After Lu Cheng left the director's office, he directly chose to package open reduction and plate screw internal fixation of lower limb fractures (intermediate and advanced).

In an instant, many experiences and skills came into Lu Cheng's mind,

It gave him a particularly in-depth understanding of open reduction, plate and screw internal fixation of lower limb bone fractures, from intermediate to advanced, layer by layer, gradually deepening, which is a qualitative leap.

After all, in large provincial teaching hospitals, the level of senior attending physicians and associate professors may not necessarily be inferior to that of chief physicians in prefecture-level municipal hospitals.

The acquisition of advanced skills made Lu Cheng more comfortable with open reduction of fractures, as if he could treat the disease as a branch and twist it up at once.

There are quite a few bones in the lower limbs,

From a professional perspective, it is divided into the ischium, ilium and pubis of the pelvis.

Femur, patella, tibia and fibula, root bone, cuboid bone of the lower limbs...

fracture classification,

Choice of different types of treatment methods, etc...

This is a comprehensive enlightenment,

Phew, Lu Changcheng breathed a long sigh of relief, feeling even more hopeful about his future.

With Guo Xiaoyong's understanding and help, it took him less than half an hour to basically finish writing all the medical records. As for the medical records of the newly admitted patients yesterday, Lu Cheng planned to write them in the evening.

Because you need to ask for detailed medical records and medical history, it is quite time consuming.

Although Chen Bing is only the deputy chief physician, he is the director of the ward, so he has the power to lead the team alone. Moreover, he has a doctorate and has the ability to lead the team.

When the personnel in the department were allocated, Chen Bing did not seek personal gain, so he was the only attending physician in the department who followed him. The remaining doctors at the deputy chief physician level and Cai Xuan, the attending physician, all followed the chief physician respectively.

Name, but no attending.

There are two people who regulate the training.

The staffing is the same as the other two groups, and the department is quite short of manpower.

When Lu Cheng arrived at the operating room, there were only three people on the operating table: Chen Bing, the attending physician Li Zhiming who followed Chen Bing, and the training physician Xu Chongliang, plus a handwashing nurse.

Another doctor with regular training needs to complete the chores of changing dressings and discharging patients in their group.

This patient is in charge of Xu Zhongliang, so he naturally has to take the stage.

After Lu Cheng arrived, Chen Bing hurriedly said: "Xiao Lu is here, wash your hands and get dressed quickly and go on stage to pull the hook. This operation is a bit complicated."

Chen Bing had already taken the inguinal approach, exposing his pelvis.

So Lu Cheng was able to tell the grade of the fracture.

"Pelvic fracture (Tile classification type C3): lv56! (Ordinary monster, not mutated, not accompanied by complications!)"

As Lu Cheng's own understanding of fractures increased, his knowledge and understanding of monsters also deepened.

good guy,

Level 56 monster,

Can you call this an ordinary monster?

Isn’t this going to be a super masterpiece?

Lu Cheng immediately became excited,

Monsters of this level may only be qualified to deal with chief physician level or ward director like Chen Bing, right?

Among pelvic fractures, TileC3 type is the most serious and complex type.

Before Lu Cheng came down, he had read the patient's information. Fortunately, there were no other complications, such as blood vessel damage and nerve damage, and the patient had some special complications. Otherwise, the monster's level might have been even higher.

Some.

Wash your hands and dress quickly, and disinfect your towels.

After getting on the stage, Lu Cheng carefully looked through the large incision to see clearly what was going on inside, and felt even more shocked.

Type C fractures are originally caused by the instability of the pelvic ring in the vertical and horizontal directions, but this patient's situation is even more complicated. On top of this, he also has damage to the posterior ring and fracture of the acetabulum!

It is really a big monster. Even if Lu Cheng has advanced skills, he still finds it extremely difficult to face this monster. The time of this operation is conservatively estimated to be five hours.

It is the absolute highest level of orthopedic surgery, a Category IV surgery.

In the surgical classification, surgery is divided into levels one, two, three and four.

First-level surgery is the simplest surgery, such as removing internal fixation, cutting out one or two subcutaneous cysts, debridement and suturing, etc. As long as they have obtained a medical qualification certificate, they can do it alone, and even some residents can do it under the guidance of superior doctors.

can do.

Level 2 surgeries can be performed by senior residents and attending physicians.

The attending physician can perform level three surgeries, and as long as a senior attending physician has obtained authority, level four surgeries can be performed.

When you reach the level of deputy chief physician, there are actually not many restrictions on the level of surgery. The hospital is happy to see that you can improve professionally, so there will not be too many restrictions.

Chief physician level can even conduct pioneering research on some new surgical techniques...

When Lu Cheng came on stage, he just took the position of the third assistant, that is, pulling hooks, sucking blood and so on.

The second assistant can perform some simple traumatic operations, such as cutting some soft tissue when the first assistant is inconvenient, cutting threads when suturing and knotting are required during the operation, etc.

The first assistant can perform any operation ordered by the surgeon, as long as he dares to let you operate it, it is the best position.

For such a large-scale surgery, Lu Cheng felt that it would be enough if he gained more knowledge.

The surgery is very complex, so every step must be slow and precise.

For example, when using the inguinal approach now, Chen Bing had already carefully separated the ilioexternal abdominal nerve and the three-piece set in the femoral canal (femoral artery, femoral nerve and femoral vein), and cut them with gloves.

The straps were pulled aside for good protection.

When peeling off the pelvic muscles, be very careful because the pelvic ring has lost its original stability at this time. Therefore, it is necessary to avoid secondary trauma when peeling off the soft tissue.

Dangdang is the process of peeling off soft tissue after exposure.

It took more than forty minutes,

As of now after the surgery, Lu Cheng could still see the huge astronomical blood bar on the monster's head. There was no sign of any decrease. Instead, the trauma of the surgery had increased the blood bar a little bit.

"Suck blood." After Chen Bing peeled off a piece of muscle, he saw the old dirty blood coming out all of a sudden, and hurriedly said to Xu Chongliang.

Xu Chongliang had also done many surgeries with Chen Bing, and he quickly followed up with his quick eyes and hands.

After seeing clearly the broken pubic bone, ischium, acetabulum and fan-shaped ilium inside again, Chen Bing still frowned fiercely.

He took a deep breath and said, "Let's continue to explore first to see if there is any damage to the sciatic nerve,"

"Lu Cheng, you and Xu Chongliang change places,"

Xu Chongliang was stunned for a moment after hearing this, but this was Chen Bing's order and he didn't dare not listen.

Lu Cheng was overjoyed and ran to the second assistant's position.

He knew very well in his heart that if his abilities had not improved and Cai Xuan had not told Chen Bing, then even if he was on the operating table today, he would have been on the third aid!
Chapter completed!