Chapter 1305: Behind the scenes

At the beginning of the operation, Zhang Fan held a knife and made two small incisions on the lower edge of the patella of the knee joint. Arthroscopic insertion is then performed.

How big is the gap? In fact, you make a fist with both hands, and then put a piece of sponge paper between the fists, which is thinner than the kind of sponge paper used only for girls, but thicker than the unisex toilet paper. It is about two to three one-yuan coins. Thickness when stacked together.

Of course, this thickness is not constant, nor is it the same for everyone. This space will be smaller for people with heavier upper bodies, such as those with larger breasts.

Then what

 The meniscus of the human body is actually arranged in a figure like a snake in the knee joint. Starting from the upper fist, form a figure of eight in this small space, and then crawl to the lower fist and attach it, while the other thread returns to the upper fist and attaches it.

 It's like a hanging swing.

 This is the simplest meniscus.

It can be said that the meniscus and ligaments are the guts of the knee joint cavity. Generally, an orthopedic surgeon needs to practice for a long time to successfully insert into such a small space. The relationship between men and women is different. The most difficult thing for men when they become adults is the first step.

As long as you can get through it steadily in the first step, you don't need a teacher in the future. You are born with it, right from the womb!

But the arthroscope is different. After this thing is put in, not to mention the stenosis, various ligaments, joint capsules and various mucous membranes are intricate inside. Then, in order to let the doctor see clearly, the laparoscope will magnify the irradiated area.

 Just this magnification will cause errors in visual distance for doctors, and it will take a long time for doctors to get used to it. It obviously felt very far away, but in the end, with a flick of the wrist and a pop, a hole was made in the joint capsule.

There is a saying in the medical industry that if you can use laparoscopy to perform surgery, you can use open surgery to complete the operation. You can use open surgery, but you may not be able to use laparoscopy.

Moreover, the meniscus sounds like a temporary worker with an unattractive name. It is definitely not comparable to a round-moon scimitar. Therefore, in the early years, once the meniscus developed, it was often treated without saying a word, just like the appendix. Cut.

 When it was first cut off, the effect was quite good. Problems such as kneeling when climbing stairs, difficulty in straightening the knee joint when walking, etc. disappeared immediately.

 However, the later effect is not good. Because the knee joint has lost its stability, even if the meniscus is small, it won't weigh a thousand pounds.

Without this thousand-jin pendant, more than ten years later, the tall, handsome and long-legged Oppa suddenly turned into a bow-legged man. That little devil from Lao Pan came to the center, and that little devil was more than ten years after the meniscus was removed. look.

Furthermore, in knee arthroscopy surgery, in order to display the surgical field, the doctor uses a retractor to pull and rub back and forth. Sometimes the doctor does not know it and cannot feel it at the time of the operation. As a result, synovitis occurs not long after the operation.

Chronic synovitis can be quite troublesome, and there are often no symptomatic drugs. Because the blood supply in this place is small, you can’t get many drugs here if you take a ton of drugs. Therefore, some people often have no symptoms after various examinations. A little bit of a problem.

 But the joint capsule seemed to have a water dragon living inside it. Within a few days, the joint cavity became swollen like a big bun, and the surrounding area of ​​the joint was gone.

Once this disease cannot be treated well, there is no other option but to undergo a second surgery.

Therefore, once you find a problem with the meniscus, seek medical treatment promptly and do not remove it easily. Visit a few more hospitals and see a few more doctors, and there will always be different opinions.

 Enter, enter, enter again. Zhang Fan was skillful in holding the laparoscope. The director of the sports orthopedics department in Shuitanzi was holding the mirror while trying to catch up with Zhang Fan.

Looking at Zhang Fan's technique, the director actually cursed in his heart, "You are so capable, why don't you just do laparoscopy? Why are you here doing arthroscopy?"

I came here to give Lao Zhao some face, and I actually came here for the instruments. As for Zhang Fan undergoing small joint surgery or minimally invasive surgery, he didn't worry at all.

He can do general surgery, he is an academician student, and he can also perform orthopedic surgery. I heard that Zhang Fan taught Lao Zhao a lesson during the surgery of a soldier in Chasu. Now they are actually cooperating with a special orthopedic hospital.

Therefore, he felt that Zhang Fan must have bitten off more than he could chew. In order to show off in front of foreigners, he had to drag Lao Zhao to undergo the surgery with him. He thought about it and agreed, but he just wanted to see through it and not say it out loud. Wait a moment. When Zhang Fan can no longer do it, he will take over.

 As a result, Zhang Fan had no intention of undergoing surgery. After entering the joint cavity, the operation under the hands directly made the sports orthopedics doctor feel sad. "You are a good disciple of the general ancestral line. Instead of playing with your liver, gallbladder, heart and lungs, you come here to compete with us for orthopedic surgery!"

 Above the operating room of the Orthopedic Research Institute, doctors from the special orthopedics department and the directors of various orthopedic departments in Bird City stood in a circle.

 In the dome-shaped operating room, open surgery is the best way to observe, but with this endoscopic view, it is not so beautiful.

 A group of people were whispering at first, but no one spoke at the end. They all watched Zhang Fan's surgery quietly.

This kind of surgery, especially this kind of high-demand surgery, even if some doctors do it, they may never see it once in their lifetime. After all, it is rare for patients to have so much money and such demanding requirements.

 So, everyone looked at it very carefully. Meniscal 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 it’s just like a child eating ice cream from a small wooden stick. One moment it is shaved into a round ball, and the other moment it is scraped into a rectangular shape.

 But it’s this kind of scratching. To be honest, it’s not easy to control the strength to make a trick in a limited space.

“Oh my God, who could see clearly how he performed the ligation? How could I see that the crack in the meniscus was gone as soon as my eyes were blurred?”

"No, I didn't see it either. The light in this direction is not good, and his speed is too fast."

“I can only play back the surgery video. God, I think he did a better job than Dean Stan.”

 This is what a few golden-haired doctors muttered together.

 …

“This is a lonely look. It’s the last, the last and most critical moment, but I didn’t see the result!” The director of the Joint Surgery Department of the Second Affiliated Hospital of Bird City felt MMP in his heart.

 This is like waiting for a beautiful woman from morning to afternoon. Everyone is exhausted waiting, but when the beautiful woman comes, she shyly takes out a cushion!

“Zhang Yuan, your suturing method seems to be a back-and-forth suture method. How can you predict that your needle can pass through completely?”

 (End of this chapter)