After entering the operating room, Wen Xueyi hurried forward and put on towels with the nurses, and Chen Yuan followed him forward.

Pre-operative preparation is essential, but this kind of work does not require the majority of surgeons to take action personally. There are many people who are willing to do this kind of work. Fang Han has undergone so many operations, even when he was doing Liang Qunfeng, he has never put on the towel.

After Wen Xueyi came to Jiang Intermediate People's Court, he rarely did this kind of work himself, and nurses, Jiang Feng, and Chen Yuan would rush to do it.

Although Wen Xueyi was only a resident, he still had a relatively high status in Jiang Intermediate People's Court, even Chen Yuan was polite.

First, he is a student of Yun Linchao and a doctor from Yanjing. Second, Wen Xueyi’s level is indeed good. In addition to Fang Han, Wen Xueyi is the second person in the emergency department who can perform joint replacement surgery independently. But today, Wen Xueyi took the initiative.

Wen's Thumb Valvular therapy is a relatively simple operation and there is not much preparation work.

The patient was sent to the operating room, and Fang Han began the operation.

Because the emergency department did not have similar experience in surgery, Fang Han came to the anesthesia in person.

Wen's thumb valgus therapy, the anesthesia was performed local anesthesia. Fang Han first chose a dot on the foot between the first toe and the second toe. The silver needle was silently pierced into the skin, and a little bolus was applied, and the needle was quickly pulled out, and another dot was selected to bolus.

Then, one circle around the first metatarsal bone, and anesthetics are injected horizontally and longitudinally, so that the entire circle of invasive anesthesia can be achieved.

When Fang Han was performing anesthesia, the anesthesiologist also watched seriously and learned Fang Han's anesthesia techniques.

For hospitals, once a doctor learns a new therapy, a new therapy will gradually begin to be promoted, and hospitals will always be doctor-centered.

Take the emergency department for example. Fang Han learned joint replacement, and the emergency department had joint replacement surgery. Fang Han learned left and right helix resection, and the emergency department had left and right helix resection. Similarly, Fang Han has started to do Wen's thumb valgus, so there will definitely be only patients with thumb valgus, and there will be patients in this area in the emergency department in the future.

The anesthesiologist must be prepared in some aspects of the patient, which is inevitable.

Local anesthesia is relatively simple and easy to master. However, in the first case of thumb valgus, Fang Han was afraid that the anesthesiologist would not understand the key points, so he did it himself. If a similar thumb valgus patient appeared, Fang Han would not do it himself in anesthesia.

Fang Han also said to the anesthesiologist while bouncing the injection: "You should often understand local infiltration anesthesia. There are many ways inside, so I won't explain them one by one. In addition to the appropriate concentration of the medicine liquid, you should retrieve before each injection to prevent the medicine liquid from entering the blood vessels and joint cavity; in addition, every time you get the injection, you must operate it in the previous anesthesia area, and try to minimize the patient's pain."

Although he didn't explain it one by one, Fang Han still said a few points.

The anesthesiologist nodded quickly. He was from anesthesiology. He naturally knew more about anesthesia than Han. However, he had less knowledge of being an anesthesiologist in Jiang Intermediate Hospital than in other hospitals. Some surgeries still need to be familiar with them for the first time.

After local anesthesia, the next step is to separate the joint capsule. Fang Han cuts a small arc-shaped mouth on the distal end of the first metatarsophalal joint, and then quickly and forcefully with his hands. At the same time, he said to Chen Yuan, who was standing next to watch the operation: "Look clearly, the purpose of doing this is to loosen the soft tissue of the joint. Pay attention to the use of hands and brains and master strength when doing it. This is a process that requires continuous proficiency."

Chen Yuan nodded quickly, and he knew in his heart that Fang Han was teaching him step by step.

In this world, it is not just people like Kuang Mingzhuo and Wen Xueyi who are smart, but Chen Yuan also has them.

There are few people in this world who are fools. Real fools can't even enter the hospital gate.

Chen Yuan was also a pride of heaven back then, but he was smoothed out in the county hospital.

After coming to Jiang Intermediate People's Court, Chen Yuan has always been cautious. As the attending doctor, he always followed Fang Han's butt, flattered Fang Han, and helped Fang Han deal with various troubles. This does not mean that Chen Yuan has no ambitions, he just hid his ambitions deeply.

Although Chen Yuan did not see as long as Kuang Mingzhuo, he also understood many things. In Jiang Intermediate People's Court, Fang Han could not finish everything. Whether it is joint replacement or liver resection, Fang Han was not the main force. Since Fang Han was not the main force, there must be someone responsible and someone should be the main force.

What is Fang Han’s intention to teach himself step by step today?

Chen Yuan's heart was like a mirror. Fang Han planned to train him and planned to teach him this minimally invasive therapy. If there were similar patients in the future, Chen Yuan would become the main force.

Chen Yuan clenched his fists tightly, and his palms were sweating faintly. His eyes were not blinking, staring at Fang Han tightly, focusing on him.

There are few people in the emergency department, but there are no shortage of ordinary doctors. What is lacking is the kind of people who truly master a skill, and the kind of people who are outstanding in some aspects.

The bone injury zoning is only established, and there are few projects, but it does not mean that the bone injury zoning will only undergo joint replacement after the bone injury zoning. This thumb valgus is another area.

Fang Han quickly selected a second incision on the inner side of the head and neck of the first metatarsal bone, and then selected a third incision between the first and second metatarsal bones...

"screwdriver!"

