When doctors have a simulated operating room

The doctor said that the operation was not done.

Fang Jianyu looked at Chen Fang and another assistant in confusion.

Zhang Yi quickly signaled them to stop laughing.

The operation was in progress.

After receiving Zhang Yi's look, Chen Fang and another assistant really stopped laughing gradually.

Haha!

But it's still funny!

This Fang Jianyu wouldn't think that Zhang Yi needs him to teach him...

To be honest, Chen Fang also watched this man's operation carefully just now. It's amazing, but it feels that he is still not as good as Zhang Yi.

And listening to Fang Jianyu's tone of preaching...

Could he want Zhang Yi to be his assistant?

Hahaha...

It's so funny~!

Zhang Yi rejected the people from West China Hospital and Union Hospital successively!

The two deans offered an annual salary of 300,000 yuan but didn't go, and you still want Zhang Yi to be your assistant? ?

Haha~ You think too much, Director Fang~!

Fang Jianyu didn't think too deeply about it.

He thought that the two people were laughing because he said something wrong just now, so he asked them:

"What? Did I say something wrong just now?"

Zhang Yi quickly explained for them:

"Nothing, they just thought you were so right, and they laughed twice because they were happy for a while. Let's continue the operation quickly?"

Zhang Yi changed the subject.

Fang Jianyu thought that the operation should be done first, so he put it aside.

After trimming the femur and handling the acetabulum, the next step is to polish the acetabulum bed.

While operating, Fang Jianyu couldn't help but give instructions.

He felt that he came from a big hospital in Shanghai to have the operation after all.

He also wanted Zhang Yi to be his assistant, and while explaining, he also taught other doctors.

"Everyone, please note that the artificial acetabulum cannot exceed 0.5cm of the acetabulum bed, and there must be space for filling bone cement."

As Fang Jianyu said this, Zhang Yi handed him the acetabulum file in a timely manner.

Squeak!

Squeak!

Squeak!

While the acetabular reamer was grinding the acetabular bed, Fang Jianyu continued:

"When using the acetabular reamer, pay attention to the direction, 40°-50° outward and 10°-15° inward, so that it is convenient to place the artificial acetabulum.

Also, pay attention to not removing too much bone on the top of the outer edge of the acetabulum, so as to maintain the stability of the artificial acetabulum after surgery.

The inner wall of the acetabulum is relatively thin, so be careful not to penetrate it when filing, especially for patients with osteoporosis. Do you understand, Zhang Yi?"

Zhang Yi smiled and nodded:

"Haha, I understand Director Fang."

Fang Jianyu looked at Zhang Yi with satisfaction, um~ a young man can be taught~

After grinding, the artificial acetabulum was placed.

Han Dongliang changed a pair of clean gloves to mix bone cement.

Bone cement is a bone cement.

The main component is polymethyl methacrylate, which is named bone cement because it looks very similar to white cement used in building decoration.

When placing the artificial acetabulum, the bone cement must be mixed first.

Wait until the bone cement is no longer sticky before filling it on the polished acetabulum.

Then immediately put the prepared artificial acetabulum on, and then pressurize and fix it so that it is tightly and evenly attached to the acetabulum bed.

To put it bluntly, it is a bit like sticking it on.

Then use the positioner to adjust the position of the artificial acetabulum, 45° outward and 10°~15° forward.

After continuous pressurization, the pressurizer can be removed only after the cement solidifies.

This step is quite simple to say.

But it really requires some experience to do it.

If any step of positioning and pressurization is wrong, and even blood-colored liquid overflows from the bone cement and the acetabulum cap in the middle, it means that the fixation will not be good, and it must be taken out and re-placed.

For example, now.

In everyone's sight, the bone cement has not completely solidified yet.

It actually started to change color? ?

"This... is there blood in it?" Chen Fang asked.

Fang Jianyu's face flashed with embarrassment and he said:

"Uh... it won't work if there is blood. Let's remove it first and do it again."

If there is blood, we can only do it again.

Do it again? ?

Zhang Yi quickly looked up at the time. It has been an hour and a half since the operation started.

If Fang Jianyu continues to delay like this, the operation will take another two hours to complete.

He has to go to the nephrology department again in the evening.

After thinking about it, he decided to forget it. He had to finish the operation and go home quickly.

Just when Fang Jianyu was about to do it again, Zhang Yi took the bone cement from Han Dongliang and said:

"Director Han, let me do it."

Han Dongliang glanced at Fang Jianyu and nodded

.

Fang Jianyu said with a surprised look:

"Hey, Zhang Yi, can you do it? Although your operation seems very skilled, you are still a..."

As he spoke, Fang Jianyu shut up.

Because!!

He was shocked by Zhang Yi's operation and shut up!!

Filling and placing artificial acetabulum, adjusting the position and pressurizing, scraping off the bone cement overflowed due to pressurization.

A set of operations is smooth and flowing!

Zhang Yi doesn't even need an assistant!!

He did it all by himself!

Oh my god!

Fang Jianyu was dumbfounded? ?

This guy is just a regular trainee? ?

He doesn't believe it!

He must have brought the wrong work badge, right? !

Otherwise, it should be a high-tech person like himself who can pass the examination for the title of deputy director at a young age!

Five minutes later, the cement solidified, and there was no discoloration or blood.

Even the adjusted position was perfect!

Next, the artificial femoral head was placed.

Raise the patient's femur and align the base of the artificial femoral stem with the medullary cavity.

Then take a hammer and start hammering to hammer the artificial femur in.

Just like hammering a nail.

Hammer the base of the artificial femoral bone into the medullary cavity little by little.

Don't knock too hard when knocking, so as not to knock through the bone below.

Use a little bit of force and knock down along the gap in the medullary cavity.

The position of the artificial femoral head must be adjusted to 130°-140° with slight valgus and 15° anteversion.

Hammer the prosthetic stem of the femur to a certain depth, and the artificial femoral head and artificial hip joint can be combined.

Then suture, and pay attention to the tension of the tissue around the hip joint when suturing.

It should not be too tight or too loose. Too tight will easily wear the acetabulum, and too loose will be unstable and easy to damage the acetabulum.

So suturing is also a technical job.

In the operating room, the whole operating room was silent since Zhang Yi took over the operation!

How could they be assistants?

They are here to read the operation manual!

Even Fang Jianyu was shocked at this moment.

Is this person a trainee? ?

No, he doesn't think he is a trainee now.

His work badge has both trainee and assistant to the director...

Before, he thought the trainee was the main position.

Now...

He thinks the assistant to the director may be his main position!

This operation without any mistakes, and this god-like suturing operation!

Fang Jianyu instantly felt ashamed!

Good guy~

He wanted to let him be his assistant just now? ?

With this technology?

I'm afraid he doesn't want to be his assistant at all!

However, he can recruit some people later. It's a bit of a waste of talent for such a person to stay here!

How nice it would be to go to Ruijin?

As the suturing of the 20-centimeter-long wound was completed.

Zhang Yi looked up at the time, 6:01.

Oh yeah ~ I successfully got off work on time ~!