(Thanks to my friend Fantasy Journey to the West の Dragon Clan for his encouragement, thank you for your friend Northwest Flying Wolf Confused, Book Friend 20170927164124999, and Earth Legion Captain Monthly Pass Encouragement)

Intestinal Brewing Syndrome, this disease is indeed a very interesting disease, and it is also a very dangerous disease.

I heard that a case was diagnosed by Liu Banxia in the emergency center, and even the people in the inpatient department would come over to take a look when they had time.

However, it takes time to culture and test the fungus, and the patient also needs time to do a body brew test under natural conditions.

At present, this is just Liu Banxia's speculation, only when the real results come out and are verified, he is not drunk driving this time, and then study how to cure his illness.

Now Liu Banxia didn't have time to care about this patient anymore, so after looking around that there was nothing going on, he ran to the operating room after explaining it.

I have to take a look at Xu Peichen's total hip bone replacement surgery, which is an operation that only orthopedic surgeons can perform, and no matter how urgent the general surgeon is, he will not encounter such a situation.

"Our Mr. Liu is finally here, and I will have to call you if I don't come again. Xu Peichen said with a smile.

Liu Banxia was a little confused, because the patient on the operating table had not yet been anesthetized. In terms of the operation time, this can be done in 10 minutes.

"As soon as he heard that you were going to come and participate in the operation, he said that everything would be waiting for you. Wu Mingyu said with a smile.

"This makes me nervous, don't worry, Director Xu is the top master in China. And our total hip replacement is also the last resort, and it depends on the result of the frozen section during the operation. Liu Banxia came to the patient's side.

The patient smiled and nodded, "Actually, I'm really scared, my friends can't tell me, my family can't tell me, all I can count on is you, please." ”

"Don't worry, don't look at the time of the surgery arrangement, it won't affect anything, Director Xu is also squeezing out the time. Liu Banxia said.

"I've also arranged it in the ward, so let's prepare for the worst and meet the best outcome. Even if you really change your hip bone, we will keep an eye on your future rehabilitation. ”

The patient nodded.

"Okay, we'll be intubated in a moment, and then we'll be anesthetized. Liu Banxia said.

Hearing his words, the patient opened his mouth directly.

Wu Mingyu told him the detailed process of the operation, and he also checked it on the Internet, knowing what Xu Peichen's status in the orthopedics was.

And he didn't wait too long, he was diagnosed yesterday and had surgery today, which is also a very lucky thing.

Intubation, anesthesia, and removal of the left side decubitus are all done, and the operation is officially started.

"Xiao Liu, you are still very patient with patients, and you have to maintain this patience. ”

When Wu Mingyu was doing the preliminary dissection, Xu Peichen said.

In other words, a few words of relief, a person who has such a major operation, and he does not dare to tell his family, must be very tormented in his heart. Liu Banxia said.

"A good mood can help him recover faster and better, and he has to take care of it all on his own. Director Xu, do you estimate the chance of malignancy?"

Xu Peichen nodded, "It's developing too fast, thanks to him not dragging it out." I dare say that if he drags on for another month, I'm afraid he won't need to be saved. ”

"Osteoma progresses quickly as long as it is malignant, and metastasis occurs more quickly. There are three more in our inpatient department, and they can't operate anymore. ”

"There was a patient who felt a leg ache when it was just cold, and he didn't take it seriously. I just thought it was cold and frozen. Recently, I couldn't stand the pain and came to the hospital for a checkup. How long has it been? It's just over two months. ”

"Mingyu, stop for a moment, let Banxia feel the next work. Surgery in general surgery is also a basic anatomy, but I haven't tried to open such a large wound, right?"

Liu Banxia was stunned for a moment, and his eyes became helpless when he looked at Xu Peichen.

He really hasn't done this kind of dissection, and if you say he's done fasciotomy and decompression of the leg, that's fine. Now he is also very experienced in this area, and he does not need to be guided by others at all.

If he studied the internal organs of the abdomen in the abdomen, this would be fine, because most of his training in the dream space was also aimed at this aspect.

Only by having a complete understanding of the anatomy of the abdominal organs will you be able to cope with various emergencies more easily during surgery.

But can total hip replacement surgery be the same? This is to peel out the hip joint entirely, where has he ever touched such a wound? This is a serious fourth-level orthopedic surgery.

Xu Peichen's proposal not only startled Liu Banxia, but also frightened these people who were watching the operation in front of the screen. After all, is it a fourth-level surgery in orthopedics, or Xu Peichen's main surgery, which is very instructive.

No one thought that Xu Peichen would trust Liu Banxia so much, after all, this is the anatomy of different tissues, and the technical points are also different.

