Fear, for adults, there are so many things that can give them fear, such as riding in a small plane that is bumpy like a tractor. And the biggest fear of children is to leave their parents.

Bart was lying on a flat cart with antibiotics in one hand. The surgery was so large that antibiotics were routinely given intravenously the day before the operation. The other hand tightly grasped the corner of the hospital gown, although it was covered with a quilt, the flexion and curled up body was still obvious. Tilting his head sideways, his big innocent eyes looked pitifully at his parents who were far away. I wanted to cry, but I looked at the two sisters in white coats next to me, and I didn't dare to cry.

The operating flat car disappeared at the end of the corridor, and Bart's mother didn't know what to do, and the two hands trembled and didn't know where to put it, and kept rubbing it cross, muttering in their mouths.

Huaguo Hospital, as long as you go to the comprehensive level 3. There is a rule, there are three super departments, general surgery, respiratory, orthopedics, and the leaders of many hospitals are from orthopedics. Then there are all kinds of high-precision orthopedics, but the strange thing is that in such a tall place, even a little finger can't be connected.

Zhang Fan was already waiting in the operating room. Bart is the sick number of their group, and it was originally going to let Wang Yanan go to the operating table, but the girl was a little uncomfortable these days, so she let Xue Fei go, I don't know what deal I made with Xu Xian in private.

Xu Xian happily entered the operating room, glanced at Director Gao, and then said to Zhang Fan: "Doctor Zhang, I will be the third assistant in this operation, is it okay? ”

Before Zhang Fan could speak, Lao Gao said: "He's itchy again." Why don't you say he doesn't grow at all? Zhou Chengfu left, although he left quietly and silently, but Lao Gao was still a little sad.

Xue Fei and Zhou Chengfu are the disciples he brought out in the most difficult time, not to mention his own son, but they are also the two with the deepest feelings. But now, for the sake of his own future, he has left the master. And the other one is directly out of tune.

Although Zhang Fan is also his disciple, for Zhang Fan, he always feels that something is missing, maybe what is missing is the process of training. Zhang Fan got up too fast, and before he even paid attention, he was about to look up. So speaking of Xue Fei, Lao Gao gritted his teeth a little.

Everyone knows Xue Fei's problem, Zhang Fan can't explain it if he wants to, Xue Fei is definitely not in the department at this time, maybe he has already played mahjong with his aunts.

"Xiao Xu, which major are you? Lao Wang asked gloating and smiling. Lao Gao's disciples are proud if they don't fight for him, compared to Lao Gao, his disciples are much more powerful, and several directors are more powerful than the other, but they can't be compared with Zhang Fan!

"Director Wang, I graduated from the Department of Spine and Orthopedics. Xu Xian had already stood with Zhang Fan to watch X-rays and MRIs, but as soon as he heard Lao Wang's question, he hurriedly turned around and answered.

"Oh, spine orthopedics, how did the hospital assign you to the joint orthopedics, isn't it a waste, it's not suitable?" I'll have to ask. ”

After Xu Xian was determined, the orthopedic department was divided into three, so there was such a thing. When Lao Wang said this, Xu Xian couldn't answer.

Xu Xian is down-to-earth and capable, of course Lao Gao is reluctant, he rolled his eyes at Lao Wang and said: "What's wrong, he is an orthopedic surgeon first." ”

"Pick up the patient!" came the head nurse's voice. The head nurse in the operating room helped the itinerant nurse bring Bart in. "Children, don't be afraid, it doesn't hurt at all, you will be fine when you sleep. Then he gently touched Bart's little face with hair and goosebumps.

Little Bart lay on the bed, clutching the head nurse's hand tightly with his uninjected hand. Don't look at the head nurse who is usually demonic, but he really has an affinity for children.

"Sister, don't go!" After the head nurse sent to the place, she was about to go and say a few words to Zhang Fan. As a result, after coming out of the ward, Bart, who had not spoken all this time, spoke with a red face.

"Oops, haha, be good, obedient, my sister won't go. "The head nurse is really happy, she can let this kind of pure and flawless child call her sister, she is really happy, and her heart is blooming.

The lamb-like Barth, though nervous and scared, but the nurse's gentle words of comfort were the only thing he felt he could rely on in this strange and strange place.

The little hand put it into the quilt, and then tremblingly took out a thing, "Send you, Hip Stone!" Bart didn't know where to find a bone that seemed to be some kind of animal, it looked a little jade, it seemed to be Barth's favorite thing.

