The cervical vertebrae are jointed joints, which is something that most people with medical knowledge can know.

However, the joint connection between the cervical vertebrae is not a free joint connection! If a non-freely movable joint wants to move, it must be staggered or bounced.

This click.

Let Fang Xian be a little weak-hearted, don't just send Professor Xu Fengnian away this time?

Fang Xian covered his hands with nothing, for fear that Xu Fengnian would fall.

But Xu Fengnian really didn't have anything to do, but said, "What did you just say?" ”

There was a fiery look in his eyes.

He grabbed Fang Xian's shoulder, very hard.

Fang Xianyan scratched his forehead when he heard this: "Professor Xu, there's no need to make it clear at this time, right?" ”

"It's still early, there are still surgeries to be done, and it's going to be a long time ahead."

You Xu Cannon, what are you anxious about?

When Xu Fengnian heard this, he clenched his fists and hit Fang Xian for a moment: "Who did you learn?" Relying on the old to sell the old, right? ”

This action is like that of a shy little girl.

Because Professor Xu Fengnian knows the origin of some things, that is, some rhetoric is actually a kind of placebo, which is used to quench the thirst of Wangmei as a stabilizer in the army......

The charm of medicine lies in the specialty, which is not wrong, but on another level, he is right.

Before a new subspecialty is formed, it is necessary to discover new diseases and form a standardized understanding and understanding of the diseases before the subspecialty can be formed.

Before the establishment of subspecialties, it was discovered by the relevant specialties and carried out informal treatment incidentally.

Formal treatment modalities have been developed.

It's sorted out.

Professor Xu Fengnian is one such group of professors who developed the treatment of damage injuries.

However, the treatment model developed by Professor Xu Fengnian can only be said to be treatable, but it is not standardized and process-oriented.

In the early stage, Professor Xu Fengnian found that Fang Xian could be downgraded to deal with it, which was actually a preliminary process for the formation of skills and related surgical methods related to damage treatment.

The concept that damage can be treated was first developed, and there is also a group of people doing such things.

Only then can a standardized treatment process be formed.

But this is still just a process, even if it is the "youth version" and "official version" treatment process developed by Fang Xian before, it is still not concise enough, not condensed enough, and not concise enough.

It is not possible to form the corresponding surgical method, corresponding surgical method and solution.

Just like a fracture, a fracture can be treated, it is a concept that someone has done something like this first, and then someone has to discuss how to treat the fracture, conservative treatment, surgical treatment.

After the surgical treatment was standardized, there were many modes such as plate screw internal fixation for fractures, and then intramedullary nail internal fixation.

But if you want to start this step from fracture treatment, jump directly to fracture incisional reduction plate screw internal fixation, which is the standard corresponding surgery?

"Let's talk slowly." Fang Xian said.

"Professor Xu, are you alright?" The professor of vascular surgery is also so reassured.

At present, the three key factors in the treatment of damage are trauma surgery, vascular surgery and general surgeons, and jointly standardize the treatment process.

"It's okay, I'm fine." Xu Fengnian shook his head, but the direction in which his eyes were looking was still where Fang Xian was.

Fang Xian looked at it, and after he realized something today, in the corner of his transparent panel, the skills such as 'Destruction and Damage Suture' and 'Destruction and Injury Incision' that had just appeared at the beginning of the beginning, and the corners of his mouth smiled.

Specialist skills, you can also set a small goal first.

For example, I have developed a few basic skills that I didn't have before.

……

When the surgery officially began.

Zou Junzi, Jiang Yuhang and Zhou Xiyin all came to the operating room.

There were also two assistants, and when Fang Xian turned his head to look at it at this time, he found that one of the assistants happened to be the tease "Jiang Yang" who had looked for him in the morning.

However, Fang Xian didn't pay attention to it, but glanced at the group of people who appeared in the operating room.

Himself, Zou Junzi, Jiang Yuhang and Zhou Xiyin are all students of this college.

Jiang Yang is a physician at this hospital, but.

