Offstage.

Tong Gao Bo and Fan Cheng touched Deng Zhi and asked in a low voice:

"Brother Zhi, is this kind of stitching effect very good?"

Both of them went to the postgraduate entrance examination, so during the internship, they basically did not go to the departments for rotation, that is, the first few internal medicine departments. They visited it and ran away when they found time. Otherwise, there were so many books for the postgraduate entrance examination.

Can't finish watching.

Deng Zhi nodded and lowered his voice: "Didn't you see the professor's expression just now?"

"None of them have seen it, and from what Teacher Lin said, it seems that they don't have this concept yet."

"However, in the thick-thickness skin grafting in the trauma department, there is a saying that suturing is not required. But I didn't expect that Lu Cheng would combine it with ordinary suturing."

"This Xiaolu's basic knowledge reserve and ability to flexibly apply knowledge are not simple."

"It's not easy."

Deng Zhi seems to think that the words "not simple" are not vivid enough.

"Let's put it this way, if Lu Cheng takes this to the beauty salon now, you know, he can not only save money for the beauty salon, but also make a huge amount of money, tens of thousands a month, which is definitely not enough.

I have to say that when I become more proficient in my business, I will be even higher than this."

"Beauty salons are just for making money. It depends on whether Xiao Lu is willing to go in this direction."

"If he really goes, it will be a pity. There will be one less doctor with real surgical talent."

As Deng Zhi said this, he thought that Lu Cheng's family situation might not be very good, and he might actually take this path in the future, and he shook his head again.

Tong Gaobo immediately understood what Deng Zhi meant.

If you go out now, your monthly salary is 30,000+, what do you call this if you don’t call it a cow?

However, the knowledge Lu Cheng mentioned was all the most basic. How could he achieve this kind of stitching effect through this basic knowledge?

It can only be said to be a matter of skill and understanding of anatomical levels.

They are still unable to fully study and understand this kind of problem...

The surgery continued, but Professor Min did not take special care of Lu Cheng because of his special performance. Lu Cheng had no chance to perform the next two surgeries!

It was only in the afternoon, after the joint replacement surgery, that the surgery was divided. Chang Weilong and Zhu Lihong opened the surgery respectively. Lin Hui was the chief inpatient because Zhu Lihong was the attending surgeon and had little experience, so he went to surgery with Zhu Lihong.

Then Chang Weilong brought Lu Cheng and the bed doctor with him.

After washing my hands, I entered the operating room and put on sterile waterproof clothing. I saw that the main battlefield of the operation was completely occupied by Chang Weilong.

I saw that he had already placed the arthroscope tube into the joint space of the shoulder joint. While checking the patient's injury, he said to everyone: "Look, everyone, this is the head of the humerus, and this is the glenoid of the scapula."

, the surrounding soft tissue is the labrum.”

"Above the labrum is the long head tendon of the biceps brachii, which is the anterior inferior glenohumeral ligament, and behind it is the posterior inferior glenohumeral ligament."

"This is what we usually call Bankart injury. This is the upper edge of the labrum. If there is a full-thickness tear injury from front to back, it is what we often call SLAP injury. In fact, it is very useful to write down the full name in English.

It’s easy to understand superior labrum anterior and posterior (superior labrum from front to back).”

"This patient..."

As Chang Weilong spoke, everyone nodded frequently.

The knowledge in books is just an outline, so now it's time to fill in the details.

With Chang Weilong's explanation, Lu Cheng's understanding of the arthroscopy system became deeper and deeper. Although Lu Cheng didn't know anything else, he at least had some experience in arthroscopy.

Because this was just an operation after all, not a specialized lecture, Chang Weilong only lasted less than two minutes.

In just these two minutes, Lu Cheng already had some knowledge in the field of sports medicine shoulder joints.

This is the improvement brought about by someone teaching. If Lu Cheng reads books by himself, he can also improve, but those are just words and memories, not understanding and experience, and you cannot get an intuitive feeling. Especially in the process of giving guidance.

, Chang Weilong even mixed in his own private goods!

However, this patient's lesion was not in the joint cavity, but in the rotator cuff in the subacromial space.

Lu Cheng wore a sterile waterproof suit and came to the patient's MRI film, and read it carefully.

I don’t know if the game system sorted out and classified his knowledge structure. The MRI of the shoulder joint, which was originally very difficult to read, suddenly became enlightened under Lu Cheng’s slow reading.

stand up.

