Gou in the operating room to add some upgrades

Chapter 169 I have Xiao Fang (please subscribe)

The cervical vertebrae are connected by joints. This is something that most people with medical knowledge can know.

But the articulation between the cervical vertebrae is not a free articulation!If the non-freely movable joints want to move, they must move or start with a snap.

There was a click.

Let Fang Xian feel a little guilty, don't just send Professor Xu Fengnian away all of a sudden?

Fang Xian covered his hands, for fear that Xu Fengnian would fall.

But Xu Fengnian was really fine, but he was saying, "What did you just say?"

There was a fire in his eyes.

He grabbed Fang Xian's shoulder very hard.

Fang Xianwen scratched his forehead: "Professor Xu, there is no need to explain clearly at this time, right?"

"It's still early, there's still surgery to be done, and the time ahead will be long."

You Dapao Xu, what are you in a hurry for?
Hearing this, Xu Fengnian clenched his fist as if to hit Fang Xian: "Who did you learn from? You rely on your elders and act like your elders, right?"

This action is like a shy little girl.

Because Professor Xu Fengnian knows the origin of some things, that is, some rhetoric is actually a kind of placebo, which is used to stabilize the morale of the army...

It is true that the charm of medicine lies in specialties, but from another level, he is right.

Before a new subspecialty is formed, it is necessary to discover new diseases and form a standardized understanding of the diseases before forming a subspecialty.

Before the establishment of subspecialties, related specialties were incidentally discovered and informally treated.

And formal treatment methods were developed.

It's been sorted out.

Professor Xu Fengnian is one of the group of professors who developed damage treatment.

However, the treatment model developed by Professor Xu Fengnian can only be said to be curable at present, but it is not standardized or streamlined.

In the early stage, Professor Xu Fengnian discovered that Fang Xian could be dealt with by downgrading. This is actually a preliminary process for the formation of related skills and procedures related to damage treatment.

The concept that injuries can be cured has been developed first, and there is also a group of people doing such things.

Only then can a standardized treatment process be formed——

But this is still just a process, even the "youth version" and "official version" treatment process developed by Fang Xian before, but it is still not concise enough, not concentrated enough, not essential enough.

It is impossible to form a corresponding surgical formula, a corresponding surgical formula and a solution.

Just like fractures, fractures can be treated. It is a concept. Someone has done such a thing first, and then someone discusses how to treat fractures, conservative treatment, and surgical treatment.

After the standardization of surgical treatment, internal fixation of fractures with plates and screws has been formed, followed by intramedullary nail internal fixation and many other modes.

But if you want to start from fracture treatment, you can jump directly to open reduction, plate and screw internal fixation of fractures, which is the standard corresponding operation?

"Let's talk slowly later." Fang Xian said.

"Professor Xu, are you okay?" The professor of vascular surgery also soothed.

At present, three key factors in the treatment of traumatic injuries are trauma surgeons, vascular surgeons, and general surgeons, who jointly carry out a standardized treatment process.

"It's okay, I'm okay." Xu Fengnian shook his head, but the direction his eyes were looking at was still where Fang Xian was.

Fang Xian took a look. After realizing something today, in the corner of his transparent panel, the faintly visible skills such as 'damage suture' and 'damage incision' just appeared, and the corner of his mouth smiled.

As for professional skills, you can also set a small goal first.

For example, a few basic professional skills have been developed that were not available before.

……

When the operation officially begins.

Zou Junzi, Jiang Yuhang, and Zhou Xiyin all came to the operating room.

There were two assistants. When Fang Xian turned around to look, he realized that one of them happened to be the funny "Jiang Yang" who had been looking for him in the morning.

However, Fang Xian paid no attention and instead scanned the group of people who appeared in the operating room.

He, Zou Junzi, Jiang Yuhang and Zhou Xiyin are all students of this college.

Jiang Yang is a doctor in this hospital, but.

