Chapter 427 The opportunity to speak to the whole world!

No matter how influential Lu Cheng's work was, it had a great theoretical impact on debridement and surgery.

Everything has to start slowly.

The operation was still going on in an orderly manner. Lu Cheng's hands seemed to have an indescribable spirituality. He held a sharp knife in the sinus opening of the patient's inner thigh, and kept cutting through various anatomical levels layer by layer.

In addition to the traditional concept of thorough debridement, Lu Cheng also properly cleaned up the hidden gaps between all muscle layers.

The more Qu Hongsheng watched, the more he felt that the surgery performed by Lu Cheng was very interesting, so at the beginning, he called Cao Xiaohe to start recording with his mobile phone. Qu Hongsheng was transferred from the clinical department first

I studied basic research and then switched to administration.

Therefore, Qu Hongsheng is sensitive to both basic experiments and clinical experiments, and knows how to collect more useful, intuitive and credible data.

Although the surgical process is not important in clinical topics, it will not appear in published articles and results. However, in the process of publishing articles, some top journals and magazines will ask you to provide some basic information.

Data, additional data, data not appearing in the article.

The surgical process is actually the best data.

Under normal circumstances, the reason why such data is not required is because many surgical operations are not suitable to be seen by colleagues. Because there will always be some mistakes in the entire surgical process.

However, new techniques are excluded!

If you want to convince people of a new surgery that challenges existing concepts, backup surgical videos are extremely necessary. Filming the entire surgical process can be used for many other purposes besides publishing articles to convince editors.

As a professor of orthopedics who has done an excellent job in basic experiments, Qu Hongsheng has won the national 863 project, so he is familiar with the preparation of these things.

Halfway through the operation, Qu Hongsheng felt that Lu Cheng's surgical procedure was particularly smooth. Although some of Lu Cheng's micro-operations, even Professor Qu Hongsheng seemed to feel that Lu Cheng was very tired.

But Qu Hongsheng still feels that this is just the beginning, the most elementary stage. You can completely take the surgical process back, and then review it again, slowly experience it, and slowly improve it, which will always make the operation less complicated.

.

Moreover, Qu Hongsheng also thought of something.

But he had no idea whether these things were useful for the time being, so he suggested: "Xiao Lu, do you think you can use a sharp knife to sweep the muscle layer and hidden gaps, and use an osteopathic curette to sweep, or use

Can other instruments perform similar operations to achieve the same effect?"

"Also, Xiao Lu, I think we can also discuss whether operations like yours can be replaced with other drugs or some more commonly used things?"

Lu Cheng turned his head slightly and frowned slightly.

The idea put forward by Professor Qu Hongsheng is very good, but this is a topic for further discussion. Now Lu Cheng himself cannot directly prove that the theory of lacunar infection that he thinks is feasible, so of course Lu Cheng can improve the method.

He wasn't sure. But Lu Cheng understood what Qu Hongsheng meant.

When Qu Hongsheng saw Lu Cheng stopped what he was doing, he hurriedly said: "I just want to mention it a little bit. You can continue the operation first. We can discuss the remaining things in detail after the operation."

"I just saw the micro-operations you are doing now and associated them with my own expertise in bone diseases and bone tumors."

"However, bone tumors are fixed in the bones, and bacterial infections are very mobile. However, in the field of bone diseases, complete removal of bone tumors is very necessary."

"However, achieving complete resection would conflict with preserving the patient's function, so we will use some neoadjuvant chemoradiotherapy."

"Only when there is residual disease can we talk about recurrence. I think these two points are similar in the two fields of infection and bone disease."

Qu Hongsheng's words immediately made Fang Nixin, Cao Xiaohe and others' eyes light up.

Although Qu Hongsheng rarely appears in clinical practice, he has the title of professor after all, and he is one of the few people in the Second Xiangya Hospital who can get the Hua Guo 863 project. This sensitivity of thinking and this keen ability to capture,

It's simply beyond anyone's reach.

It seems that the hospital must have their own considerations in temporarily letting Qu Hongsheng serve as the acting director of the Department of Orthopedics.

"Professor Qu, what you just said is very interesting to me. Can I check the relevant literature when I go back?" As Fang Nixin, who is also sensitive to scientific research, she also wants to find out. Currently, she is abroad.

Are there similar concepts and ideas in other disciplines?

If not, then this is probably a new spark created by the joint efforts of the three departments of trauma, joint surgery and orthopedics!

Qu Hongsheng looked at Fang Nixin and said with a smile: "Of course it's okay. If you don't tell me, I will ask you to check it out."

"Xiao Fang, you can't be lazy. I have heard your name from the professors in the Department of Internal Medicine. Every time there is an academic meeting, they whisper in my ears that our Department of Orthopedics has robbed them.

A genius in internal medicine.”

"My expectations for you are quite high. I feel that if the Orthopedics Department of our hospital can achieve certain achievements in basic experiments or academics, you Fang Nixin will definitely have a share of the credit."

"Besides, Xiao Fang, in fact, there is no need for you to be so formal. Our orthopedics department itself is the same body."

"When I go to hold academic conferences outside, whether I go to Shanghai or Kyoto, or even to Australia, they will only talk about your Xiangya, your Chinese orthopedics, but not what about me, Qu Hongsheng.

How about it!"

"What kind of research do you want to do, what direction of research, as long as the department can help you, you can tell me."

