godfather of surgery

Chapter 213 Probe Phobia

"Concentrate! What are you looking at?" Yang Ping scolded.

Director Wu immediately cheered up again, didn't look at anything, just wanted to stare at the probe, so as not to be beaten by it suddenly.

The operation was too fast, and Director Wu couldn't keep up with the rhythm when he raised his hand, and was scolded from time to time.

He really regretted being on stage and wanted to find a reason to escape, such as feeling sick to his stomach.

But if he did this, Jiang Baicheng would think that he was too childish and would not take his surgery seriously.

I had no choice but to hold back, swallowed the broken front tooth, and continued to help pull the surgical limb.

He wanted to ask if he could take a break. Yang Ping was concentrating on the operation, while the boys were all busy weaving tendons, so no one paid any attention to him.

Forget it, I can only hope that the operation will be completed soon.

"Old Wu, take a break? Traction is very hard." Yang Ping looked back at this moment, Director Wu had a painful expression.

Director Wu immediately let go, and took the opportunity to propose: "It's hard work, I can't bear it, should I change someone else?"

He wanted to help weave the tendons, or just sit back and rest, as long as he was on stage.

Yang Ping said sternly: "Old Wu, this operation is too difficult. An experienced assistant is needed for traction, so as to keep abreast of the key points of the surgeon's operation, so as to create the best view for the surgeon. I won’t work hard for you, or, let’s rest for a while and then do it again?”

In the operating room, everyone was fascinated by the operation, and several deputy directors of the orthopedics department came in one after another. Anyway, no one drove them out, so just pay attention to the concept of asepsis.

Yang Ping's voice was relatively loud, and Jiang Baicheng heard it. The person lying on the operating table was most concerned about whether his operation went well.

"Director Wu, thank you for your hard work." Jiang Baicheng shouted under the sheet.

The fat man leaned over: "What did you say?"

Jiang Baicheng repeated it.

The fat man looked up and relayed to Director Wu: "Director Wu, Mr. Jiang said that you have worked hard."

"Don't worry, Director Wu is on stage. He personally cooperated with Dr. Yang."

"thanks, thanks!"

Originally, Director Wu wanted to find an opportunity to sneak away and get a spare seat on the stage. During this conversation, Jiang Baicheng was worried that he would not be the assistant and affect the operation.

It's wrong to leave the stage halfway at this time!

If you go all out, isn't it just a matter of a few hours?
Can you make a big deal if you are not thick-skinned?Director Wu gave up the idea of ​​finding someone to replace him.

"Old Wu, I think you have a bad complexion. If you are really unwell, you can go down and have a rest. We are just fine. Don't worry!" Yang Ping said with concern, and he was completely different from Stern on the stage.

Director Wu had no way out, and said, "It's okay, let's continue!"

As the operation continued, Director Wu moved his arm and continued traction.

Laparoscopic surgery is an epoch-making technology, and complex operations can be completed with a few small holes.

More than 200 years ago, the Austrian doctor Botzini, on a whim, made two tubes and inserted them into the bladder from the patient's urethra. One tube guided the light of the candle into the bladder, and he peeped into the bladder through the other tube.

This talented person, he himself did not expect that these two tubes opened up an era for future generations, the era of minimally invasive laparoscopic surgery.

The doctor who pioneered orthopedic arthroscopy was Professor Kenji Takagi of the University of Tokyo in Japan, that is, Japan is the birthplace of arthroscopy technology.

Professor Kenji Takagi used cystoscopy to explore a patient with knee joint tuberculosis. Since then, he and his students have invented the first truly clinically practical arthroscope.

Most of the time, arthroscopy is more convenient than incision surgery. Some operations that cannot be reached by incision surgery can be easily performed by arthroscopy.

The acromion formation is completed, no more, no less, which is equivalent to reshaping the acromion, moving the shoulder joint, and there is no impact at all.

Subsequent Bankart injury and SLAP injury repair, reconstruction of glenohumeral ligament rupture, treatment of glenoid labrum tear, articular capsule plication, greater tuberosity lowering operation.

A series of complicated operations, let alone the doctors present were dazzled, even Su Nanchen was dazzled.

He marveled at Yang Ping's superb technology. Every complicated problem appeared extremely simple in his hands. This ability to simplify complex problems requires strong theoretical and surgical capabilities to support.

He also marveled at his younger sister's ability to set up a stage. In his eyes, this delicate and pampered little girl is now the best equipment nurse he has ever seen.

Seeing now, there has not been a single delivery error of equipment, even if the time is a little faster or slower, they haven't said a word, they haven't even made eye contact, but they have achieved the most perfect cooperation.

Su Nanchen was very puzzled. How could they cooperate so tacitly through communication? Could it be through conscious communication?
The difficulty of this operation is that each independent operation needs to maintain coordination with completed and unfinished operations, and finally become an organic combination.

How to achieve the best coordination for repair or reconstruction depends entirely on experience, and the most sophisticated machines cannot help doctors complete this complex coordination.

The mystery of multi-ligament knee reconstruction lies in balance, because the biggest feature of lower limb joints is stability.

The biggest feature of the shoulder joint is its flexibility. It requires a higher level than balance. Balance alone is not enough, but mutual coordination is required.

