The operation still has to go on.

However, the follow-up surgical operation is extraordinarily simple, as if it was programmed.

Therefore, there is no need for Fang Xian to take more hands.

Huang Bohang and Chen Fangjun completed a standard intramedullary nail internal fixation after three strokes and five divisions, and after the suturing was completed, the previous fracture reduction was still the same when the fluoroscopy was seen again.

This is a very high-quality operation, and no one will dare to gossip about it, even if it is put anywhere.

But even so, Huang Bohang and others still felt regretful, and Huang Bohang sighed: "It's a pity." ”

If this patient does not have internal fixation, it will not be conventional, and it will be more shocking. But even before the formal internal fixation, no one dared to say that they would go straight to the conversation and not do internal fixation.

Because the preoperative fracture classification is expressly forbidden by the medical association, the indications for surgery, and the absolute contraindication to manual reduction, you should not think about manual reduction for such fracture classification.

However, in fact, from a professional point of view, such a reduction situation can actually be fixed with a plaster cast, and the fixation effect can be achieved.

Fang Xian smiled and asked, "Director Huang, even if the operation is over, the next one is muscle reconstruction, Director Huang should you give it a try?" ”

Muscle reconstruction, to a certain extent, is the domain of orthopedic subspecialty hand surgery.

However, although trauma surgery and hand surgery are separated within the Department of Orthopedics, they are not separated in the scope of the medical association, and they are not so detailed.

Huang Bohang hurriedly shook his head: "Doctor Fang, you have to come for such an operation." ”

"I'm afraid that the rebuilding won't work so well then." Huang Bohang didn't dare to make a mistake.

"It's not so good, it's not so good, what are you afraid of, just do it." Fang Xian joked like this.

In fact, it is also a hint that we are not laymen, and Fang Ziye knows what level Huang Bohang's basic skills are. Grade 3 suture may not be able to meet the hand surgery standards of the staff of the Shonan University Hospital.

However, it is more than enough to benchmark the standards of hand surgery staff in prefecture-level city hospitals.

In trauma surgery, during emergency debridement and suturing, there will also be corresponding muscle and tendon sutures, and Huang Bohang can definitely take it down.

Chen Fangjun, Du Lixiao and others were disinfecting and laying towels, Zhou Xiyin was assisting, Ning Han was on duty in the department, and only Fang Xian and Huang Bohang were sitting under the timing panel in the operating room.

Fang Xian said in a low voice: "Director Huang, even if you go to a prefecture-level city hospital as a director, there is a difference between high and low levels, if you just meet the basic line and go in, and you are proficient in some surgical procedures, it is a completely different treatment." ”

"What do you think?"

Huang Bohang was thoughtful, and his old face was also red.

This kind of thought was seen by Fang Xian, in fact, it was not a shame, but it was just that he was old after all.

"Then I'll try, Doctor Fang, will you give more guidance then?"

"Oh, by the way, Doctor Fang, how is Zhou Xiyin's basic skills?" Huang Bohang suddenly asked improvisedly.

Hearing this, Fang Xian looked at Zhou Xiyin, who was busy and happy, and said, "Doctor Zhou, her basic skills are very good. ”

Zhou Xiyin's basic skills are no problem to beat the director of a general prefecture-level city hospital. As long as there is a level 5 skill, most people can hang and fight.

Zhou Xiyin's technique reduction technique actually had a height of level 5, which Fang Xian had never expected before.

Also, if he had known it a long time ago, Fang Xian would not have gone to great lengths to participate in the graduate skills competition in Central China for Zhou Xiyin.

At this moment, Fang Xian's phone rang suddenly.

Fang Xian took it and saw that it was his teacher, Lin Hui called.

"Is the message you sent me true or false? You don't have to deceive people, it's not easy to deceive people about such things. As soon as Fang Xian connected, on the other end of the phone, Lin Hui's tone changed, and he was in a hurry.

"Master, I'm not sure either. That's why I wanted to ask you. Fang Xian replied.

Lin Hui was interrupted for about a minute before asking, "Have you actually operated it?" ”

"I did it once today, and it's a little different from before." Fang Xian thought for a moment before answering more objectively.

"You start two things at once."

"The first thing to do is to write a clinical research plan."

"The second thing is to report to the Hunan Provincial Medical Association and let them know about it."

