The Godfather of Surgery

In the fourth round, pelvic and acetabular fracture surgery, no one opened for several days.

Many doctors asked the organizing committee to change the way of the competition. All surgeries will be broadcast live, and similar surgeries will be completed at the same time at the specified time.

I am afraid it is unrealistic to concentrate the operations in one time period, and the judges will also concentrate in this time period.

The contestants and judges are all doctors, and they are very busy, so it is difficult to concentrate on the scheduled time slot.

A small number of judges took the time to watch the video playback at night and completed the scoring. Each of these scores was given after repeated consideration.

Unlike sports competitions, which are simple and clear, with clear winners and losers, an operation is broken down into dozens of steps, some hundreds of steps, and there are many aspects surrounding the operation.

Even if the finals are broadcast live on the same stage, the judges are required to complete the scoring within 24 hours, and there is no current scoring requirement.

Therefore, due to the particularity of surgical operations, it is difficult to do all of them one-size-fits-all, and use live broadcast real-time scoring.

You can only watch the live broadcast if you want to watch it, and if you don’t have time to watch it, you can watch the video playback.

Some people have suggested that if the video has the same technical level, the first one will suffer, and the later one will have an advantage, which can avoid making the mistakes made earlier.

It makes sense, but each operation has individual characteristics, not to mention the public surgery scoring rules, lack of detailed rules, the rules are in the hands of the judges.

The deduction rules and reasons will only be announced after all participating doctors have completed such surgeries.

Before that, you know that you have deducted points for the surgery performed in the front, and you don't know where the deduction is.

For example, for some patients, the need for appearance must be considered in the scoring, and the selection of sutures is only in the detailed rules.

It is difficult for others to learn lessons from this operation until the details and reasons for the deduction are not announced.

For pelvic and acetabular surgery, everyone is cautious. No one preempts the operation. They are waiting for others to do it first, and let others go to the mine.

In the classroom of Sanbo Comprehensive Orthopedics, a hand-painted pelvic anatomy map is frozen on the high-definition screen.

Immediately, switch to the drawing of the right acetabular fracture.

The patient's acetabular fracture was severe, Judet-Letournel classification: double-column fracture, AO classification: C23.

The patient's images: anteroposterior pelvis, right hip anteroposterior, iliac oblique, obturator obturator, four plain X-rays, CT scan of pelvis and acetabulum + three-dimensional reconstruction pictures, all listed.

On the X-ray film, six radiological markers: the rim of the posterior wall of the acetabulum, the rim of the anterior wall of the acetabulum, the acetabular roof, the tear drop, the ilium-ischial line, and the iliopubic line are purposely color-coded.

All the case data are well organized, and every detail is thoughtful, Song Zimo explained on the stage.

Yang Ping led everyone to listen in the audience. In the Department of Comprehensive Orthopedics, Gu Pearson now has to learn drawing, and drawing has become a basic skill, which is to cultivate the ability of image thinking.

The steps of the operation are all expressed by hand drawings and annotations. There are several large steps and dozens of small steps. They are not caught in the details. They can grasp the operation from the whole, and they can pursue the details and strive for the perfect operation. .

No one has opened the stage yet, everyone is waiting, do we want to wait? Although Takahashi didn't take the stage, he had long regarded himself as a member of the team.

After such a big event, he learned a lot from Yang Ping, from preoperative diagnosis, selection of surgical indications, preoperative preparation, surgical planning, postoperative rehabilitation, and a complete study of the entire diagnosis and treatment process.

I don't think we need to wait any longer. In the Southern Division, we will be the first to open the stage for pelvic and acetabular fracture surgery. Song Zimo felt that waiting any longer would be meaningless and a waste of time.

There are no loopholes in the surgery plan, and it is recommended to open a stage. Xu Zhiliang agreed with Song Zimo's opinion.

Everyone has no opinion on the operation plan, then the stage will start at 8:30 tomorrow morning. Yang Ping made a decision.

