When Zhang Fan arrived at the operating room, the director of anesthesiology also happened to come out of the office, and when he saw Zhang Fan, he smiled bitterly.

"Zhang Yuan, that fat man in the orthopedic department is too troublesome!"

"What's wrong?" Zhang Fan asked curiously.

"You'll know when you enter the operating room, I won't talk about it yet, just called me and asked me to help carry people. ”

"Okay, you go first, I'll change my clothes and come. Zhang Fan nodded.

The head nurse of the operating room specially made a small dressing room for Zhang Fan, although it was not big, but there was a small sofa and a small table.

Change into hand clothes and bring a hat and mask.

The handwashing clothes in the hospital, because they are pure cotton, and because of the frequent high-pressure and high-temperature disinfection, they are soaked in disinfectant from time to time, which looks tattered, but they are very comfortable to wear.

Because it is a pure cotton product, it will not be like some century-old boutique clothes, full of static electricity, crackling when walking.

When he walked into the operating room, Zhang Fan almost laughed. The fat boss ruptured the Achilles tendon in his right leg.

The pants were only taken off on the right side, and the white swaying fat legs and fat hung on the edge of the operating table, like unsmoked fat hanging on the wall beam.

Huaguo's operating bed, in the early years, there were still some products in the hospital, with a nameplate: the third surgical instrument factory of the magic capital.

But I don't know why, it is estimated that because they can't make money or the money is too little, they can't look down on it, in the mid-to-late nineties, Huaguo products were greatly launched in the medical market.

The old-fashioned operating table is very coarse, and if you want to move the operating table, don't think about it without about 20 strong men.

What an old-fashioned operating table looks like, most people really don't have any idea.

It's hard to explain, so I can only say it briefly.

People who are a little older, I don't know if they still remember the state-owned barber shop back then.

There are a few aunts inside, and there are a few very comfortable chairs.

There is a large iron lump under the chair, and there are all kinds of magical gear levers around the chair, which can be turned and can be put down as a bed.

When you put this chair in the back, it's actually an operating table.

The earliest surgeons were all barbers. So in the early years, there were many things in the operating room that were very similar to the things in the barbershop.

Even now, the three-color rotating sign hanging in front of many barber shops actually represents arteriovenous blood vessels and nerves.

The products of the Third Instrument Factory of Modu were eliminated by the third-class hospitals after entering the zero years. Because of the Maruki country and Germany, they have developed a new type of operating table.

Their operating tables have all been turned into automatic remote control. And because of the battery, it can be used as an electric car at critical moments.

This feature may seem like a chicken, but in a pinch, it can be a lifesaver.

The things in the country of Maruko are very stingy, and the bed is not expensive, but there are a lot of additional things, and the total price is heavenly. One operation is long, millions!

However, because there are hospitals in developed cities that support the counterpart hospitals in the western region.

The operating beds in Chasu City Hospital are relatively advanced and are all German goods.

However, even after the extension plate of the operating table has been opened, after the fat boss lies down, part of the flesh on his body is still hanging on the edge of the bed.

"Zhang Yuan! I can only put a small table at his feet.

However, the height cannot be adjusted, and the operation may be more tiring. ”

The head nurse was also helping, and after seeing Zhang Fan, the head nurse straightened her waist, bending over was too troublesome, because ...... , Wang Wang definitely does not understand.

"Okay, let's put a suitable table. Zhang Fan didn't have a problem. The operating table can be adjusted in height, but the general table does not have this function.

The table can't adjust the height, can't adjust the position, how can the doctor adjust himself.

Kneeling for surgery, squatting for surgery, sounds like nonsense, but in fact, this is the routine operation of many special surgeries.

"Zhang Yuan, the patient's weight is too large, and the anesthetic can't be given too much, otherwise the dose will exceed the standard. "The anesthesiologist is starting to talk about the problem, too.

"Discuss this with your anesthesiology department. "This Zhang Fan really didn't dare to interfere.

Medicine is divided into several disciplines, not to mention the others, let's just say that the anesthesia and clinical disciplines involved in this surgery are directly different disciplines.

Zhang Fan really didn't dare to give anyone any advice.

"It is estimated that the anesthesia effect is not good, and the weight is too large, Zhang Yuan, when you operate, try to be as fast as possible. ”

The director of the anesthesiology department is also helpless, for patients of this size, the anesthetic dose is too difficult to control.

Less medicine is not effective, and more medicine may make the patient never wake up.

"Good. Zhang Fan agreed, and then looked at Xu Xian and Wang Yanan, "Which of you lifts your feet?"

"Uh!" Xu Xian Khan came down, isn't this just a clear plan to let him raise his feet. Zhang Fan is the leader, Wang Yanan is the girl, only him.

However, looking at the fat boss's legs as thick as an elephant, he was a little bad.

......

"Hehe, where is Xu Xian raise his legs, I disinfect, don't worry, I'm fast!"

Although she was wearing a mask, looking at Wang Yanan's eyes, everyone knew that she was very happy.

