Is there no limit to this doctor's skills?

Chapter 160 Surgical Instruction Begins...In Progress!

Guo Ziyuan followed Shan Chenchu ​​into the changing room of the operating room in the surgical building.

A familiar smell wafted over.

The familiar smell of disinfectant...

The familiar shoe cabinet, the familiar storage rack, the familiar gatekeeper, the familiar corner of the changing room.

Damn memories also invaded Guo Ziyuan's mind...

From Shan Chenchu's perspective, this was only the second time Guo Ziyuan had entered the operating room of the surgical building.

"Dr. Guo, you haven't come to the wrong place this time, have you?"

"Last time... I remember you went to cabinet number 45, that's Director Jin's cabinet."

"If you actually open it, it could cause some trouble."

Guo Ziyuan was holding a complete set of green soft cloth scrub clothes, with a disposable surgical mask and cap mixed on top of the clothes.

His lips twitched for a moment...

Is this my fault?

Starting in 2020, Director Jin moved to another cabinet. Cabinet number 45 was exclusively mine for over five years, and I went in and out of it thousands of times...

Guo Ziyuan came to shut Shan Chenchu ​​up: "It's nothing, Director Shan, I'll go to the public area."

The lockers in the changing room are divided into private and public areas.

The two areas are self-explanatory.

Only after you have gained a certain reputation in the surgical department of this hospital will you be able to have your own private locker.

At the very least, they should be the deputy director of a group in some subspecialty.

After changing into his scrubs, Guo Ziyuan stood against the wall, carefully feeling the temperature of the wall with his back.

This is the spot where Guo Ziyuan fell in his previous life.

Now, Guo Ziyuan is looking at everything in the locker room from this perspective again, with a completely new mindset.

The light was dim, and there were no windows.

There didn't seem to be much to see; the changing rooms in the operating room were mostly ordinary.

Stepping up the corridor, the two arrived at the floor where the operating room was located.

Guo Ziyuan quickly walked to the sink outside the orthopedic operating room, stood to Shan Chenchu's left, and skillfully began to wash and disinfect his hands.

Shan Chenchu ​​glanced at Guo Ziyuan, then suddenly felt something was off: "Guo, how come you know where the disinfectant is without even looking?"

nonsense!

Didn't you, Shan Chenchu, catch the sensor-operated disinfectant with your eyes closed? Couldn't you also press the disinfectant valve with your eyes closed?

"The heights are all about the same... pretty much the same."

"Director Shan, I'll go in and help first." Guo Ziyuan was still using his current memories at this moment.

At the doorway of the operating room's automatic sensor-operated airtight door, Guo Ziyuan raised his right foot and froze for about three seconds.

The airtight door of the operating room has a transparent opening.

This is an objective perspective, and it's also a perspective that Guo Ziyuan is very familiar with.

In his previous life, Guo Ziyuan had peered inside from this perspective many times.

Although it was to check on Senior Brother Nie Yunqi's condition during surgery, even a sneaky glance is still a glance...

Can not go back.

I don't want to go back.

Guo Ziyuan stepped on the automatic sensor door, and the rumbling sound of the airlock wheels immediately filled the air.

Actually, according to memory...

Guo Ziyuan had only been away from this "familiar" operating room for about two months.

The familiar world was slowly opened as the sensor door was pushed and pulled.

The familiar operating room timing panel, the very familiar film reader, the familiar film hanging angle, the familiar anesthesia equipment, and the familiar anesthesiologist.

The circulating nurse is unfamiliar with the area!

But the scrub nurse seems to be Chen Lingzhi, who almost caught up with her in a past life.

"Almost caught up is still almost," Guo Ziyuan put away these memories.

The remaining two fracture surgeries were both exceptionally simple, so Chief Physician Chen Xinwen had already finished them.

In the operating room, senior colleague Nie Yunqi, with his long neck, helped resident trainee Peng Lei prepare for the surgery.

"Xiao Guo, you're here?" Senior Brother Nie Yunqi's smile was sincere and polite at this moment.

That familiar voice instantly transported Guo Ziyuan back to his past life.

"Brother Nie, what's going on?" Guo Ziyuan walked briskly to the sink.

Nie Yunqi was taken aback, but still answered truthfully: "It's a midshaft fracture of the tibia, and we're preparing to have an intramedullary nail installed."

"Okay... Brother Nie, you make the lateral patellar incision first!" Guo Ziyuan walked straight to the changing table, picked up the sterile surgical gown, and walked to the X-ray reader in a professional manner.

Guo Ziyuan has a calm and composed demeanor, as if he doesn't consider himself an outsider at all.

Moreover, Guo Ziyuan doesn't see himself as an outsider at all; he sees himself as a leader!

Ask Nie Yunqi to make an incision on the outside of the patella?

Nie Yunqi: ? ? ?

Peng Lei: ? ? ?

Circulating nurse: ? ? ?

Anesthesiologist: ? ? ?

Guo Ziyuan didn't think that much about it.

It has been only two or three months since he died suddenly and opened his eyes again.

He and Nie Yunqi had worked together for many years and had always had a great rapport.

