Professor Tan's parachuting into the Department of Trauma and Orthopedics is like a stone thrown into a calm lake, which is bound to cause waves.

The three directors who reacted the most were naturally Ouyang, Bai, and Ding, who were calm on the surface, but they must have all kinds of dissatisfaction in their hearts and were not convinced. After more than ten years of hard work, how can I stand it by making trauma orthopedics bigger and stronger, and now handing it over to foreign monks.

Fortunately, Director Han's majesty is big enough, sitting in the position of the chief director, no one dares to stir up trouble, and no one dares to make any waves.

Calm Saturday and Sunday passed.

On Monday morning, Dean Xia, Dean Sun and Director Zhao of the Medical Department visited the Department of Trauma and Orthopedics.

After the shift, Dean Xia bowed his head and whispered a few words to Director Han, and then announced that the Department of Trauma Orthopedics had been renamed the Department of Microtrauma Orthopedics, and Director Tan and Dr. Zhong had joined the Department of Trauma Orthopedics. There is no announcement of the appointment of the director for the time being, but everyone knows about it.

Originally, this matter was announced by Director Zhao, but now it is announced by Dean Xia to show a strong stand. After the announcement, everyone applauded, Dean Xia spoke, and Dean Xia shook hands with Director Tan.

Everyone knew that the new director wanted to show off the operation, so they all scheduled the operation until the afternoon, and let go in the morning to watch the show.

Legend has it that Tan Boyun showed off an emergency pelvic acetabular surgery at an academic conference, which was quite successful and his fame increased.

New Director! Everyone wants to see how the technology is, after all, it is rumored that he is powerful, but it is just a rumor, and there are many people in vain.

There are individual directors who have never been clinical, raised rabbits abroad for ten years, and come back to sit on the throne of the director, surgery is relatively rare, and there are more such things in internal medicine.

After the ward inspection, Director Han took Director Tan and Dr. Zhong to the operating room, and introduced the situation in the operating room as they walked.

When he arrived at the operating room, Director Tan checked the operating table and the C-arm X-ray machine, and then said, "Give the two assistants to the stage." ”

Tian Tian said: "I'm on! ”

Director Tan refused: "No, no, let's take a look in the audience, just let the young man do this operation, let Dr. Zhong do it, and then you can arrange two people to help him, he is already very skilled in this operation." ”

I don't know what Director Han thinks, anyway, Tian Yuan is very dissatisfied, what do you mean by this, let a subordinate ruler come to power, which means that your ruler can kill us people in seconds.

Director Han asked Tianyuan to arrange for two people to go up.

Tian Yuan thought for a while and said, "Then let Song Zimo take Xiao Wu up, Song Zimo will help, and Xiao Wu will help." ”

"What about Yang Ping?" Director Han asked.

Tian Yuan smiled: "Yang Ping reserves." ”

This arrangement is reasonable, and Director Han has no objection.

"Director Tan, look, I asked Doctor Song to come up and do the first help, and Dr. Lu to help the second, how about it?" Tian Yuan asked Tan Boyun softly.

Tan Boyun said lightly: "It's okay, just two people, just take a hand." ”

Everyone goes next door, and the video opens.

Director Han and Director Tian accompanied Tan Boyun to sit in the front row, left and right, Director Tian saw Yang Ping beckoning: "You just sit behind me, don't walk around." ”

Yang Ping understood what Director Tian meant, and was ready to send himself to the stage at any time.

Several directors of Ouyang sat in the second row. Director Ouyang was moody, Director Bai's face was not very good, and Director Ding always looked indifferent.

Director Ding rarely participates in this kind of surgical observation, but he also came today, and he is a rare guest.

In the operating room, several people were busy, the anesthesia had been prepared, and Dr. Zhong instructed Song Zimo and Xiao Wu to put themselves in position, as if they were not very satisfied, and adjusted them several times.

The head nurse personally deployed in the audience, and the instrument nurse temporarily replaced Su Yixuan on stage.

The position was finally satisfied, and the three people who came to the stage washed their hands and dressed, and disinfected the sheets.

The preparations are done, the sacred ceremony of opening the stage, the preoperative check is completed, and the stage is opened!

Inguinal approach, Dr. Zhong is indeed very skilled, in Nandu Annex, he should be an excellent existence, the posture of holding the knife is very standard, drawing a standard anterior incision, he has to do anterior surgery first, the anterior road is more difficult, so that when everyone is energetic, enjoy his performance.

To tell the truth, in G City, a hospital like Nandu Attached to the First Annex, looks down on Sanbo, which has only been established for more than ten years, even if Han Jiangong is extremely strong, it is difficult to make up for the reputation of the hospital.

The knife technique is very good, and there is the capital of the show.

The skin, subcutaneous tissue, and deep fascia are incised, and muscles, nerves, blood vessels, and the spermatic cord are dissected sequentially.

The gaps in these structures form three classic windows that serve as safe pathways that are surgically exposed, through which the fracture site can be reached smoothly.

The muscles are a little hard locally, but it does not affect the surgical operation.

The first window opens easily, the abdominal muscles and iliac muscles are peeled off from the iliac bone, lifted upward, the electric knife quickly stops the bleeding, and the front of the iliac fossa and sacroiliac joint is easily exposed, and the surgeon is extremely skillful.

