Fang Ziye knew that Luo Tingzhu might be a little wary, but the proud Luo Tingzhu turned his head to look at Fang Ziye's eyes, you don't have to explain your identity.

After Luo Tingzhu blinked slightly, Fang Ziye introduced: "This is also our Senior Sister Luo of Trauma Surgery, maybe you will have more topics." ”

"Senior Brother Fang, also add a WeChat?" Huang Xixuan seemed to understand something, but still insisted.

Excellent people, good-looking people, and attractive people are resources, and resources are to be actively fought for.

When Fang Ziye heard this, in the face of the burning eyes of the professors around him, he was no longer easy to refuse, and took the initiative to add his QR code.

Then, Huang Xixuan turned around and added Luo Tingzhu's WeChat as if nothing happened, and after passing through friends, she didn't immediately start chatting with Fang Ziye or Luo Tingzhu.

The contact information is found, even if it is a person, the next thing is to look at fate and see if it can match the eyes, Huang Xixuan, who is in her twenties, knows this truth very well......

The second operation, at 8:54, started on time.

The first operation started at 8:29 and ended at about 8:34!

Efficiently complete the turnaround of surgical patients and anesthesia of new patients in 20 minutes, and the speed can be called stepping on the hot wheels. But the fundamental reason is that he sacrificed the operation opportunity of Huang Xixuan's little sister, Zeng Quanming got started directly, and he was full of firepower!

Deng Yong, who is more familiar with surgery, in order to avoid the embarrassment of Professor Duan Hong breaking the rules in the last operation, simply did not go on stage, but explained offstage.

"This second operation, a lateral malleolar fracture, is a standard open fracture reduction and internal fixation......

"The alternative to surgery is here in the second one, which is to put a locking plate on the outside."

"This time, these scoring rules can be used."

Du Xinzhan also mainly explained to Huang Wei of the medical department, saying: "This operation is a routine operation in orthopedics, which is more routine than the previous one, and it is now one of the very mature surgical methods. ”

When Hu Wei heard this, he breathed a sigh of relief.

But he still replied quietly: "Well, in fact, it is mainly subject to the review opinions of professors and directors. ”

"I'm a layman." Hu Wei found his position and showed weakness first, so as not to be labeled as a social death of 'not knowing how to pretend to understand'.

With a clinical background, he knows the significance of dividing specialties, but he also serves in the medical department, and the supervision of the medical department is also necessary for the justice of medical procedures.

Deng Yong did not have the business to welcome people, but such an assessment, because of the speed of the completion of the last operation, the necessity of an explanation is very strong.

At this moment, those who are completing the preoperative preparations, including disinfection and laying towels, are Fang Ziye, Yuan Weihong and Yan Zhiming.

When Fang Ziye was in the main surgical position, he saw Luo Tingzhu slowly moving in the direction of Zeng Quanming and Huang Xixuan in the anesthesiology department, he smiled at Luo Tingzhu, but Luo Tingzhu did not look at the operating table, but went to the direction of the anesthesia instrument.

Asked softly and sweetly, "Senior Sister Huang, what are these instruments in the anesthesiology department......

Soon, Luo Tingzhu and Huang Xixuan got together, and they seemed to be happy......

Everything is TBD.

Deng Yong took the initiative to stand up: "Deans, professors, please." ”

"In view of the differences in the habits of each sister hospital, I will explain a little about the operation sequence and habits of our hospital."

"For the rest, there will be no special guidance."

Duan Hong and the others nodded, and walked to the direction of the operating table again with Deng Yong.

"Anesthesia teacher, itinerant teacher. Start the surgery! Keep an eye on the timing! ~" Fang Ziye took the initiative to shout, in fact, he was also signaling to Master and Senior Brother Yan Zhiming.

Yuan Weihong, as an assistant, has cooperated with Yan Zhiming at this moment to expose the patient's lateral malleolus position, and very professionally gave the direction and position suitable for Fang Ziye's operation to the direction of Fang Ziye.

This is called professionalism.

However, after Fang Ziye lifted the knife, he actually put the round knife down again, and after thinking about the type of fracture for a while!

Fang Ziye shouted to the itinerant nurse Liu Yan: "Teacher instrument, give me a K-wire needle with an electric drill first!" ”

Liu Yan was stunned when she heard this. stiffened a little for two seconds, and even did not hesitate to look in the direction of Professor Deng Yong in the audience.

Before the operation, she had grinding surgery with Professor Deng Yong and others, and the general sequence and process were: first incision, then temporary fixation with K-wire, and then steel plate!

Fang Ziye said: "Teacher instrument, electric drill, with K-wire." ”

Liu Yan hurriedly did so, and handed the electric drill and K-wire to Fang Ziye.

