godfather of surgery

Chapter 356
Gao Qiao, Xu Zhiliang, Zhang Lin, Xiao Wu and Fatty drank several cases of beer.

There are empty bottles all around, and the combat power has almost been released.

When the show was about to end, Xiao Wu remembered: "Zhang Lin, aren't you trying to get pregnant?"

Zhang Lin narrowed his eyes: "I already have it, so what are you trying to get pregnant with? For those who are here today, you can see whoever hasn't been drinking is trying to get pregnant."

This reminded everyone, and they immediately turned their attention to Yang Ping and Song Zimo, and then to Xiao Su and Tang Fei.

As soon as Zhang Lin said this, everyone was silent immediately, with strange eyes, the two girls Xiao Su and Tang Fei blushed.

"Zhang Lin, alcohol has ruined your brain, right? We never drink." Song Zimo immediately explained.

Zhang Lin smirked: "I didn't say anything, even if I said something, I can't remember clearly, so don't take your seat."

"Why are you looking at me again?" Yang Ping felt uncomfortable.

After Song Zimo finished explaining, everyone looked at Yang Ping again, and Gao Qiao came up and said, "Dr. Yang, come! I congratulate you. How do you say it in Chinese?"

Takahashi picked up the empty cup in a daze, and thought for a long time: "I wish you an early baby!"

"Takahashi——" Miyuki looked at Takahashi's slightly drunk eyes, and immediately reminded him that she lost her composure.

Takahashi's brain reacted quickly, and when Miyuki reminded him, seeing the red faces of Yang Ping and Xiao Su, he suddenly woke up and realized that he had said something wrong.

However, Miyuki was also blushing, Takahashi really didn't understand what was going on with her.

Zhang Lin immediately urged Takahashi: "Xiao Gao, red envelopes, send red envelopes quickly, two hundred ones, hurry——
For 10 yuan in change, I don’t give out a few more red envelopes now, and keep it to earn interest, and the change purse has no interest.

Everyone was so noisy, and they were willing to go back after making a fuss for a while.

But there is no need for surgery on the second day, so I don’t have any scruples. During the competition, I have one day of surgery and one day off.

This is the suggestion given by Professor Zhang, so that one day can be spared to reflect and summarize, and to check the preparations for the next batch of operations to avoid mistakes.

On the rest day, Corey will hold a seminar. Professor Zhang and Director Han will come and give some suggestions, but they are just suggestions for young people's reference.

On the first day of surgery, many hospitals only do one as a starting point, it can be regarded as a way to explore, and most of them are open reduction and internal fixation of double forearm fractures.

On the second day of the seminar, the website of the Golden Knife Award was opened on the high-definition screen. On the first day of surgery, all the judges' marks had been completed.

Song Zimo received full marks from all the judges. On the score ranking list in South China, Song Zimo from Sanbo, Su Nanchen, Lin Hao, Chen Ge, Cao Qian, Su Fengyu from Attachment [-], Yan Jiejun from Attachment [-], Tian Xu from Provincial People's Hospital, These teams are currently tied for first place with full marks.

Other hospitals, including provincial Chinese medicine and several affiliated hospitals of the University of Chinese Medicine, were more or less deducted points, mainly because it was difficult to take care of the details of the operation.

The team of comprehensive orthopedics summarized the first operation, and then carefully checked the second batch of operations several times. Perioperative management, surgical operation, case writing, etc., every detail was kept in mind. However, no problems have been found, so I can rest assured.

In the early days of the game, F[-] also adopted this strategy, allowing the surgical team to perform one day of surgery and then rest for one day.

They are also summarizing the operation on the first day, taking the operation of double fractures of the forearm and radius as an example, and analyzing what should be paid attention to in the operation, from the general framework to the details, and they are all clear.

In the standings, among the eight teams with full marks, only the Sanbo team had the operation completed by the first assistant.