In addition, whether it is Professor Xu Fengnian or the Department of Vascular Surgery, the new Professor Leng who has come since Professor Zhu Daoduo left is from an outside hospital, and even the other assistant besides Jiang Yang is not a doctor in this hospital. .

Perhaps, assistants in the operating room also have a set of operating mechanisms for assistants. For example, at what level the attending or associate professor has reached, they can come here as assistants and participate in various surgical procedures.

Zhou Xiyin and the others are here to increase their knowledge...

Fang Xian also just found out that maybe some superiors in the operating room of the trauma center know that what Professor Xu Fengnian is doing now is the establishment of a specialist from scratch.

And what Xu Fengnian did with Fang Xian was the specialized treatment process, which was a complete version of a skill, not a standardized version. If this set of processes became more standardized and accurate, it would be listed as a new skill by the Medical Association. In the list of medical skills.

This kind of experience is extremely rare, because many of the existing skills are through sorting out medical-related skills that existed a long time ago. They have already matured and missed the time period when they first appeared.

It is a retrospective study.

Looking back, there is always prejudice, and you may turn a blind eye to some things.

"The three of you don't operate today, Xiao Fang, come here. I know you must have figured out something new." Professor Xu Fengnian saw Fang Xian although he couldn't use his mouth to say it.

But Fang Xian can speak with strength and manipulation.

Zhou Xiyin and three others looked at Fang Xian, and Jiang Yuhang asked with some regret: "Professor Xu, doesn't Fang Xian need to record data today?"

Recording data and being responsible for objectively reviewing and scoring their operations is what Fang Xian does on a daily basis?

Xu Fengnian looked around and said, "There will be no points for today's operation. Everyone should watch and study hard."

"Where do students rate the teacher?"

After hearing what Professor Xu Fengnian said, Professor Leng from the Department of Vascular Surgery said, "Isn't Professor Xu too modest? Although?"

Professor Leng hesitated to speak.

Brother, we are also the chief surgeons after all. The reason why we let students operate is just to give them the opportunity to learn and train. Although Fang Xian can occasionally handle some wounds, he can handle them better than you.

But you could have done all the operations a long time ago, just to be lazy?
Is it not?
Another level corresponding to the training camp is the rest of the superiors.

"Professor Leng will know after reading it." Xu Fengnian didn't explain too much.

But I said silently in my heart, if you don't know after reading it, then you don't need to know, because the truth of some things is too heart-wrenching for you.

Fang Xian didn't refuse either, but said, "Professor Xu, our current focus is actually to allow Zou Junzi, Zhou Xiyin, and Jiang Yuhang to standardize the treatment process of the 'downgraded version'."

"Looking at my operation, it doesn't mean much to the progress and progress of our project."

Professor Xu, the subject cannot be skipped.Unless you want to do it all in one go.

However, now a dragon is under strict investigation.

Yes, the more the subject is jumped or the more steps are crossed, the stricter the investigation will be, so as to avoid any mistakes and finally irreparable consequences.

Step by step, steady progress, only seeking steady progress, not aggressive, is the theme of the current medical association, and it is also a lesson learned.

"You do it first..." How could Xu Fengnian manage so much.

If you are not bragging, let me have a good time first.

Mom sucks.

Is there really someone who can create specialized basic skills after the turmoil of the past, after such a big era, when the medical society has developed for 20 years?

How capable is this?
Vascular suturing, nerve suturing, tendon suturing, these are actually specialist basic skills, originated from suturing, but different from suturing...

However, even the basic skills of a specialist were swarmed by so many people in such a big era back then, and basically all the integration and development of the basic skills of a specialist were scoured clean.

Including Xu Fengnian, at the beginning he also summarized and sorted out a set of definition content about the professional skill of pelvic fracture skeleton reconstruction, making him a master in this field now.

Perhaps many people think that his ability to do damage is due to his good debridement. In fact, he is patient, and he understands the most profound reconstruction technique.

Fang Xian began to operate.

