Professor Min is in a good mood, Lin You is in a good mood, and Suzaku is in a good mood.

The atmosphere in the operating room is particularly harmonious today.

is not as serious as usual, and all kinds of small meat jokes emerge in endlessly. (I was eaten by 404 Divine Beasts for a chapter, so I don't dare to be too obvious.) ）

At the end of the day, when Professor Min shouted to the anesthesiologist to stop taking the medicine, even Professor Yu from the Department of Anesthesiology joked: "Professor Min, if you want to say that the operating room of our anesthesiology department likes both your operating room and your operating room." ”

"I try to do as much surgery as possible in the morning shift, and I may not have to come to the afternoon shift when I am too busy. ”

"Like your current team, doing five or six joint replacements a day is easy, and you can still work in the morning, right?"

"I remember two months ago, it didn't go so well. ”

"Did you all participate in the special training of our fast base camp in Hunan Province one by one?"

Professor Yu continued while stopping the medicine: "Your joint replacement will take more than 30 minutes on average. ”

"Brother Queguang's arthroscopy is faster, and sometimes it comes out just after it is inserted. ”

"The little girl who followed me is emotional. ”

The shifts of the anesthesiology department are arranged according to the time period, and the faster the operation is done, the more times the patient needs to be anesthetized and the turnover will be after a set of shifts.

Even sometimes arthroscopy, after the anesthesiologist finishes anesthesia, he goes to keep an account, prescribes the doctor's order, tinkers with the anesthesia, and says that the drug is stopped.

Withdraw the arthroscopy, suture for two or three minutes, and move on to the next one.

This rhythm is really tiring, but the afternoon shift is cool, I came to do an arthroscopy, half an hour shift, and got off work.

This is the reason why the 6 operating rooms are not very popular in the morning.

Professor Min smiled and said, "Our Brother Queguang is known as the little prince of the speed of light, and I can't compare to him, isn't it, Brother Queguang?"

Professor Min put the femoral stem and acetabular cup all the way down, and after resetting, he put down the instrument directly.

He looked at the time: "When we arrived at the operating room, it was 8:27, and now it is 8:59, and this time needs to be reduced." ”

"When I was communicating with my colleagues abroad last year, the fastest joint replacement in that team was completed in 24 minutes. ”

"Everyone in the surgical team is very smooth, without the slightest pause, and our cooperation with each other has yet to be tempered. ”

After saying this, Professor Min directly took off his gloves and began to untie the surgical gown: "Brother Queguang, since our anesthesia teachers have opinions, then today's stitches will all be handed over to Xiaocheng to help them save effort, how about it?"

In the case of joint replacement, the subcutaneous part is usually sutured by a senior physician, and the skin is only sutured for resident, advanced and graduate students.

But today, Professor Min is really in a good mood, and he has fully considered the opinions of the anesthesiology department, so he gave Lu Cheng the time for suturing the subcutaneous skin and skin.

While giving Lu Cheng a chance, it is also good to be able to meet the opinions of the anesthesiology department.

"Okay, Professor Min. "If you can be lazy, Suzaku Light will naturally not refuse.

Even Lin You was on the bone near the greater trochanter, and after drilling the hole, he handed the sutures to Lu Cheng.

Usually, this step is usually done by Professor Min himself, and most of the time it is completed by Lin You and Zhu Queguang.

After joint replacement, an important detail in preventing complications of joint dislocation is to suture the muscles to part of the subcutaneous muscle layer to strengthen the soft tissue balance in the incision direction.

This suture is very skillful, and Professor Min usually does not worry about young doctors doing it.

When Lu Cheng heard this, he was immediately overjoyed.

This is how he learned surgery step by step, and now that he has received Professor Min's permission to suture all the levels, how can this not make him happy?

The sutures of joint surgery are very particular.

The outer layer of the joint cavity is a soft tissue that must be balanced and then to the subcutaneous fascia layer, the subcutaneous layer and the skin.

It is divided into four steps, which is a lot more than other ordinary surgeries.

"Come on, I usually watch it, I remember a lot, right?" Lu Cheng is the first time to suture, Lin You warned seriously.

"Remember!" Lu Cheng took the stitches in his hand, hooked the muscle layer first, and then threaded it into the well-made bone hole, and then began to tie the knot in a very skillful way.

Lin You took the initiative to support the line.

He said, "Slow down, don't rush." ”

"Uh-huh. ”

As Lu Cheng spoke, his hands seemed to subconsciously complete the second and third knots. After being reinforced with four knots, Lin You didn't seem to believe that Lu Cheng had such skillful knotting skills.

Because when the skin is usually sutured, although Lu Cheng's movements are very skillful, it doesn't seem to be so fast?

"You?" Lin You only asked one word.

Lu Chengdao: "When I was an undergraduate internship before, I had joint surgery and knotted the teacher over there. It's just that I didn't have a chance to do it myself, and they were all snatched away by my senior brother. ”

Then, Lu Cheng continued to complete the three stitches quickly.

