Entering the operating room, Wen Xueyi hurriedly stepped forward and spread towels with the nurses, and Chen Yuan also followed closely.

Preoperative preparation, laying a towel is essential, but this kind of work does not need to be done personally for most of the chief surgeons, there are many people who are willing to do this kind of work, Fang Han has done so many surgeries, even when he gave Liang Qunfeng a hand, he has never laid a towel.

After Wen Xueyi came to Jiangzhong Hospital, this kind of work was rarely done in person, and the nurses, Jiang Feng and Chen Yuan, would rush to do it.

Although Wen Xueyi is only a resident doctor, his status in Jiangzhong Hospital is still relatively high, even if it is Chen Yuan, he is polite and polite.

First, he is a student of Yun Linchao and a doctor from Yanjing, and second, Wen Xueyi's level is really good, except for Fang Han, Wen Xueyi is the second person in the emergency department who can do joint replacement surgery independently, but today, Wen Xueyi took the initiative.

Wen's hallux valgus therapy is a relatively simple procedure with little preparation.

The patient was sent to the operating room, and Fang Han began to operate.

Because the emergency department has no experience in similar operations, Fang Han also came to anesthesia in person.

Wen's hallux valgus therapy, the anesthesia is local anesthesia, Fang Han first chose a point on the foot surface between the first toe and the second toe, the silver needle silently pierced into the skin, a little bolus, quickly pulled out the needle, and then selected a point, bolus.

The anesthetic is then injected transversely and longitudinally around the first metatarsal, so that the entire circle of infiltrating anesthesia can be achieved.

When Fang Han was anesthetized, the anesthesiologist also watched carefully from the sidelines, learning Fang Han's anesthesia techniques.

For hospitals, once a doctor learns a new treatment, then a new treatment will gradually begin to be promoted, and the hospital will always be doctor-centered.

Take the emergency department as an example, Fang Han learned joint replacement, the emergency department had joint replacement surgery, Fang Han knew how to resect the left and right hemiliver, and the emergency department had left and right hemiliver resection, and in the same way, now Fang Han began to do Wen's hallux valgus, so the patients with hallux valgus will definitely not be the only one, and there will be patients in the emergency department in the future.

It is inevitable that anesthesiologists should be prepared in some way for what kind of patients there are.

Local anesthesia is relatively simple and easy to master, but in the first case of hallux valgus, Fang Han was afraid that the anesthesiologist would not understand the key points, so he operated it himself, and then if there were similar patients with hallux valgus, Fang Han would not operate it himself in anesthesia.

Fang Han said to the anesthesiologist while bolusing: "Local infiltration anesthesia often you should understand, there are many doorways in it, I won't explain them one by one, in addition to the concentration of the liquid medicine should be appropriate, before each injection of medicine, it is necessary to withdraw back to prevent the liquid medicine from entering the blood vessels and joint cavity; ”

Although he didn't explain them one by one, Fang Han still said a few points.

The anesthesiologist nodded hurriedly, he was born in anesthesia, and naturally knew more about anesthesia than Fang Han, but as an anesthesiologist in Jiangzhong Hospital, he had less knowledge than in other hospitals, and some surgeries still needed to be familiar with it for the first time.

After local anesthesia, the next step is to separate the joint capsule, Fang Han cut a small arc-shaped incision on the distal side of the first metatarsophalangeal joint, and then quickly and forcefully broke it a few times with his hand, and at the same time said to Chen Yuan, who was standing on the side watching the operation: "See clearly, the purpose of this is to loosen the soft tissues of the joint, pay attention when doing it, use both hands and brains, and master the strength, this is a process that requires continuous proficiency." ”

Chen Yuan nodded hurriedly, he knew in his heart that Fang Han was teaching him by hand.

In this world, not only people like Kuang Mingzhuo and Wen Xueyi have hearts, but Chen Yuan also has them.

There are few people in this world who are stupid, and the real fools can't even enter the door of the hospital.

Chen Yuan was also the pride of the sky back then, but the edges and corners were smoothed out in the county hospital.

After coming to Jiangzhong Hospital, Chen Yuan has always been cautious, as the chief doctor, but he has always followed Fang Han's buttocks, stammering Fang Han, patting Fang Han's ass, and helping Fang Han deal with all kinds of troubles, which does not mean that Chen Yuan has no ambition, he just hides his ambition deeply.

Although Chen Yuan did not see as far as Kuang Mingzhuo, he also understood many things, in the Jiang Zhong Court, Fang Han could not finish everything, whether it was joint replacement or liver resection, Fang Han was not the main force, since Fang Han was not the main force, then someone must be responsible, and someone must be the main force.

What is the purpose of Fang Han teaching himself so hand-in-hand today?

Chen Yuan's heart is like a mirror, Fang Han is planning to cultivate him, he plans to teach him this minimally invasive therapy, if there are similar patients in the future, he Chen Yuan will become the main force.

Chen Yuan's fists were clenched, his palms were faintly sweaty, his eyes were unblinking, staring at Fang Han's operation tightly, engrossed.

There is a shortage of people in the emergency department, but there is no shortage of ordinary doctors, what is lacking is the kind of person who really masters a skill, and what is lacking is the kind of person who stands out in a certain aspect.

The bone injury division is only established, and there are few projects, but it does not mean that only joint replacement will be done after the bone injury division, and this hallux valgus is another field.

Fang Han quickly selected a second incision on the inside of the neck of the first metatarsal head, and then a third incision between the first and second metatarsal heads......

"Screwdriver!"

As soon as Fang Han stretched out his hand, the nurse hurriedly handed over a periosteal driver.

