The approach opens, and the surgery is only halfway through, continuing.

For top masters, the difficulty of this operation lies in the approach, and the subsequent reduction and fixation should also be completed by Dr. Zhong, the difference is only speed and quality.

At the beginning of the anterior acetabular fracture reduction and fixation, the surgeon was not skilled, but perfect, making the originally difficult operation extremely simple and easy.

This is followed by iliac wing fractures, sacral fractures, sacroiliac joint dislocations, pubic fractures, and finally pubic symphysis.

Numerous resets are fixed, one after the other, smooth and accessible, with a clear rhythm, and even a few minutes of stagnation do not appear.

Even when dealing with sacral fractures and sacroiliac joint dislocations, the tricky presacral venous plexus hemorrhage is handled very easily, and the accuracy of double-click electrocoagulation is very high, like a moving target shooter, one by one.

The steel plate is horizontal, vertical and oblique, all of which are well adhered to fix the fracture dislocation firmly and firmly.

The whole process is pleasing to the eye, very ornamental, if a surgery has a certain ornamental quality, it is no longer so simple to complete the operation, but the comprehensive embodiment of superb surgical technology, a sense of speed, fluency, rhythm, perfection of details and so on.

Dr. Zhong's forehead was covered with sweat, and in order to prevent the sweat from falling and polluting the operating area, the roving nurse reminded him several times before he heard it, and turned his head to let the nurse help wipe the sweat.

The fracture that needed to be treated in the anterior road has been successfully completed.

"Wait to turn over, and you have to do the back road." Song Zimo reminded that there was still a fracture in the back of the acetabulum that had not been done, and he was afraid that the operation would be too smooth, and Yang Ping would forget it.

"I did it once, and I didn't have to turn over." Yang Ping said.

"Knives!"

The incision was lengthened, the walking was changed, and the ilioinguinal approach evolved into the pararectus abdominis approach, and the surgeon's use of the incision was already creative.

The pararectus abdominis incision, a new approach that has emerged in recent years, can complete the anterior and posterior fractures of the acetabulum with a single approach, without the need to turn over and complete the fracture of the posterior part of the acetabulum. However, for complex and difficult posterior acetabular fractures, it is still difficult to complete the anterior and posterior acetabular fractures at the same time.

At that time, Director Tian was in Shipo, and it was with this in mind that he gave up the single approach and adopted the classic front and rear joint approach.

"Pararectus abdominis approach?" Tan Boyun saw the sorcerer's intentions at a glance.

At this time, he dared to use the rectus abdominis muscle to enter the way, and he was too bold, Tan Boyun straightened up.

The pelvis has been seriously adhesion, at this time, quickly end the anterior battle, then change the position, re-disinfect the sheet, and do the posterior acetabulum fracture from the back road, which is much safer and easier, because it seems that this adhesion is caused by pelvic tuberculosis and will not obviously affect the structure of the posterior road.

Brat! What a daring artist! Director Tian also adjusted his posture.

However, Yang Ping's level was clear when Shi Po helped deal with the retracted dead artery, so he didn't have much to worry about.

The usual sharp knife and double-click electrocoagulation, advancing layer by layer, fast and rhythmic, the neurovascular are exposed and retracted, the peritoneum-wrapped intestinal tube is pushed open, the gap is separated, and the adhesion is not an obstacle at all under the sharp knife and double-click electrocoagulation, and the bloodless operation is carried out to the end.

Tan Boyun didn't have time to evaluate, he had already reached the posterior acetabular fracture and began to reduce and fix.

In the aggrieved space, the irreversible posterior acetabulum fracture was easily reduced, the steel plate template went in and out, and it had been shaped, and the steel plate and bending device prepared by Su Yixuan were handed over.

Song Zimo immediately clamped the steel plate, and Yang Ping put the steel plate back together in a few actions, and compared it with the template, it was completely consistent; At the same speed, bend another steel plate.

Put the steel plate in, drill and screw the screws, see-through!

Dr. Zhong was still in a trance, and Zhang Lin had already pushed the C-arm machine, and everyone avoided it.

Complete the fluoroscopy and return to the operating room.

The perspective image on the screen, the anteroposterior, outlet, inlet position, several perspective angles, the fracture is perfectly reduced, and the position of the plate screws is very satisfied.

The movable hip joint did not pop and the screws did not accidentally enter the joint cavity.

It's not an order of magnitude, Dr. Chung has forgotten about his previous shame and started to focus on the perfect surgery.

The back of the hand that was beaten by Yang Ping is still a little painful. When I first came over, that condescending sense of superiority was completely extinguished at this time.

He is also a bit of a status in the second annex, and he also has a bit of a status in technology, and it is no problem to follow Director Tan, not to mention walking sideways, but walking a few steps diagonally.

