Dr. Yao and Dr. He are ready for surgery, not only are the various pipelines connected, but the focal length and dialogue of the lens are adjusted.

Yang Ping took the stage, tried the lens, and adjusted it very appropriately.

I am really in a hurry, since Su Nanchen has sent two instrument nurses and two doctors, I don't have to be polite, try not to procrastinate on the premise of ensuring the quality of the operation.

Because he is too skilled, he directly pierces the skin, joint capsule and synovial membrane with a sharp knife, and the three layers are in place in one step, and the sharp knife stops as soon as it breaks through the synovium, without injuring any structure in the joint cavity.

Generally, people make a sharp knife to open an incision, and after inserting the lens, the other incision is opened under the guidance of the syringe needle, so that the other incision can be opened more accurately.

But Yang Ping didn't use it at all, and opened the two mouths directly, because he didn't need the syringe needle to guide at all, and he could open the mouth in the best position.

Lin Hao frowned, this is not according to the norm, Ye Luzi.

The arthroscopy went in with the sheath, Dr. Yao had already connected the water inlet pipe and the water outlet pipe in advance, and the mirror went in without any resistance, indicating that not only the mouth was opened well, but also the surgeon was very familiar with the path through which the opening passed, and there would be no obstruction due to the relative movement of the level, especially the synovium, which would cause the lens or instrument to enter a little tentative to find the direction of the path.

But Yang Ping didn't need to be tempted, he entered at one time, without any obstruction, and entered the joint cavity very easily, began arthroscopic examination, thoroughly flushed the joint cavity, and Yang Ping closed the water outlet pipe.

The size of the two openings is very particular, too thin instruments are difficult to enter, too large to let the water in the joint cavity flow out of the gaps around the instruments, accumulating a lot, so that the bag that collects the flowing water is full of water.

Yang Ping's mouth was opened very well, and there was not a drop of water flowing out of the gap, indicating that it had just passed through the instrument, and the surrounding gap was just closed by the synovium, so that the operation was done, clean, on the stage, under the stage, and there was no leakage of water in the water collection bag.

After some people's arthroscopic surgery is done, there is water everywhere on and off the stage, and it is a mess, these details are not everyone can master, and it is already a higher-level pursuit outside of surgery.

Starting from the suprapatellar capsule, every area within the joint is not missed, in strict order, one after the other, and every time the mirror moves, it happens to be in the gap, without causing wear and tear to the cartilage, and it moves to the optimal position of the target area at a time to get the best view.

Yang Ping held the camera with one hand and the patient's calf with the other, constantly adjusting his posture, and his hands cooperated flawlessly.

For example, the suprapatellar capsule needs to be extended, while the medial joint space needs to be bent at 20-40 degrees, abducted and externally rotated, and the lateral joint space needs to be placed in a figure 4 position.

Every time you move the camera and change the posture of the limbs, you will never be squeezed, pinched or rubbed by the arthroscopic in motion due to the changes in the limbs, everything is very smooth, like a fish deftly shuttling in aquatic plants, without touching a single aquatic weed.

"Doctor Yao, Doctor He, start weaving tendons!" Su Nanchen commanded.

Without his command, no number of people can make a difference, and these people, especially the two nurses, don't seem to realize that the pace is getting faster and faster.

"You're ready for the next step in the tibial tunnel with a guide pin and drill! You're going to count the tendon size! Su Nanchen instructed the nurses and doctors.

If it weren't for Su Nanchen's reminder, everyone really wouldn't have reacted.

"Tibia tunnel, electric drill guide needle!"

Here is also an electric planer knife and a plasma knife alternately cleaning the intercondylar fossa, Yang Ping notified them in advance to prevent wasting time.

As soon as the words fell, the intercondylar fossa had been cleaned up, but the electric drill guide needle did not turn over, because there were several people on the stage, and Yang Ping had no rhythm to take care of each other at all.

Yang Ping looked at the screen, didn't look at the instrument table, didn't get what he wanted with his outstretched hand, and then waved his palm up and down a few times, signaling things to hurry up, don't grind.

When the electric drill guide needle arrived, Yang Ping immediately said: "Eight strands of double beam anatomical reconstruction, report the size of the two tendons to be implanted in the front fork, and then drill the tibia tunnel." ”

Although Su Nanchen was in command just now, the two nurses didn't pay attention to it, they didn't get into the state too much, and now they started to hurry up and wanted to catch up, but they were struggling. This kind of cooperation, if one step is not well connected, it will affect the next step, unless the surgeon deliberately stops and waits.

Dizzy! I just said I wanted something, but when I said that I wanted something, I really wanted something.

The tibial positioner is not required, and the guide needle directly opens the opening of the two tibial tunnels of the front fork, one for the anterolateral bundle and one for the anteromedial bundle.

Fork rebuild! There are many kinds, there are single bundles, there are double bundles, there are isometric reconstructions, there are anatomical reconstructions, and the most advanced is the eight-strand double bundle anatomical reconstruction, because studies have shown that the fork is functionally and anatomically divided into two bundles - the anterolateral bundle and the anteromedial bundle, and only the double bundle, reconstructed in the anatomical position, can maximize the recovery of function.

In order to ensure the strength of the ligaments, one bundle should be completed with four tendons, two tibial tunnels, and two femoral tunnels, which is very difficult, not only to open in the anatomical position, but also not to interfere with each other.

