I Spent Those Years In the Operating Room Fighting Monsters

　　 Next, the operation continues step by step, the acetabulum is polished, the artificial acetabular prosthesis is installed, the femoral medullary cavity is expanded, the femoral prosthesis is installed, and the joint is reset.

　　 Lu Cheng watched this series of operations one by one, and kept recording the details.

　　 Of course, Lu Cheng also knew that he might not have finished recording.

　　 But when Professor Min finally repositioned the patient's hip joint and performed various movements such as adduction and external rotation, and the joint did not come out, he stepped off the stage and looked at the time recorded on the wall of the operating room.

　　 smiled and said, "Oh, this operation is two minutes shorter than last time. The level of cooperation of our team is getting better and better. Yes, everyone continues to work hard, and we can leave the morning shift today."

　　 Following Professor Min’s words, everyone glanced at the wall. Operation time, 31:42.

　　 The time required for a joint replacement, Lu Cheng knows.

　　 General county-level hospitals are also doing it, but basically it takes more than two hours. For larger prefecture-level city hospitals, it takes a little more than one hour. When Lu Cheng was in Changshi No.1 People's Hospital, he heard that the fastest joint replacement was about an hour.

　　Professor Min has shortened the time to half an hour, and he is still considering the issue of shortening the operation time. It seems that he has to constantly pursue the ultimate in surgical cooperation.

　　 The anesthesiologist smiled and said, "Professor Min, you are now the relatively fastest joint replacement surgery in our orthopedics department. You have to hurry up. Our anesthesia and patrols will be exhausted."

　　Professor Min was undressing, he deliberately slowed down when he heard this, and seemed to suddenly realize: "Oh, look at me, you don't even care about the feelings of beautiful women."

　　 "Beautiful women generally don't like fast men."

　　 The anesthesiologist was pumping electrolytes to the patient, and when he heard this, the roots of his ears were red.

　　 She also secretly scolded herself for owing her mouth, and insisted on answering the professor. This time she was molested and she had nowhere to reason. She rotated her ventilation speed and ran out to test her blood qi.

　　 Chang Weilong and Zhu Lihong first sutured the joint capsule layer in the joint cavity and the greater trochanter of the femur, and then threw the suture needle away.

　　 Chang Weilong also said: "Brother Hui, take the rest with them at the end of the season. You can give the people below a little more chance."

Chang Weilong and Lin Hui have a good personal relationship, so they rarely call Li Hui’s name directly. You can’t call Xiaohuihui even if you call a nickname. Lin Hui is already in the hospital, and is considered a superior in the eyes of graduate students and doctoral students. Physician.

Lin Hui hurriedly said: "Professor Chang, you are breaking me down. It must be that my wine was not accompanied by you. I admit my mistake, but I beg you. Just call my name. I really want to. Live a few more years."

　　 Chang Weilong did not answer the conversation, but walked off the stage, preparing to take off his clothes and gloves, Tong Gaobo immediately unpacked Chang Weilong's surgical gown.

　　The suture of joint surgery is divided into four layers, the innermost is the joint capsule layer, muscle layer, subcutaneous layer and skin suture.

Regardless of any surgical approach, the balance and stability of the postoperative soft tissue is a key factor affecting the success of the operation. Therefore, so far, they have not dared to let a lower-level doctor do this step. They are all treated by Associate Professor Chang Weilong or Zhu Lihong. The teacher personally completes it.

　　 The remaining sutures are supposed to be practiced for young doctors at the graduate level.

Lin Hui is always hospitalized and always undergoes emergency surgery, so he doesn’t need to fight for such an opportunity. He glanced at Professor Min and knew that Professor Min today favors Lu Cheng well, and his most important thing is to treat him well. Lu Cheng conducts assessments in all aspects!

　　 At the end of the season, I have the idea of ​​reading a Ph.D. There are many opportunities to stitch in the future.

　　 Except for the end of the season, only Lu Cheng is left.

　　 Lin Hui also replied: "Professor Chang, otherwise, let Xiaocheng sew it today. I will watch it by the side, and nothing should happen."

　　 "Okay, you can figure it out. At the end of the season, get off the stage and sew you up." Chang Weilong was taking off his gloves and said to the end of the season.

　　 "Let's go." There are usually many opportunities for stitching at the end of the season, and it is true that Lu Cheng's performance today made him quite amazed. Only when he came to the department, he has such a performance. The superior will give the opportunity, and he can't grab it.

　　 Even if his own mentor is the director of the ward, he can't bully others, and he sees Lu Cheng as okay.

　　 The foundation is solid and the person is stable. It doesn't give people a sense of oppression that I am a master student and I am the number one.

　　 If you follow Lin Hui to graduate school in the future, you will have to stay in the department more.

　　 Lu Cheng listened and felt very lucky. He said, "Thank you Teacher Lin, thank you all teachers."

　　 Lu Cheng knows that these opportunities, although there are reasons for their good performance, but they are more willing to give themselves opportunities. Moreover, in a large teaching hospital like the Second Xiangya Hospital, the opportunity for sutures is won. There are a lot of people waiting to practice sutures, such as the end of the season and Tong Gaobo.