In addition, whether it is Professor Xu Fengnian or the vascular surgeon, Professor Leng, who has been new since Professor Zhu Na left, is a person from the outer hospital, and even another assistant other than Jiang Yang is not a doctor in this hospital.

Perhaps, the assistant in the operating room also has a set of operating mechanisms for assistants, such as what level the attending or associate professor has, you can come here as an assistant and participate in various procedures.

Zhou Xiyin and a few others are to increase their knowledge......

Fang Xian also just learned that perhaps some superiors in the operating room of the trauma center knew that what Professor Xu Fengnian was doing now was the establishment of a specialty from scratch.

What Xu Fengnian took Fang Xian to do is the specialized treatment process, which is a complete version of a skill, a non-standard version, if this set of processes is more standard and accurate, it will be set up as a new skill by the Medical Association and listed in the list of medical skills.

This kind of experience is extremely rare, because many of the existing skills have matured by sorting out medical-related skills that have existed for a long time, and they have missed the time period when they first appeared.

It is a retrospective study.

Looking back, there is always prejudice, and maybe you will turn a blind eye to something.

"The three of you don't operate today, Xiaofang, you come. I know you've got something new. Professor Xu Fengnian saw that Fang Xian couldn't say it with his mouth.

But Fang Xian can speak with strength and operation.

Zhou Xiyin and the three of them all looked at Fang Xian, and Jiang Yuhang asked with some regret: "Professor Xu, doesn't Fang Xian need to record data today?" ”

Recording data and being responsible for objectively reviewing and scoring their operations is what Fang Xian has to do on weekdays?

Xu Fengnian looked around for a while: "Today's operation is not scored, everyone looks good and learns hard." ”

"Where are there students grading teachers?"

Hearing Professor Xu Fengnian say this, Professor Leng of the Department of Vascular Surgery said: "Professor Xu is too modest, right? Though? ”

Professor Leng stopped talking.

Big brother, we are also the main knife, the reason why we let the students operate is just to give them the opportunity to learn and train, although Fang Xian can occasionally deal with some wounds, and will handle them better than you.

But you could have done all the surgeries a long time ago, just to be lazy?

Isn't it?

Another level corresponding to intensive training and learning is the rest of the superiors.

"Professor Leng will know after reading it." Xu Fengnian didn't explain much.

But I silently said in my heart, if you don't know after reading it, then you don't need to know, because the truth of some things is too heart-wrenching for you.

Fang Xian did not refuse, but said: "Professor Xu, our current focus is actually to let Zou Junzi, Zhou Xiyin, and Senior Brother Jiang Yuhang standardize the treatment process of the 'downgraded version'. ”

"Looking at my operation, the significance of the progress of our project and the progress of the project is not very great."

Professor Xu, you can't skip the topic. Unless you want to do it all in one go.

However, now a dragon is being investigated very strictly.

Yes, the more you jump or cross the more steps you have, the more rigorously you will be investigated, that is, to avoid any mistakes and eventually irreparable consequences.

Step by step, steady and steady, only seeking steady progress, not radical, is the theme of the current medical association, and it is also a lesson that has been learned.

"You do it first......" Where can Xu Fengnian manage so much.

If you're not bragging, let me pass through it first.

it.

Is there really anyone who can create specialized basic skills after that kind of eventual meeting, after such a big era, and when the medical association has developed for 20 years?

How capable is that?

Vascular suture, nerve suture, tendon suture, these are actually basic skills of specialty, which originated from suture, but are different from suture......

However, even the basic skills of the specialty, in such a big era as that year, were flocked by so many people, and basically the integration and development of all the basic skills of the specialty were cleanly scavenged.

Including Xu Fengnian, he also summarized and sorted out a set of definitions of specialized skills about pelvic fracture skeleton reconstruction, which made him now a master in this area.

Perhaps many people think that he can do damage is good debridement, in fact, he has patience, and he understands the most profound reconstruction surgery.

Fang Xian began to operate.

