For orthopedic surgery, the dedicated orthopedic operating room in general hospitals will be arranged in the position furthest away from the operating room door.
First, orthopedic surgery often requires the use of a C-arm during the operation, which means a small X-ray machine is used to perform fluoroscopy to see if the bones are straight!
This thing is radioactive, and the operating room requires lead plates in the walls.
Moreover, most nurses do not like surgeries performed by orthopedic surgeons. Orthopedic surgeries not only consume radiation but also consume equipment.
Good equipment should not be used by orthopedic surgeons. Orthopedic surgeons are not happy with it. Give it to orthopedic surgeons. The head nurse said again that it is causing trouble.
And although hospitals generally have radiation protection devices, such as lead plates and lead suits, sometimes, when the surgery is more troublesome or urgent, the rude orthopedic surgeons will not wait until you don't wear protective clothing, regardless of whether you want it or not. Lead plate, just start taking pictures.
This thing, sometimes there is really no way to tell. There is no way to do the operation, and there is no time to delay it, and the operating room cannot send extra people to prepare in advance. What should I do? I can only fall asleep naked, what else can I do.
As for women, especially those in adolescence and childbearing age, their mammary glands are particularly susceptible to cancer due to this kind of radiation. It's okay to eat it once or twice, but over time, they may become the unlucky person.
For men, the damage is actually very serious. For example, the testicles are particularly afraid of this thing, and the sperm in the testicles is even more afraid of this thing.
But sometimes, doctors don't have time to worry about this. Usually, when doing this, doctors will ask those who are unmarried or who don't have children to hide behind the lead sheet in advance.
Therefore, although the little girls in the operating room don't say it, in fact, none of them want to undergo orthopedic surgery.
Second, orthopedic surgery is extremely noisy. Electric drills generally require a steel plate to be used for internal fixation of fractures. Iron wires cannot be tied to the bones. This is not secure either. So the only option is to use an electric drill to drill holes in the bones and install screws.
For example, when the medullary cavity is expanded, such as a femur fracture, that is, when the thigh is fractured, the steel plate is not that long, and a steel bar can only be inserted from the broken end to fix it.
This kind of steel bar is generally slightly larger than the medullary cavity. At this time, you need to use a triangular steel file to enlarge the medullary cavity. How to file it is as hard as the bone. It is simple. The doctor takes a big hammer and presses the three Various edge-shaped steel files, from small to large sizes. Slowly smash them in one by one and then take them out until the steel bars can be firmly installed into the medullary cavity. Every time it goes in and out, it all jingles!
Also, especially when replacing hip or knee joints, you must use an electric saw to cut out a flat surface before replacing it with a prosthesis.
Therefore, sometimes, when three or four orthopedic surgery rooms are performing surgeries at the same time, it is like a new house being renovated.
The sound of hammers, one hammer is eighty, one hammer is eighty, and there is also the sound of electric drills drilling holes in the wall, and the sound of electric saws cutting hardwood. To be honest, it is really like a construction site.
Some patients who have just been sent to the operating room and have not yet been anesthetized hear this voice, and they feel that they are about to face this terrible and unknown operation. It is really a kind of torture. Who is not afraid of death!
Therefore, when Zhang Fan took over the electric saw, the circulating nurse quickly closed the sensor door, and immediately put on protective glasses for Zhang Fan and the others.
What does this thing look like? In fact, in the early years, a group of fashionable people wore windproof goggles while riding motorcycles in the winter, just like the Kesai was preparing to launch. After putting it on, they directly covered their eyes. Speaking of liquid, even air can't get in.
"Teacher Zhang, do you feel uncomfortable?" This is the nurse's job, and the nurse must ask.
Because the doctor's hands cannot touch anything outside the operating table once they are on the operating table.
There is only one regular model of this gadget regardless of size. Some doctors have bigger heads, such as Xue Fei, who has bigger heads than others.
After he took it off for half an hour, he looked like an alien. There was a red mark on his face as big as a pencil case, and his eyes were obviously bulging. He looked like an alien in the movie. The alien in the flying saucer looked at the blue planet curiously.
Hip replacement, what exactly is going on? Regarding professional terminology, to be honest, not to mention anything else, just one angle can stump the interns who have just entered orthopedics. It is too abstract.
In fact, to put it simply, it is very simple. When people get older, they usually carry a walking stick wherever they go.
A walking stick has a place for holding hands, and then it turns slightly to become a long stick. This thing is actually very similar to a human leg.
As for the femoral neck of the hip joint, where is it? It is the connecting corner between the hand grip of the crutch and the supporting ground.
Of course, it doesn’t count the kind of dragon-headed crutches on TV that beat the emperor unconscious or the traitorous ministers, or just a straight wooden stick.
If a walking stick is broken at the corner where the hand is holding it, and the old man is reluctant to throw it away, he will find a way to fix it.
Especially some old people who were carpenters or fitters when they were young are more capable.
Saw the two broken ends flat, and then insert a bent steel pipe with a suitable bend into the two ends to fix it. Well, then you will have a walking stick that is no longer afraid of falling.
The same goes for hip replacement, which is why other surgeons laugh at orthopedic surgeons.
After Zhang Fan asked the traveling nurse to pack his protective glasses, he picked up the electric saw.
When Zhang Fan held the electric saw in his hand, he kept sighing in his heart, "The hospital is big and the equipment used are all good things!"
