medical simulator

Because usually when doing such an operation, the arteries and blood vessels will not be exposed as they are now.

This is equivalent to playing with mud with your hands, and you can handle it as you want.

In traditional surgery, the reason for choosing a large incision is for the convenience of operation.

……

Then, the final result was that an operation that Chen Tingye and Ning Xihua thought was particularly difficult was completed by Zhou Cheng and Yang Yifeng within half an hour, and the rest was a long period of high-intensity surgery. The stitches are up.

The blood vessel exploration is well done and large, but the opening is also large, and the corresponding suturing time will be longer.

But as long as he can keep his legs, Ning Xihua thinks it's okay to toss.

Chen Tingye left the stage to rest first. He guessed that he had been tossing around with Ning Xihua last night. After all, he was an old professor and his physical function was a little weak, so only three young people were left to continue to stand firm on the stage.

Ning Xihua asked Zhou Cheng and Yang Yifeng to step down and rest.

But Zhou Cheng knew that Ning Xihua was tired all night yesterday: "Professor Ning, why don't you go to rest, and Xiao Yang and I will be in charge of the finishing. The patient's current situation is not life-threatening, we will take it slowly at worst. "

Ning Xihua took the opportunity to make a joke: "Xiao Zhou, you must not be slow, right? The title of the fastest man in the operating room is definitely yours. Let's go together."

"Let's go together soon?" Zhou Cheng echoed back.

Itinerant nurses and equipment nurses are no strangers to it, and are almost immune to such driving.

Yang Yifeng waited for Chen Tingye to leave the operating room for a while before asking: "Zhou Cheng, did you really expose such a long blood vessel out of shape in just a few minutes?"

"To be precise, it's 7 minutes." Ning Xihua returned to seriousness and explained to Yang Yifeng with specific data.

Yang Yifeng took a deep breath.

The following Cao Zou is not worried at all. It is not the first time that Zhou Cheng has performed such an operation. Certainly not as good as they first took over.

But compared to direct amputation, being able to keep the leg is already a blessing for the patient.

Taking advantage of this gap, Zhou Cheng smiled and said to Ning Xihua: "Professor Ning, the question you asked me before was just a setting and idea I made while joking, don't take it seriously."

"It's just some of my ideas while joking with the students, which can be regarded as a strict requirement for them."

"The level of incision can be divided in this way."

"The beginning of incision is to make an arc-shaped incision with a length of 0.5 centimeters, and accurately control the incision depth of [-] centimeters!】

[Requirements: Do not cut repeatedly, no broken lines appear in the incision, the lateral movement of the incision cannot deviate from the marking line by 3 mm, and the incision depth cannot exceed 1 cm.The operation time does not exceed 20 seconds. 】”

"At this level, there is only a requirement for lateral offset, and there are no particularly strict requirements for the depth and length of the incision."

"The next level of incision: according to the marked line, make an arc-shaped incision with a length of ten centimeters, and cut deep into the subcutaneous fascia!"

[Requirements: No repeated incisions, no broken lines in the incision, no sideways movement of the incision by 0.5mm from the laser marking line, and no more than 0.5mm of incision depth from the subcutaneous fascia.The incision length error does not exceed 0.2 cm, and the operation time does not exceed 5 seconds. 】”

"Why can't the incision depth exceed 0.5 millimeters?" Ning Xihua asked after hearing that.

Zhou Cheng's request is more than harsh?

Is this just the second level?

"Because there are blood vessels in the subcutaneous fascia, if the cut is too deep, there may be more bleeding. It is for this reason that I set up this standard." Zhou Cheng explained with a smile, every data is his. Carefully thought out.

"Then how else can you set the next level?" Ning Xihua asked while sewing.

Yang Yifeng also looked over curiously. He knew that Zhou Cheng was tinkering with something, but he didn't know what was going on with Zhou Cheng's tinkering. He didn't bother to ask about the specific details.

"Level 3 of incision, let me describe it like this for now. There is no requirement for incision depth for level 3 incision. For example, within 10 minutes, it can reach the fracture end and the joint cavity in trauma surgery."

"The requirement is that there should be no muscle damage, no blood vessel and nerve damage, and the amount of bleeding should not exceed [-] milliliters. Otherwise, the rules are too rigid, and people are afraid of being too anxious."

"Hey, it's not easy." Yang Yifeng's eyes became serious, apparently thinking about whether the rules Zhou Cheng made were feasible or not.

"Level 4 incision surgery is required to reach the field of view of any operation within 15 minutes in the four types of specialist operations, and the bleeding volume is required to be no more than 100ml."

"Grade 5 incision, the wound surface is less than one-third of the normal incision, reaches the core part of the operation, and the bleeding volume does not exceed 200ml. After the operation is completed, the overall bleeding volume does not exceed 1500ml. Do not damage any unnecessary tissue during the operation .”

