Start with the universal emergency physician

Ye Jianguo originally wanted to say something.

But look at Ye Chen’s appearance.

Finally, he shook his head helplessly.

“Okay, everyone’s pursuit is different anyway.”

Ye Jianguo knows.

He said that Ye Chen could not be moved.

As a matter of fact.

Ye Chen was really too lazy to write a paper.

It’s too much trouble, he just wants to keep it simple.

After that, the two chatted briefly, and Ye Chen returned to the surgery.

“Director Lin, is the patient arranged? I’m going for surgery now. ”

“Now?” Lindqiu was surprised.

“Anyway, sooner or later, the patient should have been examined, there are no other complications, right?”

It stands to reason.

General.

Patients who require Achilles tendon lengthening have few complications.

Lin Deqiu wanted to refuse, but the vice president had come just now.

In desperation.

He had to raise his hand and said, “Shi Li’an, you be his assistant, take him to the operating room, and call Sun Xing, the attending doctor of the orthopedic department, by the way.” ”

“Huh? But what if Dr. Sun Xing doesn’t have time? ”

“He doesn’t have much surgery today, you go and call him directly, just say that I owe him, let him follow up this operation.”

In front of Ye Chen.

It is also not shy at all.

But Ye Chen didn’t matter at all.

He also understands.

Linde Qiu was just worried that he wouldn’t be able to do the surgery.

After all, if there is a medical malpractice.

It’s not just yourself who is responsible.

And he, the head of the department.

I saw Lindeqiu get up and muttered softly in his mouth:

“If it weren’t for my own surgery, I would have stared at it myself!”

The sound is small.

But Ye Chen heard it clearly.

Shi Li’an, who was called over, glanced at Ye Chen.

He knew very well that Ye Chen had an unusual relationship with the vice dean.

Of course do not dare to offend.

Just obediently took Ye Chen to the operating room.

Sun Xing, the attending orthopedic doctor, also came to the operating room.

When seeing the surgeon.

Sun Xing couldn’t help but say:

“Why do you still accept Achilles tendon extension surgery? You’ve been in orthopedics before. ”

Ye Chen shook his head: “I stayed in the emergency department.” ”

Doctors in the emergency department are slightly different from doctors in other departments.

Due to the variety of patients encountered.

Therefore, many emergency department doctors will do several surgical procedures in several departments.

Especially the doctors in small places.

Yes, there will be more and more complicated surgeries.

Of course, none of them are fine.

But doctors in various departments of such large hospitals specialize in one department.

Although only this one department will be done.

But the surgical skills are very exquisite.

Hearing that Ye Chen was transferred from the emergency department, he was surprised.

“Then the operation begins, if you do something wrong, I will remind you.”

Ye Chen just nodded.

Without the slightest hint of pride.

Shi Li’an as Ye Chen’s assistant.

The faces of others were so envious that they were almost deformed.

It has been two years since he came to this hospital.

However, the director never let him go to the secondary operating table!

This Ye Chen is just a resident doctor.

Directly did the secondary surgery!

Not only that.

I actually used him as an assistant.

The way of the world.

How unfair!

Ye Chen stretched out his hand: “Scalpel.” ”

His eyes swept over the area where the patient needed surgery.

Pick up the scalpel.

Quickly take the total arc incision on the medial Achilles tendon, about 10 cm.

“Well? So fast? ”

Although it is the first step.

But Sun Xing, the attending orthopedic doctor, couldn’t help but be surprised.

After the Achilles tendon is exposed, cut the object radius outside the two segments of the sheath of the Achilles tendon, and then forcefully extend the foot to make the two broken ends slide inside the sheath and extend the dorsal part of the foot to 90 degrees to suture the skin incision.

“Put the patient in a prone position on their side and raise the sick limb.”

Nurses help raise the sick limb.

The anesthesiologist manipulates the bed so that the patient is prone on his side.

Followed by.

Ye Chen made a slightly arcuated longitudinal incision of the skin along the inside of the Achilles tendon, about 12 cm long.

Strive for the subcutaneous tissue to both sides to expose the Achilles aponeurosis, cut the aponeurosis longitudinally and pull it to both sides.

The Achilles tendon is smooth and has vegetative vessels on the deep surface.

When you get here.

Sun Xing reminded:

“Don’t separate the vegetative vessels above…”

The words are not finished.

Ye Chen stretched the sick foot hard to make the Achilles tendon tense, inserted it with a sharp knife in the middle of the Achilles tendon, cut it into left and right halves, cut the inner half of the Achilles tendon at the lower end, and cut off the half at the upper end.

When Ye Chen cut.

Without the slightest hesitation, get started.

Sun Xing saw that his heart was lifted.

To know.

If the length is cut too much, the operation may fail!

But Ye Chen was not just fast.

Not even at all.

Not even a millimeter is wrong!

Shi Li’an on the side straightened his eyes.

Although he has not had secondary surgery in the past two years.

But there are quite a few surgeries.

It has to be said.

Ye Chen’s technique is quite strong!

Not at all like the level a resident should have.

It’s like hanging on!

While they marveled.

Ye Chen inserted a knife into the Achilles tendon from the side 1cm above the root bone.

Divide into anterior and posterior tendon pieces of equal thickness, gradually obliquely backward at the proximal end near the muscle fibers, cut the posterior tendon, and cut off at the end of the anterior tendon.

Hold the patient’s foot and gradually extend it back, pulling the Achilles tendon away and allowing it to lengthen.

After determining the deformity correction, Ye Chen whispered, “Silk thread.” ”

The nurse handed the silk thread over.

Ye Chen used silk thread to stitch the intermittent closure.

“Be careful when you stitch it up…”

Sun Xing couldn’t help but remind again.

But before he finished speaking, Ye Chen unhurriedly began to stitch it up.

Tendon sutures pay the most attention to the right fit.

If it is too tight, it will make the deformity undercorrected.

If it is too loose, it will make the patient’s joints unstable.

So this operation.

The doctor’s hand is required to be steady enough.

And have enough judgment.

Ye Chen has all of these.

He sutures the tendon perfectly, sutures the aponeurosis and skin very quickly, and finally fixes the cast on the patient’s knee.

“Done.”

【Ding! Congratulations to the host for completing the mission and gaining experience points: experience points +3300 (additional 5% experience bonus), proficiency +1100 points, money value +11000 yuan. 】

End of surgery.

Ye Chen didn’t say much.

Walked directly from the main knife position.

Left behind a confused Sun Xing and Shi Li’an.

When Sun Xing reacted, he looked at the operation time.

One hour and three minutes!

Achilles tendon lengthening usually takes two to three hours.

He is affiliated with the Department of Orthopedics.

Achilles tendon surgery is also common.

But it took him more than two hours to complete.

But Ye Chen only took more than an hour?!

Is this still human?

Shi Lian had not done Achilles tendon lengthening, and at this time, he couldn’t help but sigh:

“This Ye Chen’s speed is also too fast, right? When it was finally stitched, it was too beautiful, had he been in the plastic surgery department before? ”

In his opinion.

The sutures of the plastic surgery department are the most powerful.

After all, it is for appearance.

But Ye Chen said he came from the emergency department.

Isn’t the emergency department the place where time is most needed?

Sometimes to save patients.

Who cares about the final stitching?

If Ye Chen just stitched beautifully, forget it.

The main thing is that he is still fast!

This level!

Definitely not a level that a resident has!