Those years when I hung up and upgraded in the hospital

Chapter 63 Determining Excellent Qualifications (Please collect and read)

"Thank you, Director Chen." Fang Yun did not refuse.

Now his proficiency in arthroscopic surgery has reached level 2. Synovial plica resection in the patellofemoral joint and exploration and debridement of the knee joint cavity are quite simple and are the entry-level procedures.

It is estimated that level 1 operational proficiency can be achieved.

Moreover, such resection surgery only needs to clean out the folds and eliminate the symptoms caused by the folds to the patient, without the need for excessive operational support.Fang Yun wouldn't mind getting more experience points as long as the patient's treatment effect is guaranteed to be effective.

Obviously, after the next patient came in, Fan Youhua and Fang Yun cooperated with Fang Yun to complete the sterilization and draping. When connecting the various tubes of the arthroscope, Fan Youhua was a little nervous and asked: "Brother Yun, you really learned arthroscopy by watching videos. operate?"

Fang Yun nodded: "Part of it is learned this way, including field of view, focus adjustment, etc. But in terms of operation, you can actually practice with a mobile phone. You just need to use a camera tool, fix the phone, then open the camera interface, and connect the phone Cast screen to computer..."

"You can also practice by using the cloth around the fire table in winter and using tongs or long chopsticks as the operating chamber. It is similar to arthroscopy to a certain extent."

"But one thing that's not good is that when you project a photo from your phone to a computer, you can't adjust the field of view, and the focus adjustment is also automatic."

While Fang Yun was looking back, he had already filled the joint cavity with physiological saline. After breaking open the lateral glenoid fossa of the knee joint with a sharp knife, he used a blunt puncture tool to break open the joint cavity without removing the inner core.

He took the mirror skillfully, held the white gauze in his hand, and used the mirror to speak.

Dialogue is actually the adjustment of focus, mostly done with gauze.

When everything is ready, unplug the inner core of the vision hole and insert the mirror.

Before Chen Shengwu could help, Fan Youhua cooperated very skillfully with Fang Yun to return the knee joint to the semi-extended position to observe the patellofemoral glenoid fossa in the joint cavity.

After re-adjusting the angle of view so that the patella was directly above the field of view, which was the most favorable direction for ordinary people, Fang Yun quickly turned on the sterile saline solution and flushed the red mirror in the joint cavity.

Gently sliding the mirror, Fang Yun saw the synovial folds on the inside of the patellofemoral joint, hanging in them like gauze. This was the culprit that caused the patient to occasionally get stuck and cause throbbing pain during normal activities.

"Director Chen, as shown on the MRI, it is a single-layer synovial fold on the inside of the patellofemoral joint. Take a hard photo." Fang Yun said with a smile.

Chen Shengwu nodded, his eyes shining brightly.

This time, Fang Yun was able to complete the exploration without his help at all, so Fang Yun would definitely be able to perform the subsequent synovial plication resection extremely well.

The foot-operated photo door is located next to Chen Shengwu. Chen Shengwu stepped on it and the photo was taken.

But Fang Yun still did not give up this operation opportunity, but went through the entire knee arthroscopy procedure.

Fang Yun adopted a more popular method, which is the order of Fan Youhua's previous exploration. Starting from the infrapatellar fossa, he first slid to the intercondylar fossa to explore the anterior cruciate ligament, and then moved to the lateral cavity of the knee joint to check the lateral meniscus to rule out any hidden problems. If the foreign body in the joint cavity causes compression, then explore the inside.

The entire operation process is quite smooth.

The patient's knee joint cavity is very clean and does not have much synovial hyperplasia. The synovial folds under the patella should be accidental.

Fang Yun smiled after reading: "Director Chen, there are no other symptoms, and the photos have been taken. Then I will start cutting?"

"Well, let's cut it." Chen Shengwu nodded in response.

In fact, the removal operation is simpler.

