Chapter 385: Grab surgery

Chapter 385: Surgery
Heavy rain. After getting up in the morning, Zhang Fan noticed that it was raining outside. Looking out the window, the rain began to bubble in the street. "Before summer, it started to rain so much!" Zhang Fan said to himself in wonder.
"Zhang Fan, come and wash your face, give me a meal after dinner, it ’s going to rain. I have to go to the unit earlier today. One of my customers has made an appointment with me, and I will give him a loan today."
When Zhang Fan looked out of the window and was in a daze, Shao Hua shouted loudly in the bathroom. "Good!" After Zhang Fan entered the bathroom, he saw Shao Hua blowing his hair again.
"Go early, and you still have your hair washed. Come and blow it for me. It's raining outside. It's easy to catch a cold if you don't dry it."
"Isn't this forgotten. I only remember when I heard the rain. My client is engaged in civil construction. He can only rest when it rains, so I remember.
Which of my clients looks bitter and hateful seems to have a good relationship with our president. If he is negligent, he will sue. Last time, he sued Xiao Liu from our department because he didn't give him the initiative. water. Shao Hua was talking to Fan Fan while enjoying Zhang Fan's service.
Black hair, like satin, Zhang Fan gently shaking the hair dryer, looking for hair that has not dried out.
"Are you all right, and the rice is ready. Come and eat." Mother Shaohua shouted in front of the dining table.
"Come here, come here right away." Shao Hua promised.
Milk tea, coriander, side dishes, and a bit of sausage, protein, fat, vitamins are all available. "This heavy rain started to rain last night. Such a heavy rain is rare. It may be troublesome." The old man looked out the window with milk tea. After Zhang Fan sat down, he said to Zhang Fan.
Before Zhang Fan answered, she was returned to her by Shao Hua's mother: "Hurry up and eat, a day of less Shinto. After eating, accompany me to the grocery market to order something, and the food at home is gone."
"Huh, what do you know!" The old man was choked and drank his milk tea.
"Hurry up. I'm too late." Shao Hua said after taking a little bit of cake. After eating three mouthfuls of Zhang Fan, she also went out to eat and wear shoes.
"I know something is happening today, so I don't get up early. I do n’t eat well every day, which affects Zhang Fan. I do n’t cook anymore." The old lady looked at the half of the meal left, and immediately became angry. .
"Hey, knowing my dear old lady, let's go. Be careful, it's rainy and slippery, or wait for us to go to work to buy food." Shao Hua smiled and soothed his old lady.
"I can't count on it! Hurry up. Wear hot spots," the old woman gasped. The old man frowned, listening to his old woman's constant frowning, and whispered in his heart, "It's not a child!"
Fan Zhang drove Shao Hua to the unit. The speed of the rain was very slow, and there was still a bit of traffic on the road. "There was an accident in front." Zhang Fan poked his head and saw the road ahead.
"is it serious?"
"It shouldn't be serious. This speed can't be serious either. It's probably a puppet."
After a while, Zhang Fan sent Shao Hua to the unit. "I'm leaving. Be careful on your way. I put an umbrella in your car, right behind."
"Okay, you pay attention too."
It's better to rain in the border than snow. It doesn't need to arrive at the unit in advance if it rains. It doesn't work if it's snowing. The snow is blowing the charge, you must arrive at the unit half an hour in advance.
When Zhang Fan rushed to the unit, there was a little water at the gate of the hospital. "It's been all night, and it hasn't stopped yet." In the surgical building, Zhang Fan saw the chief of the chest.
"Yes, I guess there are a lot of car accidents today." The two talked casually to each floor.
It rained heavily and the hospital's work continued as usual. The patient with hallux valgus was drawn to the operating room early. Routine disinfection, Zhang Fan and Wang Yanan started the operation.
Hallux valgus, a small hallux valgus, there are almost two hundred types of surgery. Many surgical methods are not a good thing, because it means that everyone is not sure which surgical method is the best, and they are constantly exploring.
Zhang Fandang then had an advantage, because of the system, he knew what kind of technique was the future trend, but this kind of thing can only be done by himself, and told to others, others did not believe it.
This kind of thing must have data. Only data can be used to persuade others, but now China's forensic medicine can't afford this kind of minor surgery. Do it yourself, it is estimated that the data may be a little persuasive when you retire.
"Zhang Fan, let's use that kind of operation. Last night I looked at the surgery data for one night. There are too many operations. How do I think there are advantages?" I did it, and when I came across, I did my homework in private.
Zhang Fan looked at the girl with a bag under her eyes and said, "Yeah, if there is no advantage, it may be eliminated. We use a combination of loosening and cartilage correction."
"Well, I haven't seen this kind of surgery." Wang Yanan slightly lowered his head and thought, then raised his head and said affirmatively.
"You've watched more than two hundred ways?" Zhang Fan was a little surprised, but the girl was so capable.
