What is the situation outside the operating room, Zhang Fan doesn't have to worry about it. What he can do now is to do a good job in the operation and rescue Wang Weiping. Zhang Fan was not easy to give orders to the two directors, and Lao Gao could see it, "Now is not the time to be polite, hurry up, the two of us are your junior doctors now." ”

"That's right! Lao Wang echoed.

Director Gao washed his hands and disinfected, Director Wang and I put ourselves in a position, and invited the director of the heart to come for a surgical consultation, maybe we will have to treat them together. With the cooperation of the two, Zhang Fan began to command, surgery is actually a bit similar to fighting, the first thing is to determine who is the general, the general commands, and the subordinates act. The general must think clearly, and the orders of his subordinates are forbidden.

Generals must think clearly and give orders accurately. Otherwise, the subordinates will rebel. It's the same with the surgeon, you have to have clear rules and instructions for what you want to do. Because there are several nurses, several doctors waiting for your orders. Waiting for the next step of the procedure.

Disinfection, laying orders, the two directors are doing the work of hospitalization, and there is no way that the chief surgeon has the right to think, go to see X-rays, CT, and RI, and these small jobs have to be done by assistants. Zhang Fan didn't care about these little things, and stared at the LED viewing light and thought carefully.

Surgery begins. The pelvis is actually a closed bony ring, a strong bony ring composed of the iliac, pubic and ischial bones. Because the pelvis is hard, it is generally not easy to fracture unless violently.

Wang Weiping's fracture was very serious, the pubic symphysis was separated, the sacrotubercle and sacrospinous ligament were ruptured, and the posterior sacroiliac joint was completely dislocated. The dislocated half of the pelvis has been displaced anteriorly.

"Look for the bleeding point first, there must be a relatively large blood vessel damage in the pelvis. Zhang Fan said.

The open-book questions are very clear. Lao Gao and Lao Wang were not surprised at all. Although this operation is also very serious, it is not too difficult for a doctor who does a hip and knee change. It's about hurrying and being fast!

The main knife has an idea, and the assistant actively cooperates. On the operating table, the chief surgeon dominates everything, and some of the chief surgeons with a particularly big temper either scold or throw things, and the doctors below are unwilling to operate with him. There are many such doctors, and it is estimated that they were too oppressed before, and when they are erected, they will begin to learn from them!

Zhang Fan chose the posterior entrance, and after the gluteus maximus fascia was cut, the subfascial separation was carefully carried out medially to ensure that the gluteus maximus muscle tissue was separated from the subfascia without damage. Because the gluteus maximus fascia extends to the inside of the gluteal muscles every 5-10 finger-like intervals, special care is taken to keep the layers intact, the fascia free from injury, and the damage to the muscles to a minimum.

In order to fully restore its anatomical level, Zhang Fan was particularly careful to separate the fascia and keep it intact. When the gluteus maximus muscle is found on the sacrum, stop the separation medially. The gluteus maximus muscle is cut from the aponeurosis of the thoracolumbar fascia, the iliac crest, the posterior superior iliac spine, and the multifidus fascia.

When cutting the gluteus maximus, in order to facilitate the repair of the gluteus maximus at the end of the operation, Zhang Fan retains a long enough tendon at the insertion point. Then cut the gluteus maximus at the gluteal crest.

The operation was carried out step by step, and the tour kept wiping the sweat beads on the heads of the three surgeons. The three of them did not talk or communicate, and the most common thing was that the two assistants exchanged their opinions through their eyes! They all knew what to do and what they should do.

The skills of the three people are not weak, and Zhang Fan's intentions are clear to the other two. However, Zhang Fansheng exercised a large amount of surgery at a young age, and the operation was carried out very quickly under his hands.

As soon as the connoisseur made a move, he knew if there were blood vessels and nerves, Zhang Fan almost didn't have to think or stay, and quickly separated and cut. The three-dimensional anatomical three-dimensional diagram of each organization is as if it is right in front of Zhang Fan's eyes, and the two directors are not in vain, they are both masters, and they are fully cooperating in order not to let others underestimate them.

The advantage of mental concentration is that the surgery is performed very quickly. When inside the iliac space, the bleeding was found. "Arteries!" Zhang Fan said.

The other two have already seen it! The arteries in this place are too troublesome to deal with! The docking is unlikely, but the embolization can cause the muscles of the lower limbs or the muscles of the buttocks to atrophy.

Zhang Fan, who did not pause throughout the whole process, hesitated slightly, and the other two also thought again, what should they do if they were the main killer today!, "How much blood pressure?" Zhang Fan asked.

The chief anesthesia of the Department of Anesthesiology is today's anesthesiologist," Dr. Zhang, 85/50hg, heart rate 60. ”

"No!" Zhang Fan was still ready to dock the artery, but the patient's vital signs were not supportive, so he had to give up!

"Ligate!" Zhang Fan said. The previous one is not good, Lao Gao and Lao Wang both understood what Zhang Fan meant. Lao Gao was ready to persuade, but Zhang Fan immediately said another word of ligation, it seems that the young man is not enthusiastic, he is still very calm, he is really a surgical genius.

