Next, the operation continued step by step, grinding the acetabulum, installing an artificial acetabular prosthesis, expanding the medullary cavity of the femur, installing a femoral prosthesis, and resetting the joint.

Lu Chengdu 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 reset the patient's hip joint and performed various movements such as adduction and external rotation without the joint coming out, he got off the stage and looked at the time recorded on the wall of the operating room.

He smiled and said: "Hey, this operation takes two minutes less than the last time. The cooperation of our team is getting better and better. Yes, everyone, keep up the good work, we can start the early morning shift today."

Following Professor Min's words, everyone glanced at the wall. The operation time was 31:42.

Lu Cheng was well aware of the time required for a joint replacement.

General county-level hospitals also do it, but it usually takes more than two hours. In larger prefecture-level city hospitals, it takes a little more than an hour. When Lu Cheng was in Changshi First People's Hospital,

The fastest joint replacement I've heard is about an hour.

Professor Min has shortened the time to half an hour, but is still considering shortening the operation time, as if he is constantly pursuing the ultimate in surgical cooperation.

The anesthesiologist smiled and said: "Professor Min, you are now the fastest in joint replacement surgery in our orthopedics department. If you were faster, we would be exhausted from anesthesia and circulatory work."

Professor Min was taking off his clothes. When he heard this, he deliberately slowed down and said, seemingly enlightened, "Oh, look at me, I don't even care about the beauty's feelings."

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

The anesthesiologist was pumping electrolytes to the patient, and his ears immediately turned red when he heard this.

She also secretly cursed herself for being arrogant and insisting on answering the professor. She was teased now and had no room to reason. She adjusted the ventilation speed and ran out to take a blood gas test.

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 away the suture needles.

Chang Weilong also said: "Brother Hui, take the rest with Ji Mo and them to sew. You can give the people below more opportunities."

Chang Weilong and Lin Hui have a good personal relationship, so they rarely call Li Hui by his first name. You can't just call him Xiao Huihui if you call him by his nickname. Lin Hui is already the chief resident, and he is a superior in the eyes of graduate students and doctoral students.

Physician.

Lin Hui hurriedly said: "Professor Chang, you are trying to offend me. I must have not given you enough wine to accompany you. I admit my mistake, but I beg you, just call me by my name. I really want to

Live a few more years.”

Chang Weilong didn't answer, but just walked down the stage to take off his clothes and gloves. Tong Gaobo immediately unpacked the surgical gown for Chang Weilong.

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

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

The teacher completed it himself.

The rest of the suturing is considered as training for junior doctors at the graduate level.

Lin Hui is the chief inpatient and there are always emergency operations, so he does not need to fight for such an opportunity. He glanced at Professor Min and knew that Professor Min favored Lu Cheng today, and the most important thing for him was to treat Lu Cheng.

Lu Cheng conducts assessments in all aspects!

At the end of the quarter, I have the idea of ​​studying for a Ph.D., and there will be many opportunities for stitching in the future.

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

Lin Hui also replied: "Professor Chang, if not, let Xiao Cheng sew it up today, and I will come and watch. Nothing will happen."

"Okay, you can figure it out. At the end of the season, come off the stage and do the stitches." Chang Weilong was taking off his gloves and said something to Ji Mo casually.

"Okay." There are usually many opportunities for stitching at the end of the season, and Lu Cheng's performance today really impressed him. He just came to the department and had such a performance. His superiors would give him the opportunity, but he couldn't take it away.

Even if his own mentor is the director of the ward, he cannot bully others, and he thinks Lu Cheng is okay.

The foundation is solid and the person is stable. It does not give people a sense of oppression that I am the top student and I am the number one.

If I study for graduate school with Lin Hui in the future, I will have to spend more time in the department.

After hearing this, Lu Cheng felt very lucky and said, "Thank you, Teacher Lin, thank you all teachers."

Lu Cheng knew that although there were reasons for his good performance in these opportunities, what was more important was that they were willing to give him opportunities. And in a large teaching hospital like the Second Xiangya Hospital, suturing opportunities were all earned, and there was a large

There are a lot of people waiting to practice stitching, just like them at the end of the season and with high waves.

Otherwise, the surgeon is in a hurry and will do it by himself without letting you sew, which is a waste of time.