In fact, Yang Ping's thinking about surgery has far exceeded the requirements of the competition, and he passed this thinking attitude and method to Song Zimo.

Therefore, Song Zimo's understanding of this operation has exceeded the grading outline.

If the intraoperative operation can carry out the plan to the end, this is another full-point operation.

Song Zimo stood on the podium, unbuttoning his white lab coat habitually, and the No. 2 person in the team calmly and confidently turned off the screen, and the operation will start tomorrow.

——

According to the notice on the website, the operation of Sanbo Hospital will start immediately.

Not only in the southern competition area, but also in the national competition area, everyone stayed put and waited for the first stage to open.

It was actually the first to open the stage of Sanbo Hospital, and it was also the first assistant. Some people even suspected that Yang Ping was not good at it. It was only the mascot of Sanbo, and Song Zimo had to escort him to finish the regional competition.

If it wasn't for the game, Professor Hong would pull them out alone to deal with the game, and they usually have time to rest.

Wen Rentao, Mu Jun, and Zeng Ran gathered in the classroom to watch the video.

Wen Rentao is also waiting for the first shot. If no one shoots again, he will shoot the first shot.

They are the first to perform this operation, and they have the courage. Mu Jun, the deputy chief physician, who is also the chief surgeon of the competition, said in a playful tone.

It's still the first assistant, this is the rhythm for the first assistant to finish the regional competition? Mu Jun laughed.

The car is driving a little fast, I'm afraid it will overturn this time? Mu Jun said three times in a row.

Wen Rentao looked very calm: No, Sanbo, who is known for trauma and orthopaedics, has excellent basic skills in this first-aid operation, and it is unlikely that he will overturn on a pelvic and acetabular fracture.

The more people don't care about Sanbo, the more they want to see it. This is a function of curiosity.

At this time, the general strategy is that the operation of the main team will be postponed, and the team responsible for assists will explore the path ahead of time, which can avoid the main team from making mistakes.

How can I let the assistant rush to the end, this main sword is afraid that it is a special person, and people will be carried into the Golden Sword Award to find a sense of existence? Mu Jun snorted.

There are people like this in every industry and every industry, but they are not good enough, and they want to enjoy themselves. Take advantage of loopholes, take shortcuts, and let people carry them in.

The rules of the Golden Knife Award allow one assistant to complete all operations in the regional competition. The regional competition is only a basic operation and does not affect the evaluation of the main knife's level. Let's talk about it after reading it. Wen Rentao was a little impatient with Mu Jun.

Surgery begins, and this level shuts everyone up.

Pelvic and acetabular surgery can still see something.

With the help of Yang Ping, Song Zimo's ability to control surgery has far surpassed before.

Excellent surgeons must be in control of surgery, which is the embodiment of invisible comprehensive ability.

Let the surgery go according to your will, instead of being led by the surgery.

Drivers need to be able to control their cars, bosses need to be able to control their businesses, chefs need to be able to control the heat and ingredients, and basketball players need to be able to control the timing of the game.

The rhythm of the operation is completely under the control of the surgeon, incision, hemostasis, and re-incision.

The level of proficiency in the pelvic anatomy makes it impossible to believe that this is a young man who is less than thirty years old.

The operation is stuck, it's a waste of time. Mu Jun saw that the operation speed gradually slowed down.

The anastomotic branch of the external iliac vessels and the obturator vessels is most likely to be mutated here. Slow down, and then accelerate forward after the anatomy is clear. Wen Rentao has a different opinion.

As far as this pelvic and acetabular fracture operation is concerned, it is indeed the top level in the country.

Active deceleration where several variant blood vessels or nerves may appear, this surgical rhythm has surpassed many people.

I am afraid that in the Sixth Hospital of the Magic Capital, there are not many doctors who have this kind of surgical awareness.