Bart's pure eyes were like a clear spring. The head nurse of the young woman, who had experienced many ups and downs, suddenly had a sour nose and tears fell directly.

"Thank you! ”

"Sister take it, bless it. ”

"Well, my sister will take it, my sister will take it! You will be my sister's own brother in the future. "In an unfamiliar environment, although he didn't know what surgery was, he also knew that it was not a good thing.

Innocent, pitiful, but with a very sincere look, he directly moved the head nurse who was also a call in the operating room. "Hey, what is missing is what is precious. The sincerity of the child's world is so precious in the adult world. Lao Gao was also a little emotional.

"yes. Lao Wang nodded involuntarily. The head nurse held the wolf hip stone given by Bart, and the other hand held Bart's small hand, and couldn't stop crying until Bart was slowly anesthetized and fell asleep!

"I'm going to wash my face. Zhang Fan must be attentive!" The head nurse stood in front of the door of the operating room and said to Zhang Fan.

"Don't worry!" Zhang Fan nodded. The roving nurse helped Xu Xian disinfect, and Zhang Fan, Lao Gao, and Lao Wang brushed their hands. Lay out the sheets, cover the hole towel, and everything is ready.

Zhang Fan put on gloves, took the scalpel handed over by the instrument nurse, and wiped the skin that was about to be cut with an alcohol cotton ball. He turned his head to look at the clock hanging on the wall of the operating room, and said softly, "The operation begins." ”

Bart was lying on his stomach. In this position, there is a special operating table. Many people have gone to the big bath to take a bath and massage, and it is the kind of bed that has a hole in the head of the bed and can put the face down.

Zhang Fan is the main knife, Lao Wang Yizhu, Lao Gao Erzhu, and Xu Xian Sanzhu. Zhang Fan's operation was originally relatively low, but before the operation, Xiao Bart came for a while, and the atmosphere of the operation was even more gloomy.

No one has the desire to speak, perhaps this is the sadness of adults! Simple things are luxuries that can no longer be obtained.

The scalpel opened an opening in the immature skin, and in an instant the skin was pulled open with a white line, which is the dermis. Then the handle of the knife opens up the subcutaneous tissue. Then change the electric knife and start to stop the bleeding.

Surgery, as long as it is a traumatic operation, must be entered layer by layer according to the physiological level, and the bleeding must be stopped layer by layer. Masters, especially those who pay attention to details, watch their operations as if it were art.

Clean, neat, well-layered, with clear anatomy, and almost no bleeding is visible in the entire surgical field. And some doctors who are not very good at technology don't know whether they are pursuing speed, or they don't know how to dissect. The level is unclear, and the bleeding is full of vision, which is really like a slaughterhouse.

Continue inward, exposing the spinous process, cutting the supraspinous ligament, and then gently separating the cut ligament to both sides. "Periosteal stripper. After leaking out the bones, Zhang Fan said softly.

The surgical nurse accurately handed over the periosteal stripper to Zhang Fan. On the operating table, there is a point in passing things. Sharp weapons, such as knives and scissors, should be passed with the sharp blade facing you.

When it is passed to the opponent's hand, you must do a downward pressure action until the opponent makes a counter-force, and then you can let go. Just this detail, many nurses have to practice it many times, is it simple? simple, but you must be allowed to practice this action into a subconscious action, so that your muscles have a memory to be qualified.

It's not demanding, because there's nothing to be happy about on the operating table. Some special equipment may be just that, if it falls into the ground during the transmission, it is directly an accident.

Zhang Fan used a periosteal dissection device to cling to the spinous process, pushed the thoracic paravertebral muscle from under the periosteal to the tip of the transverse process, and stopped when the lumbar spine was exposed outside the articular process.

"Gauze!" Lao Wang stared intently at Zhang Fan's movements. Lumbar spine surgery, not to mention anything else, this bleeding is very much. Human beings are very advanced in evolution. As long as it is a bone, it will be accompanied by large blood vessels and important nerves.

The spine not only supports the body, but also protects the derivation of the brain, so there are many large blood vessels, and during surgery, large blood vessels can be avoided, but small blood vessels separated from large blood vessels cannot be avoided.

When the surgeon gives the order, everyone else has to make a move without thinking about it. For example, at this time, there are two hemorrhages in the lumbar bypass pathway.

