godfather of surgery

Chapter 359 The First Shot

In the fourth round, pelvic and acetabular fracture surgery, no one started for several days.

Many doctors asked the organizing committee to change the competition method. All surgeries will be broadcasted live, and similar surgeries will be completed at the same time at the specified time. The current score will also be used for scoring, which will be more exciting and have a strong contrast.

It may be unrealistic to concentrate the operations in one time period and the judges in this time period.

Both the contestants and the judges are doctors, and they are very busy, so it is difficult for them all to concentrate on the scheduled time.

A small number of judges took the time to watch the video playback at night and complete the scoring. Each of these ratings was given after careful consideration.

Unlike sports competitions, which are simple and clear, with clear winners and losers, an operation is broken down into dozens of steps, some with hundreds of steps, and there are many aspects surrounding the operation.

Even if the finals are live broadcasted on the same stage, the judges are required to complete the scoring within 24 hours, and there is no requirement to score now.

Therefore, due to the particularity of surgical operations, it is difficult to use one-size-fits-all, and live real-time scoring is used.

Only those who are willing to watch the live broadcast can watch the live broadcast, and those who don’t have time to watch it can also watch the video replay.

Some people have suggested that videos come first and then come later. When the technical level is the same, those who do it first will suffer, and those who do it later will have an advantage, which can avoid making the mistakes that occurred earlier.

It makes sense, but each operation has individual characteristics, not to mention the public surgical scoring rules, which lack detailed rules, which are in the hands of the judges.

Only when all participating doctors have completed such operations, the deduction rules and reasons will be announced.

Before that, you know that points will be deducted for the previous surgery, but you don't know where the deductions are.

For example, for some patients, the appearance requirements must be considered in scoring, and the selection of sutures is only included in the detailed rules.

Before the details and reasons for the deduction are announced, it is difficult for others to learn lessons from this operation.

Regarding pelvic and acetabular surgery, everyone is cautious. No one is going to do the surgery first. They are all waiting for others to do it first, and let others go to the mine. It seems that they can feel at ease and feel safe in this way.

In the demonstration classroom of Sanbo Comprehensive Orthopedics Department, a hand-painted pelvic anatomy atlas is frozen on the high-definition screen.

Immediately, switch to a drawing of the right acetabular fracture.

The acetabular fracture of this patient is serious, Judet-Letournel classification: double column fracture, AO classification: C23.

Patient's imaging pictures: pelvis anteroposterior view, right hip anteroposterior view, ilium oblique view, obturator oblique view, four plain X-ray films, CT scan of pelvis and acetabulum + [-]D reconstruction pictures, all listed.

On the X-ray film, six radiological marks: the edge of the posterior wall of the acetabulum, the edge of the anterior wall of the acetabulum, the roof of the acetabulum, the teardrop, the ilium ischial line, and the ilium pubis line, all of which are specially marked in color.

All the case materials are well organized and every detail is thoughtful. Song Zimo explained on stage.

Yang Ping led everyone to listen in the audience. In the Department of Comprehensive Orthopedics, Gui Pei students now have to learn drawing. Drawing has become a basic skill, which is to cultivate the ability of visual thinking.

All the steps of the operation are expressed with hand-drawn drawings and annotations. There are several major steps and dozens of small steps. They can grasp the operation as a whole without getting caught up in the details. They can also pursue the details and strive for the perfection of the operation, which shows the team's deep and meticulous understanding of the operation. .

"No one has started the stage yet, and everyone is waiting. Should we wait?" Although Takahashi didn't take the stage, he already regarded himself as a member of the team.

After experiencing such a major event, he learned a lot from Yang Ping, from preoperative diagnosis, selection of surgical indications, preoperative preparation, surgical planning, postoperative rehabilitation, and a complete study of the entire diagnosis and treatment process.

"I don't think there is any need to wait any longer. In the Southern Division, we will be the first to perform pelvic and acetabular fracture surgery." Song Zimo felt that there was little point in waiting and it was a waste of time.