This chainsaw belongs to Dongshan Da Niu's company. Their company's turnover is huge, but they only have a shortage of more than a dozen workers.
There is a cashier, an accountant, a few business representatives, and the rest are all nominal figures in cross-financing. It is estimated that it will be difficult for a company like this to find a real boss.
Moreover, they represent materials from the world's top medical device companies. Sometimes, Zhang Fan wonders, why don't foreigners sell this stuff directly to hospitals? You must give up the handle!
This electric saw is not big, just like a person who has rake ears, disobeys his wife, and is punished by his wife by kneeling on the computer keyboard. This electric saw is as big as an ordinary household computer keyboard.
This is easy to use. When Zhang Fan was in the county hospital, any electric saw, Guaiguai, was a big electric saw for cutting wood. One end was placed in place, and the other end could reach Zhang Fan's waist and was as wide as a washboard. , big and wide! Just like the weapons carried by King Li.
A doctor with less strength really can't swing it. To be exaggerated, if you take out any big electric saw, you don’t need to anesthetize the patient, and the patient will be frightened and fainted.
With the small electric saw in hand, Zhang Fan began to prepare to cut the bones. There was a big difference between the electric drill and the electric saw on the operating table.
When the electric drill drills bones, the assistants can also use their hands to surround the electric drill to shield it.
As for the electric saw, to be honest, this thing is like sawing wood on the upper thigh bone, let alone the thin fingers, so generally such operations are open.
squeak! squeak! squeak! There is a sound. The power of a good DC electric saw is no worse than that of an AC electric saw. The moment the electric saw comes into contact with the bone.
First, a puff of green smoke rose up. This green smoke was really green smoke. The organic matter in the bones was evaporated directly by the high-speed electric saw.
The smell of this green smoke is not good. The electric knife used by a good doctor does not smell like barbecue. The smell coming from the chainsaw cutting bones is just like the smell of burning hair or burning a special kind of plastic. Or just like that pungent smell near the crematorium.
Then, when the green smoke had just ended and the electric saw entered the medullary cavity, the scene immediately turned into blood.
Find a similar scene, just like cutting a steel plate with a cutting machine, sparks are flying.
Moreover, because the medullary cavity contains not only blood, but also bone marrow, and some associated muscle debris. The quality of these substances is different, and the height at which they fly is also different.
First there were blood spots, and as the chainsaw turned, the blood was like a stone smashed into a hot pot with red oil that had not been cooked.
Red liquid dots shot out in all directions and followed the direction of the rotation of the chainsaw. A straight line of red blood dots appeared on Zhang Fan's mask and hat. From big to small, the order of the teams is not chaotic at all.
After the blood dots flew out, the bone marrow also came out. The white bone marrow had long lost its shape under the damage of the electric saw.
It was like bits of half-cooked, milky-white fat that had been chewed to pieces and mixed with bloodshot eyes. It was like being spit out by someone. Then, it was sprayed under the doctor's mask, just to the doctor's mouth. .
To be honest, as long as the electric saw is over, the doctors can really stay silent for fear that the thing will penetrate the mask and get into their mouths.
Through the thin mask, the doctor could definitely smell a smell that was half of burnt meat, and another smell of bloody fat that had not been cooked.
Then, the shredded meat sandwiched in the bones was stirred up by the electric saw, and when it was thrown out, it fell directly on the doctors like plum blossoms.
If you look directly across from the doctor, the blue or green surgical clothes on the doctor's body are dotted with various spots, just like a pizza sprinkled with carrots, tomato peels, and then the boss squeezed some milky white cheese. Same, and still steaming pizza.
In the flying blood soup, Zhang Fan held the electric saw steadily and cut the bones bit by bit from top to bottom.
At this time, if you look down from the shadowless light in the operating room, it is super scary, much scarier than slaughtering cows and sheep.
One of the human legs was removed from the body alive by Doctor Ben. There were yellowish oily flowers floating on the blood around the pale bones.
The red muscles, yellow with white fat, and with the vibration of the electric saw, the accumulated blood and surrounding muscle tissue were like a pot of flesh and blood boiling.
The wound was just like a cow's belly that had been bitten by a pack of wolves, with a large bloody hole at the root of the thigh, and the leg and body seemed to be connected by a bit of flesh, which was very cruel.
Ding Lei and Dr. Wang held a metal baffle and pressed their muscles with all their strength. It really used the force of sucking to press the muscle tissue near the bone. Even if there is a slight lack of strength, once the muscles are cut by the electric saw, the damage will be scalding, and there will be no problem at all.
If their masks were taken off and the situation was different, people who didn't know better would have thought that they were holding back their energy and using stainless steel chopsticks to grab the meat and eat it.
Amidst the strong noise of the electric saw, Zhang Fan neatly cut out two flat surfaces at both ends of the bone.
Then, the broken bones are placed in a curved plate, just like a white porcelain bowl containing beef bones, ready to be served from the kitchen to the dining table.
"Medullary expander!" Zhang Fan put down the electric saw and said to the nurse who was hiding a little further away.
"He doesn't measure? He directly cuts the marrow? How can he do this? Can he determine the angle with his naked eyes?"
When Zhang Fan's voice came out from the speaker, the doctors in the electronic classroom finally made some movement. Just like the great sage had received his magical powers, they were alive.
The venue was boiling like water dripping from a frying pan.