Disinfection, surgical disinfection is very strict, and it is generally required to be sterilized to about 15cm of the knife edge.

Because the patient has ruptured the Achilles tendon, the lower limb must be lifted, starting at the Achilles tendon and working its way up to the lower edge of the knee.

And the toe gap is the focus, this is the place where dirt and dirt are hidden, sweat glands are abundant, and the skin is thickened and wrinkled here in order to resist wear.

This is also the reason why some people's feet, although they do not have athlete's foot, can still stink dogs.

Wang Yanan began to disinfect after washing his hands. The disinfection of lower limb surgery is not troublesome, and routine disinfection is fine, but for people who lift their feet, it is too troublesome.

At the place where the calf and the footsteps are connected, Wang Yanan took the oval pliers and clamped the iodophor cotton ball to start disinfection.

At this time, Xu Xian grabbed the back of the patient's feet with both hands and lifted it up with difficulty, his legs were too thick.

Lifting a distance of more than ten centimeters from the bed, Xu Xian's strength to eat milk was used, and he directly bared his teeth under the mask.

At this time, the time to test Xu Xian's arm strength has come, whether it is a unicorn arm or not, it is also reflected.

As Wang Yanan's disinfection scope is getting smaller and smaller.

Xu Xian began to grasp the patient's instep with both hands, and slowly turned into a person holding the patient's big toe thumb.

It's not enough to just lift it, but also let Wang Yanan take the oval forceps and wipe the iodophor cotton ball back and forth between the patient's feet.

This calf is at least thirty pounds! Xu Xian held his breath.

His face was red, his neck was red, one hand was holding the wrist of the other hand, the thumb and index finger of the other hand, and the thumb of the fleshy foot was tightly pinched.

I have been single for many years, otherwise this action weight is estimated to be impossible for people who get married early.

Xu Xian's heart shouted again, "Ahh

Wang Yanan was very fast, and in the end, only one big foot and thumb were left unsterilized.

As soon as she turned around and Zhang Fan turned back to back, Zhang Fan held the small slip in the surgical bag in his hand and quickly spread it on the operating table.

"Alright, let's put it!"

Xu Xian gently put down the patient's feet, and the sweat directly soaked his hand clothes.

While panting, he pinched the unicorn finger of his right hand, which he usually exercises.

After Wang Yanan finally disinfected his big toe, he took a pair of sterile gloves from the surgical nurse.

"This can't work, it's too small, how big is the biggest surgical glove in our hospital. Wang Yanan asked.

Because the toe is relatively contaminated and too close to the surgical area, it must be wrapped in gloves.

"Eight-and-a-half!"

"For eight and a half. ”

Surgical gloves for girls are generally six and a half sizes, seven for boys who are thinner, and seven and a half sizes or eight for larger hands.

Zhang Fan is 1.8 meters tall and generally wears seven and a half sizes. It is conceivable how fat the fat boss's feet are, and the thinner pig's trotters are estimated to be not as heavy as his.

Put on gloves. Shop single, four small singles on the left and right, two middle singles on the top and bottom, and a hole towel in the middle.

When these lists were covered, the fat boss was gone.

There was only one fleshy foot with a rubber cap left, standing alone on the green surgical sheet.

The fat feet stained with iodine are like the hilarious bugs in the cartoon, fat and greasy.

Sports medicine, one in Asian countries, is not very good. Bangziguo medical care is a direct copy of the European and American systems.

But they have found another way and led the world trend in plastic surgery.

Don't underestimate this plastic surgery, the authoritative experts in spinal plastic surgery, the stick country accounts for the majority. As for facial surgery, they have rushed out of the universe.

Although the medical system of the country of Maruki is not very famous, it is the most perfect country that combines Chinese and Western medicine.

Especially when it comes to endoscopy, there is no rival in the world.

As long as you talk about endoscopy, there is no way to bypass the country of pills, an Olympus endoscope is directly a thing that exists against the sky.

Muscles can be divided into three main categories, cardiac muscle, smooth muscle (muscles in the walls of internal organs and blood vessels), and skeletal muscle.

As for skeletal muscle, there are too many classifications. There are long and short, and there are muscles that are like feathers.

The most peculiar is the orbicularis oculi muscle, which has a similar muscular structure to the lips and anus. It's like a wrench made of rubber.

Moreover, there are Chinese medicine masters who treat hemorrhoids and do acupuncture directly on the mouth, but strangely, it is effective for hemorrhoids!

Skeletal muscle, like a rubber band stuck to two bones.

When the brain gives the command, the skeletal muscles begin to contract and stretch, pulling the connected bones to make various movements.

This is also the only muscle that the brain can command, and the heart muscle and smooth muscle are not directly dick to the brain. People have their own system.

There are a lot of muscles mobilized in skeletal movement, synergy of synergy, and antagonism of antagonism. Without coordinated muscles, you can't do fine movements.

With no antagonistic muscles, a simple action of kicking a soccer ball may be able to kick the knee backwards.