"There are no loopholes in the operation plan, and it is recommended to start." Xu Zhiliang agreed with Song Zimo's opinion.

"Everyone has no objection to the operation plan, so it will start at 08:30 tomorrow morning." Yang Ping made a decision.

In fact, Yang Ping's thinking about surgery has far exceeded the requirements of the competition. He passed this thinking attitude and way to Song Zimo.

So Song Zimo's understanding of this operation has exceeded the grading outline.

If the intraoperative operation can carry out the plan to the end, this is another perfect operation.

Song Zimo stood on the podium, unbuttoning his white coat habitually, and the second person in the team calmly and confidently turned off the screen, and the operation will start tomorrow.

-

According to the announcement on the website, the surgery at Sanbo Hospital will start soon.

This is not only the case in the southern competition area, but also in the national competition area. Everyone stands still and waits for the first one to start.

It turned out that Sanbo Hospital was the first to open the stage, and it was still the first assistant. Some people even suspected that Yang Ping was not good enough. It was just that Sanbo's mascot had to rely on Song Zimo's escort to complete the regional competition.

If it wasn't for the competition, Professor Hong would pull them out to deal with the competition alone, and usually they would have no time to rest.

Wen Rentao, Mu Jun, and Zeng Ran gathered in the demonstration classroom to watch the video.

Wen Rentao was also waiting for the first shot. If no one fired again, he would fire the first shot.

"They are the first to perform this operation, and they have courage." Deputy Chief Physician Mu Jun, who is also the chief surgeon of the competition, said in a joking tone.

"It's still the first assistant who is the main player. Is this the rhythm for the first assistant to finish the regional competition?" Mu Jun laughed.

"The car is driving a little fast, is it going to overturn this time?" Mu Jun said three times in a row.

Wen Rentao looked very calm: "No, Sanbo, who is good at trauma orthopedics, has excellent basic skills in surgery as a first assistant. It is unlikely to roll over on a pelvic and acetabular fracture."

The more people don't care about Sanbo, the more they want to see it. This is the function of curiosity.

At this time, the general strategy is that the operation of the main team will be postponed, and the team responsible for assists will explore the way ahead of the operation, which can prevent the main team from making mistakes.

"How can you let the assistant rush to the end? I'm afraid the chief surgeon is a special person who will be carried into the Golden Knife Award to find a sense of existence?" Mu Jun snorted.

There are people like this in every industry and industry. They are not good enough, but they want to enjoy themselves. They want to get a big name, what should they do?Take advantage of loopholes, take shortcuts, and let people carry them in.

"In the rules of the Golden Knife Award, one assistant is allowed to complete all surgeries in the regional competition. The regional competition is only a basic operation, which does not affect the evaluation of the surgeon's level. Let's talk about it after watching it." Wen Rentao was a little impatient with Mu Jun.

The operation started, this level can make everyone shut up.

Pelvic and acetabular surgery, you can still see something.

With the help of Yang Ping, Song Zimo's ability to control the operation has far surpassed before.

An excellent surgeon must be able to control the operation freely, which is the embodiment of invisible comprehensive ability.

Let the surgery go according to your will, instead of being led by the nose.

Drivers should be able to control their own cars, bosses should be able to control their own businesses, chefs should be able to control the heat and ingredients, and basketball players should be able to control the rhythm of games.

The rhythm of the operation is completely under the control of the surgeon, incision, hemostasis, and incision again.

The proficiency in the local anatomy of the pelvis makes it impossible to believe that this is a young attending who is less than 30 years old.

"The operation is stuck, it's a waste of time." Mu Jun watched the operation slow down gradually.

"The anastomotic branches of the external iliac vessels and the obturator vessels are most likely to be mutated here. Slow down and speed up after the anatomy is clear." Wen Rentao has a different opinion.

In terms of this pelvic and acetabular fracture surgery alone, it is indeed at the top level in the country.

Actively slowing down where several mutated blood vessels or nerves may appear, this kind of surgical rhythm has surpassed many people.

I am afraid that in the Sixth Hospital of Shanghai, there are not many doctors who have this kind of surgical awareness.