Dr. Yao and Dr. He were sweating on their foreheads, they were mentally prepared, and they were a little better, but no one had ever been on Yang Ping's stage, but they just heard Su Nanchen repeatedly say that to keep up with the rhythm, he operated quickly.

How fast is it, I don't have any experience in my heart, and now the speed is terrifying, and I naturally feel pressure in my heart, after all, so many people are staring, and the two of them can't keep up with the speed, how embarrassing.

Measure, hurry up and measure! Two bundles of tendons, two people at the same time to weave and suture, and finally barely finished, this is still prepared in advance, as soon as the stage is started, the next step of tendon weaving will not be so fast.

Dr. Yao and Dr. He reported their sizes separately, where to rest, and they didn't dare to say a word, Su Nanchen had already put the tendons that they wanted next in front of them, and immediately buried their heads in hard work.

A row of large and small drill bits were spread out on the instrument table, and the nurse began to look for the drill bits that needed the size, and finally experienced the pain of not being able to keep up with the speed.

The last two of them said hello a few times in advance, and they didn't pay attention to it, Su Nanchen was a little angry, he was well-groomed, and he wouldn't lose his temper with a nurse, but at least he was already dissatisfied in his heart.

"You prepare the drill guide needle for the femur!" Su Nanchen ordered another nurse.

Today's surgical instruments are more prepared than usual, several electric drills have been prepared, and two instrument tables have been laid.

Finally, the nurse handed over the drill bit to Yang Ping, and Yang Ping spoke directly, because Su Nanchen commanded in advance, and this time the guide needle of the femur was more timely.

Yang Ping resisted the femur entry point, drilled in and out, drilled in and out again, it was just two times, a few seconds, two tunnels were opened, nothing was needed, locator! What is it? Not at all now.

"Bathymetry!"

Yang Ping measured the depth of the femoral tunnel and determined the thickness of the two femoral tunnels according to the tendon size they reported.

"Rough drilling! Drill finely! --”

Disjointed again, two nurses prepare at the same time, one is coarse, the other is thin, the femur is not the same as the tibia, each tunnel, the front part is thick, accommodating the tendons; The latter part is thin and is used to pass through the suspended steel plates and hanging wires.

"Give me both sets of drill bits, right?" Yang Ping's hand was stretched out for too long, and the things hadn't arrived yet, so he put down his hand and rested.

I haven't looked at this side just now, it turns out that I haven't done it well, people haven't done it well, urging it back and forth, it's not good, Su Nanchen will be embarrassed, he comforted: "It's okay, take your time, don't rush." ”

Two tunnels, two sets of drill bits, one set of thick and fine, ready at one time, to prepare four electric drills.

What Su Nanchen was worried about still happened. It seems that when people were in Liquan Hospital, they already controlled the speed of surgery, and now they still control the speed, they don't open the full speed, and a few people can't keep up.

At this time, the head nurse came in, like a gust of wind: "Nan Chen, can you change the instrument nurse, transfer the one from Professor Ye's side, and transfer one from this side?" ”

What do you mean?

Although Su Nanchen is educated and has a good temper, he is also a human being, originally he couldn't catch up with the rhythm here, and the operation dragged on, he was a little dissatisfied in his heart, and now he wants to change his person.

Su Nanchen said with a heavy face: "We are still short of people here, we want to replace our people, take a look?" ”

In the stand of the head nurse, the chief surgeon is waiting, and the doctors and nurses on the stage are busy, and they can also see that the people with the table have not kept up with the rhythm, how many people are on the stage? Can't keep up with the pace? What the situation.

Someone else, she put on the authority of the head nurse at this time, the head nurse in the operating room is very good, and she has the power to arrange surgeries in the operating room, not to mention young doctors, and the general director who is not very tough has to give up a few points.

But to Su Nanchen, tantrums?

No, I don't dare, my parents, a dean, and a director of the nursing department.

Not to mention his dean's father, he can't afford to offend the three blue bars on his wife's hat.

The head nurse whispered: "Professor Ye is very angry now, saying that the nurse is not cooperating well, and asks for another one, Nan Chen?" ”

The professor has a good temper, there is a bad temper, and when he encounters a bad temper, the operation went well, but the operation did not go well, the doctors and nurses on the stage were all miserable, the operation did not go well, it was all because you did not pull the hook well, did not hold the leg well, and did not match the nurse with the table.

"We're here for a critical step!" Su Nanchen said angrily.

"You don't need to change it, just transfer one to the past, we need a nurse enough, it's still early." Yang Ping saw that the atmosphere was a little tense, and he was a little embarrassed to mediate from it, originally there were two nurses on this side.

If it weren't for the last resort, the head nurse wouldn't have come over and make this request to Su Nanchen, when he spoke, his old face was always red, his voice was still very low, and he kept asking for advice.

These nurses are the most familiar with arthroscopic surgery, and if they transfer others, they will be scolded on the stage, but in fact, the one who assigned Professor Ye the best business is already the best, which is better than these two.

"Okay, you can arrange it!" Su Nanchen nodded.

Both sides are not easy to offend, and they are in a dilemma, and when they hear Su Nanchen agree, the head nurse breathes a sigh of relief.

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