There were a total of four stitches, and the balance of the soft tissues on the outside must have met the requirements, Lin You checked it carefully again, and did not see any problems, so he threw it to Zhu Que Light for examination.

Suzaku glanced at it, and pretended to be impatient: "Brother You, if you really say so politely, I will treat you as if you are deliberately playing tricks with me, huh?"

"Otherwise, you get out of the way, let's go through a procedure in the hospital, you transfer Lu Cheng to me, and I can also take the students, but I didn't have a turn last year." ”

As soon as Lin You heard this, he subconsciously raised his head and looked at Suzaku Light smiling at him.

He realized that he was a little out of shape, smiled innocently, and changed the topic: "Then I will call you Uncle Shi after I call Xiaocheng, don't call me brother." The teacher and uncle take the teacher and nephew, which is also a matter of course. ”

Lin You seemed to be playing haha, but what he was thinking in his heart was.

Other students, for the sake of the brothers, maybe I will let it go, but Lu Cheng, the brothers are not successful.

"Look at you like that, is this still the same big brother you who yelled in the operating room half a year ago that he would not take students for at least four or five years?"

"It's not good at all. ”

Lu Cheng didn't speak, and when Lin You and Zhu Queguang started arguing, he had already completed the continuous suturing of the fascial layer.

Barbed line.

The bottom has also been cut off.

Then the sutures above have already begun.

It seems that Lu Cheng is particularly familiar with the fascia layer on the outside of the femur, and this technique of suturing soft tissues is what he is best at.

"Slow down. Lin You's face shook when he saw it.

"Good. ”

Lu Cheng slowed down a little, but as Lin You spoke, Lu Cheng had already completed one stitch, one pull, and another stitch.

Moreover, with each stitch, there is a small hill between the two stitches, bulging, and it looks very thick.

Lin You knew that just looking at the suturing effect of this soft tissue had a pleasing feeling to the eye.

It's not that Lu Cheng didn't know how to stitch, but relatively speaking, he was slower at the speed of stitching the skin.

Lin You didn't continue to urge.

Subcutaneously, Lu Cheng also stitched it quickly.

Although it is an intermittent suture, there is no need to consider the problem of skin alignment, so Lu Cheng's suturing speed is also very fast.

Moreover, the suture layers are very tight and flat, and the skin incisions, before the stitches go down, have already been fitted together, without the slightest fold, as if it is normal skin, and a small incision has been cut in the middle.

Seeing this effect, not only Lin You was stunned, but even Vermilion Bird Light was a little sluggish.

What is the best suturing technique?

Even if the skin is sewn under the skin, it can be aligned just right.

So how do you do that?

Almost complete restoration of its own anatomy!

This is not something that ordinary people can do.

There is a fat layer under the skin, and there is a fascial layer, which is easy to be pulled out of rhythm.

Seeing this work, I couldn't help but shout to Professor Min who was leaning against the wall: "Professor Min, come and see, it's really a ghost today." ”

"What?" Professor Min replied in a low voice, and then put his phone in his trouser pocket,

When he walked to the front of the stage, his eyes suddenly widened, and he said, "This is?"

Professor Min Rao has never seen this situation in the clinic for so many years.

Only then is the subcutaneous layer sutured, and the skin layer is automatically neatly aligned, without the slightest fold, and it fits tightly.

He also seems to have only seen it in an exchange.

Professor Min recalled carefully, and then asked Lu Cheng, "You studied with Professor Jiang in your undergraduate internship?"

Professor Min remembered that the Department of Orthopedics of China Han University once brought a set of medical records, that is, cosmetic sutures without suturing the skin, with skin tension bands on both sides of the wound, and the outer edge of the skin did not leak stitches at all and did not need to be removed.

At that time, Professor Min only thought that this was just looking good, and the risk was too great, so how difficult would it be to really do such a rigorous suture?

At least you use a beauty thread, so it's okay to bring it a little?

Although the beauty line is a little more expensive, but?

After listening to Professor Min's words, Lu Cheng's thoughts suddenly returned to the period of the orthopedic internship at Zhonghan University, and he did not explain, in fact, this theory was put forward by him, and he also came up with it after the professor gave him the opportunity to suture under the skin, which came from his extremely solid anatomical foundation......

Lu Cheng nodded and replied, "I followed Teacher Jiang for a while." ”

Professor Min nodded: "No wonder!"

Then he continued: "That tour, the stitches on the skin are not taken first. Take a chiropractic cutaneous athonostat. ”

"Ahh

Lu Cheng smiled innocently.

Straighten your back,

The reason why he spent a lot of effort to do this thing was for that girl.

She may have surgery, and the surgery may leave a scar, and he may not be able to avoid the knife, but he can minimize the incision marks, or even leave no marks.

Without needles, each person's own skin can theoretically be left without scarring.

Therefore, Lu Cheng, I brought it here in advance first, just enough time to verify it, and it will not be abrupt.

Then, the entire operating room fell silent.

Skin incisions that don't need to be sutured?

Who has heard of it?