This kind of operation is like driving. When you arrive at a dangerous road section, such as a crossroad, a crosswalk, or a turning, you will habitually slow down, and move your foot from the accelerator to the brake. In case of accidents, you are ready to brake at any time. After crossing the intersection, confirm the disengagement Dangerous, refuel and leave quickly.

This is Yang Ping's experience for Song Zimo. For pelvic and acetabular fracture surgery, give Song Zimo a few deceleration points, so as to avoid risks, avoid troubles, and waste time.

But most people don't understand the meaning of this operation, just like people who don't understand the rhythm feel completely restless when listening to music.

"It's not where the death crown is, slow down?" Mu Jun didn't understand.

"The probability of encountering mutated blood vessels and nerves in pelvic surgery is not high, but once encountered, the knife is not stopped, and the patient's life will be reversed." Wen Rentao had to explain.

Wen Rentao saw three of Song Zimo's deceleration points, but there were still a few that he didn't understand.

Doctors can't have any fluke mentality. It is one in ten thousand in the hands of doctors, but it is [-]% for patients.

A mutated anastomotic branch was picked out with vascular forceps, clamped, cut off, ligated, and then accelerated.

Wen Rentao couldn't help but gasped. The low-probability event actually happened. If there was no deceleration during the operation, the knife would pass by, not to mention life-threatening, at least thousands of milliliters of blood would be lost.

If this Song Zimo could receive the same training as himself in Magic Six and complete the same number of surgeries, he might really become his opponent. Unfortunately, he went to Sanbo Hospital.

The platform of Sanbo Hospital, with a hospital history of more than ten years, could not give birth to a Golden Knife Award champion no matter what.

There was very little bleeding during the operation, and it was clean, and even the position and strength of the pull hooks were very appropriate.

The acetabular hook never slipped, nor did the main surgeon need to be adjusted because of poor exposure of the operative field.

The anesthetized muscles were sufficiently relaxed, and the surgical field was easily exposed.

Takahashi is really good, and actually helped Sanbo develop such a level.

"The mentor behind them is Teacher Takahashi from Tokyo!" Wen Rentao said, while Mu Jun beside him was wondering.

Mu Jun's heart trembled. Fumiya Takahashi, a master in international trauma surgery, was a young man who became famous all over the world in his early forties.Takahashi has a strict style. When he was studying in Tokyo, he was scolded several times by him, and he scolded him bloody.

"No wonder, Mr. Takahashi is behind him giving advice." Mu Jun finally understood the reason for not overturning the car.

It is not an exaggeration to call Takahashi Wenzai their teacher. Both Wen Rentao and Mu Jun have received Takahashi's training in Tokyo, and they still have lingering fears about Takahashi's strictness.

"I called and asked, Mr. Takahashi is not in Tokyo, but came to Sanbo, China. As for what to do, the doctors in his department don't know, or out of confidentiality, I think I should be invited by Sanbo to help train the team." Wen Ren Tao felt that his judgment was correct.

With the training of Teacher Gao Qiao, Sanbo's trauma orthopedics department is definitely not weak. Mu Jun was a little scared, not because of Sanbo, but because of Gao Qiao.

"Teacher Gao Qiao can at most improve their level of trauma orthopedics, and if he teaches in a short period of time, he won't improve much." Mu Jun comforted himself.

"Pelvic and acetabular fracture surgery, you will be scheduled for tomorrow, is there any pressure?" Wen Rentao asked.

This is a bit of cannon fodder. With Wen Rentao around, Mu Jun has no idea of ​​winning the Golden Sword Award, so he can only be cannon fodder.

In other words, Mu Jun's team was an assist, which was arranged by Hong Zhigang.

Song Zimo's operation has already been completed. If he is replaced as a judge, where will the points be deducted for this operation?
He thought of what you thought of, and he thought of what you didn't think of.

Their level of trauma orthopedics is indeed good, Wen Rentao has always thought so.

Zeng Ran didn't know why, but kept silent, probably because of her psychological shadow.

(End of this chapter)