This kind of operation requires experience, just like a good chef. The heat, the amount of oil and salt, the proportion of various ingredients, the timing of putting in the pot, and the timing of taking out the pot all depend on rich and delicate experience. did it.

Surgeons also need to master a wealth of perceptual knowledge, which just depends on the accumulation of experience, and there is no other shortcut.

For the coordination of these structures, first-class professors will also ponder over and over again, hesitating on the balance of tension, and it is difficult to grasp the coordination of movement because it is too difficult.

There are more and more people in the operating room. Everyone is very conscious, keeps a distance from the operating table, and has professional qualities.

They looked at this operation as if they were watching acrobatics. In their eyes, many impossible things were easily accomplished by the chief surgeon.

Arthroscopic surgery is much better than artificial joint replacement, because continuous normal saline irrigation keeps the surgical area always clean.

"Don't move around! Can't you survive a single operation?"

There was a bang, some kind of instrument, like a probe, flashed past and hit the fifth metacarpal bone. The first to fourth metacarpal bones had all been hit, and the hand trembled involuntarily.

This guy, when he was resting, was gentle and courteous. When performing surgery, he didn't recognize his relatives, and his style was extremely simple and rude.

The most difficult joint capsule plication begins. This technique looks simple, but it is very difficult to achieve its goal.

"Don't shake your hands! A small mistake in the key steps of the operation will affect the effect of the operation."

Yang Ping's voice was a little loud, but very clear.

This kind of joint capsule relaxation can no longer be achieved by shrinking the plasma knife, and the joint capsule plication can only be used.

Yang Ping removed the old scar at the opening of the anterior and lower joint capsule, which is a place where habitual dislocations often come in and out.

This breach needs to be repaired, but Yang Ping has no intention of repairing it.

A deputy chief physician who is good at arthroscopy looked at it, but couldn't understand it.

When he was in advanced training, he saw that the boss was doing this kind of operation, all of which were to repair the breach, and sometimes other fascia tissues were used to repair it.

As for the folding of the joint capsule, it is done roughly. I don't know how the effect will be.

The glenohumeral ligament has been reconstructed, and Yang Ping used PDS suture to pinch-fold and wrinkle the suture. The positions of several places that need to be folded are very tricky, but it didn't bother him.

In the hands of Yang Ping, the conventional pinching-folding wrinkling technique has a magical effect. This kind of folding is simply a work of art. After a few folds, the looseness of the joint capsule is eliminated, and the original tear is naturally eliminated. Everyone I don't know how he did it.

The tear in the joint capsule does not need to be repaired, it only needs to be sutured.

The next step, the greater tuberosity is moved down, back to its original correct position.

This patient previously had a severe anterior dislocation of the shoulder joint with a fracture of the greater tuberosity, which eventually healed on its own, but the position of the greater tuberosity moved upward, causing not only impingement but also loosening of the attached muscles.

The periosteal stripper carefully opened a potential cavity on the surface of the greater tuberosity to create a working space for the arthroscope, and two cannulated screws were fixed.

Finally, the double-row suture bridge repair of the torn rotator cuff was performed. The operation steps were arranged scientifically and skillfully, one after the other.

In the end, mutual coordination was achieved, and all the reconstructed and repaired structures formed an organic whole.

"The operation is not over yet, can you show some professionalism?"

The five metacarpal bones were beaten, the probe hit the radial styloid process and the ulnar styloid process, and the superficial bones of the hands and wrists on both sides were beaten all over.

Director Wu didn't dare to withdraw his hand every time it was beaten, as it would seriously affect the operation, and everyone who watched felt a throbbing pain in their hearts.

Oops, Director Wu, who is usually awesome, is in a mess today!

That’s okay, damn it, let’s not talk about eating alone, even the night shift fee is deducted, and the doctor is voluntary, with the spirit of selfless dedication, and voluntarily does not receive the night shift fee.

No one signed it voluntarily, and they didn't know about it. It was a little money he earned by risking sudden death, and he used it to pave the way for himself to rise.

Inhumane, hit a few more times.

Several young doctors cursed in their hearts, usually they dare not vent their anger, but now someone vents their anger for them, without saying anything, they all feel happy in their hearts.

Seeing this scene, several deputy senior officers thought it was funny. Every time the probe appeared, Director Wu's body trembled involuntarily, showing probe phobia.

Director Fu was on the sidelines, but he didn't dare to speak out. The director himself didn't say what he was doing as a subordinate.

The operation was over, less than an hour before and after, including intermission.

"Thank you, Old Wu!"

Yang Ping watched him rub his hands.

Yang Ping took out the mirror, put away the instruments, and handed them over to the nurse.

When Director Wu saw one of the probes, he subconsciously avoided it.

"What's wrong?" Yang Ping fiddled with the probe a few times.

Director Wu tilted his body, fearing that the probe would hit him again, and smiled wryly: "Mr. Yang, this thing hurts a lot!"

"You said this?"

Yang Ping lit up the probe in his hand.

Director Wu nodded with fear in his eyes.

"It's a good weapon, why use it to beat someone?"

Yang Ping handed the probe to Xiao Su.

(End of this chapter)