Deng Yong then walked to the sterile surgical gown, picked up the clothes, and asked the surgical nurse to help tie the collar and strap, and said very cautiously and seriously: "Professors, directors, there are two second-level surgeries in front of the six surgeries today. ”

"This is a decision made after careful discussion within our department, and in order to avoid wasting the professors' time, if Fang Ziye can't even complete the second-level surgery skillfully, or if the completion is not smooth enough, there is no need to disturb your time."

"Surgical authorization needs to be gradual and we have been strictly following it within the Department of Trauma Surgery, and if it weren't for the fact that this time was really special, we wouldn't have invited the directors and professors to ...... in their busy schedules."

After Fang Ziye read the film carefully, he turned his head and saw that Master Deng Yong had already put on a sterile surgical gown, and he was very sure of the current diagnosis of this surgical patient: lower fibula fracture comminuted fracture type B2.2.

The diagnosis of fracture is simple and there are no other occult injuries.

He exhaled slowly and walked to the side: "Professor Deng, itinerant teacher, anesthesiology teacher, let's record the time together, at 08:32:45 in the morning, the operation officially started!" ”

"At present, surgery is planned, closed reduction of fibular fracture with K-wire internal fixation, and preparation of fibular fracture with open reduction and K-wire internal fixation."

"Well, let's get started! You are in control of the procedure. Deng Yong heard Fang Ziye speak, stopped greeting people, and began to approach the operating table.

The preoperative surgery application form was specially prepared by Fang Ziye for his subordinates. This is also one of the assessments.

If a surgeon wants to do surgery, he can't just do surgery and not even know what kind of surgery he wants to do, or even whether he wants to do surgery or not!

The assessment of surgical authority is not only about the operation of surgery, but also about the theory of surgery.

The theoretical level is mostly reflected in the perioperative period.

Today's surgery patients were selected by Deng Yong, and the first two were not very difficult, and they were relatively simple level II surgeries, one was to warm up Fang Ziye's practice and gradually enter the state.

The second is to hope that these two minor surgeries can increase Fang Ziye's confidence.

"The patient is the first choice for closed manual reduction, with a clear preoperative diagnosis and a clear indication for surgery. Let's see through first! ~" Fang Ziye spoke his words.

The assessment is different from the simple surgical operation, the operation can be carried out directly, everyone is a team, and they are more familiar, but the assessment needs to tell the purpose.

In fact, Fang Ziye has already determined the diagnosis, and without perspective, he can directly go through the manual reset, but the process is the process, no matter how cautious he is, there is no need to skip the process directly in order to pretend to be forced, and then step into the abyss in one step.

There are professional people in perspective, and Ning Xiong, a professional master, has been waiting for a long time.

Today's task is only the trauma surgery room, and the phone calls in any other operating room can not be answered, this is a special order issued by Professor Deng Yong, such a special order, only under special circumstances, professor-level people can give it!

Everyone left the operating room and walked to the fluoroscopic isolation room next door.

The results of fluoroscopy are generally the same as those of plain x-rays, but the results of fluoroscopy show an immediate state.

After Fang Ziye took a serious look at the content of the display screen, he took the initiative to walk back from next door.

The tone and title began to be formal: "Professor Deng, Dr. Yuan, I have worked hard for the two of you to help me fix the patient's upper ring position, one for the pelvis and one for the middle thigh." I started with manual reduction. ”

"Teacher Xiao Xiong of the instrument department, the C-arm machine does not need to be pushed far."

Internally, the title is called, and there is no master. Refer to the teacher as a sign of respect.

As the chief surgeon, even the teacher's mentality as an assistant can't be changed, and there is no need to go to the battlefield on the operating table.

Hearing Fang Ziye's words, Yuan Weihong and Deng Yong were a little uncomfortable, but they also knew that this was in front of outsiders, and they had to do it for others to see, and their current identity was an assistant, so they had to obey the orders of the main knife, so as not to laugh and be generous in front of outsiders!

Next door, Professor Ni Yaoping, who was standing in the Department of Hand Surgery, tilted his head slightly and whispered, and his very professional voice was very low: "Professor Duan?" For a simple fibular fracture, the difficulty of manual reduction should be higher than that of a double tibia and fibula fracture, right? ”

The tibia and fibula are parallel lower limb bones, with a thick tibia and a small fibula. The tibia is the main supporting bone.

Purely theoretically, if the pain factor is not taken into account, the fibula fracture will not actually affect the patient's walking and lower limb motor function!

Because the length and hardness of the tibia are large enough to support a person's normal walking. In some patients, a fibular osteotomy is done to save the knee joint, which is supported by this theory.

Because of this, simple fibular fractures are not malleable and can be displaced, which makes manual reduction more difficult.

Duan Hong nodded and did not speak very calmly.

Guanshu is silent and true gentleman.

But such difficulty is for the average person.

Fang Ziye's understanding of the manual reduction of fractures is - level 5, such a level can be called the national hand level, and such a national hand level is not only the 'relative national hand' level after the loss of some ancient books and secret methods of fracture manual reduction, when Fang Ziye was in Enshi, the level of 4000/5000 level of reduction surgery level 4 made Chen Lao Chinese Medicine, who is known for his manual reduction technique, feel that Fang Ziye is comparable to his peak level.

Fang Ziye naturally didn't find it difficult.

