The second assistant can perform some simple traumatic operations,

There will always be times when an assistant is inconvenient.

If you can be promoted to second assistant, your contribution when killing this monster will increase, and your probability of gaining experience points and possibly obtaining book pages will also increase, which is a good thing.

After Lu Cheng and Xu Chongliang changed places, they became closer to Li Zhiliang and Chen Bing.

At this time, they saw Chen Bing and Li Zhiliang planning to explore the sciatic nerve first to restore the patient's vertical stability.

The sciatic nerve passes through the greater sciatic foramen, but if you want to detect whether it is damaged, simply isolating the now free sciatic foramen is certainly not enough.

Open reduction and internal fixation of pelvic fractures is, of course, more than prying reduction of fractures.

An advanced understanding of open reduction of lower limb bone fractures allows Lu Cheng to have a deeper understanding of the current surgical procedures for pelvic fractures, including what he will think when he sees the current situation.

How to explore the sciatic nerve.

Although this idea may not be consistent with Chen Bing's, it is definitely not as confused as Xu Chongliang's.

Even when Lu Cheng saw Li Zhiliang's eyes full of confusion, he knew that among the four people standing on the stage now, his level in fractures had surpassed Li Zhiliang's. As for how he compares with Chen Bing

Sample,

Lu Cheng is not easy to compare.

After all, the associate professors in large tertiary teaching hospitals also have Ph.D. degrees, just like Chen Bing.

The process of planning the surgery in my mind may be complicated, but completing the simulation and planning only takes about ten seconds.

Li Zhiliang's assistant pulled the hook properly in order to fully expose Chen Bing's position.

This process was a little stiff, and what Lu Cheng was actually thinking was that if Li Zhiliang's retractor position could be slightly higher at this moment, it might be more suitable for exposing the free pelvis.

Just as he was thinking this, Chen Bing took Li Zhiliang's hand again, and while moving the position, he said: "A little further up, the strength of the hand can be slightly lighter, the pelvis is now free, you can hold it

If the soft tissue is pulled, the bones will be displaced, so the retractor is of little use."

Saying this, Lu Cheng felt secretly happy in his heart.

Sure enough.

Chen Bing immediately said again: "Lu Cheng, help me push down the ischium. Xu Chongliang, come and suck the blood."

In front of the ischium is the pubic bone, and behind is the ischium hole.

Lu Cheng conveniently found an unused bone peeler from the operating table, and then leaned down along the front edge of the pubic bone. In an instant, the location of the greater ischial foramen was revealed.

Chen Bing immediately said: "That's it, don't move, don't move!"

He immediately began to squat and separate some muscles, and began to move downstream along the anatomical direction of the sciatic nerve. He also said: "Don't move, very good, that's it, very good."

This is a habit of Chen Bing. He likes to teach and encourage people.

Many surgeons have this habit of saying some very encouraging and confident words during the operation.

After peeling off about ten centimeters,

It is very good to still see the integrity of the sciatic nerve.

Chen Bing knew that the sciatic nerve had not been seriously damaged. His current peeling of the sciatic nerve was both a check and a decompression.

After surgery, the soft tissue will be edematous. If the sciatic nerve is not treated, the patient will definitely experience numbness due to sciatic nerve compression after surgery.

After this step, it is necessary to perform partial reduction of these broken bones.

But before Chen Bing said anything, Lu Cheng used the bone peeling finger in his hand, that is, he pressed the bone peeling finger slightly in one direction, and then he lifted the inner edge of the pubic bone with his left hand.

Chen Bing discovered that at this moment, the front of the pelvic ring actually fit together very well.

"Yes, just in this position, don't move, it's very good."

"hurry up,"

"Prepare a steel plate for me!"

"Let me explore the upper edge of the pelvic ring again."

The opportunity for surgery is fleeting. Nowadays, there is such a good position. If the position above the pelvic ring is relatively good, then the steel plate can be cast first to fix one position first, and then fix other positions.

.

This is also the reason why no surgery on the pelvis is repeated.

The surgical nurse quickly went to get the curved steel plate.

"How many holes do you want?"

"Give me a ten-hole one first. Hurry up. This position is very good." Chen Bing said quickly.

He was afraid that if Lu Cheng's hand shook at this time, the position would be distorted: "Lu Cheng, please hold on a little longer. After I drive two nails, you can let go."

Lu Cheng naturally knew that temporary fixation could only be achieved after screws were inserted on both sides of the fracture.

"Okay, Director Chen, I'm fine!" Lu Cheng didn't take any credit.

After these few experiments, Lu Cheng can completely believe that the knowledge, details and experiences he has gained are all real. He represents his own strength, which is far beyond the Lu Cheng of the past few days.

Lu Cheng is not worried at all about whether he can perform well after his abilities are strong, let alone anxious.

Only people with stronger abilities can handle things more easily and with greater ease when facing things.

He doesn't need to worry yet.

After comparing the steel plates, they found they were about the same size, so after inserting two screws, Chen Bing immediately said with a smile: "Very good, our surgery today went very quickly."

"Now that one side has been fixed, one-third of the operation is completed. Now let's continue to look at the upper edge of the pelvic ring. If this is fixed, our operation will be three-quarters complete."

"Let's go through it first."

"..."

In orthopedic surgery, C-arm fluoroscopy is very necessary. Some operations may even require hundreds of fluoroscopy times, especially for pelvic fractures. Some cautious doctors will perform fluoroscopy once before reduction, after reduction, and after fixation, or even

During the reset, it needs to be penetrated more than ten times.

No exaggeration.

After seeing through,

The position of the lower edge of the pelvic ring is very beautiful, and there is basically no need to change it.

Moreover, we can roughly see the position of the upper and side edges of the pelvic ring. They still have shape. If they have shape, they can be reshaped. If the shape is gone and shattered, or the shape is completely destroyed, then this operation will be particularly troublesome.

.

"Li Zhiliang, please continue to pull the hook,"

"Xiao Lu, why don't we continue to do the upper edge of the pelvic ring? I think the two of us have a very good understanding of the operation." Chen Bing said in a good mood.

The nurses all agreed with this statement, nodded and said: "Yes, Director Chen is in very good condition today. The operation only took less than half an hour, and the temporary fixation of the lower part was completed, which was nearly two minutes faster than before.

to three times.”

Chen Bing laughed loudly: "Maybe my level has improved?"

Honey self-confidence.

While saying this, Chen Bing naturally glanced at Lu Cheng unconsciously.

Every surgeon has a sufficient understanding of his or her own level.

If the progress of an operation exceeds his usual average level, and if you feel that the process and cooperation are very smooth during the operation, then you have to start looking for the assistant's advantages.

When the opponent's level is at least one third of yours, you will feel that your cooperation is very smooth.

If the other party is more than half as good as you, you will later feel that you really want to hire this assistant to support the stage again.

If the two are similar, you will be very sorry why the other person can no longer match the stage with you.

If the other person is higher than you, then you will feel that your own surgical level has suddenly improved by several levels.
Chapter completed!