The Godfather of Surgery

At 0:00 on the first day of the competition, the website of the Golden Knife Awards opened on time. The website was built using Alibaba Cloud.

At eight o'clock in the morning, in the locker room, Yang Ping took out his mobile phone. The Golden Knife Award APP pattern was a delicate scalpel.

Whether it is a website, an APP, or a WeChat official account, only registered members can log in. Registered members are free, but they need ID cards and doctor qualification certificates, which everyone has done before the start of the competition.

Yang Ping is on the APP, the video in the South China Division is still blank, and everyone should not be so early. The video area of ​​the Southern Metropolis Attached No. 1 has already shown that it is being connected, and the operation should be started soon.

The video cameras are all on the shadowless lamp. If the operation is performed under the microscope or endoscopic operation, it is directly connected to the video system of the device, so the shooting area is limited to the surgical area, and the patient's privacy is not exposed.

Before the operation, an informed consent agreement will also be signed with the patient, informing that the operation area will be videotaped and will be watched by the professional surgeons across the country.

Most patients will agree, because everyone feels that the doctors who can participate in the competition are all selected and have excellent surgical skills.

There are also a small number of patients who refuse, but it does not affect the selection of participating cases. The number of cases in large tertiary hospitals is only more or less, which is completely out of consideration.

After the video is broadcast live, it is encrypted and stored in Alibaba Cloud. The judges can watch the live broadcast or watch the replay after scoring.

Judges generally like to watch replays, so that they can observe repeatedly and score more accurately.

Doctors prefer to watch live broadcasts, which make them look more emotional, but most doctors do not have as much time and watch videos after get off work.

After an operation, all judges must complete the score within 24 hours, and the deduction must explain sufficient reasons.

In the final score, the highest and lowest scores are removed, and the remaining scores are averaged.

The judges have a pool of experts, adopt the avoidance system, avoid those who are in the same competition area, those who have kinship relationships, and those who have a relationship with teachers.

Don't worry about someone hiding the identity that needs to be avoided, because of the existence of the Internet, everyone will clean up any possible special relationship.

Therefore, on public online platforms, there is very little possibility of favoritism. If there is a favoritism, doctors across the country will look at it and criticize the favoritism.

Perhaps because of the advancement of network technology, this Golden Knife Award is particularly lively. Now the number of people who are online has exceeded 100,000. The number of practicing doctors in the country, including assistant doctors, is only more than 3 million. The number of online doctors has exceeded 100,000. high.

At this time, everyone has just entered the operating room and changed clothes in the dressing room. They can take a moment to glance at their mobile phones to see which hospital is the most confident, and be the first to start the live broadcast.

The surgeries in the regional competition are all traumatic orthopaedic surgeries, so many hospitals are able to come up with cases, and some grass-roots county hospitals are eager to try, although they know that they will not qualify, but even uploading a few surgeries can be regarded as an experience.

The comment area opened next to the video area is equivalent to a bullet screen. In order to watch the video, you can see interesting comments, and separate the bullet screen from the video.

The comment area of ​​some hospitals is deserted, and some hospitals are very lively. For example, Nandu No. 1, the video has not yet started, and many people are already swiping the screen.

I'm here to see Su Nanchen.

The one with me, the number one scholar of science in Nandu back then.

I heard that he is Professor Su's son? Respond with knowledge.

That's right, the number one scholar in science, and the eight-year system of the Concord, it's not a problem to be admitted to the First Attachment without relying on the relationship of Lao Su?

His wife is a twenty-eight-year-old doctoral supervisor from Nandu Medical University.

Is it true? You are a doctoral supervisor at the age of twenty-eight. At what age do you go to university?

People who engage in basic medicine are not like clinical climbers. One or two Nature or Science articles can be done by doctoral supervisors.

Twenty-eight-year-old doctoral supervisor? Are you talking about Lin Lan from the Genetics Laboratory of Southern Metropolitan Medical University? She's a beautiful woman with both talent and beauty.

At this level, it seems that only Su Nanchen can calm down.

Attachment one also has a main sword, Lin Hao?

It's also a Concorde eight-year system.

People are deputy high schoolers at the age of 30. I'm still pulling the hook. If I don't talk about it, hurry up and pull the hook, or I'll be scolded again.

Chatting and chatting, the topic is off topic, but as long as it is not illegal, everyone can speak freely, which is why the Internet has exploded the popularity of the event.

Yang Ping was curious and entered the video area of ​​Sanbo Hospital. Song Zimo and everyone were still preparing for the operation, and the video area was not opened.

But the barrage is no less than the attached one.

Brothers, who still remembers the fifth stage replanting?

Who doesn't remember? The village has just been powered on, right? The replantation of the fifth stage of the Sanbo has passed away. The strange operation at the academic conference, crushing the Japanese, is a heavyweight.

Does anyone know Yang Ping, the chief knife? I heard that guy is so awesome.

Even Takahashi was overturned by him, you said that the bull is not bully.

Did he do the operation? I can't believe it.

Brother in the magic capital, someone should know Song Zimo, right?