There is nothing special, just debridement, and the skill level is not particularly high, but it is controlled at the previous bottom line, the level of level 3 debridement.

Level 3 debridement is an operation level that many medical students can achieve.

However, Fang Xian's debridement technique at this moment is mixed with a lot of private goods.It seems that it was born specifically for damage, and it is specially modified for the debridement of damage.Yes.

The level 5 skill is important because of its variation.

Level 6 skills are not as good as level 5 skills in terms of development, because level 6 skills are basically difficult to control the lower limit of one's own skills, and can only continuously raise the upper limit of operation!

It is equivalent to sealing off all the escape routes in one step, and it is impossible to behave too badly.

Of course, changes are not just changes between different skill levels and different concepts, but also a lot of personal private understanding can be added to the original skill level.

Regardless of whether it is true or false, good or bad, it can be added as a temptation, as a research temptation.

What does the debridement that is derived only for damage look like? If you have to use one word to describe it, it should be called screening and debridement.

Fang Xian's hand, holding a knife, looks like it is scraping, but it is not, and it seems to be cutting, but it is not right.

The edge of the blade rises and falls according to the contents of the damage. Occasionally use force to pick out the bone debris, and occasionally use force again to pick out the damaged tendon head and aponeurosis one by one.

Picking in this way is like picking and picking, so it is more appropriate to use screening.

After saving some important structures in the first pass, Fang Xian's second pass of debridement is to screen fresh tissues as much as possible.

Similar to the meaning of selecting soybeans in feces, the meat lumps that may have blood supply and have blood vessel stumps are selected first, and then followed closely.

Fang Xian began to perform a second incision on the rest of the necrotic but relatively large clumps, including the incision of the blood vessels, as if to re-circulate the blood supply.

……

"What do you mean?" Professor Xu Fengnian had never seen these operations before.

Fang Xian raised his head and said, "Professor Xu, the replantation concept of replanting severed fingers and replanting severed limbs is taken from hand surgery. It is not just about reconnecting and suturing necrotic tissue or severed tissue."

"It's about allowing these tissues to take root. There are not many damaged and healthy tissues, so we must be good at making good use of every possible healthy and sub-healthy tissue and retaining soft tissues."

"Pick broken bones and blood vessel extremities that can be reused."

"Screen out the meat paste, muscle tissue, etc. that may be active."

"Remanufacturing is what I think can be used to make some active tissues from necrotic tissues, so as to be reimplanted in the body. This is a concept that I think can be used for damage reconstruction."

"Perhaps that's all right."

Xu Fengnian also had doubts: "There are so many messy organizations, so when they are selected one by one, when should they be selected? Even if they are selected, how can they be reinstalled in a suitable position?"

When Fang Xian heard this, he lowered his head.It seems that he did not hear what Professor Xu Fengnian said.

Zou Junzi thought that Fang Xian hadn't heard, so he repeated: "Brother Fang, what is Professor Xu asking you?"

Fang Xian's selection faltered slightly.

Then he raised his head, looked at Professor Xu Fengnian, and asked, "Professor Xu, can you not tell me? Anyway, it can be reconstructed. Everyone should reorganize their own basic anatomy, right?"

This is a pain point for Fang Xian!
Because what Fang Xian has done should not be publicized.

Because regardless of the reason, whether you know it or not, skinning, cramping, and breaking the bones of your teacher will leave nothing but dust. According to the traditional understanding of the Chinese people, it is a treason.

Remember, for any reason, you may think Fang Xian is innocent, but you may also wear colored glasses.

Xu Fengnian frowned slightly. Fang Xian's words seemed a bit strange. Did he feel that the anatomy foundation of himself and others was not enough?

But Xu Fengnian didn't dare to directly refute what Fang Xian believed——

"Then let's not talk about it for now..."

"Then the reconstruction mainly uses sutures?" Xu Fengnian hurriedly shifted to the next question.

