Doctor of Healing

Deng Chaohong was full of doubts, and his eyes fell on the TV screen of the arthroscope.

At the first glance after entering, Deng Chaohong was a little anxious. The operation is very delicate, and the possibility of his perfect completion is only 20% at most.

He can't do it himself, let alone a young doctor like Ji Xiang.

But at the second glance, Deng Chaohong felt bad all over.

The subacromial bursa has been bluntly separated by a radio frequency vaporizer, and Ji Xiang is using a radio frequency vaporizer to separate the anterior, posterior, and lateral deltoid bursa.

Countless exclamation marks appeared above Deng Chaohong's head, as if he had been hit by a heavy hammer.

For blunt separation, it is necessary to use a radio frequency vaporizer together with a hemostatic device to stop bleeding while separating.

But Jixiang didn't use hemostatic equipment at all, and a simple radio frequency vaporizer was enough to complete it.But the surgical field was clean and messy, with no bleeding at all.

This is impossible!

A voice in Deng Chaohong's heart cried out.

Reality and routine collide, and countless exclamation points appear again.

How did he do that?

Deng Chaohong quickly became fascinated.

Director Bai and Director Liu couldn't understand the details of Ji Xiang's operation, but Deng Chaohong could.

Ji Xiang is now separating the bursa of the deltoid muscle, a step that is controversial in academic circles.

Many experts believe that there is no need to dispose of the bursa here, on the grounds that it increases the difficulty of the operation, and it is not absolutely necessary.

Deng Chaohong is inclined to this point of view, avoiding large-scale dissociation, and avoiding too much.

but!

If there is no bleeding at all and blunt dissection is done cleanly, who wouldn't want to clean up all the bursa!

There is no missed bursa, and the function of the patient can recover to more than 80% after surgery, with few sequelae!Even, it is possible to recover motor function to 100% after surgery.

However, the concubine really couldn't do it, Deng Chaohong watched with tears in his eyes.

This is his ideal surgery.

Unfortunately, the operation was performed by Ji Xiang, not by himself.

Soon this part of the operation is over.

Deng Chaohong knew very well that he couldn't be as fine and evil as Ji Xiang.

If you are lucky and barely do it, it will take at least 2 hours.

But Ji Xiang only used... Deng Chaohong looked back at the time.

12'12".

Chapter 360 Awake in the World

After cleaning the bursa, Ji Xiang stretched out his hand.

Three seconds later, Ji Xiang's hand was still empty. It was obvious that Tang Yan was far less proficient in orthopedic surgery than in urological surgery.

Ji Xiang narrowed his eyes, "Probe."

"Why do you need a probe?" Tang Yan asked, while handing the probe to Ji Xiang.

Just ask if you don't understand, and you can cooperate better in the future. This is Tang Yan's philosophy, and there is nothing to be ashamed of.

"First, identify the outer and front edges of the acromion."

As Ji Xiang said, the probe entered from the work entrance, and had already started to investigate carefully and in detail.

"Second, assess the bony growth on the acromion."

"Third, identify the coracoacromial ligament."

"Fourth, assess the structural integrity of the rotator cuff."

"Fifth, determine the position of the acromioclavicular joint..."

Every time Ji Xiang said a sentence, he completed an assessment.

The overall movement is simple, clean, and neat, and each step has a clear direction, and useless work is equal to zero.

I don't know if Ji Xiang's brain is smart or not, but Director Bai and Deng Chaohong both know that Ji Xiang is so frankly sober, sober in the world.

How many surgeries would it take to make this happen!

And it requires a very high level of comprehension. Ordinary surgeons will not be able to reach the height of Jixiang in their lifetime.

"Mr. Deng, come here. I have finished treating the bursa, and the coracoacromial ligament is scarred and thickened." After Jixiang probed, he saw Deng Chaohong when he pulled out the probe. He moved to the side of the leg to give way to the surgeon .

"Doctor Xiaoji, can you finish?" Deng Chaohong asked seriously.