There is nothing special, it is debridement, and the skill level is not particularly high, it is controlled at the previous bottom line, the level of level 3 debridement.

Level 3 debridement is a level of operation that many medical students can achieve.

However, at this moment, Fang Xian's debridement technique is mixed with a lot of private goods. It was as if it was made for destruction, and for debridement of damage.

However, at this moment, Fang Xian's debridement technique is mixed with a lot of private goods. It was as if it was made for destruction, and for debridement of damage.

That's right.

What makes level 5 skills important is their variation.

Level 6 skills are not as good as level 5 skills in terms of development, because level 6 skills are basically difficult to control the lower limit of their skills, and they can only constantly raise the upper limit of operations!

It is equivalent to sealing all his retreats in one step, and it is impossible to behave too much.

Of course, the change is not only the change between different skill levels and different concepts, but also adds a lot of personal understanding to the original skill level.

Whether it's true or not, it can be added as a temptation, as a research temptation.

What does debridement that is derived only for the purpose of destroying damage look like, if I have to describe it in one word, it should be called screening debridement.

Fang Xian's hand, holding a knife, looked like he was scraping, but it wasn't, it seemed to be cutting, but it wasn't right.

The blade fluctuates with the height of the damaged contents, occasionally using force to pick out the bone fragments, and occasionally using force, and then picking out the damaged tendons and aponeurosis one by one.

This kind of picking, as if it is picking, is also picking, so it is more appropriate to use screening.

After the first pass of preserving some important structures, the second debridement process of Fang Xian is to screen as fresh tissue as possible.

Similar to the meaning of selecting soybeans in the feces, the meat balls that may have blood circulation and blood vessel stumps are selected first, and then immediately after.

Fang Xian began to make a second incision on the remaining flesh that had been necrotic but had relatively large masses, including the incision of blood vessels, as if to re-open the blood.

……

"What do you mean by that?" These operations have never been seen by Professor Xu Fengnian.

Fang Xian raised his head and said, "Professor Xu, the replantation concept of finger replantation and amputated limb replantation taken from hand surgery is not only to suture necrotic tissue or severed tissue. ”

"It's about enabling these organizations to take root. There are not many damaged tissues, so it is necessary to make good use of each piece of healthy and sub-healthy tissues that may be used, and preserve soft tissues. ”

"Pick out the broken bones and blood vessels that can be reused."

"Screening out potentially active meat puree, muscle tissue, etc."

"Remanufacturing is that I think I can make some viable tissues from necrotic tissues and reimplant them into the body. This is where I think we can appropriate the idea of rebuilding from damage. ”

"Maybe that's okay."

Xu Fengnian also had doubts: "There are so many messy organizations, so many people are selected one by one, when should they be selected?" Even if it is selected, how to reinstall it in the right place? ”

When Fang Xian heard this, he lowered his head. It seems that I didn't hear Professor Xu Fengnian's words.

Zou Junzi thought that Fang Xian hadn't heard it, so he repeated: "Senior Brother Fang, what is Professor Xu asking you?" ”

Fang Xian's selection of movements was slightly sluggish.

Then he looked up, looked at Professor Xu Fengnian, and asked, "Professor Xu, can you not say it?" Anyway, it can be rebuilt, and everyone will reorganize their basic anatomy, right? ”

This is a pain point for Fang Xian!

Because of what Fang Xian has done, it is not appropriate to publicize it.

Because no matter what the reason, whether you know that skinning, cramping, and bone bruising of your own teacher will only leave you with ashes, which is a great rebellion in the traditional perception of Chinese people.

Remember, for any reason, you may feel innocent, but you will also wear tinted glasses.

Xu Fengnian frowned slightly, Fang Xian's words were a little yin and yang, did he feel that the anatomical foundation of the others was not enough?

But what Fang Xian believed, Xu Fengnian didn't dare to refute it directly-

"Then let's not talk about ......"

"Then the reconstruction, mainly using sutures?" Xu Fengnian hurriedly moved on to the next question.