After reviewing the images on the X-ray machine and understanding the patient's fracture classification, Guo Ziyuan naturally grasped the general surgical procedure.

After the circulating nurse put on her sterile surgical gown, Guo Ziyuan put on sterile gloves and approached the operating table.

Guo Ziyuan saw Nie Yunqi and Peng Lei still standing there dumbfounded: "Brother Nie, why haven't you done it yet? Are you waiting for me?"

"Xiao Guo... then you should do it." Nie Yunqi knew, of course, that making an incision on the outside of the patella wasn't difficult and wasn't particularly dangerous.

But since Shan Chenchu ​​hadn't come in yet, he really didn't dare to make any decisions on his own.

Guo Ziyuan picked up the curved plate without hesitation, then took out the round knife inside and deftly made an arc-shaped incision on the outside of the patient's patella.

Does Guo Ziyuan really dare to make a move?

This was something Nie Yunqi had never expected.

After Guo Ziyuan cut open the skin, he put down the round knife and then picked up tweezers and began to expose the inside with an electric knife!

The tip of an electrosurgical cutter is very blunt and has no cutting power.

However, under electrocoagulation, the soft tissue is constantly separating.

As Guo Ziyuan worked swiftly, he also gave the order: "The current is wrong. Circulate the circuit and adjust it to 40mA!"

Finally, after the initial shock subsided, she said, "Director Shan hasn't come in yet."

Upon hearing this, Guo Ziyuan paused with his right hand, and his consciousness instantly returned to reality.

After a moment's thought, Guo Ziyuan said, "Director Shan is washing his hands outside and will be coming in soon to adjust the current."

"40mA!"

This is the current intensity that Guo Ziyuan is familiar with.

Each main surgical blade has its own preferred current intensity. Some require abnormal current, perhaps even 37mA!

Just then, Shan Chenchu ​​stepped open the airtight door of the operating room.

The circulating nurse also came to the electrosurgical current adjustment area. While adjusting the parameters, she looked up and reported, "Director Shan, the surgery has begun."

Dan Chenchu ​​looked at the operating table with a puzzled expression.

She naturally looked into Nie Yunqi's eyes.

Nie Yunqi didn't know how to explain it at this moment. His instinct was to say that Guo Ziyuan had made the decision.

But as a senior brother, and one who had been given a great opportunity by Guo Ziyuan, Nie Yunqi couldn't do that.

"Director Shan, Guo has no problem opening a channel; his basic skills are excellent."

Guo Ziyuan's consciousness returned completely, and he was not flustered at this moment: "It was Director Shan who asked me to perform the surgery. I told you to adjust it, so just adjust the current."

"You're going to tattle on me?"

Dan Chenchu's eyelids flickered, and she said with a smile, "Transfer it to Dr. Guo. You don't need to worry about the things that need to be done by the chief surgeon in the operating room."

As Guo Ziyuan said, he himself called the doctor into the operating room.

This went against Guo Ziyuan's subjective will to some extent, and since I was not doing what Guo Ziyuan wanted, my behavior was rather unseemly.

Shan Chenchu ​​was truly surprised that Guo Ziyuan dared to make a move ahead of time and even opened the floodgates.

Fortunately, Nie Yunqi is still on stage!

If Guo Ziyuan was just messing around, Nie Yunqi would definitely have stopped him.

After adjusting the current parameters, Guo Ziyuan pressed the button to adjust the current intensity.

That familiar sound and feel immediately calmed Guo Ziyuan down.

Guo Ziyuan, on the other hand, continued to open up the door.

In fact, if we disregard the minimal amount of bleeding, it would only take Guo Ziyuan a dozen seconds to go from the skin incision to the anterior tibial spine.

But this is an elective surgery, not a life-saving one.

It is inappropriate to sacrifice aesthetics for the sake of simply showing off skills and speed.

However, even at the expense of speed, Guo Ziyuan still managed to completely open up the outer side of his knee joint in about forty seconds.

The joint was not exposed.

Guo Ziyuan chose the lateral patellar incision, which is the lateral approach to the patellar ligament.

At this point, the entry point for the intramedullary nail is at the anterior edge of the tibial plateau, lateral to the patellar ligament, corresponding to the extended line of the tibial medullary cavity axis.

"Give me the tibial mouth opener!" Guo Ziyuan instructed the scrub nurse after exposing the needle insertion point.

"No?" The scrub nurse hesitated.

Guo Ziyuan instinctively widened his eyes, his tone displeased: "What are you? Give me the mouthpiece."

Chen Lingzhi handed over the equipment somewhat defiantly: "Here you go!"

After picking it up, Guo Ziyuan used both hands to press the mouth opener towards the tibia, and then used a hammer to break the opening.

After making the incision, Guo Ziyuan handed the mouth opener back.

"Wiping device!" Guo Ziyuan shouted again.

An opening device only creates a small window, while an intramedullary nail fixation device fixes the bone marrow inside the bone marrow.

The internal fixation device needs to be inserted, and the opening needs to be specially widened, which requires specialized instruments and tools.

Each biotech company has its own specialized equipment.

