medical simulator

Chapter 71 Cai Zhou Cheng's Point Reader Dong Fan

Cai Dongfan adjusted the order of the surgery on his own initiative. As the director of the treatment team, he still has this power.

Originally, I had agreed with Zhou Cheng before that Zhou Cheng would do a few manual resets first, as a test for him to evaluate whether Lu Cheng could do manual resets alone in the clinic.

However, Cai Dongfan felt that he was thinking a little too much.

He seems to have failed as an examiner.

What the hell was Zhou Cheng? After the anesthesia was completed, he clicked twice, and it was over.

C-arm fluoroscopy, it's a pity not to put plaster...

The result is very good, but the process, I don't understand TM, how to score this? !
So Cai Dongfan felt that the rhythm should be slowed down a little bit.

Hey, don't finish the exam all at once, only to end up not understanding it.

Of course, there is another reason, after all, Director Zeng called him to administer the anesthesia himself, and he can't treat him like an animal.

It's obviously not appropriate for you to slap, slap, and reset one in a minute or two. Zeng Yi is exhausted to death.

Although it wasn't Zeng Yi who performed the anesthesia on stage himself, but we still have to give face. We are all human, so we should rest anyway.

So Cai Dongfan arranged the operation for the intertrochanteric fracture in advance, and made some adjustments by the way, so that everyone can take it easy and relax.

Don't get too tense.

Of course, after changing the order of operations, Cai Dongfan still felt that he had backtracked, so he decided to talk to Zhou Cheng about it.

"Zhou Cheng, for the next operation, we will take your patient with the intertrochanteric fracture first. You did the restoration too quickly with this technique. I think that the student of Director Zeng is so tired that he is almost cursing. Let's slow down a bit. Rhythm." Cai Dongfan explained.

Zhou Cheng naturally agreed and said, "Okay, Teacher Cai, I will follow your arrangement."

Cai Dongfan hesitated for a while, and said: "Wait a while, you will make the incision of the intramedullary nail."

Intertrochanteric fractures can be fixed with steel plates or intramedullary nails. Although the names of intramedullary nails may vary, they are essentially the same, and they are all intramedullary nails.

Zhou Cheng was very surprised and was taken aback: "Huh?"

"Don't worry, I'll be on stage. I'm still the main knife." Cai Dongfan said immediately.

These words are actually to give Zhou Cheng the bottom line and take you to learn intramedullary nail fixation. If you can't do it next, then I will replace you. If you can do it, continue to do it.

"Thank you, Teacher Cai!" Zhou Cheng hurriedly said.

Cai Dongfan talked to Du Yanjun in private again, but Du Yanjun naturally didn't respond.

Cai Dongfan also came to arrange study opportunities for him in this way, more than Zhou Cheng, Zhou Cheng helped his teacher so much today, Cai Dongfan didn't express it, it was unreasonable logically.

Originally, he also had such opportunities in the first two stations, but Zhou Cheng took them away.

So Du Yanjun just said: "Teacher, yes, I will help Brother Zhou Cheng to prepare for the surgery together."

Two people were needed to prepare for the operation. If he didn't make it, Zhang Zhengquan would definitely do it. Du Yanjun wouldn't be so stingy.

Then, Zhou Chengcheng took the stage.

The standard pattern puts the traction column and the resistance of the perineum, the pelvis is placed in a horizontal position, the trunk and right lower extremity are adducted, and the unaffected lower extremity is flexed and abducted at the same time.

I don't know how Zhou Cheng did it. After pulling on the traction bed for a while, he went to disinfect and spread the towels.

After finishing the disinfection shop towels, Zhou Cheng looked at Cai Dongfan and Luo Yun, neither of them intended to go to the chief surgeon's position, so Zhou Cheng walked over.

Shouted: "Mr. Washing hands, please take the round knife!"

With the knife in his hand, Zhou Cheng already knew what the operation was going to do, and he did the surgery talk himself.

There is no need to ask Cai Dongfan and Luo Yun where to cut!