"Well, Mr. Xu still needs to do the reconstruction of the skeleton, including the reconstruction of the abdominal tendons and abdominal wall." Fang Xiao smiled and nodded to him.

Xu Fengnian did not forget to continue Amway: "Is that right, the key operation is still up to me?"

"Actually, it's very easy. Reconstruction. The most important points are actually the reconstruction technique and the understanding of reconstruction concepts. Your foundation now is so good that you can learn it very quickly. If you are willing, you can quickly get started and do it alone. Come and complete the entire operation.”

Xu Fengnian still did not forget to pull Fang Xian into the junior college, and now he was even more cheerful.

Fang Xian is a talent.

What a fucking talent.

"..."

After Professor Xu Fengnian built the general skeleton, Professor Leng from the Department of Vascular Surgery also reconstructed the more critical blood vessels.

Looking at the results of the surgery, I didn't find any big difference from before.

Professor Leng said: "It seems to be similar to the previous surgery?"

When Xu Fengnian heard the words, he got very angry and said, "Professor Leng can shine when he does blood vessel suture, right?"

Professor Leng stopped talking and looked at Xu Fengnian.

The eyes are resentful.

"Almost, even if it's a little bit worse, it's still worse."

"After the debridement this time, the loss of soft tissue is smaller, and the skin and areas rebuilt from the damage are smoother, if the prognosis is good."

"In addition, the start and end points of the tendons outlined by Xiao Fang during the suture operation are well developed, and they may retain many functions in the future."

"Most of the current damage is just to save life and preserve the ornamental limbs and surface structures. If you really want to destroy the damage, it can still be used after treatment."

"That's too difficult!"

"Maybe there will be a difference in vascular surgery." Professor Xu Fengnian was not angry and did not forget to continue to blame Professor Leng.

Professor Leng finally felt the power of Xu Dapao's three words.

What did you say? Didn't you just say that they look similar?
If you don’t say that Fang Xian’s operation is good, you will be criticized. You are the leader of the subject, and you are the professor of West China Hospital. Are you?
It's amazing.

Professor Leng thinks that he doesn't know much about the diseases in trauma surgery, so he doesn't understand the meaning of this matter.

But Professor Xu Fengnian, as a subject leader, naturally knows the significance of this matter.

The fate of most patients with destructive injuries is death.

A small number of patients can survive, and no matter how lucky they are, even their ornamental limbs can be saved.That's not bad.

If some limb functions can be restored, it may really look different.

After all, everyone's brain structure is similar, but everyone's brain flexibility is different, and it can't just be seen simply by looking.

However, what Professor Leng actually wants to express is not to look the same.

After turning around to look at Professor Xu Fengnian, who had no intention of continuing to shoot, he asked Fang Xian: "Does Dr. Fang also understand some of the implantation and transplantation concepts of vascular surgery?"

"I understand a little bit, Professor Leng."

"After all, the theoretical part is also part of what our students must learn." Fang Xian nodded.

"With a little understanding, you can integrate it into debridement and suture. Dr. Fang is really good?" Professor Leng said with an expression that you have deceived other people, but not me.

Fang Xian looked at Professor Leng and blinked.

Hearing what Professor Leng said, Xu Fengnian immediately raised his head and asked, "What do Professor Leng's words mean?"

"In Xiaofang's operation just now, there is also the content of vascular surgery?"

Professor Leng narrowed his eyes: "Our vascular surgery, trauma surgery is really lenient?"

Professor Leng turned his head left and right, quite arrogant.

The words "revenge does not stay overnight" are vividly interpreted.

Professor Xu Fengnian's eyes and expression were extremely ugly, making people laugh.

After Professor Leng had enough fun, he said, "Professor Xu doesn't ask anymore? It's not a good habit to stop asking after a student asks once."

"Get lost!~"

"I didn't call you."

"I have Xiao Fang!" After Xu Dapao appeared in his true colors.

"Xiao Fang?" Xu Fengnian's tone changed, and his face was pleasant...

(End of this chapter)