"Others, wait for notice." Lin Hui once again admonished Fang Xian in a short tone.

"Yes, Master."

"I don't need to go back to Shashi?" Fang Xian asked back.

"What are you doing back? Do your own thing first and raise the title as soon as possible, which is the right thing to do. ”

"Otherwise, no matter how much you will need, it will be useless if you can't use it."

……

When Fang Xian answered the phone, Huang Bohang could only hear half of Fang Xian.

"Teacher Fang, is it Director Lin calling?" Huang Bohang knew that Fang Xian's teacher was Lin Hui, and Lin Hui was still good friends with Qiu Chengyuan, the former director of Zhangshi People's Hospital.

"Well, my master called me and asked me for something." Fang Xian did not tell Huang Bohang what happened to him.

This is not necessary, no matter what level of his current fracture manual reduction surgery is, it has nothing to do with Huang Bohang.

“……”

The operation is still the main operation of Fang Xianlai, but the person who is the main surgeon on the surface is still Director Huang Bohang.

Muscle suture reconstruction is a type of surgery that requires frequent anatomical reconstruction after the muscles of key parts have atrophied and contractures, which is essential for patients to regain their corresponding functions, and is actually an integral part of the reconstruction concept.

And such an operation, under Fang Xian's level 5 tendon suture, is not the slightest difficulty.

However, after this operation, Fang Xian once again knew that there was such a big difference between level 5 skills and level 5 skills, whether it was in operation, cognition, or even effect.

Fang Xian didn't know if it was a perfect level skill, but he definitely knew that this kind of ability could at least be compared to the world's top operating techniques.

Level 5 skills, although rare, but in every country, there are dozens, more than forty or fifty, less than twenty or thirty, there will always be.

But if you have a level 6 skill, there are not many people in the whole world who are recognized by the medical association, and it represents the absolute pinnacle and the perfection of the present world.

The gold content can be described as invincible.

……

After today's operation, Zhou Xiyin was outside the hospital for the first time, waiting for Fang Xian.

Because, Zhou Xiyin's proficiency in her own manual reduction technique is not ordinary, and her cognitive level is not ordinary, so she can probably see that the manual reduction technique that Fang Xian operated today is beyond her own level and cognition.

And, Zhou Xiyin, as Zhou Cheng's daughter, although she is not her biological daughter, Zhou Xiyin also knows that her father said before that in the next few decades, if there are no accidents.

It is impossible for anyone to make any more achievements in fracture manual reduction.

At that time, Zhou Xiyin still remembered that his mother still asked, "How dare you be so confident?" ”

"That's how confident I'm that."

But I never expected that less than ten years later, Zhou Xiyin saw that the highest level of manual reduction of fractures may be about to be redefined!

"Shein, what are you doing here?" When Fang Xian walked in the direction of the dormitory, he found Zhou Xiyin, who had left the operating room early, waiting at the entrance of the hospital, so he asked.

Zhou Xiyin immediately walked parallel with Fang Xian, tilting his head slightly: "Senior brother, the manual reduction technique you operated today is abnormal, right?" ”

"Why isn't it normal?" Fang Xian glanced at Zhou Xiyin, his expression unchanged.

"Beyond the ordinary, beyond the cognition of ordinary people, it is called abnormal."

"Today's fracture can definitely be fixed without internal fixation. It's just the definition of the medical association, which restricts Senior Brother Fang's play. ”

"Or in other words, Professor Zhou's definition of fracture manual reduction restricts your play, Senior Brother Fang, right?" Zhou Xiyin is an understanding person.

As a trauma center, remembering the indications and contraindications for surgery is the most basic basic skill.

Remembering the corresponding indications and contraindications is something that every physician who aspires to a career in trauma surgery must do.

Manual reduction is the first skill defined by his father, Professor Zhou.

It is also a skill that has been used for nearly twenty years and has never been shaken, but now, there are restrictions and it has become a point to suppress other people's skills.

This is equivalent to Professor Zhou's hometown being copied.

Zhou Xiyin accepted it for a while?

In Zhou Xiyin's eyes, the more sensible he is, the more he will find that his father, Professor Zhou, seems to be a "god".

"That can't be said either, maybe our knowledge is limited?" Fang Xian was a little modest.