Wow, the round knife broke through the skin by about 4cm, which is about one ha (viewed separately), and Zhou Chengcheng put the round knife down.

Pick up the electric knife and go inside!
Straight into what an orthopedic surgeon should be with a perfect grade of open reduction and internal fixation!
Luo Yun touched Zhou Cheng and reminded him in a low voice, "The opening should be a little bigger."

Zhou Cheng, who had entered the state, replied directly: "This is already very big! Why do you want to be so big?"

What are you doing so hot?
What to do!
Can you still make pots?
Luo Yun struggled a little in his heart.

My nia?

What do you want me to do?Do I want to say that Director Cai won't be able to operate later?

Cai Dongfan on the opposite side frowned.

Forget it, I'm here to see Zhou Cheng's anatomical basis, not to look at anything else, just expand the incision later.

Zhou Cheng cut the subcutaneous layer and the tensor muscle of the fascia lata layer by layer!

The greater trochanter of the femur was soon exposed!
The scene inside shocked Cai Dongfan and Luo Yun!

???

reset?
Is this the patient with the intertrochanteric fracture in our group?How come the alignment of the fracture is so good?

No, what did this patient go through from the ward to the operating room?
Could it be that just now Zhou Cheng fiddled with the traction bed a few times, and made the shift like this now?

Luo Yun was still in a daze.

Zhou Cheng turned his head and saw Luo Yun holding a guide pin in his hand.

Then he picked up the guide pin in Luo Yun's hand and slammed into it.

Luo Yun had to pull the hook with one hand, so he didn't have a lot of strength, and he was shocked at the restoration of the fracture.

So Zhou Cheng took away the guide pin, which was originally prepared for Cai Dongfan.

Luo Yun people are numb.

He raised his head in astonishment, and stared at Cai Dongfan with wide eyes.

The meaning is obvious.

Cai Dongfan rolled his eyes and shook his head at Luo Yun.

After Zhou Cheng seemed to put the guide pin in very quickly, the whole process did not take more than ten seconds. It seemed that Zhou Cheng had his own unique understanding of the hole-finding action that others found difficult to operate.

As soon as it hit the soul, it directly hit the far end of the femur, making a crisp thumping sound.

Definitely in the bone marrow.

It is visible to the naked eye, so there is no need to see through the C-arm, and then Zhou Chengcheng shouted: "Mr. Washing hands, hollow drill!"

Cannulated drills are reamed.

Luo Yun looked at Cai Dongfan again, this time even the handwashing nurse looked at Cai Dongfan, Cai Dongfan pondered for a moment, looked at Shuye, and motioned for the patrol to hand over the hollow drill!
Zhou Cheng immediately started reaming, and the reaming was almost on the 12th, so I compared the length!

Step aside, pick up a titanium alloy intramedullary nail with a diameter of 11mmx220mm, and insert it straight in!

Then he straightened up, stepped back half a step, and shouted: "Xuan, push the C-arm machine!"

This shout startled Luo Yun directly, he clenched his fist with his free right hand, slammed Zhou Cheng's left hand hard, and kept looking in Cai Dongfan's direction.

It means, Zhou Cheng, it's almost done.

Don't act good when you get cheap, climb up when you catch the rope, and drill when you see a hole...

Learn how to stop.

Zhou Cheng immediately returned to reality!

Seeing that everyone in the operating room looked at me with strange eyes with different emotions, I immediately blamed myself.

This sequelae must find a way to get rid of it in the future.

He took a half step back, bowed slightly, and asked Cai Dongfan: "Mr. Cai, do you think it's okay to push the C-arm machine and see through it?"

The corners of Cai Dongfan's mouth twitched, which was blocked by the mask, and then the corners of his eyes twitched again, his brows furrowed for about three or four seconds, and after walking back and forth in the surgical field for a long time, he said helplessly: "Tour, push the C-arm machine. "

Cai · Zhou Cheng's repeater · Dongfan!
Online business.

you deserve to have.

Is this the second or third time?

……

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(End of this chapter)