Those years when I hung up and upgraded in the hospital

Chapter 102 Basic Skills (Please collect and read)
Pigmented villonodular synovitis, you said how delicate this surgery is, such as ligament reconstruction, or rotator cuff suturing, the placement of outer and inner rows of nails, and sutures through various sleeves There is no line interleaving operation.

Just one thing, clean clean clean completely.

However, this kind of arthroscopic surgery requires the most basic skills.

There is even a saying that if a sports medicine doctor can clean up pigmented villonodular synovitis in major joints very smoothly, then his arthroscopy and the use of arthroscopic instruments will be better. The proficiency in using it has definitely reached a very deep level.

No matter in any hospital, these two operations are basically ready for practice.

It can be seen from this that such an operation is cumbersome.

In addition to the anteromedial and anterolateral approaches, Fang Yun also made a posteromedial approach to assist in the cleaning operation, and finally cleaned out the villous nodules in the medial posterior corner.

Time passed slowly and it came to 45:[-] in the afternoon.

At this time, if you explore the inside of the patient's knee joint, you can see that the villous synovium in many fields of view has been completely cleaned out, and the whole picture of the patellofemoral joint, anterior and posterior cruciate ligaments, and meniscus can be photographed in the field of view. out.

"Director Shen, part of this patient's free edge of the medial meniscus has been shaped. Moreover, the patient should not carry out functional rehabilitation training too early after surgery."

"Villonodular synovial debridement will cause great damage to the tissue after surgery. If you recover early, it will easily cause bleeding and effusion in the joint cavity, so you need to wait a little longer, about a week after the surgery. Begin knee flexion exercises."

"In the early stage, you only need to do core strength exercises of the quadriceps." Fang Yun took another look at the view inside the arthroscope, put down the planer he was operating, and moved his wrist at the same time.

Shen Tao saw that the operation had lasted more than two hours, and quickly nodded and said, "Thank you for your hard work, Dr. Fang. If you hadn't come today, Dr. Xie and I wouldn't have known how we would have ended this operation."

At the same time, I looked at the fluffy debris inside the bending plate, and they were all covered with the bottom.

"For this synovitis, it is better to send a tissue biopsy as a routine."

"Sew it up first, and then inject a piece of Depotson and sodium hyaluronate inside the knee joint. Depotson has local analgesic and anti-inflammatory effects, which will slightly relieve the patient's postoperative pain." Fang Yun thought. For a moment, I still explain it this way.

The pain of synovitis is not weak at all, and the damage after resection will make the stimulation of pain more acute and worsen the pain.

At this time, either an analgesic pump must be installed, or local glucocorticoids must be used, or both must be used to comply with the pain management principles of the pain-free ward.

"Okay, Dr. Fang, please step down first and leave the rest to Dr. Xie."

"Xie Jin, you finish the work first. I'll send you your location later and let's go to dinner together." Shen Tao turned around and ordered, then took the initiative to walk behind Fang Yun and help Fang Yun untie his collar.

Fang Yun didn't refuse.

I am not very tired today, but I am indeed a little hungry. Although I have eaten enough for breakfast, it is already close to three o'clock in the afternoon and I still haven't eaten. This is even more cruel than an operation in the Prefecture People's Hospital.

At the Prefecture People's Hospital, even if you are hungry, you can at least go into the dining room to deal with it.

Xie Jin said: "Teacher anesthesia, could you please help us get a Duplo Pine?"

Depotoxone is the trade name of betamethasone. It can also be brought to the ward, but it is not carried before the operation, so it can only be used temporarily during the operation. It is easiest to let the anesthetist take it.

On this point, the anesthesiologist did not refuse.

……

At 35:[-] in the afternoon, Xie Jin and a resident doctor in the group finally arrived, and dinner was finally served.Originally, Shen Tao planned to ask Fang Yun to buy some wine, but Fang Yun drove and had to return to Jishi later, so he gave up for the time being.

But even so, Shen Tao and Xie Jin still used wine, and asked Fang Yun to drink tea instead of wine. They drank six or seven cups before giving up.

After having tea and dinner, Shen Tao sighed with emotion: "It seems that even if you are doing simple synovitis, you still need to know what kind of synovitis it is. The synovitis case like today is really difficult enough." .”

"Dr. Fang, really, if you don't come, I will definitely not be able to step down."

"Director Shen, you are too modest. The removal of synovitis is a bit more complicated, but the difficulty is not very high. It mainly depends on the scope of the synovitis. If it is diffuse, it is best to advise the patient to open the door. Clean it up or transfer it to a higher-level hospital."

"Diffuse villonodular synovitis, when cleaned under arthroscopy, will make people question their life." Fang Yun smiled back.

At the same time, in the box, Xie Jin had already stuffed an envelope into his pocket.

Fang Yun didn't refuse.

It is very formal to go to a lower-level hospital to do consultation surgery or teaching surgery, and the labor fee is within the standard.

Moreover, there are some consultation surgeries, which are clearly priced and are considered knife fees.

Although it may not be recognized by the outside world, within the industry, it is the default rule for everyone. If it is agreed in advance, it is impossible to mess up in this regard.

The tallest one is a throwing knife, there are tens of thousands of them.

However, such an operation is extremely difficult and beyond the reach of ordinary people.

At [-]:[-], Fang Yun had already arrived in his car, rolled down the window, and waved to the outside: "Director Shen, Brother Jin, and Doctor Long, thank you for your hospitality. You don't have to send me any more. I'll go back first." see you later."

"Goodbye, Doctor Fang." The three people led by Shen Tao also waved to Fang Yun, their faces full of enthusiasm.

There was respect in their eyes, not just because Fang Yun was a doctor in the Prefecture People's Hospital, but because Fang Yun's strength and solid technical skills were enough for them to respect.

Although Fang Yun has been emphasizing that the last operation today is just basic skills and has nothing technical.

But technology is relative. If you don't know it, if others can, that is someone else's technology. Don't worry about how simple it is for others.

Technology is your own, not someone else’s.

Before Fang Yun got on the expressway, Shen Tao might have told Director Hu Jun about today's incident, so Fang Yun also received a call from Director Hu Jun: "Xiao Fang, I heard that you made a Pigmented villous nodules under arthroscopy?”

"Director Hu, we just happened to meet him."

"Is it unique? If it is unique, you can download the video. Maybe it can be talked about at exchange meetings in the province." Hu Jun thought too far.

"It's nothing special, Director Hu. It's just a relatively simple and localized lesion. Some of it is concentrated in the inner posterior corner, but it's not bad." Fang Yun knew what Hu Jun meant, but it was indeed featureless.

"If you don't have any characteristics, then you don't have it. Just do it. Xiao Fang, you are indeed an innovator. I saw you right!"

"Thank you, Director Hu, for your appreciation." Fang Yun replied.

(End of this chapter)