"Director Xu, let me ask for advice first. Now that Dr. Wu has opened the subcutaneous tissue and fascia, should I cut the iliotibial band along the gluteus maximus fibers to the bottom of the greater tuberosity?" asked Liu Banxia.

Xu Peichen smiled and nodded, "It seems that you have also seen the operation in this area, let's get started." ”

Liu Banxia nodded and stood in the position of the main knife.

As Xu Peichen said, the basic anatomy is almost the same, and he just said the technical essentials or route, and it will be over if you go down this road.

His hand is still so steady and fast, even if it is only the first time to do the dissection of this part, how many days and nights of training have also laid a solid foundation for his hand.

Although it is only a simple anatomical operation, the people in front of the screen have to praise it beautifully. Watching Liu Banxia go under the knife, there was a very enjoyable feeling.

When Liu Banxia went under the knife, it was not only fast, but also stable and accurate. Judging from the operation just now, it doesn't look like a first-time person at all. This requires strong basic skills to support, and the knife follows the eye.

"Director Xu, you have to come to the rest, I can't play it. Liu Banxia stepped aside.

"Just say you have to come to our orthopedics, Mingyu, give him a sample. Next time you have a similar surgery here, you two can look into it. Xu Peichen said.

Wu Mingyu is also not ambiguous, and he is also very quick to get started.

He is also Xu Peichen's proud disciple, otherwise how could he be sent to the emergency center. If you don't have a few brushes, you can't support the orthopedic department alone.

"Exploration showed that there was a 0.5X0.3 irregular tumor. Excision is performed and intraoperative frozen sections are taken. Wu Mingyu said.

Xu Peichen nodded, "Cut, there is basically no benign chance." ”

Liu Banxia's psychology also sighed, if the edge of the tumor is smooth, this is still somewhat possible. Now such a tumor, it can be said that the chance of benign is basically zero. Irregular margins are also a sign of malignancy.

After waiting for a while, the call came, and the nurse answered and shook her head.

"Let's replace it. Xu Peichen said.

Wu Mingyu nodded and started operating again.

This time, Xu Peichen didn't let Liu Banxia get started, those basic operations just now were okay, but now it is related to the success or failure of the entire operation.

No matter how complicated the operation is, it is not. For Xu Peichen, he has done it countless times, and he has long been familiar with it. is only reaching out in key operations, and many basic operations are also completed by Wu Mingyu.

As an apprentice, Liu Banxia felt that the orthopedic surgery seemed to be a bit "rough", breaking bones, sawing bones, and polishing......

He is also a surgeon, and today he saw a joint replacement, which he couldn't accept. is also really in response to that sentence, interlaced like a mountain. Orthopedics, which also belongs to surgery, is a slightly different operation.

It's not as simple as dismantling parts on a machine, it's the bones of the human body, and everyone's model is different.

Therefore, you need to carefully test and adjust, and after reducing the hip joint, you still have to move the hip joint without restriction on hip flexion, abduction, and external rotation. When the internal rotation reaches 45 degrees, you also have to push the knee back to see if the joint will dislocate.

The whole process is very cumbersome, and it will not be repaired or removed if it is broken like general surgery.

In joint replacement, you must have enough observation and patience, otherwise it will affect the patient's mobility for the rest of their lives.

After the drain is placed, the gauze and instruments are examined, and the layers of sutures are put together.

"How is it, how do you feel?" Xu Peichen asked.

"It has refreshed my understanding of orthopedic surgery, which is very different from our general surgery, which is a rough and delicate beauty. Liu Banxia thought for a while and said.

"Especially in terms of joint adjustment, I think that's the most critical part of this surgery. Only if the prosthesis is reduced to a very good fit is a successful operation. ”

Xu Peichen nodded, "Although you are exaggerating, it is not bad. Orthopedic surgery is not anatomically complicated and is often used during internal fixation. ”

"But the reason why a joint replacement is classified as a fourth-level surgery is that the process of debugging becomes critical. After all, this is a joint that patients often use, and we help patients remove bad bones to cure diseases. ”

"And after treatment, so that the patient has a better prognosis, is also a requirement of surgery. The success of the surgery is not only on stage, but also off stage. ”

"Director Zhou also told you, right? There is no perfect surgery, only the most suitable surgery. Because of the location of the lesion, many times we can only make the most helpless choice. After making a choice, what we need to consider is how to give the patient a better prognosis. ”

"Thank you, Director Xu, for teaching me a valuable lesson. Liu Banxia said very seriously.

There are also those who watch the operation through the screen, they also see the fine adjustment just now, there is no one-step operation, can only slowly adjust, polish, until the end.