According to the rules of the Golden Knife Award, all surgeries in the regional competition can be performed by the first assistant, so the arrangement of Sanbo is not against the regulations, but no team really dares to do so.

There is still a big gap in the strength of the chief surgeon and the first assistant. Occasionally, one or two operations are performed by the first assistant, and it is no problem for the first assistant to make a bright appearance.

All the operations are done by the first assistant. If there is any mistake, the points will be pulled down, and it will be very difficult to recover the points when encountering a strong opponent.

And the first operation is performed by the first assistant. No one has the courage. The first battle can build confidence. Once a mistake is made, it will directly affect the mood of the subsequent operation.

At present, in the five competition areas, except for the Sanbo Hospital in the South China competition area, there is no other hospital for the first surgery to be performed by Yizhu.

For Magic Six in the East China Division, Wen Rentao performed the first operation, and he had no plans to let the first assistant perform the operation.

Lin Hao has been paying attention to Yang Ping's performance, but now Song Zimo performs all the surgeries on Sanbo, and Yang Ping never shows up.

What does it mean?
Give up the Golden Knife Award?As an experience?
But it's not like, the first operation, they got full marks again, judging from the scores, it's obvious that they came here for the top few.

For the second batch of surgeries, each team in Attached One prepared several sets, including femoral shaft fractures, tibial fractures, and humeral shaft fractures.

The preoperative preparations, surgical plans, and postoperative precautions for each case have to be reviewed by several directors to check for omissions and make up for vacancies.

The second batch of operations started, and gradually some people began to fall behind. Some of the eight full-scoring teams could no longer hold on.

Tian Xu from the Provincial People's Hospital received closed reduction and PFNA internal fixation for intertrochanteric fractures. The position of the helical blade was not completely centered on the lateral X-ray. He was deducted points and lost full marks.

Yan Jiejun from Attachment 10 had insufficient bone traction before the femoral shaft fracture operation, and the intraoperative reset took too long, almost exceeding 10 minutes. At exactly [-] minutes, the reset was successful and the full score was kept.

These basic operations can be done without deducting points, which means that both theory and operation have reached the point of impeccable.

This requires the chief surgeon to receive standardized training from the moment he graduates into the clinic, and to develop good habits and a meticulous attitude.

Relying on the surprise training before the competition, it is possible to achieve full marks for one or two operations, but it is very difficult to achieve full marks for each operation, and points will be deducted for any carelessness.

All of these surgeries can maintain a stable full score, which is entirely due to the usual profound technical accumulation.

For example, in the operation of femoral shaft fracture, closed reduction should be done quickly during the operation, and the score requires that the reduction during operation should not exceed 10 minutes, and points will be deducted if it exceeds [-] minutes.

To be able to reset the fracture within 10 minutes, and to achieve normal force line, length and rotation, is entirely dependent on the accumulation of daily surgical experience.

Of course, if the reset time exceeds this time, there are many reasons to explain: for example, the level is not exerted, the anesthesia muscle is not relaxed enough, or the fracture is inserted into the muscle.

In the words of Professor Zhang, whether you are nervous, careless, or not performing well, it all stems from lack of skill.

In fact, there is no such thing as nervousness, carelessness, or poor performance, which are all excuses for inexperience.

One plus one equals two, how can you not make mistakes due to nervousness, carelessness and poor performance?
On the third day of the competition, Song Zimo also completed three types of operations on the femoral shaft, tibial shaft, and humeral shaft. Each operation received full marks and was very stable.

Opening up the judges' ratings, there's a reason these chefs got perfect marks.

A patient in the Sanbo team with a tibial shaft fracture, a foreigner, often kneels down because of religious beliefs.

In this case, the tibial shaft transverse fracture, there is no doubt that the gold standard must be closed reduction and interlocking intramedullary nail fracture.

For fractures of the long bones of the lower extremities that do not involve the articular surface, according to the scoring rules of the Golden Knife Award, as long as minimally invasive surgery is not used, points will be directly deducted from the surgical procedure.