This kind of operation is like driving a car. When you reach a dangerous road section, such as an intersection, a human-shaped crosswalk, or a turning point, habitually slow down, move your foot from the accelerator to the brake, in case an accident happens, be ready to brake at any time, cross the intersection, and confirm the exit Dangerous, refuel and leave quickly.

This is the experience Yang Ping gave Song Zimo. The operation of the pelvic and acetabular fractures was given to Song Zimo with a few deceleration points, so as to avoid risks, so as not to cause trouble and waste time.

But most people don't understand the meaning of this operation, just like people who don't understand rhythm listen to music and feel completely restless.

It's not the position of the death crown, slow down? Mu Jun didn't understand.

The probability of encountering mutant blood vessels and nerves in pelvic surgery is not high, but once they do, the knife is not stopped, and the patient's life is lost. Wen Rentao had no choice but to explain.

Wen Rentao saw three of Song Zimo's deceleration points, but he didn't understand the others.

Doctors can't take any chances. In the hands of doctors, it is 1/10,000, and it is 100% for patients.

A variant anastomotic branch is picked out with vascular forceps, clamped, cut, ligated, and then accelerated.

Wen Rentao couldn't help gasping for breath. The low-probability event actually happened. If he didn't slow down during the operation and the knife slashed past, not to mention the danger to his life, at least thousands of milliliters of blood would have been added.

This Song Zimo, if he could receive the same training and perform the same number of surgeries as himself at Magic Six, I'm afraid he would really become his opponent. Unfortunately, he went to Sanbo Hospital.

The platform of Sanbo Hospital, with more than ten years of hospital history, cannot give birth to a champion of the Golden Knife Award no matter what.

There was very little bleeding during the operation, and it was clean. Even the position and strength of the hooks were very appropriate.

There was no slippage of the acetabular hook, nor was it necessary to adjust the main surgeon due to poor exposure of the operative field.

The anesthesia muscle was fully relaxed, and the surgical field exposure was very easy.

Takahashi is really powerful, and actually helped Sanbo to cultivate such a level.

The hidden mentor behind them is Teacher Takahashi from Tokyo! Wen Rentao said, while Mu Jun beside him was wondering.

Mu Jun's heart trembled, Fumiya Takahashi, an international master of trauma surgery, a young man who became world-famous in his early forties. Takahashi has a strict style. When he was studying in Tokyo, he was scolded several times, and he was scolded with blood.

No wonder, there is Teacher Takahashi behind him. Mu Jun finally understood the reason for not overturning.

They called Takahashi Fumiya a teacher, which is not an exaggeration at all. Wen Rentao and Mu Jun both received training from Takahashi in Tokyo, and they still have lingering fears about Takahashi's strictness.

I called and asked, Mr. Takahashi is not in Tokyo, but came to China Sanbo. As for what to do, the doctors in their department don't know, or because of confidentiality, I think I should be invited by Sanbo to help the training team. Wen Ren Tao felt that his judgment could not be wrong.

With the training of Teacher Gaoqiao, the strength of Sanbo trauma orthopedics is definitely not weak. Mu Jun was a little scared, not afraid of Sanbo, but afraid of Gaoqiao.

Teacher Gao Qiao can improve their trauma orthopedics level at most, and he can't improve much after teaching for a short time. Mu Jun comforted himself.

Pelvic and acetabular fracture surgery, you will be scheduled tomorrow, is there any pressure? Wen Rentao asked.

This is a bit of cannon fodder. With Wen Rentao present, Mu Jun has no idea of ​​winning the Golden Sword Award, so he can only be cannon fodder.

That is to say, Mu Jun's team is an assist, which is Hong Zhigang's arrangement.

Song Zimo's surgery has been completed. If he is replaced as a judge, where will the points be deducted from this surgery?

He thought of what you thought, and he thought of what you didn't think of.

Their level of trauma orthopedics is really good, Wen Rentao always thinks so.

Zeng Ran didn't know why, but he didn't speak, which might be a psychological shadow.