After this set, Wang Dehua was jealous of Lao Gao to death. The two of them began to compete and compare since they entered the hospital, and they fought until they reached the position of director, and there was no winner, but now Lao Gao brought out a demon and directly crushed all the orthopedic surgeons below Zhenggao.

Lao Wang's eyes were red to death. If it weren't for the fact that the operation was still in progress, he would have wanted to open his mouth to scold his mother!

The operation is very fast, in fact, the three of them have been doing it for four hours. The damaged arteries and veins can be repaired as much as possible, and those that cannot be repaired should be treated in a way that causes the least damage. Zhang Fan's methods were too ingenious, and many places would be damaged according to the methods of the two directors, so Zhang Fan cleverly avoided them. Lao Gao kept nodding, although he didn't speak, but his eyes looking at Lao Wang exuded a smug atmosphere.

Wang Weiping's vital signs were stable, and the bleeding stopped. Lao Wang turned around and motioned to the itinerant nurse to wipe his sweat, and then said: "Doctor Zhang, this technique of yours is not like our road, Lao Gao and I are brought out by the same master, you are not very similar!" Lao Gao's eyes were too palatable, and Lao Wang said unconvinced.

"When I was in Gu 1 and Gu 2, I always watched you two directors take the knife, and I thought about it carefully when I went back, which can be regarded as a little experience. "Zhang Fan is not in a hurry, Wang Weiping is considered to have survived.

"The philosophy of our Department of Orthopedics is to be brave in innovation, which Dr. Zhang has done well, but we must not be proud and make persistent efforts. After you enter the department, every Tuesday will be set as the study day of the department, and everyone can talk about their experiences at that time!" Lao Gao said in a cheerful tone.

After comparing the two people in their lives, they didn't kill a high or low, but in the disciple generation, Lao Gao was already ahead of the curve. If you don't show off or be angry, you can't say anything.

Lao Wang thought to himself: "! If I have experience after watching a few surgeries, then I can retire directly!" Rolling his eyes, he glanced at Lao Gao, and then said: "Some people don't get complacent, if this situation continues, it is estimated that this hospital will not be able to hold Dr. Zhang sooner or later!"

"Let you be proud, wait for Zhang Fan to leave, see how you show off!" Lao Wang thought about it in his heart, and he also balanced a lot.

"Where to go, his beginner master is still my old Gao will never be surnamed Wang, and when others say Zhang Fan in the future, they will mention me, and I can be regarded as a little credit!"

The two kept bickering, Zhang Fan was a little annoyed, it was too broken, and the two directors chattered like women. He didn't understand how lucky he was to have such a lifelong professional enemy or opponent! Whipping each other to make progress, if it weren't for Lao Gao or Lao Wang, the careers of the two of them would not have reached the current peak.

"The broken bones are not very bad, let's fix it!" Zhang Fan couldn't listen anymore, and stopped the two from arguing! Today he is the chief knife and has this right.

The operation went smoothly, the patient's vital signs were stable, and the atmosphere in the operating room was relaxed at once.

The anesthesiology director jokingly said: "The two old men are not ashamed, let's do surgery quickly, and it will be Dr. Zhang's world in the future." Our time has passed!" he entered the hospital at the same time as the two directors of the orthopedic department!

As soon as they said this, the two sighed at the same time, glanced at each other, and vaguely saw the white hair from their sideburns, "Yes, it's over!" Lao Gao said softly.

No one can avoid birth, old age, sickness and death, especially surgeons, just a few years of golden time, once it passes, they begin to eat the old book, with the decline of eyes and physical strength, slowly becoming more and more powerless.

The itinerant nurse is the head nurse of the operating room, after several operations, she already knows Zhang Fan's status, and gently wiped the sweat beads on Zhang Fan's head and said: "Doctor Zhang, you estimate how much time there is left, the meal has passed, the dean asked me to ask you, what do you want to eat, the hospital will reimburse it today." Our nurses will follow you!"

"Hehe, I'm casual, I have to ask your leaders about this. I'm a little soldier, and I'll eat whatever you eat. In the operating room, except for Zhang Fan and the surgical nurses, the others are all leaders with leaders. Zhang Fan is right.

The surgical nurse smiled quietly! She didn't dare to joke with a few leaders, the head nurse looked good, and she was ruthless!

"Grab the steak?" the anesthesiologist asked.

"Okay! Today, the boss is kind, so let's eat steak. Missed this meeting, and then want to make the boss so generous, it is estimated that there is no chance, now the boss is more and more inclined to the resources of internal medicine, and our bonus has begun to decline, let's talk to the boss that day. Lao Wang said to Lao Gao.

"Okay, we're going to talk, and now the doctors below are complaining!"

This kind of thing is not Zhang Fan's concern, these words didn't even enter his ears, so they were blocked!

Fixing, suturing, ligation, and the operation is completed! The anesthesiologist and nurse accompanied the patient to the ICU, Zhang Fan shook his sore legs, and turned his head to see that Lao Gao and Lao Wang had already sat on the ground of the operation regardless of their identities, leaning against the wall and pretending to sleep.

It's really old!