Those years when I hung up and upgraded in the hospital

Chapter 25: If you don’t cry, it’s over (please collect it, please read it)

After Fang Yun finished prescribing the doctor's orders and left the department to rush to the operating room, he still shook his head slightly, saying that he was worrying too much.

The Medical Association can give Xu Dong a chance to take a follow-up assessment, and his qualifications and abilities are not too bad.It's just a dressing change, it should be fine.

As for Xu Dong's despicable tricks on patients, Fang Yun would not doubt it. This is a matter of character. If there is a character problem, once discovered, he will be kicked out of the entire industry.

This is also not possible.

After entering the operating room, Fang Yun told Director Long Quan about the matter.

Hearing this, Long Quan thought for a while and then said: "Doctor Fang, how about this? Although Xiao Xu is junior, he is here to follow the assessment after all. Let him take care of your 7 beds temporarily."

"It's hard for him to have nothing to do since he's just here."

Fang Yun nodded and said yes.

If Director Long Quan wants to arrange beds, he must still listen.

"Then you're here just in time. This is the first operation, which is to remove internal fixation. Originally, I planned to let Luo Su perform the surgery. How about you come and try it?"

"Do you dare to take it?" Long Quan still trusted Fang Yun more in his words.

There are four people in the follow-up assessment, and although the two better ones are in Director Peng Nanbo's group, if Longquan can keep one of them, it will definitely be one of his own.

He can only choose a relatively outstanding person from relatively unexcellent people to train.

"Thank you, Director Long. Can I try it? Please help me keep an eye on it." Fang Yun said with a smile.

"Thank you Dr. Luo for giving me the opportunity." Fang Yun also said.

Luo Su smiled and shook his head, saying it didn't matter.

They were all treated as primary care, and only one of them had to be internally fixed. It was a small case.

There is no special technical content in the removal of the internal fixation device after fracture surgery. It purely depends on the individual's basic skills.

After Fang Yun, Luo Su and Chen Ziyang worked together to disinfect and spread the drapes, Fang Yun came to the surgeon's position, while Director Long Quan naturally stood at the assistant's position: "Are you ready? When you are ready, you can start. "

Fang Yun turned sideways and checked the surgical instruments inside the bending plate.

After picking up the lancet in his hand, he nodded: "Ready, Director Long. Tour teacher, please press the surgery timer."

Fang Yun told the anesthesiologist and patrol nurse that the incision time of the operation should be unified.

After saying that, Fang Yun used the thumb and index finger of his left hand to spread the skin, and the scalpel of his right hand cut the surface of the skin along the original front surgical incision of the tibia.

This is scarred skin, so the depth of Fang Yun's first incision is shallower than that of normal skin, controlled at about 3mm, and only slightly penetrates the surface of the skin.

But even so, when Director Longquan wiped it with a sterile saline pad, there were still traces of blood, but not much, very little.

He looked into his palm and said, "It's very good. He has a deep understanding of scarred skin incisions."

Fang Yun did not stop because of Director Long Quan's praise. As soon as the toothed tweezers opened the skin, Director Long Quan followed, and Fang Yun switched to the electric knife and penetrated the inside.

There are a large number of capillaries in the scar of the scarred skin, so electrosurgery must be used, otherwise the blood will flow and the dryness of the wound will be affected.

Using the electric knife to go deep layer by layer is actually the application of hemostasis and incision.

Fang Yun is crisp and clean, does not insert the knife repeatedly, and the cut surface is dry. All of this is hard work.

The fat layer is quickly broken open directly by the electric knife.

But at this time, Fang Yun discovered that there was a slight trouble. During the first operation, the surgeon incised a little bit of the muscle layer and then sutured it together. Now a scar has formed.

It is already difficult to bluntly open the muscle space through the intermuscular route.

However, Fang Yun only hesitated for a few seconds before taking out a pair of vascular forceps. After exploring the thickness of the scar, he chose to cut through the bypass instead of taking the original route.

After this incision, only part of the scar was removed, it was discovered that the muscle space that the original surgeon had not removed was exposed, and after Fang Yun stopped the bleeding layer by layer, he could choose vascular forceps for blunt expansion, reducing the risk of bleeding. Bleeding and maximizing muscle fiber protection.In an instant, everyone's eyes lit up.

It's not just that Fang Yun's move made the surgical field more open, but that the newly opened approach has a slightly better field of view than the original approach, which shows Fang Yun's solid basic skills.

After breaking open the intermuscular space, we reach the periosteum layer.

However, today's periosteum layer is full of keloids, and the scars press the plates and screws tightly together, forming lumps of flesh.

These scars require the use of electrosurgery.

However, Fang Yun's resection technique was very particular. He did not need to incise the periosteum. Instead, he cut the flesh bumps along the screw holes one by one and exposed the screw butts inside.

After Fang Yun knew the cross-tail cap, he continued to expose the buttocks of the screws, seven in total...

When he saw this, Long Quan finally turned to look at Luo Su and Chen Ziyang.

"I told you, there is skill in incision. Do you believe it now?"

"When you remove the internal fixation, do you cut it open or grill it?" Long Quan asked.

Neither Chen Ziyang nor Luo Su responded, but watched Fang Yun's subsequent operations carefully and carefully.

After the screw is exposed, use a screwdriver to remove it.After all the screws in the screw holes were taken out, Fang Yun did not rush to use the bone peeler to pry open the steel plate. Instead, he chose to continue using the electric knife to circle the steel plate close to the bone and pull it in a circle.

After mastering the incision depth just right, just use the bone peeler to gently separate it.

The steel plate slides directly off the bone surface with the scar.

"Instrument teacher, please check the number of steel plates and screws. Then let's see through one." Qian Yun has done internal fixation device removal before, so he is very familiar with the process.

Long Quan was slightly shocked at this moment.Because he couldn't do what he did just now, and he didn't know how Fang Yun could perform the incision to such an extent.

If you walk around the scar around the steel plate, can the steel plate be taken off so easily?
……

After flushing, X-ray showed that there were no more plates and screws left in the body, and suturing was started.

Because Long Quan needed to see Fang Yun's surgery, Luo Su and Chen Ziyang did not intervene.

Fang Yun stepped back and sewed step by step, and the stitching became even more exquisite.

Every layer is perfectly aligned, until the suturing to the subcutaneous suturing is completed, making the incisions perfectly aligned like a closed mouth, making the skin look extra plump without any bumps.

Like a small steamed bun.

When Long Quan saw this scene, he turned around and asked a soul-like question: "Who in the department said that our Dr. Fang is a theoretical doctor?"

"Luo Su, can you give us some knowledge about this person who talks behind his back?"

Luo Su lowered his head and said nothing. He glanced at Fang Yun's body and felt a certain amount of pressure.

He whispered back: "Director Chen, who was in our department before, said that Fang Yun's theory is very good. But he didn't say that his operation was not good."

Long Quan also nodded: "Doctor Fang is more proficient in this operation than you. Although it is only a basic skill, it is estimated that before long, the little bit of three-legged cat skills you have mastered will be surpassed by Dr. Fang."

"You all must have a sense of crisis."

Fang Yun then nodded: "Director Long, you are so complimentary."

But Long Quan said unambiguously: "What a shame. You haven't done any operations for so long in the town hospital, but your basic skills have not fallen behind. If you stay in our hospital for a while, your growth curve will definitely be higher than theirs." "

"If you don't sing, you will be a blockbuster. Just watch." Long Quan spoke highly of Fang Yun.

Because he saw the shadow of Director Chen in Fang Yun.

(End of this chapter)