Chapter 1934 【1934】The Critical Stage

Fixed retractors have long been available in every department, but they may be seen more in orthopedic operating rooms than in other surgeries.

The main reason may be that the orthopedic surgery area is relatively fixed. Unlike general surgery and gynecology, which are performed in the abdominal cavity, due to the large area of ​​the abdominal cavity and the limited incision, the doctor needs to explore other organs to adjust the surgical area halfway, so the retractor needs to be moved around to cooperate. It cannot be said that fixed retractors cannot be used in abdominal surgery at all, but ordinary doctors do not need to find it troublesome to adjust them.

The medical students who pull the hook are free human resources, and they can effectively save time by obeying the command and being flexible.

Orthopedics requires fixation without being too flexible, so manpower may become a disadvantage at this moment. In any case, Xie Wanying can save her energy. Thinking about it again, because orthopedics is a department of heavy manual labor, it is better to invent as many labor-saving tools as possible.

The operation is about to enter the critical stage.

Following the instructions of the chief surgeon, Dr. Liu put the fixed retractor into the operative field and stretched it to a certain angle to tighten the adjustment screw. After placing a fixed retractor on the upper and lower sides of the incision, Xie Wanying could accept the teacher's instruction to pull out her own human retractor, put on the suction device in her hand, and continue to assist the teacher in her work.

The surgical field of view in front of me is bloody and bloody. Unlike abdominal surgery, the exposed bones are mainly exposed. This picture suddenly looks more cruel. It is a bit like the feeling of seeing the bones in a slaughterhouse. It is shocking. It’s better not to think about it. If you think about it in depth, the medical students who just arrived probably won’t be able to swallow their food again after seeing this.

The job of a surgeon is to make people unpalatable, regardless of the specialty.

The surgeon on the stage must control his thoughts from thinking about the food on the dinner table. He must change his thinking from the sense of the picture to the drawing of the human body, and calculate ergonomics instead of things in the slaughterhouse. To practice this kind of thinking inertia that does not affect eating, for surgeons, it must be a lot of work and practice.

Both the chief surgeon and the assistants stopped, pondered, and prepared to repair human bones.

The X-ray film is then taken out and hung on the light board in the operating room. The doctor combines the current operation screen with the imaging film to accurately review the location of the diseased vertebra. No problem, the chief knife shouted again: "Knife."

The equipment nurse handed over the electric knife.

Squeak, continue cutting, the sharp tip of the knife cut off the small muscle ligaments around the bone, exposing the transverse process of the vertebrae.

The diagrams in anatomy textbooks can draw clean bones, but it is impossible to see clean bones in surgery. The bones of the human body are more like rusty iron blocks, covered in all directions in all directions. The package is definitely bloody and fleshy. If you want to remove it clean and neat, unless you put it in the anatomy room to make specimens with chemicals.

In order to distinguish the details of the bones in the bloody flesh, the doctor can only rely on experience and a pair of super good eyes. Confirming again that it was the bone to be treated, the electric knife was replaced with a periosteum stripper, and the soft tissue around the transverse process was continued to be cleaned.

The transverse process connects the rib joints to the ribs. If the entire diseased vertebra is to be removed, there is no doubt that the connecting ribs need to be broken first, and the stumps of the broken ribs should be flattened to avoid piercing the pleura.

Use rongeurs to break the transverse process, and rib scissors to break the ribs. It's all about hard tools like a machine-repairing vise.