"can."

"Then you do it, I'll see."

"Teacher Deng, it's not good." Ji Xiang said.

"What's wrong, I'm the one who made the accident." Deng Chaohong's mind was full of Ji Xiang's bursa enlargement and dissection surgery, and he subconsciously regarded Ji Xiang as an equal or even a slightly higher surgeon, forgetting his identity .

Ji Xiang was not too polite, and stretched out his hand, "Radio Frequency Vaporizer."

"What to do next?" Tang Yan asked.

"The rostral shoulder ligament is released." Ji Xiang held Tang Yan's hand, turned the mirror to an angle, and moved the surgery field to the position he needed.

Although separated by two layers of sterile gloves, Tang Yan's mind was still fluttering.

But she immediately restrained her mind and concentrated on the operation.

"For ordinary patients or patients with serious conditions, the coracoid and shoulder ligaments need to be severed." Ji Xiang looked at the TV screen and explained to Tang Yan while using a radio frequency vaporization device, "The patient in front of me is an athlete who can do relaxation exercises." The best solution is to relax."

"Cutting off has an effect?"

"It doesn't have any special impact on ordinary people. If you raise the bar, there will definitely be an impact, but it's not serious."

During Jixiang's speech, he had already stripped the acromial insertion point of the coracoacromial ligament to the insertion point of the deltoid muscle.

The release operation was simple and pleasant, and Deng Chaohong looked at it with ease and joy.

Jixiang's movements seem simple and straightforward, but Deng Chaohong knows that if the peeling is perfect, the muscle fibers of the deltoid muscle will not be damaged.

The distance between muscle fibers and ligaments is about zero, so if you do it yourself, be careful.Even so, it is difficult to guarantee that the muscle fibers of the deltoid muscle will not be damaged.

But Jixiang completed the stripping very quickly, and the deltoid muscle fibers clearly appeared on the TV screen without any damage.

Just this one-hand stripping can occupy a place in the domestic surgical field, Deng Chaohong stared blankly, with a dignified expression on his face.

He had expected Ji Xiang to show the same strength as the urology department under his own hands, and he also guarded against Ji Xiang treating him as arrogantly as he did to Mr. Wu.

But during this period of time, Ji Xiang was very low-key, so that Deng Chaohong thought that Ji Xiang only had a high level of urology.

Unexpectedly, his orthopedic surgery is so good!

After peeling off, Ji Xiang patted the radio frequency vaporizer aside, stretched out his hand to hold Tang Yan's hand, and changed the angle.

"here."

Ji Xiang said in a low voice.

"I want to judge the size and scope of the subacromial superfluous bone. The lens must be aimed at the anterior lateral corner of the acromion, and the long axis of the lens must be parallel to the lower edge of the acromion."

"Steady, pay attention to parallel."

After Ji Xiang explained, he switched the camera angle and saw that the bone at the lower edge of the acromion was in the shape of a "hook", and he was about to undergo acromionoplasty.

No one spoke in the operating room, it was quiet.

If someone else "hands and feet" casually, itinerant nurses and anesthesiologists will definitely say something.

But Ji Xiang first explained his intentions. Although everyone didn't know why Ji Xiang explained it so clearly to Tang Yan, no one cared about a little contact, especially when there were two layers of gloves.

Director Liu stayed out of the matter, he didn't want to learn orthopedic surgery, and he didn't have as much thought as Director Bai.

It's indescribable that no one speaks even after Ji Xiang gets used to it after saying a few words.

He looked at Ji Xiang with a smile, the child learned to hide his clumsiness very quickly, unexpectedly fast.

Not bad, thought it was not bad.

Jixiang did not notice the emotions of other people. After confirming the position through the camera, he began to use the blunt head of the radio frequency vaporizer to clean the scar tissue near the subacromial superfluous bone, fully exposing the bony structure.

Then finally the planer was used.

Jixiang grinds it little by little, starting from the outer edge, grinding backwards and inwards, until the lower edge of the acromion is flat.