For the percutaneous minimally invasive technique, for fractures of the long bones of the lower extremity, the first choice is the interlocking intramedullary nail, followed by the steel plate. The specific choice depends on the condition.

In this case, Song Zimo abandoned the preferred intramedullary nail fixation and chose the surgical method of long locking plate percutaneous technique. It can be seen from the comment area that many people objected.

"For tibial shaft transverse fractures, closed reduction and internal fixation are preferred with interlocking intramedullary nails rather than locking plates. The stability of central fixation with intramedullary nails is significantly better than eccentric fixation with plates."

"Indeed, the chief surgeon and first assistant of Sanbo Hospital are still too young, and points may be deducted due to wrong choices, and the points will not be too small."

"There is one less full score position."

Many of the speakers in the comment area are experienced orthopedic surgeons with high professional titles, and there are also young doctors who are eager to learn and active.

"Don't worry, I have participated in the academic meeting of Sanbo Hospital. The chief surgeon of this team, Yang Pingda, is by no means an idler. How could there be a mistake in the choice of internal fixation for such a simple operation? There must be something else hidden."

"It's obvious, what's hidden, from Campbell to orthopedic surgery, and then to the AO internal fixation manual, this kind of surgery is the first choice for interlocking intramedullary nails everywhere, and it's not the time to be unconventional."

"Keep watching, the chief surgeon of this team is really a master, so don't draw conclusions too early."

Except for a few who have reservations, others are completely one-sided, thinking that it must be for the pursuit of innovation and innovation, and the choice of internal fixation is wrong.

This is not an uncommon thing. In pursuit of being different and getting new ideas, some doctors come up with some weird surgical methods.

For example, for open reduction and internal fixation of humeral shaft fractures, the anterolateral incision is the gold standard. Some people insist on making an anteromedial incision and say many advantages.

There are so many nerves and blood vessels on the anteromedial side, and the armpit extends upwards, all of which are sent out by nerves and blood vessels. How could it be better than the anterolateral side.

How to write a paper without being unconventional?
But now it's a surgery competition, not writing a thesis. An inappropriate unconventional approach may make you unable to turn yourself over.

Finally, the first judge began to score, and everyone stared at the displayed score.

Every step is a full score, until the last step, it is still a full score, the total score is full!

"what happened?"

"What is our problem?"

"Why don't you deduct points?"

"---"

"Look carefully at the scoring instructions!"

The score description reads impressively: due to religious beliefs, patients often have to kneel down, and interlocking intramedullary nails are used for tibial fractures, and the incidence of complications of anterior knee pain is high, which may seriously affect the patient's kneeling movements. There are no such complications in the percutaneous technique of long locking plates.Therefore, some professional athletes, those who often kneel down, and others who cannot accept the possible complications of anterior knee pain should try to avoid interlocking intramedullary nailing.

"Master, you have noticed this, we didn't know this before."

"Let me tell you, this is the real team of great gods."

"At the provincial hospital, there is a case of a professional athlete, and points were deducted because of this."

On the full score list, there were eight perfect scores, but now there are only seven left, and Song Zimo is still on it.

In this case, they actually escaped and were not deducted points. This is a problem that most orthopedic surgeons would not consider.

A football player once suffered a transverse fracture in the middle of the tibial shaft. He underwent surgery in a provincial hospital in East China. The director of the surgeon thought twice and abandoned the method of interlocking intramedullary nails, and chose the long locking bone plate. Preoperative and postoperative X-rays Hanging on a Yuanzi website has been questioned by many people.

In the end, the masters came out to solve the doubts, and everyone realized that this was the case.

The high-level surgical thinking is based on the strong theory and experience of the department.

Lin Hao was analyzing the surgeries at Sanbo Hospital again, wondering how long they could hold on to the top of the list with him.

(End of this chapter)