"The current professional capabilities of our department, no matter how strong they are, are at least not much worse than those of the top domestic hospitals in all aspects. However, in terms of academics, they are indeed lagging behind by more than one and a half stars. Although I have been very good at it over the years.

Shaanpi participated in many academic conferences organized by the Orthopedic Branch of the Chinese Medical Association, but at the conference."

“I heard what medical schools from other top universities brought, and when I looked back at what I brought to share, I really felt ashamed of myself.”

"So you, the younger generation, must stand up." Qu Hongsheng said with emotion.

Qu Hongsheng suddenly made the topic so sensitive and took such great responsibility. Not to mention Fang Nixin who answered the call, even Cao Xiaohe, Lu Cheng, Xie Jian and Pang Lin...

They all feel a little stressed.

We are all just students, so how come we have such a big relationship with Xiangya? It is the top hospital in the country. Xiangya used to be definitely the first in the country, but now, professionally, some disciplines are still first-rate.

In terms of level, but overall strength, it is definitely only second-rate or barely at the bottom of first-rate hospitals.

Fang Nixin smiled innocently and did not answer.

As far as Fang Nixin is concerned, she is actually not particularly interested in the revitalization of Xiangya or any major issues. Otherwise, she could have studied as a graduate student in the Department of Cardiology, Respiratory Medicine, or even the Department of Mental Health.

, and then stand on the shoulders of our predecessors and take another step forward.

Fang Nixin is now more interested in the medical profession, medical skills, treating illnesses and saving people, going to emergency rooms, and saving more people who can be saved.

Fang Nixin only hopes that more emergency patients like her father can be rescued as soon as possible.

However, after Fang Nixin arrived at the emergency department, she found that although what she had learned was extensive, every aspect was just the same, and there was no way she could be of great use in emergency surgery.

Nowadays, no matter whether it is China or the top hospitals in the world, there is no all-round doctor who can hold up the sky by one person.

The best in every discipline and major are in junior colleges.

Among the patients the emergency department comes into contact with, the most common ones are acute abdomen, trauma, stroke and other diseases.

Among these, acute abdomen has long been taken seriously. Even ordinary associate professors may not be able to solve the skills required for stroke. The fastest way to get in touch with the emergency department is to get in touch with trauma.

This is also the reason why Fang Nixin chose to go to Li Dongshan Postdoctoral Mobile Station. It's just that by some mistake, Fang Nixin is now included in the establishment of orthopedics. But it doesn't matter. Fang Nixin now feels that as long as she can treat more people

It is also good for patients to solve their sufferings more often.

Because Fang Nixin discovered that she alone could not change the emergency care industry, nor could she make such a big contribution to the emergency care industry.

Instead, the emergency department is more like a large-scale patient transfer center, which is inevitable.

Because the top technologies in each discipline are in specialists, specialized treatments, consultation surgeries, and multidisciplinary combinations, this is the most scientific approach. No matter how good a person is, all disciplines are very good!

So what?

If you are covered in iron, how many nails can you drive?

When a patient has fatal trauma from general surgery, neurosurgery and vascular surgery at the same time, you perform three operations at the same time?

Multidisciplinary collaboration is still needed.

Coincidentally, Fang Nixin discovered that Lu Cheng's major was very powerful, so she changed her mind and first learned the technology of one of her subjects well, to a level where it could be of great use.

Of course, another particularly important reason is that Fang Nixin discovered that among all cancer patients, orthopedic-related tumors are the most cruel!

Go to the osteopathic department and you will see that 60% or even close to 70% of the patients are angels who have not yet reached adulthood...

Naturally, Qu Hongsheng didn't know Fang Nixin's specific thoughts, but he didn't continue to ask, but continued to focus on Lu Cheng's surgical operation!

About half an hour later, Lu Cheng completed the debridement operation from the inside to the joint cavity.

If the idea before the operation was followed, Qu Hongsheng could take over the operation now. However, Qu Hongsheng did not want to take over the operation now. Instead, he took a few steps back and moved away from the surgeon's position.

"Xiao Lu, can you still maintain your physical strength now?"

"If you can continue to persist, I hope you can complete this entire operation." Qu Hongsheng said very seriously.

Of course, Qu Hongsheng was still more concerned about Lu Cheng, fearing that Lu Cheng would be very tired if he completed the entire operation alone.

Lu Chengcheng said: "I think I can continue to persevere!"

After saying that, Lu Cheng looked at the blood bar of the infected monster in the patient's hip joint, which had dropped by less than a quarter. It seemed that there was still a tough battle to be fought!

It's a pity that the battle scene skill is gone now. Otherwise, Lu Cheng would be able to adjust the patient's anti-infection plan as quickly as possible after the operation according to the patient's condition changes.

However, even if he did not have combat scene skills, Lu Cheng still felt that the debridement he had done, the cavity concept he proposed, and the micro-operation concept were feasible and right!

Because in the past, Lu Cheng himself had not performed lacunar debridement in this way. After each debridement, he could not completely reduce the blood volume of the patient's monster below the safety line. Lu Cheng thought at that time, then

There is just a small amount of bacteria remaining, which is something that cannot be controlled.

What he can do is to debridement as thoroughly as possible, control the remaining blood volume to a minimum, and then give the remaining blood volume to antibiotics to slowly kill the bacteria!
To be continued...