, took a set of hats and masks, and went straight to the operating room.

In room 21, Zhou Cheng was at the sink outside first, and after washing his hands, he stepped on the sensor door and walked into the operating room.

At this moment, the atmosphere in the operating room was extremely delicate, and almost no one spoke.Moreover, Zhou Cheng also saw that Cai Dongfan and Guang Yanhu both stopped operating at this moment, and almost everyone was staring nervously at the team on the operating table.

When Zhou Cheng walked in, he was booed and warned by the patrol, and he reopened the storage bag of the sterile surgical gown for Zhou Cheng without Zhou Cheng asking.

After Zhou Cheng put on the sterile clothes, he went to Cai Dongfan. Cai Dongfan squeezed next to Zhou Cheng and said, "Xiao Zhou."

"Thank you for your hard work. Maybe this time, you have to waste your time."

"What's going on? Master." Zhou Cheng turned his head and asked strangely. He still doesn't really understand what's going on.

"The abdominal aorta is injured. Professor Dewey of the General Surgery Department is currently dealing with it. The patient's blood pressure is unstable and he is in shock. If this area is not treated properly, it will be useless elsewhere." Cai Dongfan explained in a low voice.

Zhou Cheng didn't reply after hearing this, but he also knew that now everyone stopped talking and gave up their positions, mainly to save the space and position.

It is a consistent principle to save life first and treat illness later!
Zhou Cheng hadn't stood still for a while, suddenly there was a commotion on the operating table, and there were bursts of irritability.

"I'm second! Where's the person from the vascular surgery department? Still no one can make it out?" The person named Professor Dewey began to complain.

"It seems that there is still no one from Professor Jin's side that can be assigned to our side. And at present, many people from the Department of Vascular Surgery are dispatched, and there are even fewer people left. Professor Du, what should we do now?" The junior doctor hurried back.

"Call Fu Er and ask if someone can come?" Dewey's eyebrows flickered.

Although vascular surgery used to be within the scope of general surgery, he specialized in surgery, but as a gastrointestinal surgeon, he really couldn't deal with such a complicated problem.

Attached one's vascular surgery is not very strong, and now many people have been assigned, so it can only be used by one person broken in half.

"I've fought. The Second Attached has more people than the First Attached. Now the manpower shortage is even worse. All the in-hospital consultations in this hospital are run by the Deputy Higher. It may be difficult to come to our side."

Dewey began to glance left and right, and when his eyes swept past Cai Dongfan, he was slightly taken aback. After looking carefully, he asked, "Professor Cai, is this your student Xiao Zhou?"

"Hello, Professor Du, my name is Zhou Cheng." Zhou Cheng greeted quickly.

Dewey squinted his eyes and thought for a while, then asked, "Xiao Zhou, do you have authorization for vascular surgery now?"

To be honest, Dewey didn't know much about people beyond the professor level of orthopedics.

But Yang Yifeng is an exception. Dewey also hoped that Yang Yifeng could stay in the general surgery department, so he has been paying attention.

Then through Yang Yifeng, Dewey also learned about Zhou Cheng.Moreover, Dewey also knew that Zhou Cheng seemed to be able to stand up to Yang Yifeng.

Zhou Cheng nodded when he heard the words: "Professor Du, when I was in Changshi, it was Yang Yifeng who got it through Professor Shu."

Zhou Cheng answered honestly.

Vascular surgery is another department. If you want to obtain a surgical authorization, you must be authorized by the specialized association of vascular surgery.Of course, Yang Yifeng had already arranged this matter when he was in Changshi, so Zhou Cheng is now authorized by the routine operation of vascular surgery.

That's right, you come over and be my assistant, let's try again.If you still can't handle it.

"That might really be impossible."

"The collateral circulation of the organs downstream of the abdominal aorta is not rich, but it won't take long, and there is not much time left for the patient."

"Lan Lu, get on stage and continue the operation!" Dewey confessed without discussing with Zhou Cheng at all.

But after saying that, he still explained to Cai Dongfan: "Professor Cai, it's okay to lend me Xiao Zhou, right?"

Zhou Cheng also looked at Cai Dongfan first.

Now Zhou Cheng's place of practice is not in Shashi, but in Changshi. When he came to the stage, he followed Cai Dongfan on the stage. He must not appear in the chief surgeon team, unless the Affiliated Hospital of Shonan University temporarily went through the corresponding multi-site practice procedures.

