medical simulator

The speed of the operation is not slow, and the incision was made so well. The choice of this position is also quite classic.

If the opening is not selected properly, it will be very troublesome when inserting gold fingers and guide pins on the back, and there is a patella in the front——

Just as he was thinking about it, Zhou Cheng continued to ask Liu Yan for equipment, taking it easy and confident: "Golden finger, guide needle..."

The golden finger is the common name for the guide, which should pass through the broken end of the fracture.

It needs to be used for mid-femoral fractures, but for intertrochanteric fractures, the fracture site can be seen under direct vision, so the golden finger is not used.

"Golden finger! Here." Liu Yan remembered that this little guy was the one who also had an intramedullary nail surgery in Director Cai's team last time, and also had dinner with Zhou Cheng.

It turned out that he was the one who performed the surgery, so she felt relieved.

Zhou Cheng put the golden finger into the marrow cavity first, probably after reaching the broken end of the fracture.

"Teacher Cai, help me fix the position of my pelvis. I'll do a reset first!" Zhou Cheng then ordered Cai Dongfan, without calling Qin Tianzhu.

He is a guest, so of course it is not good to make him work hard.

"it is good!"

Two minutes later, Zhou Cheng passed his golden finger through the broken end of the fracture.

Then I asked Liu Yan for the equipment: "Guide needles and reamers, probably starting on the 10th, and first preparing until the 14th..."

No. 10 and No. 14 are model numbers.

When he saw this, Cai Dongfan noticed that Qin Tianzhu's expression seemed to be a little flustered.

I sneered unceremoniously in my heart, originally I made an appointment with Professor Ding to start the show at [-]:[-]!

I prepared this operation for him. I greeted him seven or eight times before the operation, and I found several groups of people from the anesthesiology department and the operating room.

I was let go of the pigeons, and I sent you to come first.

But when you get out of the car!

What did you say?

It is said that Professor Ding will be a little later because of something, so forget it.

I'm still saying that I'm busy here and there, and I don't have much time, so I hope it can be done quickly.

Still explaining there, Professor Ding will come in a while, if it is really not possible, then Professor Ding will be the surgeon, and tell me that it is good to treat this operation as a teaching operation...

Confused now?

I just won't let Zhou Cheng slow down, and see how you perform later.

I've already given enough face, Ciao.

Everyone has a three-point temper...

Qin Tianzhu really didn't keep up with the rhythm and started to panic.

The steps of the operation seem simple, but to evaluate the quality of the operation process requires a large amount of knowledge reserve, and it also needs to be operated and extracted.

The difficulty of intramedullary nail fixation lies in the reduction and the golden finger passing through the broken end of the fracture...

"Give it directly to NO.11!" Zhou Cheng had already done it right, and Cai Dongfan had twisted his ears before telling him to perform well, so Zhou Cheng naturally showed at least 90.00% [-].

At most one-thousandth of the state has not been brought out.

The redefined fracture reduction technique allows him to achieve close reduction without any disadvantages. The previous displacement has been successfully reset without thinking about it. The bone marrow cavity is facing, and the golden finger can be inserted into the broken end of the fracture by anyone.

Liu Yan listened to Zhou Cheng's orders!

"NO.12!"

"Intramedullary nailing, No. 11!" Zhou Cheng ordered.

The model selection of the intramedullary nail should be slightly smaller than the reamer by one size or half size.

Liu Yan was well prepared, and handed the intramedullary nail to Zhou Cheng.

After Zhou Cheng took it, he immediately sent it along the guide wire into the bone marrow cavity.

At this time, the total operation time was only about 10 minutes, but Zhou Cheng had already completed at least 60.00% of the operation.

Qin Tianzhu hadn't kept up with his state and thoughts for a long time, and even a little sweat broke out on his forehead, and he suggested: "Director Cai, why don't you have a penetrating first? Put the intramedullary nail directly?"

He is Professor Ding's subordinate doctor, and now he is mixing with Professor Ding.Professor Ding is really delayed by things at present, so let him come for a walk.

He was very unhappy at first, did he think it was necessary to take such a joke seriously?

But Professor Ding told him that he could only make a trip. When he came, he told Cai Dongfan about some things, that is, he and Professor Ding didn't have much time. Qin Tianzhu felt that this was a reasonable thing...

But now?

Professor Ding clearly said that he would arrive about half an hour late, and he probably left now.

Can I follow the progress of this operation?

When Professor Ding arrived in the operating room, he probably could only see the post-operative review C-arm plain film, so he could only delay for a while.

Cursing inwardly, what the hell is this?

For femoral fracture intramedullary nail fixation, the general operation time is between one and a half hours to two and a half hours.Even if Cai Dongfan and the others prepared the preoperative disinfection and other work in advance to welcome Professor Ding's arrival, it would still take an hour.

At that time, just finished the critical part.

Professor Ding's estimate of the dislocation time is half an hour. At this point in time, according to Professor Ding's estimation, Zhou Cheng is just in the process of resetting and putting the golden finger inside.

At this moment, Zhou Cheng has completely entered the state and has become the master of the entire operation. He heard Qin Tianzhu's words!

Ask in reverse: "Is it meaningful to see through after the marrow is reamed?"

"I have just used the guide wire to confirm that the distal end is in the bone marrow cavity. There is a strong sense of resistance. It must be in the femur. It is impossible to poke into the pelvis!"

"After intramedullary nailing, X-rays! If there is a problem, it can be made up for!"

Qin Tianzhu felt struck by lightning, looked at Zhou Cheng, opened his mouth, but couldn't utter a word.

