Chapter 0359 - First Shot
In the fourth round, the pelvic acetabular fracture was operated on, and no one was on the stage for several days.
Many doctors asked the organizing committee to change the way of the competition, and all surgeries were broadcast live, and similar surgeries were completed at the same time at the specified time, and the scoring was also based on the current score, which was more exciting and had a strong contrast.
It may not be realistic to concentrate the surgery in one time period, and the judges also focus on this time period.
The contestants and judges are all doctors, and they are very busy, so it is difficult to concentrate all of them on the scheduled time slot.
A small number of judges took the time to watch the video playback at night and complete the scoring, and each of these scores was given after repeated consideration.
Unlike sports competitions, which are simple and clear, with clear winners and losers, an operation is broken down into dozens of steps, some hundreds of steps, and there are many aspects around the operation.
Even if the final is broadcast live on the same stage, the scoring is required to be completed within 24 hours by the judges, and there is no requirement for the current scoring.
Therefore, due to the particularity of surgery, it is difficult to cut all the doors in one fell swoop, and live broadcast is used for instant scoring.
You can only watch the live broadcast if you are willing to watch the live broadcast, and if you don't have time to watch it, you can also watch the video playback.
Some people have suggested that the video has a first and a last, and in the case of a comparable technical level, the first to do it will suffer, and the last to do it will have an advantage, which can avoid making the previous mistakes.
It makes sense, but each operation has personalized characteristics, not to mention the public surgical scoring rules, which lack detailed details, and the detailed rules are in the hands of the judges.
Only when all participating doctors have completed such surgeries will the details and reasons for the deduction will be announced.
Before that, you know that the previous surgery was deducted, and you don't know where the deduction is.
For example, for some patients, the evaluation must consider the appearance of the need, and the details only have the content of suture selection.
Until the breakdown and reasons for the deduction are not made public, it will be difficult for others to learn from the operation.
For pelvic acetabular surgery, everyone maintains a cautious attitude, no one preemptively operates, they are waiting for others to do it first, and let others go to the thunder, as if this is the only way to be down-to-earth and have a sense of security.
In the demonstration classroom of Sanbo Comprehensive Orthopedics, a hand-drawn pelvic anatomy atlas is frozen on a high-definition screen.
Immediately, switch to the drawing of the right acetabular fracture.
This patient had a severe acetabular fracture, Judet-Letournel classification: bicolumn fracture, AO classification: C23.
The patient's imaging pictures: anteroposterior pelvic position, right hip anteroposterior position, iliac oblique view, obturator oblique view, four plain X-ray films, CT scan of pelvis and acetabulum + 3D reconstruction pictures, all listed.
On the X-ray, six radiological markers: the margin of the posterior acetabular wall, the margin of the anterior acetabular wall, the acetabular roof, teardrops, iliac ischial line, and iliac pubic line, are all specially color-marked.
All the case information is well organized, every detail is thoughtful, and Song Zimo explained on the stage.
Yang Ping took everyone to listen to the audience, in the comprehensive orthopedics department, the trainees now have to learn drawing, and drawing has become a basic skill, which is to cultivate the ability of image thinking.
The steps of the operation are all expressed by hand-drawn drawings and annotations, several large steps, dozens of small steps, which do not fall into the details, can grasp the operation from the whole, and can pursue the details, and strive for the perfection of the operation, showing the team's deep and detailed understanding of the operation.
"No one has started yet, everyone is waiting, should we wait too?" Although Takahashi did not come to power, he had long regarded himself as a member of the team.
After such a big event, he learned a lot from Yang Ping, from preoperative diagnosis, selection of surgical indications, preoperative preparation, surgical planning, postoperative rehabilitation, and completely learned the entire diagnosis and treatment process.
"I don't think there's a need to wait, in the southern division, pelvic acetabular fracture surgery, we'll do the first one." Song Zimo felt that there was little point in waiting any longer, and it was a waste of time.
"There are no loopholes in the surgical plan, and it is recommended to open the stage." Xu Zhiliang agreed with Song Zimo's opinion.
