Chapter 121 You call this a Level II surgery?(2/5)
Because they doubt whether their eyes are blind——
The path of the Kirschner wire after the TM fracture is fine, but what about the fracture line?
Wang Yongjin's eyes immediately flashed, and he, who had been immersed in clinical practice for forty or fifty years, kept looking up and down Zhou Cheng.
Zhou Chengcheng hurriedly said: "Teacher Cai, Teacher Luo, Sister Yan, just wait for me here for a while. I'll go in and put in another Kirschner needle. Then I'll take another picture. This will save some time."
After saying that, Zhou Chengcheng took the initiative to step on the sensor door of the lead door, then strode in wearing a sterile green surgical gown. When he got to the instrument nurse's table, he found the Kirschner wire himself and put it into the electric drill, using the lock.
Lock the drill.
The second crossed K-wire was quickly completed to achieve a more stable fixation.
The principle can be referred to the cut chicken legs at the barbecue stall. Cross-fixing them is stronger than running skewers in parallel!
When Cai Dongfan saw Zhou Cheng withdrawing the electric drill, he said to the circulating nurse: "Yali, call the department later to pick up the next patient."
"Ah?~" Nie Yali was stunned on the spot.
Because the stupid operation is a bit too difficult for her, there is probably no other girl willing to cooperate...
An Ruo was immediately like an ant on a hot pot, her little hands kept grabbing it.
He looked up at his teacher Zeng Yi, blinking his eyes as if asking for help innocently: Teacher, teacher.
It's coming, it's coming again, what should I do?
Didn't we say that the pace of the surgery won't be too fast?
At this moment, Zeng Yi still remembered what he had just said. Seeing that his student had a slight stress reaction, he immediately pinched his throat and coughed to remind her to pay attention to her image and not to lose her grace in front of outsiders.
It was impossible for An Ruo to do such a thing, but he kept cursing in his heart:
Orthopedics is toxic.
Orthopedics is the devil.
orthopedics--
The curse is the enemy of life.
Zhou Cheng walked out of the isolation room again, so Cai Dongfan stepped on the C-arm fluoroscopy for the second time.
The results are still great.
After Zhou Cheng looked at it, he breathed a sigh of relief and said, "Teacher Cai, Teacher Luo, I'm going to put on the plaster. You can get off the stage and rest."
The corners of Cai Dongfan and Luo Yun's mouths suddenly twitched.
Glancing at the timing panel in the operating room.
00:04:42!
Four minutes and forty-two seconds.
This is the total time it took Zhou Cheng to go back in and get the second Kirschner needle after two fluoroscopy procedures. In other words, Zhou Cheng’s own operation time may have been less than a minute!
Zhou Cheng walked in again.
Nie Yali still didn't react. How could this be the end?
When did the surgery begin?
Seeing that Nie Yali was still motionless, Zhou Cheng was already wandering in front of the operating table, as if he didn't know where to start the next operation.
After all, the C-arm machine is only covered with a sterile C-arm machine cover on the upper part, and other parts are still sterile.
Cai Dongfan reminded: "Yali, go push off the C-arm machine and prepare for the second surgery. Thank you for your hard work."
Nie Yali reacted immediately and ran into the operating room to help.
Then Cai Dongfan said to Luo Yun: "Luo Yun, please go in and help Xiao Zhou put on the plaster. I will step down first."
After saying that, he started to undress himself.
In fact, Cai Dongfan felt that this operation was too fast. He originally thought that Zhou Cheng had to inject two Kirschner needles, which would make the reduction slower than the previous method?
But, it seems that he is thinking too much.
When Cai Dongfan was taking off his clothes, he saw Zeng Yi's frown, and immediately smiled innocently and apologized to him: "Director Zeng, thank you for your hard work. Go and remove the anesthesia, and then work hard to inject the anesthesia for the next one."
Zeng Yi walked into the operating room calmly and said nothing.
Now in front of people from the medical department, even though he has ten thousand opinions and complaints in his heart, he dares not express a word.
If the surgery in the clinical department is done quickly, how can your anesthesiology department have any objections? During meetings on weekdays, what do you complain about when the surgery is done slowly?
