Chapter 812 Failing a test and cheating
At this moment, Lin Xie was a little doubtful about life.
This feeling is like "my life is like failing one subject after another, and other people's life is like failing one after another." It's outrageous!
"I feel like I don't quite understand bone reconstruction yet..." Lin Xie's eyes were dull.
He lowered his head silently and acted as his assistant seriously.
...What gave me the confidence to show off in front of Xu Qiu? Is it bringing the rubber artificial bone from the laboratory to the clinic?
Sure enough, the most satisfying thing was hugging Dr. Xu's thigh.
Although Wang Shengde made little contribution, this sentence he summarized is indeed a wise saying.
"Dr. Xu, how do you think my retractor is doing?"
"Is this rotation angle appropriate?"
"Is the medullary cavity flushed cleanly?"
Lin Xie smiled and took credit from time to time.
Soon, with the cooperation of the boy who took the credit, Xu Qiu quickly removed the articular cartilage on the tibiotalar joint surface of the talus and the tibiofibular joint surface, pulse-flushed the medullary cavity, and inserted rubber artificial bone material into the medullary cavity.
The next step is to install the intramedullary needle.
After the rubber bone material is initially finalized, the prosthesis of the tibial bone segment and tibiotalar joint surface is gradually installed, and then the prosthesis is fixed with cancellous bone screws...
In the third hour of the operation, the prosthesis reconstruction was completed.
"Loosen the tourniquet." Xu Qiu's voice sounded again.
Everyone was still immersed in the beauty of the operation, but they suddenly woke up when they heard the sound and quickly carried out the order.
As the tourniquet opens, several tiny spots of blood appear.
Lin Xie's mouth was a little dry... When he loosened the tourniquet, he could barely see the big bleeding points. What kind of outrageous surgical control ability was this?
Orthopedic surgery is not like other soft tissue resections. It is a rough operation with large openings and closings, which can easily cause major damage.
After the tourniquet was loosened, there were many people bleeding on the spot.
As a result, Xu Qiu's patient only had a few small bleeding spots...
Hang up, definitely hang up!
Lin Xie roared in his heart, but the movements of his hands were not slow at all, and he quickly completed the final step to stop the bleeding.
He then flushed the wound with antibiotic solution.
After completing this step, Xu Qiu sealed the straw in layers.
0-Vicry1 suture resuturing the muscles of the proximal tibia...
Keep the fascia open to prevent osteofascial syndrome…
0-Vicy1 sutures are used to sew the subcutaneous tissue and cover the prosthesis layer by layer...
Finally, the outermost layer of skin is sutured!
"Put on sterile gauze." Lin Xie called out the first instruction of the field. This was also the only step he was sure of.
Bone reconstruction surgery is different from simple bone removal.
If only an osteotomy is performed, this step should be to cover the incision with sterile gauze dressing and then wrap it loosely with a surgical dressing.
After osteotomy and then reconstruction of the bone body, it is necessary to use an elastic bandage for compression dressing to reduce leakage in the surgical area.
These differences in details are the experience gained by clinicians one by one, and they are also rules that cannot be changed.
"It's done..." Lin Xie let out a heavy breath and quickly looked at Xu Qiu.
Everyone else in the operating room also turned their attention to Xu Qiu... No one dared to shout the last sentence, and no one felt that they had the qualifications.
The surgeon, Xu Qiu, glanced at Jiang Donger's left limb. After confirming that the operation was successfully completed, he said calmly: "The operation is completed."
Suddenly, cheers erupted in the operating room.
Another tibial reconstruction!
The reconstruction of skeletal prostheses is a highly sophisticated medical technology in China. Only a few hospitals can master it, and there are clear barriers. They can reconstruct the tibia, but not necessarily the femur. They can reconstruct the upper limbs, but they may not be able to do anything about the lower limbs.
Although Xu Qiu has only completed two cases of tibial reconstruction, Chen Mengxuan and Jiang Donger, the significance of this surgery lies more in the rubber artificial bone!
As long as the postoperative results are good enough and this new bone reconstruction material shows the expected efficacy, the rubber artificial bone will enter the bone material market dominated by Berry Country in one fell swoop, carving out a bloody path belonging to Daxia.
This will also mean that clinical medicine will take the lead in all aspects of bone reconstruction.
"There are some precautions after surgery..."
In the operating channel, Xu Qiu explained the details of the care to the people in the Lin Association and the Nursing Department.
"Intravenous antibiotics should be used within forty-eight hours after the operation to prevent infection. Inflammation indicators should be checked regularly and bacterial culture of the drainage tube should be done. If the wound heals well, four cycles of adjuvant chemotherapy according to the original plan will be started three weeks after the operation...
"In terms of specific postoperative care, assessment is carried out in the first 24 hours after surgery, and the evaluation is done by removing the negative pressure drainage tube; dressing changes are made in the second 24 hours; and continuous passive motivation can be used in the recovery room after surgery. For knee joint functional training, the initial knee joint activity is controlled at 0 to 6 degrees, and then increased according to the situation, and strives to return to 90 degrees before discharge..."
While Xu Qiu was narrating, there were people nearby holding small notebooks and recording furiously.
rattling——
Several junior doctors opened the door at the front, and Xu Qiu and others left the operating room unimpeded.
At this time, Jiang Donger's parents were already exhausted from waiting. The longer the time passed, the more panicked they became.
Even though they know that the operation time may be five or six hours, as they watch the clock move little by little, they become more frightened and hope for a good result as soon as possible.
But at the same time, they are afraid that the doctor will bring bad news...
In a conflicting mood, the door to the operating room was opened.
The two looked at each other first, and saw the panic and nervousness in each other's eyes. The complex emotions intertwined, making both of them a little overwhelmed.
"It lived up to your expectations. The operation was very successful." But before the two could recover, Xu Qiu directly threw out the answer.
Hearing this, Jiang Dong'er's parents were overwhelmed by joy. The two hugged each other. A big man in his forties and a mother who had never shed tears were both in tears at this moment.
When they realized that they had to thank Xu Qiu, they found that the young doctor had disappeared.
"Where is Doctor Xu, where is Doctor Xu!" Jiang's father asked his wife to pick up his daughter, and he was eagerly looking for Xu Qiu.
Lin Xie waved his hand and said, "He will have another operation in a while. You go to see your daughter. When you make rounds tomorrow, you will naturally have time to thank him."
After that, he also quickened his pace and left.
He had to find the surgery management office to copy today's surgery video, and he had to record his experience... These are all valuable experiences!
...
Emergency Department, Xu Qiu's office.
After coming out of the operating room, he took a quick shower and put on his white coat again after getting rid of the bloody smell on his body.
At this time, Shi Lian came to report.
She glanced at Xu Qiu quietly. Xu Qiu, who had just taken a shower, was even more handsome. Although his hair had just been blown dry, he was not as sloppy as Wang Fan and other ugly doctors. Instead, he had a free and unrestrained temperament.
But he still maintained the professionalism of a doctor.
"What's the matter?" Xu Qiu glanced at Shi Lian who was in a daze, knocked on the table and said.
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