"Everyone has no opinion on the surgery plan, so the stage will open at half past eight tomorrow morning." Yang Ping made a decision.
In fact, Yang Ping's thinking about surgery has far exceeded the requirements of the competition, and he passed on this thinking attitude and way to Song Zimo.
Therefore, Song Zimo's understanding of this operation has exceeded the scoring outline.
If the intraoperative operation can follow through the plan, it is another perfect operation.
Song Zimo stood on the podium, habitually unbuttoning his white coat, and the second person in the team calmly and confidently turned off the screen, and the operation will start tomorrow.
——
The preview of the website shows that the operation of Sanbo Hospital will start soon.
Not only in the southern division, but also in the national division, everyone stood still and waited for the first stage to open.
It was actually the first Sanbo Hospital to open, or a helper, and some people even wondered if Yang Ping's level was not good, but Sanbo's mascot had to rely on Song Zimo's escort to finish the regional competition.
If it weren't for the game, Professor Hong would have pulled them out alone to cope with the game, and they usually had time to rest.
Wen Rentao, Mu Jun, and Zeng Ran gathered in the classroom to watch the video.
Wen Rentao is also waiting for the first shot, if no one shoots again, he will fire the first shot.
"They were the first to perform this operation, and they had the courage." is also the chief surgeon of the competition, deputy chief physician Mu Jun said, the tone is playful.
"Or is it the main sword of Ichisuke, is this the rhythm that allows Ichisuke to finish the regional match?" Mu Jun said with a smile.
"The car is driving a little fast, I'm afraid it's going to overturn this time?" Mu Jun said three sentences in a row.
Wen Rentao looked very calm: "No, Sanbo, who is good at trauma orthopedics, has excellent basic skills in this one-assist operation, and it is unlikely that he will overturn on a pelvic acetabular fracture." ”
The more people don't care about Sanbo, the more they want to see it, which is the effect of curiosity.
At this time, the general strategy is that the main team's surgery will be postponed, and the team responsible for the assist will explore the way ahead of the operation, which can avoid the main team from making mistakes.
"How can there be an assistant rushing to the end, this chief knife is afraid that he is a special person, and people are carried into the Golden Knife Award to find a sense of existence?" Mu Jun snorted.
There are such people in every industry and industry, the level is not good, and they want to enjoy it, and they want to get a high name, what should I do? Take loopholes, take shortcuts, and let people carry in.
"The rules of the Golden Knife Award, the regional competition allows one assistant to complete all the surgery, and the regional competition is only a basic operation, which does not affect the evaluation of the level of the main surgeon, and I will talk about it after reading it." Wen Rentao was a little impatient with Mu Jun.
The surgery begins, and this level can shut everyone up.
Pelvic acetabular surgery, you can still see something.
With the help of Yang Ping, Song Zimo's ability to control the operation has far exceeded before.
An excellent surgeon must be able to control the operation, which is the embodiment of the invisible comprehensive ability.
Let the surgery go your way, not be led by the nose.
The driver needs to be in control of his car, the boss needs to be in control of his business, the chef needs to be in control of the heat and ingredients, and the basketball player needs to be in control of the game.
The rhythm of the operation is completely under the control of the surgeon, incision, hemostasis, and incision.
The proficiency of the partial dissection of the pelvis makes it impossible to believe that this is a young attending under thirty years of age.
"The operation is jammed and a waste of time." Mu Jun watched the operation gradually slow down.
"The anastomosis of the external iliac vessels and obturator vessels are most likely to mutate here, slow down and slow down, and then accelerate forward after the anatomy is clear." Wen Rentao's opinion is different.
This pelvic acetabular fracture surgery alone is indeed the top level in the country.
There may be active deceleration in several mutated blood vessels or nerves, and this surgical rhythm has surpassed many people.
I'm afraid that in the Sixth Hospital of the Demon Capital, there are not a few doctors who have this kind of surgical awareness.