On the side, Deng Yong also found that the surgical process had changed slightly, so he hurriedly explained: "In our hospital, for special fracture types, we will choose to use K-wire for temporary fixation first, and then make an inclement along the needle insertion point of K-wire, which can more accurately reduce the incision of the patient's steel plate......"

Deng Yong's voice was very detailed, and it was basically controlled at the volume that did not reach the chief surgeon on the operating table......

Immediately afterwards, Fang Ziye didn't hesitate too much and punched the K-wire needle in one direction, from the outside to the inside!

Immediately afterwards, Fang Ziye said again: "Sister Yan, give me another K-wire needle too!" ”

Liu Yan was not suspicious this time, and gave the K-wire needle to the past......

When he saw this, Professor Duan Hong was a little confused.

This case was not handled by him, so it was not discussed before surgery, so the surgical plan was not polished. However, depending on the type of fracture initially, lateral malleolar plate fixation plus screw fixation of the posterior malleolus should be preferred.

This is a standard tertiary surgery that fits the theme of today's surgery.

But now, it seems that Fang Ziye's choice of surgical method has made Duan Hong, an expert in trauma surgery, a little confused.

looked at Deng Yong and found that Deng Yong was showing his eyebrows at the moment, obviously he had expected it, maybe it was that he had made enough preoperative preparations before the operation, but it was sold at the moment!

Deng Yong said that he only interpreted the general process of the operation, and did not explain the details of the operation, disrupting the rhythm of the operation.

Deng Yong, you old bustard!

Duan Hong's heart tightened, and then he began to look through the materials in his hand.

Sure enough, after opening it, Duan Hong saw Professor Deng Yong et al.'s alternative to the surgical method of this patient's fracture type: internal fixation of locking screws under small incisions......

"Shhh ~" Duan Hong took a breath of cool air.

It is not uncommon for ankle fractures to be immobilized with screws. In pursuit of small wounds, small incisions, the seniors of trauma surgery have gone through many explorations!

Many posterior malleolus fractures are fixed with screws, and fractures of the lateral and medial malleolus can occasionally be fixed with screws.

But this is common sense, Duan Hong knows, this is some special, simple, fracture line is very comfortable fractures, it is generally fixed with screws, now this?

Not all lateral malleolar fractures are suitable for screw fixation!

Deng Yong's team was pretending to be forced, and with Fang Ziye's hand, they were telling everyone that he was going to 'rise'.

Without him, because Fang Ziye's current level of technique reduction is too high!

Fang Ziye's current fracture manual reduction, not only can be confined to manual reduction, he can even use his own hands to push some fracture fragments with his own hands to complete the reduction!

Fang Ziye can even use K-wires to complete the prying reduction of open fractures by ordinary surgeons.

The treatment of fracture surgery is very well established.

Only look at the results, only look at the way of internal fixation, and only look at whether it is internal fixation. As for how to achieve reduction and internal fixation, no one has ever done any more restrictions.

When Fang Ziye was almost finished, Deng Yong said: "Use headless compression screws to fix the outer malleolus." This is how our team is learning to reduce the surgical incision step by step. ”

"This method, currently in trauma surgery, is a relatively cutting-edge small-incision surgery. There are a lot of hospitals that are doing it. ”

Deng Yong's tone was very calm.

It's just that the two professionals next door, Duan Hong and Zheng Tonghui, are in a very messy mood.

Wen Dongfang of the Department of Hand Surgery, Ni Yaoping and others, including Du Xinzhan, the director of the Department of Orthopedics, all flickered their eyebrows at this moment.

Although I don't know everything about trauma surgery, it's not that I don't understand it, and it's not easy to be fooled.

Therefore, the two executives who nodded their heads were not from orthopedics: "Minimally invasive is good, and the small incision surgery is in line with the current aesthetics." ”

"Mr. Xiao, please push the C-arm machine." In the lateral malleolar fracture, Fang Ziye learned the previous mode of closed reduction and internal fixation of fibular fracture and instructed Xiao Xiong.

Xiao Xiong was only in charge of the equipment, so he didn't understand the shock in the hearts of Professor Duan Hong and the others, who really knew how to do it at this moment.

When he walked out, Professor Duan Hong "violated" again, but this time, he interrupted Deng Yong: "You are so bold!" You have a lot of time to spare! ~”

"You don't have enough respect for the basics! ~”

"Such an ankle fracture requires highly skilled fracture manual reduction and puncture to complete manual reduction at the same time during the K-wire injection."

