Not only did the bird gun change the cannon in the operating room, Fang Haoyang also deliberately transferred two doctors from Li Wenjun to follow Liang Qunfeng.

Liang Qunfeng's surgery is often an operation, and this kind of surgery is not like Liao Yiming's Fang Han Zhenggu, most of them are the main person who does the work, and the most auxiliary is to fight.

Similar to Western medicine surgery, one chief surgeon is supported by the whole team, the first assistant, the second assistant, the third assistant, the anesthesiologist and so on.

Liang Qunfeng, as the director of Fengzhou Orthopedic Hospital, has several people under some large-scale surgeries, and Fang Haoyang's equipment for Liang Qunfeng is already the minimum standard.

This is also something that can't be helped, there is a scarcity of surgical talents in Jiangzhong Hospital, that is, Li Wenjun knows some surgical operations, which has trained some people, otherwise surgery is the blind spot of Jiangzhong Hospital.

In the past, Jiang Zhongyuan Hospital did not attach much importance to surgical talents, but now Fang Haoyang wants to build a major emergency department that integrates traditional Chinese and Western medicine, and surgical talents are indispensable.

Today, Fang Han, Li Xiaofei, and Ye Kai are all spectator-type existences, and the two doctors who really participated in the operation were Liang Qunfeng and Fang Haoyang who were transferred from Li Wenjun, one was in charge and the other was hospitalized.

The two doctors Fang Han had seen them before, but they didn't know each other very well, the attending doctor was in his early forties, not tall, surnamed Chen, and the resident doctor was twenty-six or seventeen years old, about the same age as Li Xiaofei, tall and thin, and Fang Han didn't pay attention to his surname.

There are a lot of emergency doctors, the shifts are chaotic, and Fang Han has formed his own group as soon as he comes, and he really doesn't have much contact with other doctors, at most, everyone meets and says hello.

Fang Han was not familiar with other people's resident doctors, but they were very familiar with Fang Han, and when he saw Liang Qunfeng and Fang Han coming in together, he hurriedly greeted: "Director Liang, Doctor Fang." ”

The attending doctor is more reserved, but the resident doctor doesn't care, now in the emergency department, who still treats Fang Han as an intern?

And judging from Fang Haoyang's current generosity, Fang Han will inevitably be responsible for the bone injury division of the emergency department in the future.

Liang Qunfeng is from outside, it is impossible to be in the Jiangzhong Courtyard all the time, he has to leave, and when Liang Qunfeng is gone, who is the leader in this group now?

This is simply lice on the bald head, obviously.

As the attending doctor, Dr. Chen will inevitably leave the group when Liang Qunfeng leaves, and no matter how Fang Haoyang looks at Fang Han, it is impossible for an attending doctor to follow Fang Han.

On the one hand, the attending doctor is not necessarily willing, he is really in a hurry, it is a big deal to leave, the attending doctor follows the intern, and he can't afford to lose that person.

Again, this kind of medical team, the leader must have absolute authority, even if Dr. Chen is willing to stay, Fang Haoyang doesn't dare, what if there is a dispute?

With Fang Han's prestige in the emergency department now, the average resident doctor can be suppressed, and no one dares to work against Fang Han, but is the attending doctor?

Doctors also have tempers, especially the higher the title, the greater the temper.

Moreover, after Liang Qunfeng left, with the current team of Jiang Zhongyuan, if he wants to fully operate the current operating room, it still needs a process, even Fang Han may not be able to have a good time, Fang Haoyang didn't expect Fang Han to follow Liang Qunfeng for three months to learn Liang Qunfeng's skills.

Some things are often taken advantage of the situation, and Fang Haoyang is just taking advantage of Fang Han's meritorious service this time to make raw rice into mature rice first, and when the time comes, the hospital office will support it if it is not supported.

Millions of dollars have been spent, the operating room has been built, and no one will use it when the time comes, won't it become a joke?

Liang Qunfeng looked at the time: "The patient will arrive soon, everyone prepare, Fang Han will be next to me when the time comes." ”

"I'm going to change my clothes. Fang Han went to the dressing room on the side to change clothes, the others had already changed, Fang Han was the last.

"Doctor Fang, I'll help you. A nurse hurried in.

When Fang Han changed into a brush suit and came out, the patient had arrived immediately, and the others were more or less a little excited.

As a TCM doctor, it is very rare to enter this kind of operating room.

In fact, most doctors have surgical dreams, just like most men have martial arts dreams, with a long sword in hand, walking the rivers and lakes.

For doctors, the scalpel in hand, manipulating life and death, is really a different kind of enjoyment.

Liang Qunfeng did preoperative mobilization for the two assistants: "Everyone is cooperating for the first time, and when the time comes, I will do the main thing, you watch, and the debridement, sutures and the like will be completed by you." ”

The two assistants nodded.

......

Before the arrival of the patient, Liang Qunfeng told everyone about the patient's situation again, so as to facilitate everyone to have a deeper understanding of the patient's situation.

