Chapter 144: The 140th operation!

Chapter 144 Chapter 140 Surgery!
Zhang Fan no longer needs to worry about what is happening outside the operating room. What he can do now is to do the operation well and rescue Wang Weiping. Zhang Fan was not good at giving instructions to the two directors either. Lao Gao looked at it. "Now it's not polite. Hurry up. The two of us are your doctors now."
"Yes! Lao Gao is right." Pharaoh echoed.
"Two directors, then I'm sorry! Director Gao washes and disinfects his hands. Director Wang and I pose, asking the director in the heart to come to the surgery consultation, maybe they will need joint treatment." Everyone starts commanding. Surgery is actually similar to fighting. First of all, determine who is the general, the general directs, and the subordinates act. The general must have a clear mind and his orders are forbidden.
The general must think clearly and order accurately. Otherwise, the subordinates will rebel. The same is true of the surgeon. What you want to do is clear in regulations and clear instructions. Because there are several nurses and several doctors are waiting for your order. Waiting for the next procedure.
Disinfection and ordering. The two directors do the hospitalization work. There is no way for the main knife to have the right to think, to see X-rays, CT, MRI, these assistants have to do the little work. Zhang Fan couldn't care less about these small things, and stared at the LED film viewer to think carefully.
Surgery begins. The pelvis is actually a closed bony ring, a strong bone ring composed of iliac crests, pubis, and ischium. Because the pelvis is stiff, it usually doesn't break easily unless it is violent.
Wang Weiping's fracture was very severe, the pubic symphysis was separated, the sacroiliac tuberosity and sacrospinous ligament were broken, and the posterior sacroiliac joint was completely dislocated. The dislocated half of the pelvis has shifted forward.
"Find the bleeding point first, there must be relatively large blood vessel damage in the pelvic cavity." Zhang Fan said.
Open the book, the idea is clear. Lao Gao and Pharaoh were not surprised at all. Although this operation is also very serious, it is not too difficult for a surgeon who does a hip and knee replacement. Just to hurry up and be fast!
With the main knife thinking, the assistant actively cooperated. The surgeon dominates everything on the operating table, and some of the particularly tempered surgeons are either scolding or throwing things, and the doctors below are not willing to perform surgery with him. There are still many such doctors. It is estimated that they were oppressed too much in the past. After they got up, they started to learn like that!
Zhang Fan chose the posterior entrance. After the gluteus maximus fascia was cut, the subfascial separation was carefully performed inward to ensure that the gluteus maximus muscle tissue was separated from the fascia without damage. Because the gluteus maximus fascia extends the finger muscle space into the gluteal muscle every 5-10mm, special care must be taken to maintain a complete layer, prevent the fascia from injury, and minimize muscle damage.
In order to completely restore its anatomical level, Zhang Fan took special care to separate the fascia and keep it intact. When you find the origin of the gluteus maximus on the sacrum, stop the medial separation. Cut off the starting point of the gluteus maximus from the aponeurosis of the thoracolumbar fascia, the iliac crest, the posterior superior iliac spine, and the multifidus fascia.
When cutting the starting point of the gluteus maximus, in order to facilitate the repair of the gluteus maximus at the end of the surgery, Zhang Fan retained a sufficiently long tendon at the stop. Then cut off the origin of the gluteus maximus at the gluteal muscle.
The operation was carried out step by step, and the three surgeons wiped the sweat on their heads constantly. None of them talked or communicated with each other, and the two assistants exchanged their opinions through the eyes! They all know what to do and what to do.
The skills of the three were not weak, and Zhang Fan's intentions were clear to the other two. However, Zhang Fansheng has a large amount of surgery in young exercise, and it is performed very quickly under his hands.
As soon as the experts shot it, they knew if there were blood vessels or nerves. Zhang Fan almost didn't need to think or stay, and quickly separated and cut. The three-dimensional anatomy of each tissue is just like Zhang Fan's eyes. The two directors are not in vain. They are masters. In order to prevent others from despising, they are fully cooperating.
The benefit of mental concentration is that the surgery is performed very quickly. After entering the iliac crest, a bleeding spot was found. "Artery!" Zhang Fan said.
The other two have also seen it! The arteries in this place are too troublesome to handle! Docking is not likely, but embolism can cause atrophy of lower limb muscles or hip muscles.
Zhang Fan, who had no pause during the whole process, hesitated a little, and the other two thought about it again, what would happen if the main sword was them today! "What's the blood pressure?" Zhang Fan asked.
The anesthesia director of the anesthesiology department is today's anesthesiologist, "Dr. Zhang, 85 / 50mmhg, heart rate 60."
"No!" Zhang Fan is also preparing to dock the artery, but the patient's vital signs are not supported and can only be given up!
"Ligation!" Zhang Fan said. Lao Gao and Pharaoh both understood Zhang Fan's meaning. Lao Gao was ready to persuade him, but Zhang Fan immediately said a ligation again. It seemed that the young man was calm and calm, really a surgical genius.