"However, the criterion for broadening the indications of manual reduction is that the fracture can be displaced, aligned, the deviation disappears, the broken end is fixed, and the standard of fixation can be achieved by evaluating the external fixation of the cast."

"Manual reduction is the preferred method for fracture treatment, as long as manual reduction can achieve reduction and fixation, it can be operated in clinical practice!"

"It's impossible to cheat this."

"The principles of orthopedic treatment have been formulated for so many years and have been used." Zhou Xiyin is naturally not a little girl who is easy to fool, even if it involves a theory that may overturn her father, she still insists on asking.

"Possibly, right? Shein, do you want to sue Professor Zhou? Fang Xian made a joke.

To be honest, as long as you are a medical student, there are people who want to be like Professor Zhou Cheng.

The more ambitious one is to take him down.

But if you want a big professor like Professor Zhou Cheng to lie down, even if it is only one of the points, then you have to come up with evidence.

It's like, if you, an ordinary undergraduate, want to correct the articles published by the academician team as wrong, then you have to come up with sufficient evidence, otherwise you will be incompetent and barking.

Without absolute evidence, it is impossible for Fang Xian to shout.

Because such a clamor will only make you look like a clown.

But Fang Xian knew how he could get the evidence, so he had to do it step by step, and this kind of process, Fang Xian also followed Professor Xu Fengnian to redefine the pinnacle of mature skills.

It's a beautiful process!

Zhou Xiyin shook his head, and there was a different kind of light in his eyes: "I won't sue, but I will tell you." ”

"Senior Brother Fang, you are too powerful!"

Although the complaint and the notice are only one word apart, they are very different.

"Then do you think Professor Zhou will be angry?" Fang Xian asked again.

Now I am just a small person. In this way, to overturn the highest standard of skills set by a professor who has been placed for many years, if Fang Xian is a big person, he may have a little bit of turmoil in his heart.

"Definitely not."

"My father will be happy, brother." Zhou Xiyin shook his head.

"Because my father dreamed that someone would surpass him."

"Huh?" Fang Xian turned his head in confusion.

"Why?"

Zhou Xiyin shook his head.

"I don't know."

"But one thing I know is that if there is any new technology in this world, as long as my father is willing to learn it, then he can do it better than others, and I don't know why."

Fang Xian was shocked all of a sudden.

This Nima!

As long as new technology appears, as long as Professor Zhou is willing to learn, he can do better than others, what kind of talent is this? It's a demon, isn't it?

Fang Xian was really incomprehensible.

Could it be that Professor Zhou can also learn this thing that he added?

The two walked and chatted, and then went back to their dormitories.

……

Fang Xian was in the dormitory, and after sending an email to the official website of the Hunan Provincial Medical Association, he was still hesitant to write the subject bid.

His uncle called him.

"Idle boy? I heard that you killed Lao Zhou? Fang Yun's tone seemed to alternate with Yang Yifeng for a moment, and he was extremely excited.

"Uncle Yun, why do you ask that? I didn't. Fang Xian didn't dare to admit it.

Killing Professor Zhou is too cruel. It's so oozing.

"Lin Hui called me to tell me."

"If that's the case, that's great! I'm looking forward to seeing Professor Zhou. Fang Yun's words seemed to hide some surprise.

"Uncle Yun, where are you now?"

"Oh, I'm in a clinic. You stay honest, build up your resume, and get a few standard surgeries done early. ”

"Otherwise, you're too young and don't have enough qualifications." Fang Yun confessed like this.

"Don't talk about it, I'm going to make a call to greet you, Senior Brother Zhou." Fang Yun said this with high emotions.

Then he took the initiative to hang up the phone.

Fang Xian, on the other hand, looked at the page of the phone, thoughtfully.

No, Professor Yang Yifeng is bent on overthrowing Professor Zhou, that is Professor Yang's personality, why is his Uncle Yun like a different person in an instant, does he want to say that he also wants to?

Fang Xian couldn't figure it out.

If you don't understand something, don't think about it first, anyway, Fang Xian knows that his current technique reset technique is already an old awesome, but it will take time to prove what it will become.

Perhaps, only you can prove it.

And the place of this proof may be a county people's hospital like Cixian, because there are many fracture patients here, and there are just a lot of clinical materials.

(End of chapter)