Chapter 17 These hands are just born for surgery
This operation was a rare simple fracture, and Li Zhiliang had already completed the most critical part.
Although Chen Bing also knew that Lu Cheng had made considerable contributions during the reset, Li Zhiliang did not notice this, but now, at the last moment.
Slippery.
Moreover, the butt of the screw is basically parallel to the surface of the steel plate and is not close to the surface of the bone. There is still a certain gap from the surface of the bone. This is an unstable screw.
Xu Chongliang was so frightened that his face turned pale. He had a feel for it and it was absolutely smooth, but in fact, the nail only needed to be tightened a few more times and it would be all the way to the end.
Li Zhiliang started scolding at that time: "What did you do? I asked you to tighten the screws, but I didn't ask you to arm-wrestle. Why did you use so much force? You think there is no place to use your strength, right?"
Xu Chongliang didn't dare to say anything. He looked around blankly, knowing that he had gotten into trouble.
If you remove this screw now, it may take more than an hour.
If it is not taken out now and later when the internal fixation is removed, it may take more time and cause greater trauma to the patient.
Chen Bing came back immediately and said: "Li Zhiliang, come and try and see if you can twist it out."
As the leader of the team, Chen Bing did not directly scold him. He knew that it would be useless to hold people accountable after something had already happened. The most important thing now was to think about how to solve the problem.
Only by solving the problem first and then summarizing it can the entire team improve.
"Also, the broken screw must be found immediately. It cannot be left in the patient's body." Chen Bing said immediately.
Yes, the sliding wire is not as simple as screwing a nail on the outside. If it slips, it will slip. If you can't find it, you can't find it. This is inside the patient's body. Everything, including internal fixation, is foreign matter. If there are screws
Residues may cause irritation and harm to the patient, such as compression and inflammation.
It was easy to find, after all, it had just happened. Li Zhiliang quickly used tweezers to twist out the broken piece and placed it in the bending plate.
But when he took the screwdriver and looked at the butt of the screw, a quarter of the six-sided hole was gone.
He twisted it twice, but couldn't bear the force.
He looked at the circulating nurse and Chen Bing and said, "Director, get the stapler, don't waste time."
This must be removed with a nail remover. Even if the screw and the screw hole are removed this time and a longer steel plate is replaced, this thing cannot be retained if the entire operation is repeated.
The next internal fixation removal surgery will most likely be performed by Li Zhiliang. He does not want to dig such a big hole for himself.
Li Zhiliang's eyes glanced at Xu Chongliang, and he had the urge to strangle Xu Chongliang to death.
This time, Li Zhiliang had basically successfully performed the internal fixation of the fracture alone, but in the end, Chen Binglai still had to take the stage.
It is estimated that Chen Bing will not let him perform the surgery for the next fracture.
Chen Bing said: "Don't worry, I'll come up and take a look."
If possible, Chen Bing is still unwilling to drill out the screws with a nail remover and then have to repeat the entire operation.
Moreover, after using a nail remover, there will be a hole in the bone. Coupled with the injury of the fracture itself, there is a high risk of another fracture and unstable fracture in the future.
Although Li Zhiliang sighed inwardly, he didn't say much.
Lu Cheng wanted to give it a try, but there was no place for him to talk at this time. Should he still say that he could remove screws better than Li Zhiliang and Chen Bing? This was impossible.
You can't do this as a human being.
Five minutes later.
Chen Bing immediately washed his hands, put on his clothes and went to the stage. He took the hexagonal screwdriver and turned it left and right.
There are locking screws on the front, so they are fixed very tightly. A quarter of the hexagonal holes are missing, so there is no way to bear the force.
I tried for another five minutes or so.
Chen Bingdao: "Go get the nail tool, don't waste time."
The circulating nurse immediately understood: "Director Chen, I'll get it right away."
Every step of the operation must be controlled by the surgeon. She will only take it if Chen Bing tells her to take it. Otherwise, Chen Bing may feel that she dislikes Chen Bing for not being able to take out the screw, which is not conducive to future relationships.
.
At this point, Lu Chengcai finally spoke.
"Director Chen, how about I give it one last try? I also want to experience what the nail feels like after sliding the thread." Lu Cheng said in a low voice.
Everyone glanced at Lu Cheng and didn't think anything was wrong. Lu Cheng was a young doctor and he wanted to experience it at this time. This idea was very normal.
As a teaching hospital, this is what they should do, not only to let students know how to perform surgery, but also to let them know what went wrong during surgery.
Chen Bing handed over the screwdriver and said, "Hold it carefully and don't use too much force, otherwise the remaining nuts will be unscrewed and we will have no way to find them."
Chen Bing had an impression of Lu Cheng, so he gave it to Lu Cheng.
Lu Cheng put the screwdriver inside and pressed hard.
Then he twisted it left and right, and found that the screw started to rotate and retreat in the direction of his screwdriver movement.
Seeing this scene, Xu Chongliang, who had been paying attention to his failed products, pointed to the stage, was so excited that he didn't know how to speak, and said: "Brother Zhi, Director Chen, look at it."
Both people, including the hand-washing nurse, looked at the stage.
Then he saw that the screw, which had already slipped and a quarter of its butt was lost, was slowly and evenly tightened by Lu Cheng before moving back.
Chen Bing's breathing was a little tight. After being shocked, the rest was filled with nervousness.
He quickly said: "Slow down, don't be in a hurry, after five turns of withdrawal, you can immediately change the pliers to remove the screw!"
Yes, as long as it can be pulled out a little bit so that the vise-like jaws have a place to bite, it can be forcibly screwed out.
Lu Cheng was not in a hurry at all, but he knew not to go too fast this time, so he continued to tighten evenly.
Half a minute later, five turns were completed, and the buttocks were exposed on the surface of the steel plate.
Chen Bing immediately caught it with a pair of pliers and moved away with a click.
After another half minute, the screws are inserted into the bending plate.
Everyone breathed a sigh of relief, and Chen Bing shouted confidently: "Wash your hands and replace it with a 7.5 screw."
If Chen Bing goes to the battle in person to deal with it, there will be no problem.
After another four minutes, all the screws were finished.
Rinse and close the wound.
At this time, the patrol came in from the door,
"The nail remover is here, Director Chen, do you want me to come up?" Ten minutes is already very fast when it comes to picking up the equipment during the tour.
Chen Bing just said: "No need to come up."
The handwashing nurse Jiang Ya immediately said: "No, Sister Lin, the broken nail has been taken out."
When she said this, she still felt a little guilty.
Lu Cheng's hands are definitely a pair of surgical hands. He can sew smoothly and can remove such difficult broken nails. He will definitely be able to do something in the future. However, if he thinks of himself who is setting up a stage with him, he will still be disliked.
Pass.
I don't know what it feels like.
Chapter completed!