Chapter 342: Trochleotomy!
The operating room of Tianhua Emergency Surgery has always maintained a depressing atmosphere.
The expressions of each medical staff member were serious.
Death occurs all the time, making them feel like they are enemies, and it is really a place where people cannot feel happy.
However, it is such a group of people who fight against death, treat the disease with a rigorous attitude, and strive for a glimmer of life for the patient.
In operating room 2, a "no man's land" operation is being performed.
The team in charge of the operation is the treatment group 4, and the chief surgeon is Wang Nong, the senior attending doctor of the 4 groups.
Wang Nong and Deng Yunlun entered Tianhua at about the same time, and the relationship between the two is good.
But with Deng Yunlun's promotion to deputy chief physician and the leader of the three treatment groups, his relationship with Deng Yunlun became distant.
Everyone has a sense of victory.
Wang Nong felt that his level was no worse than anyone of the same age, and Deng Yunlun walked in front of him, and he was also breathless.
A few months ago, emergency surgery began training everyone in no-man's land surgery.
Wang Nong spent a lot of effort on this.
In addition to work, he practiced the basic skills of the soup method, so that his newly married wife thought that there was someone outside Wang Nong, so she specially found the hospital to verify.
Hard work pays off.
Wang Nong's experience and hard work make him obviously surpass others in the study of soup methods.
During this time, he has made more than ten soup methods and has cultivated self-confidence.
In front of the patient, three fingers of his right hand were severed, and when he was sent to the hospital, only two fingers were brought with him, and the rest was said to have been taken away by a stray dog.
Wang Nong needs to perform a soup method on two of his fingers.
Although it was not too difficult for him, his expression was very nervous.
Because this is an observation operation, through a glass window, there is a group of colleagues, holding pens and notebooks, and they are recording the details of the operation in detail, and the slightest mistake may be magnified.
Zhao Yuan stood by Deng Yunlun's side, his eyes locked on the operating table, carefully observing Wang Nong's every operation, and recording some experiences at any time.
Wang Nong's surgery was completed quickly, and when he finished the operation, Xie Changtian organized a seminar.
Everyone's evaluation of Wang Nong's surgery sounds a bit harsh, but it is a way to help doctors improve their skills.
If a doctor wants to do a perfect job of the surgery he has just mastered, he must crush and chew all the details!
This is the consistent model of Tianhua Emergency Surgery.
Xie Changtian, Tong Zheng and other treatment team leaders commented first, and after the deputy director and director finished speaking, Xie Changtian put the microphone in front of Zhao Yuan and hinted that he would say a few words.
Zhao Yuan did not refuse, took out his notebook, and explained the details of the record one by one.
Among them, he focused on the treatment of "pulleys".
The finger trochlear joint, also known as the flexion joint, has a trochlear head in one bone and a corresponding joint socket in the other bone, and can usually only flex and extend around the coronal axis.
"Dr. Wang's basic skills are very solid, all the operations are very professional, the only slight deficiency is that he is a little conservative in the handling of the trochlea."
Wang Nong knew Zhao Yuan's level, although he was not very old, he was the best hand surgeon in emergency surgery and even Tianhua.
The training materials and surgical plans are based on the ideas provided by Zhao Yuan.
It is no exaggeration to say that Zhao Yuan was the initiator of emergency hand surgery.
Wang Nong's personality is relatively arrogant, if he were to be judged by other people with little qualifications, he would have lost his face a long time ago.
He was unusually humble at the moment.
"Please also ask Dr. Zhao to correct me."
Zhao Yuan nodded and handed the notebook to Wang Nong, "This patient is going to have a trochleotomy, which can effectively reduce the occurrence of station connections." Of course, although the trochlear incision was not done, the operation was still complete. ”
When Wang Nong heard this, his eyes suddenly brightened.
The A2 trochlear attaches to the phalanges and is a key part of the control of hand movements.
Because adhesions are several times more likely to occur than other parts, it is often a failure in hand function repair and is the biggest problem that plagues hand surgeons around the world.
Hand surgery authorities from all over the world have tried to solve the problem with various new methods, but there has been no success for decades, and all textbooks and hand surgery authorities believe that the trochlear cannot be incised, and that the incision will break the ring structure and affect the tendon function.
However, the "two-thirds of the trochlea" proposed by trochleotomy subverts inertial thinking.
This procedure not only has no effect on the mobility of the tendon, but also provides more room for repair and can effectively reduce the occurrence of adhesions.
Let's put it simply.
Zhao Yuan's detailed suggestions can better improve the recovery of postoperative patients.
Later, Zhao Yuan took out some other views to share with everyone.
For example, when cutting it, when choosing the angle, Wang Nong's choice of angle is slightly adjusted by five degrees, which will be more conducive to separation.
This is followed by sutures......
Through Wang Nong's operation, Zhao Yuan diverged his thinking and told the amount of information about at least five operations.
Everyone paid full attention and recorded all the main points that Zhao Yuan said.
At the end of the discussion, several doctors were still discussing what Zhao Yuan had just said.
"No matter how you look at Dr. Zhao, it looks like he's had a lot of hand surgery."
"You know what? There is a difference between man and man! Some people can bypass and draw inferences. After a few surgeries, you can get an experience that is different from ordinary people. Dr. Zhao is such a genius. ”
"Tsk, it's good to have this kind of god around, and the content is easy to understand. Go out for further study, how can those well-known experts be so polite as he is to pick out the details for you! ”
Zhao Yuan returned to the office and received a call from his father, Zhao Kuangshu.
"When did you go back to Baiyun?"
Zhao Yuan said: "I just arrived yesterday!" ”
Zhao Kuangshu said "um", and there was no sound on the phone.
Zhao Yuan knew Zhao Kuangshu's character, his appearance was very strict, but his heart was actually very soft.
"Dad, I'm fine, everything is fine, and I have made a third-class meritorious service."
Zhao Kuangshu didn't know that the third-class merit was not so good, especially this kind of rescue and disaster relief, which was fought with his life, and he couldn't be happy at all this time.
"Good boys, at ease! In fact, I have always had an idea with your mother to let you go back to your hometown after graduation. However, since you have your own business outside, I can't stop you. It's just hard to get out there, and I can't help you with anything. I hope you can call home to report your safety, or vent your frustration and stress at work. ”
In Zhao Yuan's impression, Lao Zhao is rarely so emotional.
Father's love is like a mountain, but the love is deeper and hidden.
Zhao Yuan had a sour nose and said with a smile, "No matter how busy I am in the future, I will insist on calling you several times a week." ”
A smile appeared on the corner of Zhao Kuangshu's mouth, and he said softly: "Is the money enough?" Your dad has a little money in his hand. ”
Zhao Yuan couldn't help but laugh, "Dad, I'm not short of money!" I've saved a lot of money from you, and I'll pay you back some of it later. ”
Zhao Kuangshu said angrily: "What's the problem with your Lao Tzu's money?" ”
Zhao Yuan insisted, "I'm so old, and I'm still gnawing at the old when I pass it out, how faceless!" ”