Fang Han stretched out his hand, and the nurse hurriedly handed a periosteal driver.

Fang Han used a periosteal driver to penetrate deep from the incision, move left and right, and completely loosen the lateral metatarsal sac.

When Fang Han explained to the patient before, he said it was a small incision, but in fact it was indeed a very small incision. Such small incisions do not even require sutures, and the wound can be completely healed.

Even if the scar is not stitched, the scar is very small. If you want to reduce the scar, Fang Han can completely use beauty needles without removing the stitches and then use ointments, which will almost no scars will be left.

"Grinding a diamond!"

Fang Han reached out his hand again, and the nurse handed the electric drill to Fang Han.

Fang Han picked up the soft shaft and high-speed drill and opened it. The sound of the electric drill sounded in the operating room.

Fang Han's voice sounded at the same time: "Chen Yuan's normal saline water cooled down and cooled down!"

While speaking, Fang Han penetrated the drill deep into the incision on the distal inner side of the big toe joint and began to grind the bones.

Chen Yuan, who was next to him, quickly sprayed normal saline into the incision with a syringe to cool down and cool down. After more than ten seconds, the osteophytes had been washed away.

Fang Han stretched out his hand again: "Bone file!"

When the operation was carried out, the female patient behind the curtain seemed to be fine, and she was playing with her mobile phone, without feeling at all. This minor operation made the patient feel no pressure on her own.

Not only the patients, but the assistants have nothing to do. Apart from Chen Yuan's injection and cooling just now, Wen Xueyi and Jiang Feng have been watching from the side, and they can't get involved at all, and there is nothing they need to interfere.

Yao Xin stood by and looked at Fang Han intently. Fang Han was operating now. Everyone else was staring at Fang Han, and no one paid attention to Yao Xin. Yao Xin was even more unscrupulous. Others were watching the operation, but she looked at Fang Han.

Zhang Hao took the camera seriously and adjusted his position as Fang Han's movements kept adjusting his position. He didn't notice that her goddess had been obsessed with seeing Fang Han now.

“Miniature saw!”

The nurse handed over the micro saw, and Fang Han took the micro saw to prepare for the sawing of the bones. At the same time, he said to Chen Yuan next to him again: "We do not have arthroscopy in our surgery, so you should pay special attention when sawing the bones. Look carefully."

"On the one hand, this step depends on experience, and on the other hand, you should pay attention to the angle of osteotomy. According to the severity of the patient's condition, the osteotomy line is 15 degrees to 30 degrees from the distal medial to the proximal lateral side, and 5 degrees to 10 degrees from the distal dorsal side to the proximal plantar side..."

As he spoke, Fang Han moved the micro saw in his hand. In just a few seconds, Fang Han reached out and picked up the tweezers and used the tweezers to remove a complete bone.

Putting down the tweezers, Fang Han took off his gloves, applied alcohol gel to disinfect his hand, and said to Chen Yuan: "Now the bones have been removed, and the rest is bone repositioning, so I'm sure."

As he spoke, Fang Han reached out and pushed, squeezed, flipped, and the operation was completed in just a few seconds.

Wen Xueyi, who was next to him, looked at him with wide eyes. He didn't even see clearly, so Fang Han finished the work.

Chen Yuan is closest, and he has a double degree in Chinese and Western medicine, so he can see it clearly than Wen Xueyi. Even so, this kind of therapy cannot be seen in one operation.

Chen Yuan was not in a hurry. Since Fang Han was willing to teach him, he would have the same chance in the future. He believed that he would definitely master it.

“Rinse the joint cavity and incision.”

Fang Han explained and walked over to wash his hands.

When Fang Han washed his hands, Chen Yuan had already washed the joint cavity and incision. Fang Han used a beauty needle to suture it. If the scar is not considered, it is actually unnecessary to suture it.

After suturing, the rest is bandage, and bandage is also of particular concern. Use four rows of bandages to form a split toe pad with a diameter of about 2 cm, place it between the first and second toe webbing, and then do a "8" shape bandage, and fix the tape, and the operation is announced to be completed.

And then the other foot...

After the operation, Fang Han raised his head and looked at the time. It was less than thirty minutes.

Fang Han explained a lot to Chen Yuan. If he didn't explain the operation, the nurse would be familiar with the process, and it should be completed in twenty minutes.

Wen Xueyi hurriedly asked: "Doctor Fang, what should the patient do?"

"What should I do?" Fang Han was stunned for a moment.

"Are you sending it to the observation room or to our bone injury division?" Wen Xueyi asked. After the operation, the patient was naturally sent to the ward. However, now the bone injury division has its own bed, Wen Xueyi still has to ask.

"What ward to send to the patient to get out of bed and go home to recuperate."

"Get out of bed by yourself?" Wen Xueyi was stunned.

Without waiting for Wen Xueyi's reaction, Fang Han had already lifted the curtain: "Get out of bed!"

The female patient was still playing with her cell phone. When she heard Fang Han's words, she was stunned and asked in surprise: "Is it over?"

"Well, the operation has been completed. You can come down, put on your shoes and go prescribe some medicine with Dr. Chen, and then you can go home." Fang Han said.

"Get out of bed, can I leave now?" The female patient was still a little confused. Didn't she have the surgery? She could get out of bed by herself just after the surgery?

"Of course." Fang Han gave the female patient a polite smile: "Just try it out."

The nurse hurriedly brought the patient a pair of disposable slippers. The patient got out of bed, slowly put on his shoes, then stood up and walked away...

step.

Two steps.

Three steps.
Chapter completed!