This is also the first time that this small team has worked as a team, and several doctors in Jiangzhong Hospital are not professional surgeons, so Liang Qunfeng's heart is not very reassured.

"The patient is 55 years old, has an elevated fall, a comminuted hip fracture, and a fracture of the left upper arm, and this time we have to do two surgeries, one is the reduction of the patient's left upper arm, and the other is hip replacement. ”

"Because the patient suffers from a certain degree of osteoporosis, it is difficult to use manual traction, and both surgeries need to be operated, especially the hip joint, which needs to be completely replaced......"

Liang Qunfeng briefly talked about the patient's situation and precautions, and the others had an understanding of the patient's situation before entering the operating room, and they also did their homework, but Fang Han was temporarily pulled in, but he didn't need to get started, mainly to observe.

The patient's left upper arm fracture is actually relatively simple, because it cannot be forcibly reduced by traction, so it is necessary to make an operation at the injured site to slow down the traction of the muscles on the bone, and then reduce it manually and finally suture.

Hip replacement is slightly more complicated, the original fracture part needs to be completely abolished, and at the same time, the artificial joint is inserted into the medullary cavity, and then fixed with a kind of bone cement, which will be solidified in about 5 minutes, and after solidification, it is as hard as a stone, which can firmly bond the artificial joint and bone, and the patient can get out of bed and move three to five days after surgery, without long-term bed rest.

In about five minutes, the patient was sent to the operating room, Liang Qunfeng was the chief surgeon, Dr. Chen and another resident doctor worked out, and Fang Han and Li Xiaofei were all observants.

Dr. Chan and the residents who participated in the surgery could not hide their excitement on their faces.

It is said that with their surgical standards, if they are placed in Western Medicine Surgery or Fengzhou Orthopedic Hospital, they are not qualified to go to the operating table at all, but in Jiangzhong Hospital, there are no tigers in the mountains, and monkeys are called kings.

In addition, Liang Qunfeng is indeed at a high level, so the requirements for one help and two assistants are not so high, after all, it is a temporary team, and there is no way to keep improving.

"Let's do the skeletal traction of the left upper arm first. ”

Liang Qunfeng held the scalpel and explained: "The muscles of the human body are attached to the bones, and the muscles themselves will have a certain stretching effect on the bones.

For some complex parts or special patients, it is difficult to reduce the bone by simple manual repositioning and is easy to cause bone damage, we can use surgical means to separate a part of the muscle, reduce the traction of the muscle to the bone, and then use manual reduction ......"

As he spoke, Liang Qunfeng had already cut through the patient's muscles, layer by layer, exposing the patient's bones without harming the patient's nerves and blood vessels.

Fang Han stood on the side, watching and groping in combination with the intermediate orthopedics.

As Liang Qunfeng said, the muscles of the human body will cause a certain traction on the bones, and this traction will often become a kind of resistance when the manual is reduced.

For some special places, or in the case of certain osteoporosis like the current patient, the traction is too large, and forced reduction is not very suitable.

At this time, it will be much less difficult to separate the muscles, reduce the traction or squeezing of the muscles on the bones, and then use manual reduction.

At the same time, compared with simple Western medicine surgery, this osteopathic technique of combining traditional Chinese and Western medicine has a smaller incision area, less trauma and faster recovery. Small sequelae and other advantages.

If it is said that the use of Western medicine orthopedic therapy alone may have a wound of 10 centimeters, then this kind of integrated Chinese and Western medicine therapy may only need 5 centimeters or 3 centimeters......

Liang Qunfeng continued: "Therefore, before the operation, we must have a very good understanding of the patient's injury part, so that during the operation, we can accurately select the best incision site, which part has the least trauma to the patient, and at the same time can minimize the traction or squeezing force of the muscles......"

When he spoke, Liang Qunfeng's subordinates were not idle, his technique was very steady, but the speed was not slow at all, it didn't look fancy, but it was very smooth and smooth.

A few days ago, Fang Han also felt that Liang Qunfeng was a little vain, because in terms of technique, Liang Qunfeng's level was also the level of intermediate orthopedics, but Liang Qunfeng's reputation was no worse than Liao Yiming's.

Seeing Liang Qunfeng's surgery today, Fang Han really understood why Liang Qunfeng has a reputation that is not weaker than Liao Yiming in the field of orthopedics, with Liang Qunfeng's surgical level, coupled with his orthopedic techniques, the combination of strength and strength is enough for him to have a place in the field of orthopedics.

"Let's do a manual reset. ”

Liang Qunfeng made a certain wound on the patient's injured part, and then confirmed the condition of the injured part, and then began to use manual reduction.

Because the muscles of the fracture site have been separated, the bones leaking out of the bare inside, everyone can clearly see what the patient's fracture site is, and in this case, it is much easier to reduce it by hand.

Liang Qunfeng grabbed the patient's wrist with one hand, grabbed the top of the patient's fracture with the other, and gently shook with one hand.