Medicine is not a free art, and there is no room for madness and unconventionality.

But medicine is definitely a work of art that plays out on a given stage, and there are both lower and upper limits.

If the basic principles are good, each surgeon may have different ideas for treatment and surgery.

The medical treatment process should not only look good, but also be effective.

Whether it looks good or not depends on the judgment of peers, and whether the effect is good or not depends on the patients themselves.

This surgery was very large, so for the safety of the patient, general anesthesia was chosen.

Chen Bing is the director of the third orthopedic ward of Chang City First People's Hospital. He has a doctorate in his early 00s and studied at Xiangya Hospital.

At that time, he had already stayed in Xiangya Hospital. Later, due to personal reasons, he returned to Changshi, and later went to Xiangya Hospital to take up a job. There was no reason for Chen Bing to be dismissed because he had resigned.

But in the end, Chen Bing stayed because of some special reasons.

If he can go in and out of Xiangya Hospital, which is known as Northern Union Medical College and Southern Xiangya Hospital, you will know how good he is.

Today, he is only the ward director of the third orthopedic ward because of his slightly insufficient qualifications, but he is almost the successor to the next chief director of orthopedics.

Therefore, Chen Bing's surgical skills are extremely high, and the upper limit of the surgical effects he has seen is not comparable to that of ordinary people.

Lu Cheng was just acting as his assistant at the moment. He didn't even know that Chen Bing was observing him. He was sorting out Chen Bing's surgical ideas.

Lu Cheng himself has done some research on open reduction and internal fixation of fractures, but it does not mean that others have the same ideas as him. Therefore, he is grasping many details of Chen Bing.

Many details in the operation are the key points to improve the surgical effect. This is the difference between the intermediate and advanced surgical levels.

The junior representative understands and can barely follow the surgical procedure step by step.

Intermediate level means that you already have certain ideas and can design certain surgical ideas and procedures based on the specific conditions of the patient.

Advanced level means that you are very familiar with surgery and can handle many details with ease. You know which details can be controlled to achieve better results, and you can polish your surgery as a work of art.

Similarly, when you reach an advanced level, you will also start to ponder and characterize other people's surgeries, and compare them with your own to see where they may be better and where they may be slightly worse.

I can make this comparison in my mind, but I definitely won’t talk about it.

The first principle of surgery is that you can ask the surgeon's thinking and even give you suggestions that you understand, but do not disturb the surgeon's operation, and do not try to forcefully change him!

There cannot be two generals on a battlefield, let alone two different orders.

This is a taboo in the art of war and also a taboo in surgery.

So Lu Cheng won't say what can be done better.

These exchanges can be carried out after surgery, but it is inappropriate now.

"Tissue shears."

"sharp knife."

"Tour, the suction device has no suction power."

Chen Bing was in the position of the chief surgeon, giving orders constantly.

Like a general leading an army in battle,

Do what you say,

After peeling off and exposing the upper edge of the pelvic ring again, and protecting the inferior epigastric blood vessels and nerves,

Chen Bing breathed a sigh of relief again and said:

"Bone peeling,"

"Bite pliers, fixed pliers."

"Prepare the steel plate."

This is when Chen Bing is going to reset the fracture again.

After Lu Cheng saw the fracture, he also came up with his own reduction plan.

Different from the reduction plan that Chen Bing is doing, Chen Bing's plan is to use bite forceps and bone peeling to break off the upper ring of the pelvis and reset it.

Lu Cheng's idea was that it might be better if the soft tissue could be released at this moment, and the soft tissue structure on the upper edge of the pelvis could be sorted out before reduction...

Twenty minutes later.

Chen Bing finally reset.

Steel plate comes up,

nailing…

Four hours later.

The three steel plates were finally installed.

This speed is already very slow. After all, this kind of complex pelvic fracture is the most complicated type.

It ended in just over five hours, already exceeding the expected six to eight hours.

After rinsing,

Chen Bing looked at Lu Cheng, whose fingers were flicking slightly, and he didn't know if it was because his hands were itchy, and he said: "This surgery has more openings. Lu Cheng, come and separate the stitches with me."

"Li Zhiliang, you cut the thread for us, Xu Chongliang, you are responsible for pulling the hook."

"Wash your hands and come over and help pull the hook off."

This is not a superficial wound, but multiple wounds on the front of the abdomen, and they are all very deep. Therefore, a person pulling the hook can only pull it through unless he has four hands.

The nurse who washed her hands came immediately and called the circulating nurse to prepare six more micro sutures of different sizes.

Lu Benlai was ready to retreat and return to the simpler incision position where Chen Bing was, but Chen Bing took Wei Qiao and began to sew.

Lu Cheng was stunned for a moment and thought to himself, did Director Chen see something, so he gave me the job of closing the bone sheath?

Chen Bing sewed up the simpler wound above, but his wound was not easy to sew up.

The bony sheath accommodates the femoral artery system. If the bony sheath is not sealed properly, the remaining blood in the pelvis will seep downward along the opened bony sheath. Eventually, the patient will experience "inexplicable" swelling and pain in the medial femoral area.

Many people may not know this small detail. Anyway, the patient's swelling and pain will only last for four or five days and will disappear as the hematoma is absorbed.

Lu Cheng took the sutures and used tissue forceps to carefully match each layer of fascia on the bone sheath one by one.

This took quite a long time, more than half a minute passed.

The nurse who performed retraction on Lu Cheng was a little impatient. Retraction was not part of her job, and the operation took a very long time. However, she had to listen to Chen Bing. After all, she was the director.

Lu Cheng was still complaining: "Are you going to sew it or not? You don't have to pull the hook hard, right?"

Lu Cheng raised his head, and Li Zhiliang also raised his head.

He quickly said: "Sew, you have to sew. Teacher Jiang, Xiao Lu is new in the department. Don't worry, I will pull the hook and you will cut the thread."

Pulling a hook is a physical job, so Li Zhiliang's words are considered considerate.

But after Chen Bing took one look at Lu Cheng's actions, he said directly to Jiang Ya: "Xiaoya, if you can pull the hook, pull it; if you can't pull it, step down! Go tell the head nurse in the operating room and ask her to call someone to pull the hook again.

.”

The nurse who washed her hands was a little unhappy and said, "Director Chen, he is always wasting time."

"Stand down!" Chen Bing was very decisive.

"Director Chen."

"I'm telling you to step down!"

"immediately!"

Chen Bing suddenly became angry and stunned Jiang Ya. With tears in her eyes, she silently backed away from the operating table. However, she did not take off her clothes and left the operating area directly.

Chen Bingcai asked Li Zhiliang casually: "Can you understand what Lu Cheng is doing? Do you also think he is wasting time?"

Li Zhiliang's expression immediately tightened,

Chen Bing's question confused him.

The corners of his mouth squirmed.

Jiang Ya's expression immediately changed. She glanced at Lu Cheng and secretly wondered whether Lu Cheng was doing something that even Li Zhiliang couldn't understand?

What about me?

just?
Chapter completed!