"And it can also close the surgical incision at any time during the operation, so as to avoid entering places that should not be entered, causing massive bleeding and blood surge."

"I haven't figured out the level 6 of incision. This is the last level." Zhou Cheng showed a harmless smile.

But at this time, both Ning Xihua and Yang Yifeng looked at Zhou Cheng in astonishment with complicated eyes.

Yang Yifeng began to complain: "It's really unlucky to be your student. I haven't read the things you sent me. If I knew about the things you sent me, I would have written them in the novel. A detailed and realistic setting."

"It's sure to sell well."

"It's just a joke! It doesn't have to be serious." Zhou Cheng explained.

Such standards are somewhat too harsh, so when setting them, we must also take into account the actual situation, otherwise, many professors may not be able to reach the level of level 4 in reality.

The surgery lies in the precision not in the speed, the quality of the surgery is the first, definitely not other techniques.

Of course, if all these can be done better, the quality of surgery will be improved even more, which is right.

When Ning Xihua continued to stitch, he breathed a deep sigh of relief, and then said: "What you are performing now, should be at level 6. If you want to call me to define it, then I will definitely say, cut it open." For level 6 surgery, the entire nerve and its branches must be separated within 10 minutes according to the shape of the blood vessel or nerve."

"The requirement is that there can be no rupture of the target tissue or other..."

Hearing this, Zhou Cheng smiled and said, "Professor Ning, the details you mentioned are the grading of blood vessel and nerve exploration. If the incision is also divided in this way, it will be a bit cumbersome."

"What I'm doing now should only be regarded as blood vessel exploration, not a simple incision."

"This is the basic skill!" Ning Xihua nodded, and began to start his own suturing seriously. After thinking about it, he wanted to ask Zhou Cheng if there is any level of suturing.

However, Ning Xihua didn't dare to ask again, fearing that his corresponding level would be too low, and he would lose face and be too straightforward.

It's better to wait until after the operation is over before asking for advice.

"Xiao Zhou, after your game is launched, you must notify me as soon as possible. I feel that I am also very interested." Ning Xihua said so.

"That's for sure, Professor Ning." Zhou Cheng was sure.

Ning Xihua is not interested, but he is a little unconvinced. He wants to see what Zhou Cheng can come up with, because if the game Zhou Cheng is playing now fails, it will be just a joke.

But if he succeeds, Zhou Cheng may be famous in history, at least in the medical history of Huaguo, he will leave the most dazzling and strong ink, and of course it may be the biggest infamy!

Chapter 471 Are you on the hook?

When Zhou Cheng and Yang Yifeng walked out of the operating room, Ning Xihua was still thanking them.

Zhou Cheng repeatedly waved his hands and said no, and then made an agreement with Ning Xihua that if they had time, they would definitely discuss nerve suture together...

Before I could speak again, the phone rang.Pick it up and take a look, the note is Xiang Xuewen from the medical department.

It is not a good thing for a clinical worker to receive a call from the medical department. Zhou Chengcheng looked at Yang Yifeng and asked, "Yifeng, there shouldn't be any problems in our trauma center in the past few days, right?"

He has been complained many times before. There are accidental factors, but more often, there are people who are behind the scenes, because he has taken up other people's pits.If you want to stink yourself through such means, it is best to lose your job.

"No? You take it first." Yang Yifeng didn't want to go back to the laboratory right now. Although Zhou Cheng pointed out the direction for him, there were still a lot of problems when it was actually implemented.

"Hi, Director Xiang. This is Zhou Cheng." Zhou Chengcheng answered the phone in front of Yang Yifeng and Ning Xihua.

"Oh, okay, Director Xiang, okay, about when?" Zhou Cheng asked.

"Okay, then I will listen to the announcement."

Yang Yifeng stared at Zhou Cheng suspiciously: "It's really a problem with our trauma center, can I ask the director for trouble?"

"No, it was a medical accident in a prefecture-level city hospital. The No. [-] Hospital of Chen City has reported it now. The doctor involved is a student of an old professor in the No. [-] Hospital. Therefore, the Health Supervision and Law Enforcement Bureau of CZ City hopes that we will The Affiliated Hospital of Shonan University and the Third Hospital can send expert teams to conduct professional identification of medical accidents."

"I am registered as a member of the Orthopedics Branch, so I have to undertake this task."

"A lot of people in the Second Hospital were eliminated with one shot, and it was not easy to call too many old professors to come out, so I asked me to make up the number of people." Zhou Cheng explained.

It's not related to his own trauma center. Although he went this time, although it was not the nature of the inspection team that went to Shanghai last time, it was also to find fault.

There is no way to do this. After the human ability has grown to a certain level, then you not only have to undertake medical tasks, but also provide certain professional assistance for the identification of medical accidents.