This kind of operation, just like driving, when you reach a dangerous road section, such as an intersection, a human-shaped crossing, or a turn, habitually slow down, move your foot from the accelerator to the brake in case of an accident, be ready to brake at any time, cross the intersection, confirm that you are out of danger, and then refuel and leave quickly.
This is Yang Ping's experience for Song Zimo, pelvic acetabular fracture surgery, give Song Zimo a few deceleration points, so as to avoid risks, so as not to cause trouble and waste time.
But most people don't understand the meaning of this kind of operation, just like people who don't understand the rhythm of music listen to music and feel completely restless.
"Isn't it the position of the Death Crown, slow down?" Mu Jun did not understand.
"The probability of pelvic surgery encountering mutated blood vessels and nerves is not high, but once it does, it is the patient's life that is turned over if the knife is not braked." Wen Rentao had no choice but to explain.
Song Zimo's several deceleration points Wen Rentao saw three, but there were still a few that he didn't understand.
Doctors can't leave anything to chance, it's 1 in 10,000 in the hands of doctors, and it's 100 percent for patients.
A mutated anastomosis is picked out with a vascular forceps, clamped, sheared, ligated, and then accelerated.
Wen Rentao couldn't help but gasp, the low-probability event really appeared, if there was no slowdown during the operation, the knife would be slashed, not to mention the danger of life, at least thousands of milliliters of blood would be added.
This Song Zimo, if he can receive the same training and complete the same number of surgeries as himself in the sixth of the Devil, I am afraid that he will really become his opponent, but unfortunately, he went to Sanbo Hospital.
The platform of Sanbo Hospital, with a history of more than ten years, cannot give birth to a Golden Knife Award champion in any case.
There is very little bleeding during the operation, it is clean, and even the position and strength of a few hooks are very appropriate.
There was not a single slippage of the acetabular pull hook, and not once did the main knife need to be adjusted because the surgical field was not well exposed.
The anesthetic muscles are fully relaxed, and the surgical field is easily exposed.
Takahashi is really powerful, and he actually helped Sanbo cultivate such a level.
"The hidden mentor behind them is Fumiya Takahashi!" Wen Rentao said, and Mu Jun next to him was puzzled.
Mu Jun's heart trembled, Fumiya Takahashi, an international master of trauma surgery, was a young man with ambition and was world-famous in his early forties. Takahashi has a strict style, and when he was studying in Tokyo, he scolded him several times, and he scolded him so much that he was scolding.
"No wonder, there is Takahashi-sensei behind the scenes." Mu Jun finally understood the reason for not overturning.
It is not an exaggeration for them to call Takahashi Fumiya as a teacher, Wen Rentao and Mu Jun have both been trained by Takahashi in Tokyo, and they are still apprehensive about Takahashi's harshness.
"I called and asked, Takahashi is not in Tokyo, he came to China, as for where to go to China and what to do, the doctors in their department don't know, or out of secrecy, I think, he should be at Sanbo Hospital." Wen Rentao felt that his judgment would not be wrong.
With the training of Mr. Takahashi, the strength of Sanbo Trauma Orthopedics is definitely not weak, Mu Jun is a little scared in his heart, not afraid of Sanbo, afraid of Takahashi.
"Mr. Takahashi can improve their trauma orthopedic level at most, and they can't improve much in the short term." Mu Jun comforted himself.
"Pelvic acetabular fracture surgery, you'll be lined up tomorrow, is there any pressure?" Wen Rentao asked.
This is a bit of cannon fodder, with Wen Rentao here, Mu Jun has no idea of winning the Golden Knife Award, so he can only be cannon fodder
That is, the Mu Jun team is an assist, which is Hong Zhigang's arrangement.
Song Zimo's surgery has been completed, if he is transposed as a judge, where will the points be deducted from this operation?
He thought of what you thought of, and he thought of what you didn't think of.
Their trauma orthopedic level is really good, Wen Rentao has always thought so.
Zeng Ran didn't know why, he didn't speak, maybe psychologically.