What Zhou Cheng said made sense.

Surgery and clinical medicine are reasonable, not to say that for the sake of prudence, it is reasonable to take more perspectives.

"Teacher Tour, push down the C-arm machine and take a picture of the front and side of the femur. It's hard work!" Zhou Cheng was not wordy, he actually didn't know what happened between Cai Dongfan and Professor Ding.

However, Zhou Cheng is now in charge of the operation, and the rhythm of the operation is naturally controlled by him. You can question and find out the reasons and points of the question.

I'll give you an answer, but I can't answer it. We'll try to find an answer. If there is an answer, don't worry about it. I know it well.

1 minutes later!

Everyone left the operating room again.

Qin Tianzhu's expression changed as soon as the side view film came out.

Zhou Cheng glanced casually, and then re-entered the operating room.

"Director Cai!" Qin Tianzhu pulled Cai Dongfan's forearm sleeve.

"Huh?" Cai Dongfan, who was about to enter the operating room, stopped walking.

He reminded Cai Dongfan of this very important matter: "That? Professor Ding hasn't come yet."

"Is our surgical procedure going too fast?"

The corners of Cai Dongfan's mouth turned up under the mask, and he sneered, but his eyes and eyes remained unchanged, and said:

"It doesn't matter, you, Professor Qin, saw the whole process of the operation and it was the same."

"It's the patient's priority. We can't delay the treatment process for the sake of surgery."

After speaking, Cai Dongfan walked into the operating room.

Qin Tianzhu felt as if he had been struck by lightning.

Why are Cai Dongfan's words so familiar?

Oh, it seems that when the fuck himself got out of the car, he said these words to Cai Dongfan.

At that time, my original intention was to speed up the operation, so I communicated with Cai Dongfan in advance, and if your resident doctor's operation progress was too slow, quickly let Professor Ding come to the rescue.

but now?

When Qin Tianzhu went in again, Zhou Cheng and Cai Dongfan had already installed the auxiliary device, that is, the formula for the intramedullary nail fixation screw, and started to drive the fixation screw at the proximal end of the femur.

A total of three, because the reset is good.

So it doesn't take much time, and then the fixation screw of the distal femur is played.

After another 10 minutes, the fluoroscopy ends.

The plain film is perfect, and the surgery is basically over...

Zhou Cheng and Cai Dongfan screwed on the end nut of the intramedullary nail, completely ignoring Qin Tianzhu's mental state and being a little silly.

Zhou Cheng was also very considerate of Cai Dongfan, saying: "Mr. Cai, let me sew! Come and help me cut the thread."

"Itinerant teacher, prepare the sterile dressing."

"Teacher anesthesiologist."

……

At 25:[-], Ding Changle finally drove to the underground parking lot of No. [-] Hospital, found a parking space and parked the car.

Then hurriedly looked at the time, while rushing towards the direction of the operating room!

It's okay, it's not too late, and I should be able to catch up.Evaluate the key parts of the procedure.

As a result, in the elevator room, I saw a person leaning against the wall, sitting on the ground with his buttocks, and there were a few sparse cigarette butts on the ground.

Turning around, it seemed to be Qin Tianzhu.

Professor Ding was taken aback: "Tianzhu, what are you doing here if you don't go to the operating room?"

"Also, when did you start smoking?"

Qin Tianzhu looked up, his face twisted into a chrysanthemum, and then he gave Ding Changle a smile that was uglier than crying, smiled freely, and turned his head away, as if he was very suspicious of life.

Ding Changle was stunned, is this another crazy double?

……

Chapter 100 Killing is OK, but killing one's heart is not!

Ding Changle really found it quite strange, why is Qin Tianzhu sitting here?

There were still piles of cigarette butts on the ground, when did Qin Tianzhu start smoking?I don't even know about this?

After Qin Tianzhu heard Ding Changle's voice, he propped his hands against the wall and sat up, put away his expression, and said in a very complicated tone: "Teacher Ding, are you here?"

"Tell me what's going on? What are you doing here? There are so many cigarette butts on the ground?"

"Did you smoke?" As a professor, Ding Changle has seen many scenes. Although Ding Changle is weird, he has not broken through his unimaginable bottom line.

While looking at the time, it was only 26:40, ​​and it took about [-] minutes for the operation to proceed normally.

But Qin Tianzhu appeared here, feeling quite strange, so he asked again: "The operation has been cancelled?"

Qin Tianzhu took a deep breath, then threw the cigarette case and lighter he just bought into the trash can beside him, and said, "No, Teacher Ding, the operation is over. Director Cai and the others are going to turn over the patients, and I just happened to Come down and take a breath."

Ding Changle immediately trembled from head to toe, his movements can be compared to paying public rations when he was young...

Similar expressions: (╯⊙_⊙╰)

He opened his mouth and made a strange sound: "Ah~?"

After about four or five seconds, Ding Changle picked his ears, and his voice suddenly raised an octave: "What did you just say?"

While looking at the watch, he looked up at Qin Tianzhu.

If you dare to speak nonsense, I will kill you!

It only took more than 40 minutes to fix a fracture with intramedullary nails, and you told me that it was done?

Are you driving a rocket motor?

Ding Changle didn't know if the rocket had a motor, so he thought so.

Qin Tianzhu had expected Ding Changle's reaction long ago, but as it turned out, he could only bite the bullet and say, "The operation is over, Teacher Ding."

"I saw it with my own eyes, from the time I entered the operating room to start the skin incision, to when I left the operating room to complete the dressing with sterile dressings! The whole process is over."