The Godfather of Surgery

Gaoqiao, Xu Zhiliang, Zhang Lin, Xiaowu and Fatty, a few people drank a few cases of beer.

There are empty bottles all around, and the combat power is almost released.

When the scene was about to end, Xiao Wu only remembered: Zhang Lin, aren't you trying to get pregnant?

Zhang Lin squinted his eyes: I already have it, so what are you planning to get pregnant? Whoever is here today is planning to get pregnant if you don't drink alcohol.

This reminded everyone, and immediately turned their attention to Yang Ping and Song Zimo, and then to Xiao Su and Tang Fei.

As soon as Zhang Lin said this, everyone immediately fell silent, with strange eyes, the two girls, Xiao Su and Tang Fei, blushed.

Zhang Lin, has your brain been soaked in alcohol? We've never been drinking. Song Zimo explained immediately.

Zhang Lin smirked: I didn't say anything. Even if I said anything, I can't remember it clearly. Don't take your seat.

Why are you looking at me again? Yang Ping felt uncomfortable.

After Song Zimo finished explaining, everyone looked at Yang Ping again, and Gao Qiao came up and said, Dr. Yang, come here! I congratulate you, how do you say it in Chinese?

Takahashi dazedly picked up the empty cup and thought about it for a long time: I wish you an early birth of your son!

Takahashi—— Miyuki looked at Takahashi's slightly drunk eyes, and immediately reminded him that she had lost her temper.

Takahashi's brain reacted quickly, and after being reminded by Miyue, he looked at Yang Ping and Xiao Su Honghong's faces, suddenly sobered up, and realized that he had said the wrong thing.

However, Miyuki was still blushing, and Takahashi really didn't understand what was going on with her.

Zhang Lin immediately urged Gaoqiao: Xiao Gao, red envelopes, send red envelopes quickly, two hundred and one, quickly—

100,000 yuan of change, now I don't give out a few red envelopes, keep it for interest, and the change purse has no interest.

Everyone was so noisy, and they were willing to go back after a while.

However, there is no need for surgery the next day, so I have no scruples. During the competition, I have one day of surgery and one day off.

This is the suggestion given by Professor Zhang, which can free up a day for reflection and summary, and check the preparation for the next batch of operations to avoid mistakes.

On the day off, Corey will hold a discussion meeting. Professor Zhang and Director Han will be present and will give some suggestions, but they are only suggestions for young people to use as a reference.

On the first day of surgery, many hospitals only do one as a start, which is a way to explore, and most of them are open reduction and internal fixation for both forearm fractures.

On the second day of the discussion meeting, the website of the Golden Knife Awards was opened on the high-definition screen. The operation on the first day, all the judges' scores have been completed.

Song Zimo won full marks from all the judges. On the score list in South China, Song Zimo from Sanbo, Su Nanchen, Lin Hao, Chen Ge, Cao Qian, Su Fengyu from Fuyi 1, Yan Jiejun from Fuyi 2, Tian Xu from Provincial People's Hospital, These teams are currently tied for first place with full marks.

Other hospitals, including the provincial traditional Chinese medicine and several affiliated hospitals of the University of Chinese Medicine, have been deducted more or less points, mainly because the details of the operation are difficult to take care of.

The comprehensive orthopaedic team summarized the first operation, and then carefully checked the second batch of operations several times, including perioperative management, surgical operations, case writing, etc., and kept every detail intact. However, no problem was found, so be assured.

At the beginning of the game, Fuyi also adopted this strategy, allowing the surgical team to perform a day of surgery and then rest for a day.

They are also conducting a summary of the operation on the first day, taking the operation of the double fracture of the forearm, ulna and radius as an example, to analyze what should be paid attention to in the operation, from the big frame to the details, it is clear.

In the standings, of the eight teams with full scores, only the operation of the Sanbo team was completed by an assistant.

According to the rules of the Golden Knife Award, all operations in the regional competition can be performed by an assistant, so Sanbo's arrangement does not violate the rules, but no team really dares to do so.

There is still a big gap in strength between the main surgeon and the first assistant. Occasionally, one or two operations are performed for the first assistant, so that the first assistant can make a bright appearance. There is no problem.

All the operations are performed by an assistant. If something goes wrong, the points will be pulled down, and it will be very difficult to recover the points against a strong opponent.

Moreover, the first operation will be performed by a helper. No one has the courage. The first battle can build confidence. Once a mistake is made, it will directly affect the mood of the subsequent operation.

At present, in the five major competition areas, except for Sanbo Hospital in the South China competition area, there is no other hospital for the first surgery to be performed by a assistant.

The Magic Six in the East China Division, the first operation was also performed by Wen Rentao, and he had no plans to let a helper perform the operation.

Lin Hao has been paying attention to Yang Ping's performance, but now Sanbo's operations are all performed by Song Zimo, and Yang Ping has not shown up at all.

What does it mean?

Give up the Golden Knife Award? As an experience?

But it's not like, the first operation, they got full marks again, looking at this score, it is obvious that they are rushing to the top.

For the second batch of operations, each team prepared several units, including femoral shaft fractures, tibial fractures, and humeral shaft fractures, all of which were in line.

For each case, the preoperative preparation, surgical plan, and postoperative precautions must be reviewed by several directors to check for omissions and fill in the gaps.

The second batch of operations began, and some people gradually began to fall behind. Some of the eight teams with perfect scores could no longer hold on.

Tian Xu from the Provincial People's Hospital, closed reduction and PFNA internal fixation for intertrochanteric fractures of the femur, the position of the spiral blade was not completely centered on the lateral X-ray, and was deducted and lost the full score.