"In a very short period of time when the fracture is displaced and reduced, the fracture fragment is crossed at a good angle with a K-wire puncture, and this operation is only suitable for a small proportion of lateral malleolar fractures."

"Is it worth wasting so much time and effort for such a large number of surgeries?"

Deng Yong's "old professor" is in a very happy mood at the moment, Duan Hong is his friend, but Duan Hong is the boss of trauma surgery in the province, the current first brother, Deng Yong asked rhetorically: "Will there be a lot of wasted time?" It doesn't seem like much. ”

The corners of Duan Hong's mouth raised the folds of the disposable surgical mask into more arcs, obviously scolding the street, but he was scolding silently.

I said in my heart, I finally understood Deng Yong's mood when facing Xiao Wu.

I really want to rob people, I really want to empathize and don't fall in love, I really want to be a 'scumbag director'......

But Professor Deng Yong's pretense was real-name and made a sound.

After everyone withdrew, Xiao Xiong completed a positive oblique X-ray of the ankle joint......

Immediately afterwards, it was found that in the plain film, the comminuted fracture of the lateral malleolus, which was not suitable for manual reduction, was reduced after Fang Ziye extended his arm and replaced his arm with a K-wire with an electric drill.

I also found a particularly tricky angle and pieced it together.

Hu Wei had been taught how to evaluate the advantages and disadvantages of temporary fixation of fractures before, and at this moment he nodded his head relaxed and comfortably, appreciating it very much, and he didn't understand the turmoil in the hearts of Duan Hong and the others.

The positive oblique position is out of the rear.

Deng Yong pinched his throat and snorted.

Then Yuan Weihong and Fang Ziye both pursed their throats, and each replied "Mmmm"!

Immediately afterwards, Fang Ziye said again: "Doctor Zhu, Dr. Yan, after I go in and fix the locking screws, our operation can be completed, you don't need to come in!" ”

Fang Ziye single-handedly entered the operating room again, leaving Yuan Weihong and Yan Zhiming outside the door of the operating room, as if he was going to complete the legendary achievement.

Finally, Duan Hong couldn't hold it back any longer, put the scoring rules in his hand directly into his arms, and squinted at Deng Yong: "Deng Yong, just say it, how did you do it, I admit it!" ~”

"I'm sure you don't explain, and no one present can understand the logic of this operation."

"If you don't explain, I'll veto it." The operation was about to end, and the chubby-faced Duan Hong began to get up, not cute at all.

"Uh-huh! ~" Hearing this, the old professor Xiong Zhizhang also reminded with a refreshed voice.

The people from Zhongnan Hospital are still here, and they haven't died! ~

Now the chairman of the Hubei Provincial Association of Trauma Surgery, don't be too high-profile? One vote to veto these words or don't talk nonsense.

Fang Ziye went inside to operate, and the sound outside couldn't affect him, so it wasn't a special violation, and it wasn't particularly unqualified.

And Duan Hong, who realized that he had said the wrong thing, withdrew his fat paws like a 'cat', and asked in a regular manner: "Professor Deng, what is the reason why the current operation performed by your group is contrary to the conventional treatment method of comminuted multiple segment separation fracture of the lateral malleolus?" ”

You have a good plan, there are old professors, I have a wall ladder, my current identity is the examiner, if you don't convince me, I have the right to put a question mark.

Of course, Duan Hong actually knew that he was throwing himself into the net by asking this question.

Without Yuan Weihong and others replying, Deng Yong enthusiastically took the initiative to introduce: "Professor Duan, that's right, according to the previous research results in our group, another level of definition has been made for the surgical classification of this fracture. ”

"As you know, our research group is doing the topic of trauma surgery and basic classification of fracture lines, and there are also articles published in BMJ......

"According to our previous research results, combined with the comprehensive abilities of our group, such as my experience, Xiaolan's data analysis ability, Xiaofang's manual reduction level and the accuracy of puncture."

"And Yuan Weihong's outfit."

Before the words came out, Deng Yong hurriedly changed his words: "After careful examination of the extensive reading of professional literature, it was decided to give an 'unconventional' internal fixation method to this conventional fracture." ”

"The reason for the choice is based on the documents issued by the National Health Commission and the Hubei Provincial Health Commission, file number ......"

Duan Hong turned around and left.

Even, Xiong Zhizhang, the old professor of trauma surgery next to him, was silent!

This TM is a bit big, right?

Deng Yong felt that Deng Weihong was in a good mood at the moment, as if he had vented all the resentment he had encountered in front of his brothers a few years ago.

Juvenile than text, middle-aged martial arts, sideburns gray, old, isn't this the age of a child?

Two chapters and 8,000 words, I still feel a little tired.

(End of chapter)