The Department of Trauma Orthopedics can perform complex pelvic fractures, which are people who can stand on their own in large hospitals.

It's too back, I've done so many pelvises, I haven't touched such a strange one, this pelvic surgery, the fucking inside is full of scars and adhesions, just like boiled noodles that are left for a few days and turned into dough, where can you still separate the noodles one by one.

But people just separate the noodles one by one.

Ay! Luck! It's all luck!

If it weren't for bad luck, I would have received a stronger admiration than the equatorial sun.

Dr. Zhong sighed, the time is not good, and his brain is buzzing, like wearing a hood, vague.

When he was in perspective just now, Zhang Lin called twice, and he heard it, and followed everyone out to avoid the rays.

"Perfect!"

"Call it a day!"

The itinerant nurse began to count gauze and instruments and count the amount of bleeding.

Song Zimo said: "Senior brother, it's hard work, you go down and rest, Doctor Zhong and I are concerned, Doctor Zhong, it's okay, right?" ”

"No problem, no problem." Dr. Chung immediately returned to the operating table, and now the whole person is like a spinning top, where he hits, he goes.

Yang Ping began to take off his surgical gown and gloves, and Xiao Wu also went to the operating table to help.

"Take a break!" Su Yixuan said, her eyes were complicated, and she was mixed with admiration, admiration, and gratitude.

"Are you alright?" Yang Ping pointed to her hand.

Su Yixuan shook her head, very sweet.

Irrigation, drainage tube placement, layered sutures.

And so the operation ended.

"Big brother is too good"

"Yes, you see, the doctor in the second part of the second has lost his temper."

"This operation can be won, it's so beautiful, worship!"

It's a little boiling next door, and everyone can feel the significance of this operation as long as it's not too woody.

Dignity! Not just the dignity of a single person, but a team.

Now, dignity is being strongly maintained!

"Ding-dong! The operation is perfect, the task is completed, the reward is 10,000 points, and the harvest is countless admiration. ”

The system has never broken its promise, and Yang Ping sat on a stool to rest.

"This kind of pelvis, from beginning to end, almost bloodless operation, is also too powerful." Dr. King said.

Director Ouyang said: "The level of surgery of the two people is not in the same order of magnitude, Xiao Yang's surgery is really improving!" ”

Director Bai smiled on his face: "It's still the young people of our Sanbo." ”

"Director Tan?" Director Han stopped tapping his thigh.

Tan Boyun did not react.

"Director Tan?" Director Han's voice was slightly louder.

"Oh!" Tan Boyun came back to his senses.

Is the surgery over? That's fast.

This operation, really, has nothing to complain about.

Tan Boyun said embarrassedly: "Director Han's fierce generals are like clouds, a pastoral is already amazing, and there is such a young fierce general, the future is terrifying, it's terrible, it's terrible, it's amazing, we are all sighing to ourselves." ”

"Brother Tan, don't raise the elder brother, Brother Tan will be the first tiger general under Director Han in the future." The countryside came together.

"Where, where!" Director Tan's neck burned.

"In the future, the Department of Microtrauma Orthopedics will have to rely on the leadership of Director Tan to reach a higher level." Director Han patted Tan Boyun on the shoulder.

"Under the leadership of Director Han, we will definitely do our best." Tan Boyun suddenly felt that he was a little shorter.

Tan Boyun is in the second annex, and he has not gotten along well with the big director, and he is always unconvinced. This time, Sanbo was transferred, and to be honest, he had the heart to covet the director of the Department of Orthopedics. Now it's okay, I can't find the north by this operation, I am completely convinced, and I don't have any covetousness, I just want to sit firmly in the position of the director of the Department of Microtrauma Orthopedics, and make some achievements while I am in the prime of life.

"Tian Yuan, you accompany Director Tan for a walk, familiarize yourself with the operating room, I have to take a step back in advance."

Director Han got up, and Tan Boyun and Tian Yuan also got up.

Director Han made a gesture of invitation: "Director Tan, please!" ”

Tan Boyun immediately bowed down and took the lead: "Director Han first, Director Han first." ”

Director Han held his hand: "Okay, you guys go around, get together again in the evening, and Dean Xia will personally set up a banquet." ”

"You're busy, we'll talk in the evening!" Tan Boyun's edge was completely retracted in front of Director Han.

Director Han strode out, and Tian Yuan said, "Director Tan, let's go around together and familiarize ourselves with the operating room here." ”

"Hmmm! Director Tian, please. Tan Boyun also has a little more modesty towards Director Tian.

Dr. Zhong also came out and saw Director Tan: "Director! "There was a look of shame on his face.

Director Tan patted him on the shoulder: "Let's go, let's go around with Director Tian and take a look at the operating room." ”

Meaning: It's okay, no need to have psychological pressure.