With this set down, Wang Dehua was jealous of Lao Gao. The two people started to compete since entering the hospital, and they have been fighting until the director's position, there is no victory or defeat, but now Lao Gao brought out a demon, and directly crushed all orthopedists below normal height.
Pharaoh was jealous of death. If it weren't for the surgery, he would have scolded him! To be strong for a lifetime, let old Gao be proud once he gets old.
Speaking of the operation is very fast, in fact, three people have been done for four hours. Damaged arteries and veins can be repaired as much as possible. If it can't be repaired, choose the method with the least damage. Zhang Fan's technique is too clever. Many places will be damaged according to the methods of the two directors. As a result, Zhang Fan avoided it cleverly. Lao Gao nodded non-stop, although he didn't speak, but looked at Pharaoh's eyes but exuded a proud atmosphere.
Wang Weiping's vital signs were stable and the bleeding stopped. Pharaoh turned back and motioned for the traveling nurse to wipe his sweat, and then said, "Dr. Zhang, your method is not like our way. Lao Gao and I are both brought out by a master. You are not like this!" Lao Gao's eyes were so unpleasant, Pharaoh said unconvinced.
"When I was in Bone One and Bone Two, I always looked at the directors of your two directors, and I carefully thought about it when I went back. It was a bit of a snack." Zhang Fan was not anxious for this meeting, and Wang Weiping survived.
"Our orthopedics department's philosophy is to be courageous to innovate. Dr. Zhang has done a good job, but he ca n’t be proud of it. He must make persistent efforts. After you enter the department, every Tuesday is set as the study day of the department. At that time, everyone can talk about themselves. Experience! "Lao Gao said cheerfully.
Comparing two people in a lifetime, they did not kill a high or low. As a result, in the generation of disciples, Lao Gao has already taken the lead. If you don't show up, and don't get angry with Pharaoh, you can't justify it.
Pharaoh thought to himself, "Nothing! If I have seen a few surgeries and I have experience, is it right? I can just retire!" Rolling his eyes and glancing at Lao Gao, he then said, "Some people don't be proud. This situation continues, it is estimated that this hospital will no longer be able to hold Dr. Zhang! "
"To make you proud, wait for Zhang Fan to go, and see how you show off!" Pharaoh thought so, and also balanced a lot.
"Where to go, his master is still my old Gao will never surname Wang. Later, when others say Zhang Fan, they will mention me, I am a bit credit!"
The two kept bickering, Zhang Fan was a bit annoyed, too shattered, and the two director women were generally embarrassed. He didn't understand how lucky he was to have such a life-long professional enemy or opponent! They lashed each other for progress. Without Lao Gao or Pharaoh, their careers would not reach their current peak.
"The bones aren't terribly broken, so be prepared to fix it!" Zhang Fan couldn't listen anymore, and stopped the two people's mouths from speaking out! Today he is the main knife and has this right.
The operation went smoothly, the patient's vital signs were stable, and the atmosphere in the operating room suddenly relaxed.
The director of anesthesia jokingly said, "Two old men are not shy. Hurry up and have surgery, then Dr. Zhang's world is over. Our time has passed!" He and the two directors of orthopedics entered the hospital at the same time!
With this remark, the two sighed at the same time, glanced at each other, and had dimly seen white hair from the horns, "Yes, it's over!" Lao Gao said softly.
No matter how old or sick you are, you can't avoid it, especially the surgeon. For a few years of prime time, once you pass, you start to eat old books. With the decline of eyes and physical strength, you gradually become more and more powerless.
The visiting nurse is the head nurse of the operating room. After several operations, she has already known Zhang Fan's status. After gently wiping the sweat on Zhang Fan's head, she said, "Doctor Zhang, how much time do you have left? At the end, the meals are over. The director asked me to ask you what you want to eat, and the hospital is reimbursed today. Our nurse will follow you! "
"Oh, I will do whatever I want to ask your leaders. I am a soldier, and what you eat, what I eat." In the operating room, except for Zhang Fan and the surgical nurse, all the other leaders are leaders. Zhang Fan is right.
The operation nurse smiled quietly! She didn't dare to joke with a few leaders. The head nurse looked at Nian Shan, but she was cruel and cruel!
"Grabbing? Steak?" The anesthesiologist asked.
"Okay! Today, the boss is kind, let ’s eat steak. After missing this meeting, and trying to make the boss so generous, it is estimated that there is no chance. Now the boss is getting more and more inclined to internal medicine resources, and our bonus has begun to decline. Now, let's talk to the boss that day. "Pharaoh said to Lao Gao.
"Okay, let's talk, now the doctors below are complaining!"
This kind of thing is not worrying about Zhang Fan, these words did not even enter his ears, they were shielded!
fixed! Suture! Ligation, surgery is complete! The anesthesiologist and nurse accompanied the patient to the ICU. Zhang Fan shook his sore legs and turned his head to look. Lao Gao and Pharaoh had sat on the ground floor of the operation regardless of their status, and slapped against the wall.
Really old!
(End of this chapter)