Zhang Fan also said simply: "Stop the bleeding." "Which one to stop first, which one to stop later, how to stop bleeding, whether to use gauze or an electrocoagulation knife, these are all rules, these are all rules and regulations, and this is all knowledge.

And whether it is an assistant or a nurse, you must keep an eye on the operator's steps.

After Zhang Fan took the gauze handed over by Lao Wang, he began to stuff and compress. During the operation, a lot of bleeding is not leaking but oozing, and when the muscle is separated from the bone, it is like sweating and oozing blood, and the bleeding cannot be stopped with an electric knife or silk thread. This requires gauze pressure to stop the bleeding.

And the gauze during the operation cannot be dry gauze. It must be soaked with normal saline before it can be used, this is not a bandage, if you hand a piece of dry gauze at this time, Zhang Fan can directly drive the assistant and instrument nurse down. Because the tissues under the skin are so delicate, dry gauze is like sandpaper.

"Pull away. Zhang Fan said a word to the assistant after stuffing the gauze.

None of them are new, they have been prepared for a long time. As soon as Zhang Fan spoke, Lao Gao and Xu Xian took the retractor to pull the skin apart, exposing the surgical field as much as possible.

Hook, the most feared thing for surgical residents, especially for general residents. What is this thing like, it is an L-shaped blunt alloy, which is so hard that ordinary people can't deform it.

The orthopedic dry hook is a little better, and the general outside is really sad. A large retractor, estimated to be the same size as an adult's arm bend. For surgeries such as gastric resection, the second and third assistants do one thing from beginning to end, pulling their stomachs with stable strength.

The surgical site is too deep. They can't see it, four or five hours of surgery, they just pull it blankly, a little bit of it is not good, the surgeon is not happy. After one operation, my hands and arms would not move.

After opening the surgical field, it is time for the critical period of surgery. This is the time for the level of the practitioner to manifest. How to adjust and how much to adjust is too difficult.

In terms of video data, when you look at the spine and when you open the body to see the spine, there are two different things. In terms of video materials, you also have a general concept.

The operation also opens up the few places that need to be adjusted, and the longest is no more than a dozen centimeters in length. The anatomy is not clear, or the technique is not in place, and the bone to be adjusted cannot be found.

It's not a joke, let alone the spine. It is a simple plate removal after a clavicle fracture. Before the surgery, the collarbone and plate can be felt directly on the skin, as if it is a little under the skin, and it seems to be very simple.

But in fact, when the operation is laid out alone, the hole towel is covered, and the scalpel is pulled, the subcutaneous tissue swells, and then bleeds and the muscles are stretched. Well, what about the steel plates? I can't find it! There have been many, many cases of this to the doctors.

What Zhang Fan has to do now is to change this deformed whole, or let it develop in the future and grow in the expected direction.

That would first break its original connection. This is a very dangerous time, because the spinal cord is in front of the spine. This orientation is fixed, not changed because the patient is lying on his stomach, for example, the skin on the back should be in front of the spine according to the normal theory, in fact, the professional language on the operating table is not like this, but just the opposite.

More than an hour has passed, almost two hours. Zhang Fan and Lao Wang's sweat was directly like beans, and they couldn't wipe it off on the tour, so they directly padd their foreheads with towels.

Bone forceps are the sharp-nosed vices that everyone uses on weekdays. Zhang Fan bit off the bone little by little, and then used a curette to remove the broken bones, cartilage, and soft tissues between the spine little by little.

What is clean here must be clean. Because once a small bone piece enters the spinal cord, the mild is postoperative inflammation, and the worst is the patient's lifelong low back pain or corresponding limb numbness.

Take care of these. The most dangerous step of surgery is coming. At this time, the position should be adjusted, and before adjusting the position, these abnormal bone pieces should be separated first.

How to separate, anyone who has eaten the spine of an animal knows that the spinous processes of the spine are stacked together, and at this time they have to split if they want to separate, yes, they are forcibly split. At this time, it can't be light or heavy.

If it's light, it won't be split, and it will increase the number of broken bones. It's heavy, and the front is the spinal cord. "Click!click!" Zhang Fan gritted his teeth and split the spinous process in two clicks.

Zhang Fan didn't realize how difficult it was, but Lao Gao and Lao Wang, this voice was like cutting on the tip of their hearts, and their hearts were hanging. At this time, if the hand slips or exerts too much force, the consequences are really unimaginable.

Xu Xian also sweated, although he graduated with a master's degree. But this kind of surgery is one of the most difficult surgeries in provincial hospitals.