Six Hundred and Forty-One Interspersed Behind
Chapter 1303
At the beginning of the operation, Zhang Fan took a knife and made two small incisions on the lower border of the kneecap. Then the arthroscope is inserted.
How big is this gap? In fact, you squeeze your two hands into a fist, and then add a piece between the fists that is thinner than the kind of sponge paper for girls, but thicker than unisex toilet paper. It is about two to three one-dollar coins. The thickness of stacked together.
Of course, this thickness is not constant, nor is it the same for everyone. For people with a heavier upper body, this space is smaller, such as those with large breasts.
and then
The meniscus of the human body actually forms a horoscope like a snake in the knee joint. Starting from the upper fist, form a figure of eight in this small space, and then crawl on the lower fist to attach, while the other thread returns to the upper fist and attaches.
It's like hanging a swing.
This is the simplest meniscus.
It can be said that the meniscus and ligaments are the intestines and stomachs of the knee joint cavity. Generally, it takes a long time for an orthopedic doctor to practice in such a small space to insert it smoothly. This thing is different from the relationship between a man and a woman. The most difficult thing for a man to become an adult is the first step.
As long as anyone who can pass the first step steadily, there is no need for a teacher later, it is born with it, and it is carried in the womb!
But the arthroscope is different. After this thing goes in, not to mention the narrowness, various ligaments, joint capsules and various mucous membranes are intricately inside, and then the laparoscope will enlarge the irradiated part in order to let the doctor see clearly.
It will take a long time to get used to the magnification of this one, which will cause errors in the visual distance for the doctors. It obviously felt very far away, but in the end, with a light flick of the wrist, a puff made a hole in the joint capsule.
There is a saying in the medical industry that if you can perform surgery with a laparoscope, you can complete the surgery with an open surgery. You can use an open surgery, but you may not be able to use a laparoscope.
Moreover, the meniscus sounds like a temporary worker, and the name is not grand, and it is definitely not comparable to a round moon scimitar. Therefore, in the early years, once the meniscus became ill, it was often given up like an appendix without saying a word. cut.
When it was just cut off, the effect was quite good. Some problems such as kneeling when climbing stairs, and knee joints not straightening when walking, etc. disappeared immediately.
However, the after effect is not good. Because the knee joint has no stability, regardless of the size of the meniscus, the weight of this thing is not big enough to weigh a thousand catties.
Without this pendant, after more than ten years, the tall, handsome and long-legged Ouba suddenly became bow-legged. The devil from Lao Pan came, and that little devil was ten years after the meniscus was removed. look.
Moreover, in knee arthroscopic surgery, in order to display the operative field, the doctor sometimes does not know it by pulling it with a retractor and rubbing it back and forth. It was not felt at the time of the operation, and as a result, synovitis occurred not long after the operation.
Chronic synovitis can be quite troublesome, and sometimes there is no symptomatic medicine, because this place has a small blood supply, and you can take a ton of medicine to get here, so often some people, after various examinations, have no symptoms. little problem.
But inside the joint capsule, it seemed like a hydra lived. Within a few days, the joint cavity was swollen like a big bun, and the area around the joint was gone.
Once this disease is not treated well, there is no other way but a second operation.
Therefore, once you find that there is a problem with the meniscus, seek medical treatment in time, and do not remove it easily. Go to a few more hospitals and find a few more doctors to see, and there will always be different opinions.
Enter, enter, enter again. Zhang Fan is skilled at holding a laparoscopic mirror. The director of the Sports Orthopedics Department in Shuitanzi is holding the mirror while trying to catch up with Zhang Fan's footsteps.
Seeing Zhang Fan's technique, the director actually scolded his mother in his heart, "You are so capable, why don't you go play laparoscopy, what kind of arthroscopy is here?"
He came here this time to save face for Lao Zhao, and he actually came here for the instrument. As for Zhang Fan's small joint surgery or minimally invasive surgery, he didn't worry about it at all.
He can also do general surgery, is an academician student, and can also do orthopedic surgery. I heard that Zhang Fan taught Lao Zhao a lesson in the surgery performed by a soldier in Chasu. Now they are even pulling special orthopedic hospitals to cooperate.
Therefore, he felt that Zhang Fan must be greedy, and in order to pretend to be aggressive in front of foreigners, he insisted on dragging Lao Zhao into surgery with him. After thinking about it, he agreed. When Zhang Fan can't do it, he will take over.
As a result, after the operation, Zhang Fan didn't mean that at all. After entering the joint cavity, the operation under the hands directly made the sports orthopedic doctor feel sore. "You are a good disciple of the ancestral line of the general family. Instead of playing with your liver, gallbladder, heart and lungs, you came to compete with us for orthopedic surgery!"
And above the operating room of the Institute of Orthopedics, doctors of special orthopedics and directors of various orthopedics in Bird City stood in a circle.
In the dome-shaped operating room, open surgery is the best way to observe, but looking at this laparoscopy, it is not so beautiful.
A group of people were whispering from the beginning to the end, and they all quietly watched Zhang Fan's operation.
This kind of surgery, especially this kind of high-demand surgery, some doctors don't say they do it, and they probably won't see it once in a lifetime. After all, patients with so much money and such high demands are rare.
Therefore, everyone is very careful. Meniscus repair, this kind of operation, is not worth a penny if it is broken. The purpose of this minimally invasive surgery is to suture or repair the cracked or damaged meniscus.
And just like a child eating ice cream with a small wooden stick, it will be scraped into a spherical shape for a while, and then it will be scraped into a rectangle for a while.
But it is this kind of friction, to be honest, it is not easy to control the strength to play a trick in a limited space.
"Oh my God, who can see how he ligated it? Why did I see that the meniscus crack disappeared when my eyes blinked?"
"No, I didn't see it either. Not to mention the bad light in this direction, his speed is too fast."
"I can only play back the video of the operation. My God, I think he did a better job than Dean Stan."
This is a few golden-haired doctors muttering together.
...
"I watched it so lonely, I checked it out for the last time, the last and most critical thing, but I didn't see it!" The director of joint surgery in the Second Attachment of Bird City felt MMP in his heart.
It's like waiting for a beautiful woman from morning to afternoon, and everyone is useless, but when the beautiful woman arrives, she shyly takes out a cushion!
"Zhang Yuan, your suture method seems to be a back-push style. How could you predict that your needle can go through completely?"