An Ruo immediately turned into a diligent little ant, running around in the operating room, her mouth pouting under the mask.
It’s so hard for me——
…
When he saw Cai Dongfan taking off his clothes, Dou Chengpeng was completely stunned. He looked at Yan Haihan, Zeng Yi and Wang Yongjin. All three of them marked their own scores on the score sheet.
Suddenly he was a little anxious. He quickly asked: "Director Zeng, Director Wang, how should I grade this?"
"So many scoring details have not been made."
After Zeng Yi heard this, he quickly explained: "Director Dou, this, the surgery chosen by Xiao Zhou is a level II surgery of closed reduction and Kirschner wire internal fixation."
"This is not the plate and screw internal fixation we routinely perform, so the details of the surgery will be later."
Cai Dongfan was naturally very well prepared and wrote several scoring rules for surgical plans.
Dou Chengpeng's eyes suddenly widened.
Damn you guys are so naughty.
This is an assessment for surgical authorization, not a game of house, so why are you still playing multiple-choice questions?
Adults can either choose both or just one.
Are you still having fun during surgery?
Then I opened the back of the scoring rubric, and I immediately felt that people in orthopedics are even more naughty——
I saw that closed reduction and Kirschner wire internal fixation of fibula fracture, surgical procedures and scoring rules:
1. Use routine disinfection and draping, disinfect the upper limbs from the middle of the thigh to the entire lower limbs.
2. Preoperative C-arm fluoroscopy.
3. Manual reduction and internal fixation with K-wires.
4. C-arm fluoroscopy.
5. Plaster external fixation.
Even if Dou Chengpeng is not an orthopedic specialist, he can still understand it. When he writes these five points, he is just too damn good.
Disinfection drapes and C-arm fluoroscopy accounted for three of them.
The really useful ones are probably manual reduction, Kirschner wire internal fixation and plaster external fixation.
Do they also feel that the scoring rules are too rough?
Dou Chengpeng's expression changed for a while.
At this time, Wang Yongjin began to explain: "Chief Dou, the steps of the four-person manual reduction are simple, but in fact, it is the most difficult level II surgery among these surgeries."
"Basically, only a few hospitals dare to perform this kind of surgery on a regular basis, but they just can't grasp the degree of manual reduction."
As the senior director, Wang Yongjin has the most say, and Wang Yongjin does not mind giving his juniors a hand.
As he spoke, he pointed to the C-arm fluoroscopic display and explained to Dou Chengpeng: "Chief Dou, look, when we evaluate whether the reduction and fixation of a fracture is good or not, we mainly look at the degree of closure of the fracture line and the degree of reduction of the displacement."
"We can see that the previous lateral displacement has basically been restored."
After hearing this, Dou Chengpeng immediately asked: "Director Wang, is this just basic? What is better?"
Hear this.
Wang Yongjin, Zeng Yi, Yan Haihan and Cai Dongfan almost choked to death on their own saliva.
Wang Yongjin also shrugged his forehead, dug his ears with his hands, and said to Dou Chengpeng with some embarrassment: "I said basic, but actually I was just being polite."
"Although my surname is Wang, I am not a mother-in-law, nor do I sell melons."
Wang Yongjin and Dou Chengpeng were joking.
Wang Yongjin is the generation of teacher Dou Chengpeng, so he can joke with Dou Chengpeng casually.
Dou Chengpeng immediately fell silent, feeling secretly bitter in his heart, well, this exposed his unprofessionalism.
I secretly took a look at Director Zeng Yi and others, and felt that I might have been a bit ridiculous just now. Translated from modern words, it means the scene of social death.
It seems that we still need to say less and make fewer mistakes...
It's not certain that the work done by this little doctor will be very poor. A great director like Wang Yongjin Zengyi will definitely be able to find flaws.
In fact, Dou Chengpeng did nothing wrong. He just subconsciously asked Wang Yongjin how the operation was done and whether it could be better. But he didn't expect that Wang Yongjin couldn't answer it, and Zeng Yi and others also felt quite embarrassed.
It seems like maybe this is the ceiling.
To be continued...