So now Zhou Cheng needs to listen to Cai Dongfan's orders.

"Xiao Zhou, you can go." Cai Dongfan smiled.

Hearing this, Zhou Cheng walked to the operating table again, and Dewey and Lan Lu untied the sutured place again.

Vascular suturing requires very delicate operation, otherwise the vessel wall is easy to tear, and the abdominal aorta is not allowed to have a breach!
"Xiao Zhou, can you handle this situation?" Dewey asked like a dead horse treating a living horse doctor. A person who can stand up to Yang Yifeng shouldn't be too bad.

"Should be able to give it a try." Zhou Cheng doesn't need to be too careful now, all the procedures are in compliance with the rules, now Dewey is the chief surgeon, he doesn't need to take responsibility, he is just an assistant.

But the assistant can also do the work of the chief surgeon, but the name can be changed slightly.

Now the rupture of the abdominal aorta in this patient is not complicated. After a little trimming of the inner and outer membranes, it can be sutured.

"That's just right, Xiao Zhou, come over and try." Dewey hurriedly stepped aside.

Zhou Cheng didn't refuse either, and after Dewey got out of the way, Zhou Cheng took the surgical instruments of vascular surgery into his hands, and directly operated the perfect vascular suture with his hands like flowers.

Trimmed tissue scissors closed, stitched in and out, knotted...

Soon, in less than five or six minutes, Zhou Chengcheng managed to finish the treatment of the arterial injury that Dewey and others had failed to deal with several times.

It seemed that Dewey and the others were sweating profusely just as a joke.

Or the current Zhou Cheng is just joking, like playing house.

Is this thing too difficult to operate?Or is Zhou Cheng too powerful?Not all are well evaluated.

Everyone looked dull and complicated.

Seeing this, Cai Dongfan, Professor Ning and the others quickly approached, and then each returned to their positions, ready to operate their respective fields.

"Professor Du, I'm almost done here, why don't you let go of the proximal end first? Look at the permeability and degree of extravasation of the blood supply?" Zhou Cheng suggested asking.

"Yes!" Dewey nodded, not daring to say no, but his tone was a little embarrassed, and he didn't quite understand whether the person he temporarily pulled onto the stage to save the scene was here to save the scene or to kick the field.

I obviously sewed it up several times, but I couldn't sew it up well, so Zhou Cheng dealt with it when he came up. The contrast between before and after is sharp, as if he did everything specifically to promote Zhou Cheng.

Zhou Cheng did not do anything other than orthopedics. Professor Dewey only asked him to help with the suture of the abdominal aorta first. Limb replantation.

Oh no, this surgery is no longer simply replantation of severed limbs.

The home field of the operation is Guang Yanhu.

Fen Chefan and Guangchanzhong formed two groups, each dealing with a section of lower limbs.Guangyanhu was operating within the normal process, but Cai Dongfan seemed a little confused and couldn't find a clue, as if he didn't know how to start after finishing the debridement.

Debridement is the basic operation of trauma, but replantation of amputated limbs is not something ordinary doctors dare to do directly.

The junior doctors are not surprised.

However, when Zhou Cheng moved over to help, Na Zhupei, who was doing surgery with Cai Dongfan and was an assistant, looked at Zhou Cheng in astonishment, and quickly moved out of the room.

Zhou Cheng's strength this week was not blown out. At least, he helped Professor Dewey just now and easily dealt with the abdominal aorta that Professor Dewey failed to deal with.

There may be elements of exaggeration, but it must be capable.

And Zhou Cheng is an orthopedic surgeon.

After Zhou Cheng stood next to Cai Dongfan, he took over the surgical instruments and said, "Master, let me help you."

When Cai Dongfan heard this, he glanced at Zhou Cheng, and his mood immediately relaxed: "Okay, Xiao Zhou!"

While speaking, Cai Dongfan saw that Zhou Cheng had adjusted the direction of the hook at some point in order to expose the opening better and obtain a better surgical field.

At the same time, Cai Dongfan also saw that Zhou Cheng had almost pieced together the shattered bone fragments like a ghost by means of techniques.

Then he said, "Master, I see that the patient's current bone condition is not bad. Can I prescribe a titanium mesh for auxiliary fixation?"

Cai Dongfan nodded, and shouted confidently: "Okay, Xun Xun, open a titanium net."