Suturing? Of course Lu Cheng can do it, and he is quite confident.

Coupled with Professor Min’s surgical approach and suture points,

He almost clearly remembered the anatomical levels and incision lines used by Professor Min during the surgical approach.

Moreover, in Lu Cheng's mind, he had already started rehearsing how to insert the needle and where the needle tip would come out, so that he could completely restore the patient's own anatomical structure.

For example, Professor Min did not specifically injure the gluteus medius and tensor fascia lata. He did not need special suturing. It was just a simple incision and would 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 fascia layer to fascia layer, fat layer to fat layer.

Lu Cheng brought the antibacterial Vicryl suture and began to stitch one stitch after another. He used his elbow to push the wrist joint, otherwise the needle would be bent during the bending of the wrist joint and the needle in and out.

If you change it, there will be a slight difference from where you originally wanted to sew.

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

Lu Cheng would not make such a mistake.

After tying, Lu Cheng tied the knot very neatly and neatly, and actively pressed the knot to one side, eliminating the need for a person to assist with the thread.

One stitch, two stitches.

As the stitches were gradually being put in, where Lu Cheng had sutured, small parcels like hills appeared, tightly attached together, as if they were the structure they should have originally, and Lu Cheng just used thread to press them in between.

, no traces of resection can be seen.

"Hey, Xiao Lu has practiced this suturing technique." Lin Hui has been suturing 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 my internship, the professor gave me some opportunities, which made Teacher Lin laugh."

Lin Hui said nothing.

Lu Cheng's suturing foundation is indeed solid. He can reach this level just after graduation. It is probably more than enough to win the first prize in any skills competition, but if he wants to win the special prize, he still needs some preparation.

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

Lu Cheng completed the suturing of the fat layer within five minutes.

Then came the subcutaneous layer.

Suturing the subcutaneous layer of joint replacement is particularly important, because if you are not very familiar with the anatomy of the subcutaneous fascia and do not insert the needle well, the skin will wrinkle, and when the suturing is done to the edge of the incision, a cat-ear-like appearance will occur.

Large horizontal stripes.

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

The suturing under the skin is invisible, which is the embodiment of true suturing technology.

Lu Cheng also performed the needle with a steady hand.

First go out to the left, then go in to the right, so that the knot can be naturally collected under the soft tissue and will not be exposed outside the skin. This detail is done very well. Many novice suturers do not know this detail.

After finishing the stitching, Lin Hui saw that the edges of the skin were tightly together and very smooth.

My subordinates are capable.

Lin Hui thought to himself, today I fought for this opportunity for Lu Cheng and it was worth it.

As Lu Cheng continued to stitch intermittently, he completed the stitches.

Lin Hui's expression began to change.

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

And everything fits tightly without any unevenness, not even 0.2mm.

This is somewhat intriguing.

It looks like the skin has just been scratched with something sharp, rather than what an incision should look like.

Lin Hui saw that Lu Cheng was sewing very seriously, so he didn't bother him.

Finally, Lu Cheng completed the last stitch.

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

He suddenly raised his head and said to Professor Min: "Professor Min, come here and take a look! This suture!"

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

But I started complaining like crazy in my heart, I said, young man, are you a human being? Can you be a human being? If you continue like this, you will have no friends!

"Um?"

After listening to Lin Hui's words, Professor Min, Chang Weilong and others all moved over, thinking to themselves, could it be that Lu Cheng had done something?

Some doctors have worked in lower-level hospitals, so they are not particularly principled, and then the sutures are messy, and they need to go back to the uterus and start suturing again from the inner layer.

But when they both stood in front of the operating table one by one, almost everyone let out a hissing breath.

Professor Min has a habit of performing surgeries without using cosmetic sutures if possible. After all, cosmetic sutures are very expensive. He will try his best to save some money for patients, unless they are young women and have special requirements before surgery.

But now Lu Cheng doesn't use cosmetic sutures, so the suture effect is amazing!

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

But haven’t you heard that this is just a conjecture? There are people abroad who are doing relevant clinical trials, but there seems to be no news yet. Otherwise, this will have a big impact on all surgeries!

What's going on with this young man?
Chapter completed!