There were only a few small pieces of blood on the piece of gauze that was handed over.

Professor Tan is very satisfied: "Young people need to be trained, and Director Han will give more advice in the future." ”

Director Han said: "Dr. Zhong's operation is very beautiful, you see, the basic skills of separation are very good, and Director Tan has trained him well." ”

The spermatic cord began to be separated, the surrounding tissue was not normal and a little hard, Dr. Chung touched it several times with his hand to confirm that the spermatic cord was out of shape, and the blunt separation of the vascular clamp did not seem to work.

It's a little sticky, and the level gap is not very clear, and sharp separation is king at this time.

"Tissue scissors!" The scissors were sent.

"Hurry up!" Dr. Zhong scolded in a serious and low voice, showing his authority as the chief surgeon.

Su Yixuan's movements are very fast, but he is still considered to be slow, it seems that the temper of the main knife on the stage is not very good.

Sharp scissors swam open, and suddenly, blood came out, and a small artery underneath was cut.

"Vascular clamps! Hurry up! ”

Again, he felt that the instrument was too slow.

Dr. Chung took the vascular forceps and immediately clamped them, and the electric knife cauterized to stop the bleeding, and the action was fast and well-trained.

Continued to advance, separated the spermatic cord, the progress was not as fast as expected, and several times the arterioles were injured, but the bleeding was quickly stopped.

A large patch of gauze has been dyed red.

"Pick it up, keep the tension going!" Dr. Zhong's scissor handle gently patted the back of Song Zimo's hand.

Song Zimo raised his head, with cold eyes, and lowered his head to adjust the tension in his hand.

"It's too big, it's a little smaller."

Song Zimo lowered the vascular clamp in his hand again, so that the tension of the spermatic cord provoked by the forceps was a little smaller.

"Aren't there a lot of these surgeries?" Dr. Chung was dissatisfied.

Song Zimo was silent.

The spermatic cord was successfully detached and a rubber strip was placed to protect it.

Next, the external iliac arteries and veins and lymphatic vessels are separated.

The pelvic surgical approach involves many vascular nerves, and it is also very important, and the approach is a prerequisite for successful surgery.

Dr. Zhong frowned, carefully looking for the feeling of blood vessels under his hands, there were more and more hard and brittle tissues, and the structural levels were becoming more and more blurred, and the spermatic cord could still be vaguely found out with experience.

Now the external iliac blood vessels are completely unrecognizable, there are adherent tissues everywhere, and there is no feeling under the hands at all.

This patient has extensive scar adhesions, has this area been operated on before?

CT does not show such soft tissue adhesions, and even MRI requires a lot of experience to make a judgment.

Before the operation, he personally asked Professor Tan carefully, and there was no history of previous surgery, and there was no small scar on the physical examination.

So how can it be sticky, it is useless to investigate the cause, now it is only to continue to advance.

"Knives!"

The knife was handed over.

Sharply separated with a knife, gently, little by little, a stream of blood spurted out, and the range was more than ten centimeters, and Dr. Zhong immediately pressed with gauze.

"Pull the hook up!"

Song Zimo didn't know where he didn't pull it well, but he still adjusted the position of the hook.

"You! Use some force! ”

The instrument hit Xiao Wu's hand.

"Vascular clamp!"

Hemostats were delivered.

"One size smaller!" Dr. Chung's tone was a little unfriendly.

A smaller vascular clamp is sent up.

The gauze was loosened, Dr. Zhong clamped to stop the bleeding, and the electric knife cauterized.

Go on!

Another stream of blood spurted out, this time pressed with gauze in time.

"Vascular clamp!"

Dr. Chung's voice became a little quieter, and sweat began to seep from his forehead, and the adhesions were too severe to continue to advance.

The smile on Professor Tan's face gradually diminished and became serious, he looked at the screen and said: "This patient may have had an infection before, it is likely to be pelvic tuberculosis, and later recovered on its own, but extensive adhesions have formed, the anatomy is not clear, and the young man still seems to be inexperienced, so I brush my hands." ”

Adhesions, extensive adhesions are the enemy of the surgical approach, especially the pelvis, which needs to avoid numerous blood vessels and nerves, and any one of them will make you unable to get off the stage.

This patient was a bit unexpected.

Tan Boyun originally wanted Dr. Zhong to show his skills, but it was nothing, this kind of extensive adhesion surgery, I am afraid that only Director Han can win Sanbo, and there are only a handful of other hospitals in G City. At this time, it is not a shame to come to the stage yourself.

The safety of the patient is the most important, Tan Boyun got up: "I'll go brush my hands!" ”

Tian Yuan said: "Director Tan, don't worry, sit, let the young man do this kind of surgery, let's just take a look, nothing can happen, Yang Ping!" Brush your hands, you go up and help Dr. Zhong. ”

Director Han didn't know much about Yang Ping's pelvic surgery, and only let him be an assistant, and didn't let him do it, so it was not good to evaluate.

But he saw that Tian Tian was so confident, and he knew it in his heart. He knows best about Tian Yuan's prudence and steadiness, it is impossible to let him go to power without a bottom, and at some point, Tian Yuan let him have pelvic surgery, and he knows it.

"Xiao Yang, go ahead!" Director Han spoke.

Yang Ping got up.