Fracture closure reduction K-wires internal fixation is a standard orthopedic secondary surgery.

After the three of them stood in their respective positions—

Fang Ziye immediately began the reset operation,

Standard fracture manual reduction three-piece set.

Continuous traction –

Orthopedic displacement –

Keep the traction position temporarily fixed –

After holding his hands for a while, he saw Fang Ziye gently break the patient's ankle in the direction of the inner malleolus.

The left hand continued to be vigorously pulled, and the right hand immediately reached the patient's fracture location neatly and neatly, and began to palpate and caress up and down.

Fang Ziye's basic physical examination skills also have level 4!

After hovering up and down with his right hand for a little ten seconds, Fang Ziye hurriedly turned his head and shouted: "Instrument teacher, K-wire with electric drill!" ”

"Traveling teacher, call the department, and prepare to take the next surgical patient down to the operating room!" Fang Ziye's order was crisp and decisive.

"Huh?" The tour's hand trembled, and the mobile phone danced between the knuckles of the fingers for two seconds, and then was pinched by the thumb of the touring nurse, and the upper body twitched, unable to respond in time.

Huang Xixuan, a doctor of anesthesiology who was playing with her mobile phone, fell to the ground with her mobile phone.

"! ~"Zeng Quanming from the anesthesiology department couldn't help but lift his waist from the old-fashioned chair in the anesthesiology department. The head was like a child's Transformers toy, swaying from side to side for a while, and the eyes of the people in the operating room were full of confusion and curiosity.

I'm curious if the others are confused, and if they all understand.

Zeng Quanming found that -

The onlookers were also shocked and their legs trembled.

Liu Yan, the instrument nurse on the operating table, is a very professional orthopedic nurse. She is also the leader of the Trauma Surgery Specialist Nurse Team.

Liu Yan's mentality was very calm, although there were waves in his heart after hearing the voice, he quickly listened to Fang Ziye's instructions and handed the K-wire with electric drill to Fang Ziye's hand.

At the same time, glancing at the timing panel in the operating room, Liu Yan, who has a good memory, clearly remembers that Fang Ziye asked everyone to start timing before the C-arm perspective.

After entering the operating room after the C-arm fluoroscopy, the time on the timing panel in the operating room went to 00:01:34!

The time when Xiao Xiong, who was in charge of the C-arm machine, completely withdrew the C-arm machine at 00:01:59, which is equivalent to Fang Ziye, took over the operating table at around 00:02:00.

It's 00:02:23 now!

In other words, Fang Ziye took Deng Yong and Yuan Weihong to officially take over the patient and start the operation in just 23 seconds!

Fang Ziye didn't care about everyone's reaction, he was preoccupied at the moment, there was only this one operation, only this one patient.

After receiving the K-wire with an electric drill, I immediately aimed at the lower fibula bulge, which is also the lateral malleolus needle that all ordinary people can touch.

"Buzz! Buzz! ~”

Fang Ziye's first K-wire, the needle insertion point was very carefully selected to the slightly lateral side of the lateral malleolus, and the needle insertion direction was oblique upward.

Crossing the fracture line diagonally in this way can string the two ends of the fracture like a string of rock sugar gourds to achieve a fixed effect.

The K-wire is brand new and very sharp, the battery of the electric drill is new, and the sound of the motor turning is exceptionally crisp and intense!

The K-wire needle was inserted smoothly and the effect of temporary fixation was achieved very smoothly.

"Mr. Xiao, push the C-arm machine hard, and take a calf in the lateral position! ~"Fang Ziye loosened the electric drill rig and asked Xiao Xiong.

and handed the electric drill machine to the instrument nurse Liu Yan.

"Wait a minute! I'm on the phone. Haven't connected yet. "The itinerant nurse thought it was time to start fluoroscopy, and began to exit to slow down the pace of surgery.

Xiao Xiong pushed the C-arm machine to the operating table, and began to adjust, and said with a smile: "Don't worry, Nurse Du, we will definitely wait for you to come out and see through, play slowly, don't worry." ”

When Xiao Xiong began to push the C-arm machine, Wen Dongfang and the others naturally stood up, including Hu Wei and Liang Xiaoqing.

Because there is this article in the detailed steps of surgery issued by Deng Yong, there is no score, which is to take care of the people from the administrative department, who are not trauma surgery specialists and may not be able to keep up with the rhythm of surgery, so they will find a blank file and there is no column for surgical scores.

It's good to catch up with the rhythm of surgery in time.

Such intimacy mainly comes from Fang Ziye's speed and basic skills are too solid, so as not to get the time to do it, Fang Ziye's surgery is done here, and the rating list of Hu Wei and Liang Xiaoqing is still on the first page, isn't this deliberately embarrassing?

Zeng Quanming looked at the student Huang Xixuan and didn't respond, he didn't pick up the phone, and patted his shoulder to remind: "Xiao Huang, it's see-through!" ~Be in a better state of mind. ”

Zeng Quanming knew that her students, she secretly knew who Fang Ziye was better than in her heart, but she found that she didn't understand Fang Ziye's operation, and Fang Ziye had already finished a whole set of punches to call it a day.

The attitude of genius towards genius is kind, but when genius gets along with genius, he is actually proud in his heart.

MD: Who doesn't have any talent, who is afraid of whom?

(End of chapter)