"Then you have to be careful with this. After all, it is somewhat involved with Brother Hospital, but it also depends on the nature." Ning Xihua had a similar experience, so he made a point.

"Did you say when to leave? What is the patient's outcome?" Ning Xihua asked again, hoping to provide Zhou Cheng with more guidance.

"Dead. If he hadn't died, he definitely wouldn't have come to us directly!" Zhou Cheng sighed.

If it is a disability or something else, it is necessary to carry out disability level certification. After the certification, the responsibility for the accident and whether there is any medical error will be discussed.

"That's a bit troublesome. We need to be more cautious when dealing with this matter."

"In the future, it may be a lawsuit, and the opinions given by the expert group may eventually be used as evidence in court."

"Yes..." Zhou Cheng replied cautiously.

"It's about starting this Friday, which is the day after tomorrow, and then it should last for about three to four days. Yifeng, I'm going to work hard on you again." Zhou Cheng said apologetically to Yang Yifeng.

Yang Yifeng shrugged his eyebrows: "Just get used to it."

Zhou Cheng is very busy now, wandering around in all aspects, he has become a housekeeper, and it is really inconvenient for him to go out now, he has to plan his own project well.

It will be more comfortable if you can take a ride with Zhou Cheng and hand over part of the experimental content to Zhou Cheng's team.

Of course, this kind of thing will not go away immediately.

……

After going back, Zhou Chengcheng told An Ruo about this matter to An Ruo who was resting at home.

An Ruo didn't show much expression after listening.

In fact, don't think that doctors are free after being promoted to associate professor and professor. At such a level, there will be more things.

Outpatient clinics, surgeries, meetings, and other miscellaneous tasks will basically get busier and busier, and my personal time will gradually decrease.

"It's not easy to be an expert group for medical malpractice appraisal. Sometimes it's even harder than an inspection team!"

"However, this time you can make the past clear, and there will be no other impact."

"By the way, Mom called at first, and she asked if she would bring us a few native ducks." An Ruo said with a smile.

"What do you say? Even if it is delivered, we rarely have time to eat at home."

"I said I would come back after a while, but now they all just go back, and they are quite busy going back and forth." An Ruo replied.

"Then my mother said that I would send some to my parents."

"I guess, my parents were thinking about meeting my parents, so they found such a reason." An Ruo tried to figure out what Lao Zhou and Lao Xiang meant.

"But I'm going out this weekend. I'll call my parents later and go next week."

"I just have a little free time today. Let's go out for a meal? Go shopping and buy some clothes for you? It's spring now." Zhou Cheng suggested.

It's been a long time since he and An Ruo went out for dinner or shopping.

As the seasons change, it is normal for girls to buy more clothes.

But An Ruo was not interested: "It's fine to eat, let's just go shopping for clothes, we can go to climb a mountain."

"When you buy clothes, you have to change your clothes after wearing them for a while."

"There will be fewer weekends in the future, and there will be fewer opportunities to go out. Why buy so many clothes?"

"You can always wear it when you are on vacation. You can't ignore your life because you are too busy at work. Let's go, go shopping, and just go to a few places to see if there is any suitable one."

"At least our running sportswear should be replaced, right?" Zhou Cheng suggested.

"The hot pot in Shashi is not as good as the hot pot in Shanghai. I suggest that we eat shrimps. The shrimps in this season are good." An Ruo changed other suggestions, "Then next week, we will fly Go to Yushi to have a hot pot meal, then come back immediately, and I will ask Yang Yifeng if they can go."

"Yang Yifeng is probably enough. He's been very busy recently, but you can ask your best friend Liu Shiyu."

"I mean this weekend. When you go to take on the task." An Ruo shrugged his eyelids, his eyes lit up, hungry.

"Isn't Yang Yifeng going to replace my class this weekend?" Zhou Cheng was actually a little moved, hoping that An Ruo could wait for him to join him.

"Isn't there Xiao Fang?"

"Didn't you say that my mother might come over?" Zhou Cheng continued to fight An Ruo.

"Didn't you tell mom to come over later?" An Ruo continued to ask.

Zhou Cheng immediately rolled his eyes and sighed: "Okay, you three can go, it's best to eat so that you can't sleep at night."

"Who made you so busy all by yourself?" An Ruo just finished packing her bag at the moment, with lipstick, lipstick, tissues, etc. in it, and the mobile phone twisted in her hand.

"Let's go, let's go eat. I'm just joking with you. If you don't go, I won't be bothered to go out with that couple..." An Ruo thought of Liu Shiyu and Yang Yifeng with disgust on his face.

She didn't want to be a dog and be forcibly fed dog food.

……

Zhou Cheng saw the expert team going to Chen City, and when he was about to leave, Ning Xihua called Zhou Cheng: "Xiao Zhou, the patient we had surgery on the day before yesterday is doing pretty well."