First, start with the big structures, the scapula, the humerus, and then the joint effusion between the two bones, which appears white. Then the labrum, and then the rotator cuff...

Chang Weilong glanced at Lu Cheng and didn't say anything to him. Lu Cheng had never been exposed to this case, so he could take the initiative to read the films to understand the patient's general condition. It would be more beneficial to listen to his explanation later, but this

The premise of everything is that Lu Cheng can read the film, otherwise he will be a blind man who will open his eyelids.

Still blind!

The principle of MRI reading is actually very simple. Lu Cheng can memorize it, but the principle is a principle. If it cannot be connected with anatomy and real-life diseases, it will be of no use.

There are two major tones in nuclear magnetic resonance: black and white. And because of the different degrees, it can be divided into many different black and white colors.

The classification of black and white is determined based on the content of H atoms in the molecule, and because the H atoms in the fat layer and water layer, after relaxation reaction with nuclear magnetic field, appear white on nuclear magnetic field, while the cartilage, bone and muscle layers appear white.

It is relatively black...

Once the knowledge structure is sorted out, the best manifestation is its flexible application.

Although the process of reading the film by Lu Cheng was slow and quite obscure, at least it was understandable, which is a good thing.

I read the film for almost three minutes.

Lu Chengcai returned to the operating table,

Then he saw such a scene. In the gap under the acromion of the shoulder joint, there was a huge red light group flashing, and there was a huge blood-red number on the red light group: 5124!

As for the planer held by Chang Weilong, every time he planed the synovial membrane or soft tissue, he could find the top of the light group, which showed:

-25!

-12!

-14!

…

After all the hyperplastic synovium was removed, the number dropped from 5124 to 4855.

Lu Cheng thought for a moment and understood. If the rotator cuff injury was compared to a monster, then the treatment Chang Weilong had performed before was the monster's attack. The attack would reduce the monster's health!

And Chang Weilong is still explaining:

"After the rotator cuff is injured, it will stimulate the repair of the inflammatory response, and the rotator cuff is difficult to repair on its own, so it will stimulate the joints to produce a large amount of synovial tissue proliferation, causing the patient pain and other symptoms. While dealing with the rotator cuff injury,

It is also very necessary to deal with these synovial hyperplasia."

"After we clear the synovial membrane, we need to find the tear in the rotator cuff and suture it."

"Here, explore the hook!" Chang Weilong said, calling the handwashing nurse the equipment.

During the operation, everyone performs their own duties.

The hand-washing nurse is responsible for sorting out the instruments used in the operation and handing them to the surgeon. The assistant is responsible for positioning and retracting, and the first assistant is responsible for assisting in the operation.

There is a circulating nurse under the stage who is responsible for prescribing sterile saline or new equipment packages.

With the probing hook in hand, Chang Weilong quickly reached into the space under the acromion, quickly found and made a crack of about 1cm, and said: "Gao Bo, look, this is the rotator cuff tear we saw on the film.

An opening."

"So let me ask you, what is the definition of a huge rotator cuff?"

When Tong Gaobo heard this question, he thought for a moment and replied calmly: "Professor Chang, it seems that the rotator cuff injury is relatively large."

Lu Cheng's eyes narrowed slightly, and he wanted to laugh, but he didn't.

Taught, learned!

If you have a system, you are lucky.

The road is long and long.

"How big is it exactly?" Chang Weilong was obviously not satisfied with this answer.

Tong Gaobo's eyes widened and he looked at Chang Weilong with a naive smile, meaning, I don't know.

Chang Weilong asked and answered: "Generally, a tear of more than five centimeters or two or more rotator cuffs is called a giant rotator cuff."

Chang Weilong did not say anything and continued his operation. First, he placed an outer row of staples on one part of the rotator cuff, then passed the thread through, tied a knot, and sutured it.

This process is extremely complicated and cumbersome, and Lu Cheng can't understand it at all.

About half an hour later,

The moment the stitching was completed,

A huge amount of damage appeared in front of Lu Cheng's eyes:

"-956!"

This is the biggest damage so far.

However, there is still a red blood bar of 2495 remaining.

This made Lu Cheng immediately feel that something was wrong.

Operation?

Is it not done at all?

Chang Weilong looked at the sutured hole and said to the tour in the audience: "Teacher Tour, please take a photo, and then you can prepare to leave the stage!"
Chapter completed!