Chapter 812 Failing and Cheating
At this moment, Lin Xie was a little doubtful about life.
This feeling is like "my life is like failing subjects one by one, and other people's lives are like failing subjects one by one." 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 no contribution, the sentence he summarized is indeed a wise saying.
"Doctor 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 guy who took the credit, Xu Qiu quickly removed the tibiotalar articular surface of the talus and the articular cartilage of the tibiofibular articular surface, pulse-flushed the medullary cavity, and inserted rubber artificial bone material into the medullary cavity.
Then the intramedullary needle is installed.
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...
On the third hour of the operation, the prosthetic 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 is opened, several tiny blood spots 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, and can easily cause major damage.
After loosening the tourniquet, there were many people who bled 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.
Then, he rinsed 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, suture the outermost layer of skin!
"Put on sterile gauze." Lin Xie called out the first instruction of the scene. 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.
When reconstructing the bone body after osteotomy, 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 deep 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 chief 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 surgery!
The reconstruction of bone prostheses is a high-precision medical technology in China. Only a few hospitals can master it, and the barriers are clear. It can reconstruct the tibia, but not necessarily the femur. It can reconstruct the upper limbs, but it 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 and carve out a bloody road for Daxia.
This will also mean that clinical medicine is leading 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 Lin Xie and the people in 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 drainage tube bacterial culture 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 will be carried out in the first 24 hours after surgery, and the evaluation will be done by removing the negative pressure drainage tube; dressing changes will be 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 of the operating room was opened.
The two of them first looked at each other, and both saw the panic and nervousness in each other's eyes. The complex emotions were intertwined, making both of them a little overwhelmed.
"As expected, the operation was successful." However, before the two of them could recover, Xu Qiu immediately gave the answer.
Hearing this, Jiang Donger's parents were overwhelmed with joy, and they hugged each other. A man in his forties and a mother who had never shed tears were both in tears at this moment.
When they came to their senses and wanted to thank Xu Qiu, they discovered that the young doctor had disappeared.
"Where's Doctor Xu, where's Doctor Xu!" Father Jiang asked his wife to pick up his daughter, while he eagerly looked for Xu Qiu.
Lin Xie waved his hand and said: "He will have surgery soon. You go see your daughter and wait for the ward rounds tomorrow. I will naturally have time to thank you."
After that, he quickened his pace and left.
He had to find the surgical management room to copy today's surgery video, and record his thoughts... This was all valuable experience!
…
Emergency Department, Xu Qiu's office.
After coming out of the operating room, he took a hasty shower to get rid of the smell of blood before putting on his white coat again.
At this time, Shi Lian came over to report.
She quietly glanced at Xu Qiu. Xu Qiu, who had just taken a shower, was even more handsome. Although his hair was dry and had no hairstyle, it didn't look like the slovenliness of ugly doctors like Wang Fan. Instead, he had a free and uninhibited temperament.
But without losing 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 asked.
——
Chapter completed!