"Well, that's it." Wang Yanan said a little proudly.
"Don't be too livery, it will grow old quickly." Zhang Fan also casually said that it was nonsense. When a doctor does n’t have liver, why should he be a doctor.
"Hey, there are more and more graduate students, I'm a girl again, Xue Fei can't be trusted anymore, maybe you'll leave someday. After I don't have a liver, maybe someday there will be no place." The girl said with emotion.
"Eh! You ~~" Zhang Fan thought it was inappropriate, and immediately said, "If you don't understand, just ask me, don't worry, the operation is gradual." Zhang Fan ignored himself.
"Sooner or later I will retire, and I can't help but worry. I have to think about your studies. Although you can't reach the level of your hard work, at least you must do it halfway, otherwise you will become Xue Xianyu."
"Okay, just be confident, let's get started." Zhang Fan heard that, thinking that the girl thought clearly, she didn't say much. They were all adults. Don't look for persuasion.
This operation is actually not difficult. The difficulty is the control of the angle. The angle formed by the toe joints is very easy to relapse if the control is not good.
This angle is not a requirement to die, but to consider all aspects, such as the weight of the patient, whether to engage in heavy physical labor, etc., the incomplete consideration is the root of the calamity. So when you go to the doctor, don't hide your career.
"Begin!" Zhang Fan said aloud and started the operation.
First, make a 5cm longitudinal incision on the dorsal side of the thumb between the 1st and 2nd toes, and extend it close to the metatarsal head.
Having said that, Zhang Fan pulled the peroneal cutaneous nerve and vein of the thumb to the tibial side.
Then, continue to separate the fibula laterally along the hallux metatarsal joint capsule, cut off the transverse diaphragmatic ligament, and cut the transverse and oblique heads of the thumb adductor muscles from the proximal phalangeal base and the lateral sesamoid bone.
Then bluntly separated proximally, the ends were sutured with thick silk, leaving a long thread for future use. The hypertrophic lateral joint capsule is cut along the joint line from the dorsal midline to the plantar side, so that the toe can be moved inward, and then knotted and fixed.
Zhang Fan explained to Wang Yanan while doing it. It is too difficult to find the operation by yourself, and it must be brought by a teacher. A good teacher can take less detours.
The operation was quick and ended in more than half an hour. "Can I do this next time?" Wang Yanan said to Zhang Fan, holding a cast.
"Do you understand?" Zhang Fan asked.
"Understand. You taught me very detailed, I think I should."
"That line." Zhang Fan nodded. In fact, the operation is also simple. It is to cut open the skin muscles, open the tendons, loosen the thumb joints, and then adjust to the position to be restored, then stitch and cast.
At this moment, Lao Gao came in, "I guess you are done with the surgery. Quickly prepare for the two car accidents, both of which are open fractures, and must be operated as soon as possible."
"Is there a fracture in that place?" Zhang Fan asked.
"One ulnar radius, one femur." Lao Gao said, leaving the operating room to another operating room.
"You send the patient back to the ward, make a doctor's order, and then go up to grab the femur. Remember to make clear to the family members of the patient, you must fix the thumb to the correction position with a plaster bandage. After 3 weeks, you can remove the plaster exercise and wear Shoes walking. "After Zhang Fan casts the plaster, he specifically explained.
"Okay, rest assured. I'll go down and sneak Xue Fei up. I know that you can definitely get back the sick number when you go out. I have confidence in you, come on!" The girl deliberately made a fist, cheering gesture.
"OK! Rest assured." Zhang Fan smiled.
When it rains and slips, there are many accidents. The injured were a three-jumper driver and a three-jumper passenger. Three jumpers are actually motorcycles with a tin box. Yu Da couldn't see the road and slammed into a car.
Both the driver's and passenger's skins were not broken, and the result was too terrible.
Zhang Fan went out and went to the conference room of the operating room. Lao Gao, deputy director and Xu Xian are watching the movie.
"Director, what about the patient?" It was sent immediately. This is a movie. You have to look at it first. Speaking, Lao Gao gave way to the computer, because it was a local area network, and after the radiology department took the film, it was displayed on the computer.
"The ulnar radius is not very severe. The femur is quite heavy."
"Yeah, what do you do." Lao Gao asked.
"Let's make a femur. Dr. Xu's group has been tired recently, and we'll share some of their workload."
"It's okay, we can do it!"
"It's better, we've all rested for a long time, it's a fresh force, we're femurs. Director and deputy director, what do you say."
"Oh, okay. You make the femur."
"Look, haha, this is Dr. Zhang, it's overbearing." The deputy director even laughed and said to Xu Xian in a pun.
"Um!" Xu Xian couldn't help it. Zhang Fan spoke in orthopedics, and Lao Gao would agree. Even if Lao Gao was absent, Zhang Fan spoke, and the deputy director had to weigh it. Technology is here. He had to think.
(End of this chapter)