Those years when I hung up and upgraded in the hospital

Chapter 61: There are many resources (please collect and read)

Wednesday is quickly approaching.

Today, Fan Youhua seems full of energy and enthusiasm.

Today is the first arthroscopic surgery he is about to perform since arriving at Longxian People's Hospital. Fan Youhua seems to be moved to tears.

Naturally, Fan Youhua was not a fool. He did not show off his power in clinical practice and led a team of ward rounds without treating Director Longquan as a human being. He only answered fluently when Director Longquan asked him.

Even Fang Yun was amazed by the depth of some professional knowledge.

Obviously, in terms of the theoretical depth of sports medicine, no matter how much Fang Yun reads, he cannot withstand the "severe beating" of Fan Youhua, who has been in clinical practice for three years, but Fang Yun has no intention of directly competing with Fan Youhua. idea.

Being a doctor is for the sake of being a doctor, not for the sake of being better than others.

After checking the room, Fan Youhua and Fang Yun, as the most junior members of the team, began to check the results of the preoperative examination, talk, sign the informed consent form, and make sure the payment status was correct.

Biancai and Long Quan waited for the arrival of Director Chen Shengwu.

However, while the two were waiting in the department, they received a call from Long Quan, saying that Chen Shengwu had entered the operating room directly and asked them to go down to the operating room. The patient had also been picked up in the operating room.

The two of them rushed to the operating room. During this period, Fan Youhua felt a little lonely.

Fang Yun saw Fan Youhua's dim eyes and said, "Xiao Fan, Director Chen is very good, maybe even better than your previous teacher, so you can watch and study hard later."

Orthopedics is Chen Shengwu’s specialty.

Chen Shengwu used to work in Enzhou People's Hospital, and his position would definitely not be low. If such a person wants to jump directly to the province, he may not be able to compare with Fan Youhua's master's tutor.

The overall level of Enzhou People's Hospital is higher than that of Xiangzhou People's Hospital.

"Yes." Fan Youhua nodded and said yes.

When the two arrived at the operating room, they found that Chen Shengwu was already carefully reading the MRI scans. After confirming, he said: "This rupture of the meniscus is relatively typical and simple. It has severe symptoms and light damage. type."

"Just a menisplasty."

"Xiao Fan, you were previously majoring in sports medicine. Let me test you. Why do you think this patient did not have meniscus sutures done?"

Fan Youhua thought for a moment and replied: "Director Chen, this is a rupture of the medial edge of the body. It is a roll-like oblique injury. The root of the meniscus is not broken. There is little point in suturing it. If it is thinned and formed, only the half moon needs to be removed." About one-third of the inside edge of the board is enough.”

"Just avoid curling and compressing the knee joint to cause symptoms."

Obviously, Fan Youhua’s answer was very professional.

Chen Shengwu asked again: "What part of the meniscus is the most difficult to operate?"

"The gap in the posterior corner of the meniscus is difficult to open." Fan Youhua replied without hesitation.

"In addition to meniscus rupture, what other diagnosis does this patient have? Can you tell?" Chen Shengwu asked, rolling his eyes.

Fan Youhua's little eyes widened and he moved to the MRI. After carefully reading the film, he narrowed his eyes and said, "Is it there? Director Chen? I didn't see it."

Chen Shengwu's question was originally a pitfall, but Fan Youhua didn't jump into it when he heard: "When you get started with kung fu, you can not only confirm the diagnosis, but also rule out the diagnosis. Xiao Fan worked hard when he was studying."

"Do you dare to do an exploration? This patient's knee joint has partial synovitis. If you dare, you can make an incision and clean it."

Fan Youhua's body trembled slightly and he said honestly: "Director Chen, I made one before, but it wasn't particularly good. I want to see a few more. There were some details before that I haven't controlled yet." Fan Youhua vaguely remembered that before Director Peng Nanbo also took him to remove a foreign object from the knee joint. He thought Fan Youhua could easily remove it, but the result?
Fan Youhua found that his camera skills completely changed when he was with his teacher.

Chen Shengwu didn't say much.

"Then you make an approach." Chen Shengwu said.

"Okay!" Fan Youhua was delighted.

Immediately afterwards, Fang Yun quickly disinfected and spread the towel, and Fang Yun took the initiative to stand in the leg-raising position.

For lower limb surgery and sterilization and draping, someone must lift the leg, and this period of continuous leg lifting is the best time for orthopedic surgeons to practice muscles.

After all, it is not ruled out that there will be some fat people of two to three hundred kilograms, and one leg weighs sixty, seventy or even seventy or eighty kilograms.

It is not something that ordinary people can support for a long time, but the patient undergoing surgery today is not very heavy.

When everything was ready, Fan Youhua patiently connected all the mirrors, such as the vision mirror, water outlet pipe, water inlet pipe, suction device, operating mirror, etc.

Then, Fan Youhua roughly tested the medial and lateral knee joint fossa with his hands. After determining the entry point, he selected the center of the lateral knee joint fossa and poured two syringes of normal saline into it with a syringe to completely fill the joint cavity. back.

Only then, with the knee joint in an extremely flexed position and the sharp edge of the knife facing upward, did it penetrate the skin and subcutaneous tissue.

There seems to be nothing unusual about this kind of grasp of details. From the perspective of Fang Yun and Chen Shengwu, they appear quite professional.If the sharp knife is pointed downward, it is easy to damage the meniscus. Select the center of the lateral fossa of the knee joint to cut and flex the joint.

Cartilage damage can be avoided.

After the puncture tool bluntly penetrates the joint cavity, the inner core is removed. When inserting the field scope, Fang Yun straightens the knee joint while allowing Fan Youhua to enter easily. The entire operation is also quite smooth.

There is no need for Fan Youhua to give orders.

Fan Youhua and Chen Shengwu both glanced at Fang Yun unexpectedly, but didn't say much.

The inside was red, but after Fan Youhua opened the water outlet, it became clear. However, the arthroscopic view at this time was very distorted and was not the normal and familiar sagittal position.

This requires conditioning.

But at this time, Fan Youhua had some troubles. Most of the time before this step, the teacher had adjusted it before letting him play with the mirror.

Now, Fan Youhua was a little uncomfortable playing alone. When he turned around several times and couldn't find the correct field of view, Fang Yun helped. After just a slight rotation, he said: "Now just fix the patella to The high position of the field of vision is the front sight space.”

Fan Youhua looked at Fang Yun in shock at this moment, feeling a little at a loss as to what to do.

His eyes were slightly confused.

What's wrong with Fang Yun? Is he better than me?
Fang Yun explained with a smile: "Now is an era of extremely developed Internet. If you want to learn a kind of surgery, there are many surgical resources available online, and you can also try it."

Fang Yun's words are true, but the problem is that cognition is cognition, and operation is operation.

The adjustment of the arthroscopic field of view is not something you can quickly adjust at once if you know how to adjust it.

Long Quan and Qin Chaowen believed Fang Yun's explanation, but Chen Shengwu and Fan Youhua did not.

(End of this chapter)