Fang Han used a periosteal driver to go deep from the incision and move left and right to completely loosen the lateral metatarsal capsule.

When Fang Han explained to the patient before, it was a small incision, but in fact it was indeed a small incision, this kind of small incision did not even need to be sutured, and the wound could be completely healed.

Even if there are no stitches, the scar is very small, if in order to reduce the scar, Fang Han can use beauty needles, no need to remove the stitches, and then use ointment, almost no scars will be left.

"Drill grinding!"

Fang Han stretched out his hand again, and the nurse handed the electric grinding drill to Fang Han.

Fang Han picked up the high-speed grinding drill of the flexible shaft, opened it, and the sound of the electric drill sounded in the operating room.

Fang Han's voice sounded at the same time: "Chen Yuan's saline is cooled down!"

While speaking, Fang Han went deep into the incision on the distal medial end of the big toe joint and began to grind the bones.

Chen Yuan, who was on the side, hurriedly used a syringe to spray normal saline to the incision to cool down, and after more than ten seconds, the osteophytes had been worn out.

Fang Han stretched out his hand again: "Bone file!"

When the operation was carried out, the female patient behind the curtain was like no one, and she was still playing with her mobile phone, and she didn't feel any pressure at all.

Not only the patient, but also the assistant had nothing to do, except for Chen Yuan's injection and cooling just now, Wen Xueyi and Jiang Feng had been watching from the sidelines, and they couldn't intervene at all, and there was nothing they needed to interfere in.

Yao Xin stood on the side, looking at Fang Han intently, at this time Fang Han was undergoing surgery, everyone else was staring at Fang Han, and no one paid attention to Yao Xin, Yao Xin was even more unscrupulous, others watched the operation, she looked at Fang Han.

Zhang Hao took the camera and took a serious camera, constantly adjusting his position with Fang Han's movements, and didn't notice that her goddess was obsessed with watching Fang Han at this time.

"Miniature saws!"

The nurse handed over the miniature saw, Fang Han took the miniature saw to prepare to saw the bones, and at the same time said to Chen Yuan on the side again: "Our surgery does not have arthroscopy, so you should pay special attention when sawing bones, you look carefully." ”

"This step depends on the experience on the one hand, on the other hand, we should pay attention to the angle of osteotomy, according to the severity of the patient's condition, the osteotomy line is 15 degrees ~ 30 degrees from the distal medial to the proximal lateral side, and from the distal dorsal side to the proximal plantar side is 5 degrees ~ 10 degrees......"

As he spoke, the miniature saw in Fang Han's hand moved, but for a few seconds, then Fang Han reached out and picked up the tweezers, and took out a complete bone with the tweezers.

Putting down the tweezers, Fang Han took off his gloves, smeared alcohol gel on his hands to disinfect, and said to Chen Yuan at the same time: "Now that the bones have been taken out, the rest is to reset the bones, look at it." ”

As he spoke, Fang Han stretched out his hand, skillfully pushed, squeezed, and flovered, and in just a few seconds, the operation was completed.

Wen Xueyi on the side looked at it with wide eyes, he didn't see it very clearly, and Fang Han finished it.

Chen Yuan's proximity, coupled with his own double degree in Chinese and Western medicine, can see a little more clearly than Wen Xueyi, even so, this kind of therapy is not a single operation can be seen.

Chen Yuan was not in a hurry, since Fang Han was willing to teach him, then he would also have a chance in the future, he believed that he would definitely master it.

"The joint cavity and incision were flushed. ”

Fang Han explained and walked over to wash his hands.

When Fang Han washed his hands, Chen Yuan had already rinsed the joint cavity and incision, and Fang Han used a beauty needle to suture it, if the scar was not considered, there was actually no need for sutures.

After the suture, the rest is the bandage, the bandaging is also particular, with four rows of bandages rolled into a diameter of about 2 cm of the toe pad, placed between the first and second toe webs, and then do a "figure-8" bandage, tape fixation, the operation is completed.

And then the other foot......

After the operation, Fang Han raised his head and looked at the time, it was less than thirty minutes after the full operation.

Fang Han explained a lot to Chen Yuan about this operation, if he didn't explain it, if the nurse was familiar with the process, it should be completed in twenty minutes.

Wen Xueyi hurriedly asked, "Doctor Fang, what should I do with the patient?"

"What to do?" Fang Han was stunned for a moment.

"Is it sent to the observation room or to our bone injury division?" Wen Xueyi asked, after the patient's operation, he was naturally sent to the ward, but now that the bone injury division has its own bed, Wen Xueyi still has to ask.

"What ward to send to let the patient get out of bed and go home to recuperate. ”

"Get out of bed by yourself?" Wen Xueyi was stunned.

Without waiting for Wen Xueyi's reaction, Fang Han had already lifted the curtain: "Get out of bed!"

The female patient was still playing with her mobile phone, and she was also stunned when she heard Fang Han's words, and asked in surprise, "Is it over?"

"Well, the surgery is done, you can come down, put on your shoes and go to Dr. Chan to prescribe a medicine, and then you can go home. Fang Han said.

"Get out of bed, can I go now?" The female patient was still a little confused, didn't she have surgery, and she could get out of bed by herself just after the operation?

"Absolutely. Fang Han gave the female patient a polite smile: "Just try it and you'll know." ”

The nurse hurriedly brought a pair of disposable slippers to the patient, and the patient got out of bed, slowly put on the shoes, and then stood up straight and walked away......

One-step.

Two steps.

Three steps.

"Handsome doctor, I can really go. The female patient turned around and looked at Fang Han in surprise.