"Here, have some too!" Chen Lingzhi was clearly angry, her voice was cold.

Nie Yunqi, standing to the side, felt a little flustered. He was afraid that Guo Ziyuan didn't understand the procedures and might actually complete the surgery.

Nie Yunqi was mostly shocked.

Because Guo Ziyuan's opening angle was practically perfect.

Even if it were Director Chen Xinwen performing this type of surgery, he would choose this direction for the incision.

How could Guo Ziyuan be so skilled?

Is he capable of performing intramedullary nailing?

Has Professor Ma from the Provincial People's Hospital changed careers? He's started performing fracture surgeries?

Nie Yunqi had a million questions in his mind.

On the other side, Shan Chenchu ​​was also very flustered.

While inwardly cursing Guo Ziyuan for being incompetent and ignorant, he quickened his pace in putting on sterile gowns and gloves.

I was thinking to myself.

Please don't cause any trouble!

Guo Ziyuan was forcibly brought to the position by him; everyone in the emergency department knows this.

Therefore, if Guo Ziyuan really causes trouble, Shan Chenchu ​​will have to take the blame for everything.

Guo Ziyuan's family members, Lao Deng and Tai Shang Deng, were both senior figures in trauma surgery.

If Shan Chenchu ​​wants Guo Ziyuan to take the blame, it would only be if he didn't want to work in this industry anymore.

There are some things a professor might not bother with across provincial borders, but if you offend him to the point of no return...

They also don't rule out the possibility of "fishing" you out of the province!

Go even further, regardless of the cost, and you won't even be able to get into a private hospital.

After swiftly completing the flaring, Guo Ziyuan shouted, "Guide needle!"

In intramedullary nailing, after opening and widening the fracture, a guide pin needs to be inserted into the medullary cavity so that the guide pin passes through the fracture ends.

Then, the fracture is reduced using manual or traction techniques.

"Director Shan, he really went too far."

"You haven't even gone on stage yet." This time, Chen Lingzhi didn't say it as a formality, but rather with personal emotion.

Guo Ziyuan glanced at Chen Lingzhi, then at Nie Yunqi, and asked, "Brother Nie, where is the nursing department in the hospital?"

"What's her name?"

"I'll go to the nursing department later and ask the head of nursing if surgeries in the operating room are performed by scrub nurses."

Guo Ziyuan doesn't like being passive.

Although Guo Ziyuan has regained consciousness, he still remembers why he came here!

Does Shan Chenchu ​​like to insist on coming to the operating room to teach her?

I have to pin him down immediately!

Only when he can find no reason to leave this trouble can you get rid of him.

"Director Shan?" Chen Lingzhi looked at Shan Chenchu ​​with a hint of grievance.

Shan Chenchu ​​had already arrived at the operating table.

After carefully examining the surgical approach and the opening to the medullary cavity, I was deeply shocked, and my mind went blank for a moment.

"For Dr. Guo!"

Shan Chenchu ​​couldn't find any faults in Guo Ziyuan's operation; he only felt that this surgery should be done this way, and should be done this way.

Since you can't find any mistakes, what reason do you have to stop Guo Ziyuan's operation?

Insufficient professional title?

Guo Ziyuan's professional title is not high enough to take action, so why did you call him here?

Guo Ziyuan then received the guide needle once again.

Guo Ziyuan didn't target her. He directly inserted the guide needle into the bone marrow cavity, then held it in his hand and began to rotate it tentatively to penetrate deeper.

One point to note is that Guo Ziyuan's puncture technique is at the "national champion" level.

Even in the most unusual fractures, there is still an overlap in the medullary cavity.

Guo Ziyuan can perfectly puncture the tiny blood vessels through the bone cortex with a fine needle, without breaking the vessel.

This kind of puncture is practically a matter of scalping.

It's as simple as eating and drinking.

"Knock knock knock!"

Guo Ziyuan held the guide needle and kept striking the bone marrow blind cavity at the lower end of the tibia.

This action wasn't about showing off skills, but rather about proving two points to others.

First, the guide pin passed through the fracture ends.

The fracture occurred within the bone marrow cavity.

The medullary cavity is a blind cavity in the absence of a fracture.

The guide needle doesn't leave the bone marrow cavity, so even if Guo Ziyuan used it to tap dance inside the bone marrow cavity, it would still be fine.

This is the unique aesthetic and technique of orthopedic surgeons.

Cognition is greater than the subconscious mind...

Violent aesthetics.

"Brother Nie, please help me stabilize the middle and lower segment of the patient's femur so we can begin the reduction."

"Once the guide needle is confirmed to be in the bone marrow cavity, there's no need to use a C-arm fluoroscopy; it's definitely inside..." Guo Ziyuan said with certainty.

They skipped the perspective step entirely.

Nie Yunqi didn't move; he slowly turned his head to look at Shan Chenchu.

Peng Lei was already petrified; his eyes on his broad face were like two stone caves.

His eyes remained motionless, like a cave within a cave...

He stared at Guo Ziyuan, who was almost the same age as him, as if he were looking at a prehistoric beast.

When Director Shan mentioned the teaching surgery, who was teaching and who was learning?