Yan Jiejun from Attached 2 had insufficient bone traction before surgery for femoral shaft fractures, and the intraoperative reduction took too long, almost more than ten minutes. At just ten minutes, the reduction was successful and full marks were kept.

These basic operations can be achieved without deduction, that is, the theory and the operation have reached an impeccable level.

This requires the chief surgeon to receive standardized training, develop good habits and a meticulous attitude from the time he graduates into the clinic.

Relying on the pre-competition assault training, one or two surgeries can achieve full marks, but every operation has full marks, which is very difficult. Any careless point will be deducted.

All these operations can maintain full marks stably, which is completely the accumulation of deep technical skills.

For example, in the operation of femoral shaft fracture, the closed reduction should be done quickly during the operation. The score requires that the reduction should not exceed ten minutes during the operation.

The fracture can be repositioned within ten minutes, and the force line, length and rotation can be normalized.

Of course, if the reduction exceeds this time, there can be many reasons: for example, the level is not exerted, the anesthesia muscle is not loosened enough, or the fracture is inserted into the muscle.

In Professor Zhang's words, nervousness, carelessness, or poor performance all stem from inexperience.

In fact, there is no nervousness, carelessness, or poor performance, all of which are unskilled excuses.

One plus one equals two, how can you not go wrong with nervousness, carelessness, and poor performance?

On the third day of the competition, Song Zimo also completed three types of operations on the femoral shaft, tibial shaft, and humeral shaft. Each operation received full marks and was very stable.

Turning on the judges' ratings, there's a reason these masters get full marks.

A patient from the Sanbo team with a fractured tibial shaft, a foreigner, often kneels on the ground because of religious beliefs.

In this case, a transverse fracture of the tibial shaft is undoubtedly the gold standard for closed reduction and interlocking intramedullary nailing.

For fractures of the long bones of the lower extremities that do not involve the articular surface, according to the scoring rules of the Golden Knife Award, as long as it is not minimally invasive, points will be deducted directly from the surgical procedure.

For percutaneous minimally invasive techniques, the first choice for lower extremity long bone fractures is interlocking intramedullary nails, followed by steel plates. The specific choice depends on the condition.

In this case, Song Zimo abandoned the preferred intramedullary nail fixation and chose the long locking plate percutaneous technique. It can be seen from the comment section that many people objected.

For tibial shaft transverse fractures, closed reduction and internal fixation are preferred. Interlocking intramedullary nails are preferred instead of locking plates. Compared with eccentric fixation of plates, the central fixation of intramedullary nails is significantly more stable.

Indeed, the chief surgeon and first assistant of Sanbo Hospital are still too young, and they may be deducted points for making mistakes, and the deductions will not be too few.

There is one less in the full-point position.

Many of the speeches in the comment area are experienced orthopaedic surgeons with high professional titles, and there are also young doctors who are eager to learn and active.

Don't worry, I have participated in the academic conference of Sanbo Hospital. The chief surgeon of this team, Yang Ping, is by no means an ordinary person. How can there be a mistake in the choice of internal fixation for such a simple operation? There must be other hidden reasons.

The obvious thing, what else is hidden, from Campbell to orthopaedic surgery, to the AO internal fixation manual, this kind of surgery is the first choice for interlocking intramedullary nails, this is not the time to be unconventional.

Continue reading, the main swordsman of this team is really a god, so don't jump to conclusions too early.

Except for some who hold reservations, others are completely one-sided, thinking that they must be pursuing unconventional ideas and making mistakes in their internal selection.

This is not uncommon. Some doctors have come up with some strange surgical methods in pursuit of being different and getting new ideas.

For example, in the open reduction and internal fixation of humeral shaft fractures, the anterolateral incision is the gold standard.

There are so many nerves and blood vessels on the anteromedial side, extending upward to the axilla, all of which are issued by the nerve blood vessels, how could it be better than the anterolateral side?

Without being unconventional, how to write a paper?

But now it's a surgery competition, not writing a thesis. An inappropriate and unconventional one might turn oneself upside down.

Finally, the first judge began to score, and everyone stared at the scores that were shown.

Every step is full score, until the last step, it is full score, the total score is full score!

what happened?

Where is our problem?

Why don't you deduct points?

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Look carefully at the scoring instructions!

The score description clearly states: Because of religious beliefs, patients often kneel on the ground, and interlocking intramedullary nails are used for tibia fractures. Among them, the incidence of complications of anterior knee pain is high, which may seriously affect the patient's kneeling movements. With the percutaneous technique of long locking plates, there is no such complication. Therefore, some professional athletes, those who have frequent kneeling action requirements, and others who cannot accept the possible complications of anterior knee pain, try to avoid interlocking intramedullary nailing.

Master, I have noticed this. We didn't know this before.

Let me tell you, this is the real God team.

On the provincial doctor's side, there was a case of a professional athlete, and points were deducted for this.

On the full score list, there are eight perfect scores, and now only seven are left, and Song Zimo is still hanging on it.

In this case, they escaped, and no points were deducted. This is a problem that most orthopedic doctors will not consider.

A football player once had a transverse fracture of the middle tibial shaft. He underwent surgery in a hospital in East China. The chief surgeon thought again and again, abandoned the method of interlocking intramedullary nails, and chose a long locking bone plate. X-rays before and after surgery Hanging on a garden website, it was questioned by many people.

Finally, the experts came out to solve the doubts, and everyone understood that this was the case.

The high-level surgical thinking is based on Keqiang's strong theory and experience.

Lin Hao was analyzing the operation at Sanbo Hospital again. He wondered how long they could hold on to top the list with him.