The muscles of the calf, the middle is the abdomen, the two ends are tendons, one is hung on the femur, and the other end is hung on the lowest end of the calf.

Expansion and contraction rely on the abdomen of skeletal muscles, while fixation depends on tendons. The tendon is more than a hundred times stronger than the abdomen.

Why have I heard of tendon rupture, but I have not heard of muscle rupture, although the tendon is strong, it has no contraction function.

Therefore, when violence occurs, the tendons sacrifice themselves to absorb a large amount of energy, thus protecting the bones and abdomen.

A ruptured tendon, as long as there is a little tear, it is considered a rupture. And in terms of time, it is divided into acute rupture and chronic rupture.

Many athletes have fallen out with their own teams because of this acute and chronic problem.

There's a head in this. Tendons can be said to have no blood vessels to supply nutrients. It lives on a thin membrane covering the surface of the muscles.

A little of the nutrients in the blood are given to the membrane, and a little bit is given to the tendons after the membrane is eaten and drunk. As you get older, the less nutrients the membrane delivers, the more susceptible the tendon is to injury.

Acute tendon rupture, which is operated on within 48 hours, is called acute rupture, and the recovery is relatively better. Once it has been more than forty-eight hours, it is called chronic tendon rupture.

Once it exceeds 48 hours, it is very troublesome to have surgery or conservative treatment, and the recovery effect is also very poor.

However, after tendon rupture surgery, it is not always possible to keep the athlete in competitive condition.

As long as the tendon is not completely ruptured, many teams give the athlete pain-relieving occlusive injections and some immobilization measures.

This will allow them to continue to play athletes, and as for the future of athletes, that's not something for them to think about.

Therefore, there are often athletes who fall out with the team because of tendon injuries. Da Yao's thumb tendon, I don't know why I chose conservative treatment, but ......

For tendon repair, the gold standard is open surgical repair. And what plaster cast, wearing inflatable walking boots, the effect is not as good as the effect of open surgery.

Fat people have a lot of fat, and the fat thing is very strange, as long as it is something that the human body eats, whether it is alcohol or nutrition, it has to taste it.

The fat boss, more than two hundred pounds, full of fat, just taste a little, the amount of medicine needed is terrifying. The anesthesiologist really didn't dare to give it anymore, and if he gave it again, he was afraid that the fat man would never wake up again.

With the anesthesia settled, the fat man quickly fell asleep. Zhang Fan, Wang Yanan, and Xu Xian also started the operation.

"Alcohol, sharp knives. Be quick, the amount of anesthetic is not enough. Zhang Fan said quickly as he began to disinfect the knife.

The scalpel slashed through the skin, and without waiting for Zhang Fan to bluntly separate, the plump yellow fat particles were directly like pinching Japanese tofu by hand, and quickly squeezed out of the wound.

"It's too fat, the hook is slippery and can't be hung up!" Wang Yanan hung hard for a long time, but he didn't hang the fat man's skin, there was too much fat and too oily.

"Electric knife, suction device. Zhang Fan ignored Wang Yanan, and as the bleeding was stopped by Zhang Fan with an electric knife, a trace of green smoke had risen.

There is a saying in surgery that says: you can judge the level of this surgeon by the smell of electric paste in the operating room.

Electric knife electrocoagulation, pay attention to the point to the end, the action should be fast, to be rapid.

When there is a burning smell of burning hair, this doctor's level can be said to be extremely poor.

Because he absolutely burned the hair follicles in the skin with an electric knife, the skin is absolutely forbidden to use an electric knife.

And smelling a lot of whiny and smelly burnt smell indicates that the doctor's level is average,

It must be that the blood vessels are not seen clearly, and the point method is not used to stop the bleeding, but directly flat discharge knife and large-scale electrocoagulation.

Only a faint smell of barbecue was heard. For example, the smell of meat emitted when it is cooked but not burnt, and the smell of meat that can arouse the appetite.

So this doctor is at least a master in the use of electric knife.

Of course, Zhang Fan's use of the electric knife is definitely at the master level, and he doesn't know how many times he has used it in the system.

When he uses an electric knife, especially when he eats, he can definitely hear someone swallowing saliva.

Don't talk about others, sometimes, even Zhang Fan himself will be greedy for the green smoke he made.

Highly skilled, point to point.

Art to the extreme is art.

......

Of course, if the bleeding is severe, Zhang Fan will not use an electric knife, and will directly hang the sutures and suture them.

The incision in tendon repair is very long, and some doctors believe in a small incision when it comes to the choice of incision, while others prefer a large incision.

Zhang Fan, on the other hand, believes in one sentence: everything is based on reality, not dogma.

The incision heals from side to side, not from end to end, and a suitable incision is the beginning of a surgery.

The blade swam in the fat of fat, gently, like a steel boat breaking through the waves of a yellow lake.

Open the skin and cut the fat. The tendons of the fat boss were exposed in front of Zhang Fan.