What other people saw was the excitement, even the very powerful practitioners—Director Bai and Director Liu saw the excitement.

Deng Chaohong looked at the doorway.

The more he watched, the more startled he became. Jixiang's surgery was truly thrilling.

When using a planer to grind superfluous bone or called osteophyte, there is a certain degree - the range of acromion formation is not enough, and the pathological basis of impingement syndrome cannot be completely resolved, although the knot has been cut; if the range is too large, it may cause acromion The remaining bone is too small, the bone is too thin, and it is easy to fracture in the future.

The specific choice depends on the level and cognition of the surgeon.

He stared at Jixiang's movements without blinking, and had many doubts about Jixiang's choice.

It's not that Jixiang made a mistake, but that even though Deng Chaohong has performed hundreds of similar operations, he still can't understand why he made such a choice in a short period of time.

Not only that, Jixiang's acromion surgery is round and smooth, like a work of art.

The operation ended quickly, and Ji Xiang repaired a few spots after washing, announcing the end of the operation.

Director Bai didn't speak, and pulled Director Liu away.

When he came to the locker room, Director Bai said, "Old Liu, you saw it."

"I see." Director Liu said, "This is the best acromioplasty I've ever seen."

"What I mean is that Dr. Xiaoji is a good material for surgery. Not only are you good at urology surgery, but you are also good at orthopedic surgery."

Both of them felt Deng Chaohong's solemnity when he watched the operation, and deeply understood Deng Chaohong's shock and bewilderment.

Director Liu did the same a few months ago.

Director Liu thought for a while, then sighed, "I will hurry up and publish Xiaoji's article, Zhonghua Urology Department. Provincial Department, you can help push it."

Chapter 361

"I don't understand the operation. I just watched the excitement, and I think it's amazing not to bleed." Director Bai said directly without any shyness, "Wait for Deng Chaohong to come down and ask him how he feels."

"It must be very awesome!" Director Liu became more and more protective, and he already regarded Ji Xiang as his child from the heart, "We are all surgeons, although the surgical methods are different, but the key points of the surgery are not those. "

Director Liu had a kind smile on his face, Director Bai was slightly surprised.

He felt that his old friend's condition was getting worse and worse. If Director Liu had a girl, Director Bai would doubt whether he was planning to recruit Ji Xiang as his son-in-law.

"The anatomical structure is clear, this is the most important point. Look at the operation performed by Xiaoji just now. Let's not talk about doctors, even an ordinary person can see it clearly. If you can do this, you are the top surgeon! "

He gave a very high evaluation, but Director Bai did not refute. Recalling Jixiang's operation just now, it was indeed as Director Liu said, the anatomical structure was so clear that it was amazing.

Director Bai always felt that there was more to the operation, but after all, he didn't understand it completely.

Ten minutes later, Deng Chaohong came to change clothes. Director Liu waved the cigarette in his hand, and Deng Chaohong waved his hand to signal that he would not smoke.

"Professor Deng, tell me about the operation just now." Director Bai asked directly.

Deng Chaohong's expression was extremely exciting, and he immediately calmed down, but Director Bai had a full view of the change in expression just now.

"Director Bai, let's put it this way." Deng Chaohong organized his words and said cautiously, "I have heard about Dr. Xiaoji before, and I am looking forward to his performance in the orthopedics department. But since he came to our orthopedics department, there is nothing special. It can be regarded as an excellent training doctor, but it is very different from the performance of urology department."

"Later I also thought about it. Theoretically speaking, it should be that Dr. Xiaoji met a famous teacher in the Department of Urology during his internship. In addition, he is very talented, so..."

Having said that, Deng Chaohong smiled wryly.

Director Bai and Director Liu did not speak, and did not interrupt Deng Chaohong's statement.

"Today, Dr. Xiaoji's surgery can be called domestic... no, it can be said to be the top surgery in the world."

"!!!"

"!!!"