　　 Otherwise, if the surgeon is in a hurry, he will do it all by himself, without letting you sew up to waste time.

　　 stitch? Of course Lu Cheng would, and he was quite confident.

　　 Cooperate with Professor Min's surgical approach and suture points,

　　 He almost clearly remembers the anatomical level and cut lines of Professor Min during the surgical approach.

　　 Moreover, in Lu Cheng's mind, he has already begun to exercise how to get the needle and where the needle tip comes out, just to completely restore the patient's own anatomical structure.

　　 For example, Professor Min did not particularly injure the gluteus medius and tensor fascia lata muscles. He does not need special sutures. It is just a simple section and will not affect the functions of the two muscles.

　　 But for the subcutaneous fascia layer and fat layer, it is necessary to perform accurate reduction, preferably the fascia layer to the fascia layer, and the fat layer to the fat layer.

Lu Cheng took the antibacterial Vicryl suture, started stitching stitch after stitch, and used his elbow force to drive the wrist joint. Otherwise, when the wrist joint bends, the needle will appear when the needle is in and out. Change, there will be a slight difference from the place where I originally wanted to sew.

　　 Moreover, in the eyes of superiors, this is a wrong operation.

　　 Lu Cheng would not make such a mistake.

After 　　 was beaten, Lu Cheng tied the knots with very neat equipment, and would actively press the knots to one side, even saving the operation that required people to assist the thread.

　　 One stitch, two stitches.

In the process of gradually lowering the stitches, where Lu Cheng had stitched together, pieces of small packets like hills appeared, tightly clinging together, as if they were the structure they should have, and Lu Cheng just pressed it in between with a thread. , Can not see any excision marks.

　　 "Oh, Xiao Lu has practiced this stitching technique." Lin Hui has stitched together for many years, and he can tell at a glance that Lu Cheng has real skills in his hands.

　　 Lu Cheng raised his head and smiled: "During the internship before, the professor gave me some opportunities. Teacher Lin laughed."

　　 Lin Hui did not speak.

　　 Lu Cheng's stitching foundation is really solid. You can reach this level just after graduation. It is more than enough to take a first prize in a skill competition, but if you want to win a special prize, there is still a lack of popularity.

　　 Naturally, this kind of special prize in clinical skill competition is not so easy to win.

　　 The suture of the fat layer was also completed within five minutes.

　　 then came to the subcutaneous layer.

The subcutaneous suture of joint replacement is particularly important, because if you are not familiar with the anatomy of the subcutaneous fascia and the needle is not well placed, the skin will wrinkle, and when sutured to the edge of the incision, it will produce cat-like ears. Large horizontal stripes.

　　Although cat ears will not affect the function, it affects the appearance during the postoperative recovery process.

　　The stitching under the skin is invisible. This is the embodiment of the real stitching technique.

　　 Lu Cheng still placed the needle with a steady hand.

　　 First left, then right, the knot can be naturally received under the soft tissue, and will not be exposed outside the skin. This detail is well done, and many stitching novices do not know this detail.

　　 As soon as the stitches were finished, Lin Hui saw that the edges of the leather were tightly fitted together, very smooth.

　　The subordinates have kung fu.

　　 Lin Hui thought to himself, today I gave Lu Cheng this opportunity to fight for it without any loss.

　　 With Lu Cheng's stitches, the stitches continued intermittently.

　　 Lin Hui's face began to change.

　　The height of the edge of the skin, from the bottom to the top of the incision, is exactly the same!

　　 And they all fit tightly, without any unevenness, 0.2mm.

　　 This is a bit intriguing.

　　 It looks like the skin was just scratched by some sharp object, not like an incision should look like.

　　 Lin Hui sees Lu Cheng sew up very seriously. com did not bother.

　　 Finally, Lu Cheng finished the last stitch.

　　 When the effect looked exactly the same, Lin Hui’s expression immediately changed.

　　 He suddenly raised his head to Professor Min and said, "Professor Min, come and have a look! This stitch!"

　　 Lin Hui suddenly didn't know what to say, so he could only describe it to Professor Min.

　　 But my heart was madly complaining, I said, lad, are you a person? Can you be an individual? You will have no friends if you go on like this!

"Um?"

　　 After hearing what Lin Hui said, Professor Min and Chang Weilong all moved over, thinking to themselves, could it be that Lu Cheng has done something?

　　 There are some doctors who have worked in lower-level hospitals, so they don't pay much attention to principles. Then the stitches are messed up, and they need to be stitched up from the inner layer in the second uterus.

　　 But when the two of them stood in front of the operating table one by one, almost everyone made a hissing inhalation sound.

　　Professor Min has a habit of performing surgery. It is unnecessary to use cosmetic sutures. After all, cosmetic sutures are very expensive. He will try to save patients a little money, unless they are young women, unless they have special requirements before surgery.

　　 And now Lu Cheng doesn't use the beauty stitching thread, the effect of stitching!

　　 This is simply the prototype of the suture-free cosmetic wound that a professor in the burn department once bragged!

　　 But didn’t I hear that this is just a guess? Some people abroad are doing relevant clinical trials, but it seems that there is no news yet, otherwise, this will be a big impact on all surgery!

　　 This young man, what's the matter?

　　 Get married today, it will be released regularly, I don’t have time to watch everything, ask for a recommendation!