I know him. He was from Fudan University, but he completed the clinical practice in Mo Liu. We call him Liu Chuanfeng. This buddy can challenge Wenda, but he is only a helper. This session is worth seeing.

Sanbo's body is not good enough. Scoliosis, bone tumor, upper cervical spine, these operations are the highlight of the finals. It would be good to be able to reach the quarterfinals. If you want to win the championship, it is unlikely.

I heard that robotic surgery was added to this year's finals?

Yes, robotic surgery is a must for the finals.

Yang Ping is not interested in these comments either. He called out some standard procedures for the operation. At the same time, each step has a score. In fact, if he gets a full score, it means that the surgeon has really mastered every detail of the operation.

For some unknown reason, many hospitals use open reduction and internal fixation for double fractures of the forearm, ulna and radius as the first surgery.

The first operation uploaded by Song Zimo was also open reduction and internal fixation of a double fracture of the ulna and radius of the right forearm.

This is a relatively simple operation, belonging to the entry-level surgery of trauma orthopedics.

The regional competition is three months, and the operation in the first month is a limb fracture. As long as all the required types of operations are completed before the end of the month, there is no need to follow the order.

If all surgical cases are not prepared within a month, then this hospital must consider whether to participate in the competition in another ten or eight years, and to develop and expand the department first.

The regional competition is mainly about basic skills - basic knowledge, basic theory, and basic skills. At this stage, the most important thing is to be stable and not overturn.

Yang Ping opened the description of the operation score for the double fracture of the ulna and radius of the forearm. If it were printed out, it would probably take several pages.

Song Zimo and Xu Zhiliang should start the stage soon. Yang Ping is not worried about Song Zimo at all. He still knows this one help.

So he didn't plan to go in for the time being, he simply went to the lounge to lie down for a while and casually watch operations in other hospitals.

The video area has been broadcast one after another, and there are judges watching the live broadcast to score. Here, while the operation is being performed, the scores of each step in the scoring column are followed. These judges are worthy of being big brothers.

Yang Ping glanced at it, and he started with both fractures of his forearm.

Some people have a lot of points deducted as soon as the operation starts.

Both fractures of the forearm, the preoperative X-ray lacks the complete upper and lower joints, and the points are deducted!

The inferior radioulnar joint is dislocated, and it has been reset in emergency. The triangular cartilage complex, inferior radioulnar ligament and other injuries are not considered, and the wrist MRI examination is not performed. Points will be deducted!

The use of preoperative blood strips is not standardized, and points will be deducted!

If the posture of holding the knife is wrong, points will be deducted!

If the incision is not vertical, points will be deducted!

After entering, the protection of blood vessels and nerves is not strong, and the rubber strips are not used to gently retract, and points will be deducted!

The superficial branch of the radial nerve passed through the fracture site of the radius. The first course record and the physical examination did not record the hand sensation in detail, and the superficial branch of the radial nerve was not explored during the operation. Points will be deducted!

There is too much periosteum stripping, and there is no awareness of blood supply at the fracture end, and points will be deducted!

Points will be deducted if the electric drill is not held properly when drilling!

If the sounding and tapping sequence are reversed, points will be deducted!

Simple transverse fracture, using locking bone plate, improper selection of implants, points will be deducted!

There is also an operation where a single incision is used for the fracture of the ulna and radius, which is likely to cause cross-healing, which violates the basic principles of surgery, and points will be deducted!

There are dozens of points for a simple double fracture of the forearm. Each point of concern is clear, and the deduction of points is well-founded.

Yang Ping explained all the scores of these operations, and read them carefully. There are still some differences between the competition and the usual operations. For example, the cruciate ligament reconstruction is done by himself, and the locator is never used.

If this is put into the competition, a step will be missed and points will be deducted directly. Therefore, it is also very important to be familiar with the scoring instructions.

This is like solving a problem in the college entrance examination, every step must be clear.

Anyway, there were still three months left. Yang Ping read some of the scoring instructions, and then transferred the information about Andrew, a child patient with multiple ligament ruptures in the knee joint previously sent to him by Robert.

Planning in mind how to perform this operation is indeed quite difficult. There is no ready-made surgical plan that can be referred to. It is necessary to redesign a personalized surgical plan and design special surgical instruments.

Yang Ping simply entered the system space and studied the operation carefully in the space.

He drew a complete set of drawings of surgical instruments in the space, and then drew the surgical steps with drawings. After several revisions, he determined the final plan.

After coming out of the space, he went to the anesthesiologist's office to get a stack of A4 paper and began to draw the surgical steps and surgical instruments.

Now that the drawing is very skilled, not to mention that it is drawn in the system space, and now it is just copied from memory, a pencil, and quickly drawn one by one.

Yang Ping took pictures of all these pictures with his mobile phone, and then sent them to Robert, asking him to find OrthoPediatrics to produce all the surgical instruments in advance.

This operation, Robert estimates that he will not be able to do it. He only studied here for a week, and he only learned the basic knowledge of the operation for a week, and he can't do a deep understanding for the time being.

But little Andrew's operation, the further back, the more difficult the operation will be. Yang Ping is worried, and I believe Robert is also worried.