"Well, the reconstruction of the skeleton is still up to you, Mr. Xu, including the reconstruction of the tendons and abdominal wall of the abdomen, etc." Fang Xian smiled and nodded at him.

Xu Fengnian did not forget to continue Amway: "Yes, the key operation still depends on me, right?" ”

"Actually, it's very easy, reconstruction, the main point is actually the reconstruction and reconstruction concept cognition, your current foundation is so good, you can learn quickly, if you want, you can quickly get started, and you can complete the whole operation by yourself."

Xu Fengnian still did not forget to pull Fang to enter the junior college, and now he is even more cheerful.

Fang Xian is a talent.

He's a fucking talent.

“……”

After Professor Xu Fengnian built the general skeleton, Professor Leng of the Department of Vascular Surgery also rebuilt the more critical blood vessels.

Looking at the results of the surgery, I didn't find anything too different from before.

Professor Leng said, "It seems to look similar to the previous surgery?" ”

When Xu Fengnian heard this, he was very angry and said, "Professor Leng can usually shine when he does vascular sutures, right?" ”

Professor Leng didn't reply and looked at Xu Fengnian.

The eyes are resentful.

"Almost, it's still bad."

"After this debridement, the loss of soft tissues is smaller, and the skin and places that have been rebuilt from the damage are smoother, if the prognosis is also appropriate."

"Coupled with some tendon starting and ending points outlined by Xiaofang during suturing, if they are properly developed, it may be possible to retain a lot of functions in the future."

"The current damage is mostly just life-saving and ornamental limbs and surface structures, and it can still be used after the damage is really damaged."

"That's too hard!"

"Maybe vascular surgery will be different." Professor Xu Fengnian was not angry, and he did not forget to continue to be angry with Professor Leng.

Professor Leng finally felt the power of the three words Xu Cannon.

What did you say, didn't you mean that it looked similar?

If you don't blow the prescription, you will be sprayed if the surgery is good, you are the leader of the discipline, you are a professor at West China Hospital, you?

It's remarkable.

Professor Leng admits that he does not know much about the types of trauma surgery, so he does not understand the significance of this matter.

But Professor Xu Fengnian, as a discipline leader, naturally knows the significance of this matter.

Most of the patients who are injured end up in death.

A small number of patients can survive, and no matter how lucky they are, even the ornamental limbs can be saved. That's not bad.

If you can restore some of your limb functions, it may really look different.

After all, everyone's brain structure is similar, but everyone's brain is more flexible, and it is not just by looking at it.

However, what Professor Leng actually wants to convey is not what it seems.

After turning his head to see that Professor Xu Fengnian didn't mean to continue firing, he asked Fang Xian: "Does Dr. Fang also understand some implantation and planting concepts in vascular surgery?" ”

"A little bit of understanding, Professor Leng."

"After all, the theoretical part is also a part of what our students must learn." Fang Xian nodded.

"With a little understanding, you can integrate it into debridement and suture surgery, and Dr. Fang is really powerful." Professor Leng has an expression that you have deceived others, but you have not deceived me.

Fang Xian looked at Professor Leng and blinked.

Hearing Professor Leng say this, Xu Fengnian immediately raised his head and asked, "What does Professor Leng's words mean?" ”

"In Xiaofang's operation just now, there is also the content of vascular surgery?"

Professor Leng's eyes narrowed: "Our vascular surgery affairs, trauma surgery is really wide?" ”

Professor Leng turned his head from side to side, quite arrogant.

The words "revenge not overnight" are vividly interpreted.

Professor Xu Fengnian's eyes and expression were extremely ugly, which made people laugh.

After Professor Leng had enough, he said, "Professor Xu doesn't ask?" It's not a good habit for students to stop asking once they ask. ”

"! ~”

"Lao Tzu didn't call you."

"I have a small party!" After Xu Dacang's true colors appeared.

"Xiao Fang?" Xu Fengnian's tone changed, and his face was pleasant......

(End of chapter)