Under direct vision of the arthroscope, open an operating hole again, insert the plasma electrosurgery through the operating hole, and tap gently along the hanging frenulum of the synovial fold.

The synovial folds that hung like spider webs disappeared in an instant.

Yes, this disease is a disease that can be solved in half an hour of diagnosis, 15 minutes of exploration, and a few seconds of operation.But to completely relieve the symptoms and allow the patient to return to normal knee joint shape, it takes just a few seconds of trembling.Moreover, the indication for surgery for this disease lies in the patient's request for treatment.

If the patient can tolerate the occasional throbbing pain and compression and feels that this symptom does not affect his quality of life, he can completely ignore it. However, if he feels that it does, then this shiver is an indication for surgery.

Since this patient has no synovial hyperplasia, he does not need to take sodium hyaluronate like Speight. His joints are already in good condition.

Fang Yun said: "Zhou Xiao, you can open your field of view and take a look. The synovial folds have been cleaned up and the knee joint has been restored to cleanliness. It's pretty good."

"After the anesthesia wears off after the operation, you can slowly get out of bed and go to the bathroom, and you can start walking normally tomorrow."

"There will be a little swelling, but it doesn't matter. The injection I'll give you when I get back is just a small bottle of painkiller, and I'll give you some medicine to reduce the swelling. If you look like this at noon tomorrow, you can be discharged from the hospital."

"Ah? Will you be discharged from the hospital tomorrow?" Zhou Xiao was stunned.

"Yeah, it's nothing special. Go home and rest. The air quality is better than in the hospital." Fang Yun replied.

This is the benefit of knee arthroscopic surgery. If it is more aggressive, Zhou Xiao can be kicked out of the hospital this afternoon. However, there are many beds in the county hospital. Even if Zhou Xiao occupies the bed, it will not affect the patient's admission and discharge turnover.

"Okay, it's fine. Thank you, doctor." The patient named Zhou Xiao was actually a little disappointed.

Chen Shengwu patted his thigh and said, "Just walk normally. Don't think you are a patient. After surgery or something, just walk normally. Don't go for a run or sweat."

"After the operation, it won't be that painful. Is that clear?"

"Well, thank you, Director Chen." Zhou Xiao said quickly.

……

This is where the surgery ends.

Director Long Quan was amazed and said: "Director Chen, sports medicine surgery is still so sophisticated? Do the surgery now and be discharged from the hospital tomorrow?"

When Director Long Quan came to work, sports medicine had not yet been fully developed. The surgeries he underwent were basically open surgeries. If he did not stay in the hospital for a few days after the operation, how could he rest assured?
"Well, Director Long, do you want to study hard? If you want to learn, I will leave this mirror to you to play with?" Chen Shengwu turned around and said to Long Quan.

Long Quan quickly shook his head: "No, no, no, Director Chen, this operation seems simple, but it shouldn't be simple."

"Yes." Chen Shengwu shook his head slightly.

"For example, I don't dare to perform operations such as cruciate ligament reconstruction and rotator cuff suturing, so I can only think of having a set of mirrors here to perform simple meniscus suturing and resection."

"Arthroscopy is a tool that is now the mainstream of sports medicine and surgery."

"Fang Yun has the opportunity to go deep into it. We are all old and can't learn anymore." Chen Shengwu understood Long Quan's shaking his head. How can he have so much energy when he is exposed to new things at such an old age?
But Fang Yun can do it. Fang Yun, this kid, doesn't know how to do any surgery even if he just wastes time in the town hospital, but he can master any surgery very quickly.

Ding Yuanqiu asked: "Director Chen, Dr. Fang is actually more talented in hand surgery."

Fang Yun has excellent qualifications and would do well if he develops in the direction of hand surgery.

"Good and better, you have the final say?" Chen Shengwu made a joke to Ding Yuanqiu.

Fan Youhua seemed to be invisible throughout the whole process.

(End of this chapter)