Hearing Cai Dongfan's words, Guang Yanhu, who was doing the surgery on the opposite leg, glanced at it, and then his whole body went numb, his eyes widened instantly, and he stood on tiptoe carefully to see Zhou Cheng's reset fracture and his own. Comparison of fracture reduction.

I can't say that my own is not good enough, but I can only say that the reset made by Zhou Cheng will be more perfect!

After the titanium mesh came out, Cai Dongfan subconsciously wrapped it directly on the outside of the femur.Then he said, "Xiao Zhou, come and twist it."

This tone sounded like an orderly tone, and it was a little floating.

Zhou Cheng touched Cai Dongfan's hand silently, then folded the shape of the titanium mesh into a cylindrical shape with a smaller diameter, and inserted them into the bone marrow cavity of the femur respectively, and then stretched the outer periphery of the titanium mesh to cover the fractured bone. Quality pieces!
On the outside, I added another piece of cut titanium mesh, and then raised my head and asked, "Master, would this be better?"

Cai Dongfan blushed slightly, and nodded solemnly.

"This is good, this will be even better." Shamelessly expressing that Zhou Cheng is excellent, at the same time, Cai Dongfan seemed to realize that after Zhou Cheng returned, he should not be drifting.

Otherwise, the embarrassment just now will be even more embarrassing.

Guang Yanhu on the opposite side was still suturing the muscles and tendons of his lower limbs, but occasionally he couldn't help but glance at Zhou Cheng who was doing the operation.

Then, every time he took a look, he would find that at Zhou Cheng's place, he found a very strange, unexpected, but unexpectedly better surgical method than what he knew, and it was displayed in front of him.

This is a large-scale damage, spanning the knee joint.Including the patella, lower femur, and proximal tibial plateau.

At present, except for the patella, which Zhou Cheng has not been able to restore, the others such as the femur and tibia have all been restored by Zhou Cheng's various weird surgical procedures!
And this is not even the severed limb replantation that Zhou Cheng cooperated with Qin Tianzhu before!

This TM is a step further than the replantation of severed limbs. This should be called limb reconstruction!
The replantation of severed limbs, at least there are still severed limbs that can be used, and the reconstruction of severed limbs is basically to create something out of nothing, to get out something that should have died, just like rebuilding!
Then, Guang Yanhu also saw that Zhou Cheng started to make a show again.

The bone surface can be rebuilt by Zhou Cheng, but soft tissues such as muscles cannot be created out of nothing, and if all the soft tissues are replaced with instruments, the cost will be too high.

However, Lu Cheng still reused a lot of materials from his own body from the previous damaged muscles. For example, when rebuilding and transplanting muscles, Zhou Cheng rested the muscles that were already thin and took out the tendons. After coming down, the tendons were transplanted, and the muscles were left alone, and then some places with richer muscles were found, and they were split horizontally to perform muscle transplantation.

Then there are blood vessels and nerves. Zhou Cheng found a suitable blood vessel replacement either from the proximal end or from the far end!
In this way, the blood supply was finally resolved.

And when Zhou Cheng did this, Guang Yanhu

Over there, they unilaterally stopped their own surgery and left it to Guipei to continue debridement.

Because his follow-up surgery can only improve some details at most, and what he needs to do now is to observe Zhou Cheng's surgical thinking, which is a major improvement to his own skills.

Which is more important, Guang Yanhu still understands.

It's just that Guang Yanhu's mood is very tangled at this time.

First, it can be seen that Zhou Cheng's strength is absolutely extraordinary, even more legendary than the legend, this is absolute!
Even though he was already high enough, because of Ding Changle, because of Lei Zhong, because of Qin Tianzhu, he had enough respect for Zhou Cheng, but this heart was still not enough. Zhou Cheng's height was even higher than this!

This is also the reason why Professor Ding Changle and others were willing to grant Zhou Cheng the authority to perform three types of surgery a year ago!
Second, after Zhou Cheng came back, his current position was a bit embarrassing.It was not easy to enjoy the treatment of leading the group several months in advance, and Professor Cai was very cooperative.

If Zhou Cheng came back again, wouldn't it mean that he would return to the previous situation where he was behind others and controlled by others?

From extravagance to frugality is difficult!
Third, I can learn a lot, but the premise is, do I want to let go of my face?