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Chapter 2528: 【2528】Surgery without punching



   The pain of losing a loved one actually does not distinguish between adults and children.

  The family members who were waiting outside wiped their tears when they saw this. Shanshan's parents ran into the ward and hugged their eldest daughter.

   As Xie said, family members are not one of the vulnerable groups.

   Afraid of having more dreams at night, the doctor immediately contacted the operating room. When the operating room was vacated at 5 o'clock in the afternoon, Xie Wanying and Wei Shangquan took the child to the operating room.

   Now the mainstream of surgery is all minimally invasive surgery. In general, minimally invasive is the operation of drilling a hole and placing a laparoscope and other instruments into the patient's body. In orthopedics, minimally invasive can be more powerful without drilling. Yes, no scalpel needed.

   What is this kind of minimally invasive surgery in orthopaedics, why no scalpel is needed. In fact, as mentioned before, some fractures require internal fixation after manual reduction because they are not firm, and this internal fixation part does not require such drastic measures as incising the skin and punching steel nails on the bones, only percutaneous use is required. Just insert a few pins and fix it. In this kind of minor surgery, the commonly used internal fixation needle is called Kirschner wire.

  K-wires can be steel stainless steel or titanium alloy, the diameter is very small, the largest does not exceed 4 mm. A surgery like today would only use a 1.5mm diameter needle. 1.5mm, but about the same as a thicker embroidery needle. The doctor can hold it by hand and insert it into the patient's skin and bones.

  It hurts to get a needle, but it's definitely more painful to insert a needle into the skin and bone. Need anesthesia. Usually a local anesthesia is enough. This local anesthesia can't be done by the anesthesiologist, and the orthopaedic doctor will do it himself.

   In fact, if it weren’t for the need for machine assistance and the fear that the surgery might not be in place during the immobilization process, it might be necessary to temporarily change the surgery. Such an operation can be done in the treatment room of the ward.

   The above said that without surgery, how can the doctor see the broken bone inside and fix the needle. Like interventional surgery, the X-ray machine can be used to direct the doctor's positioning in a convenient and timely manner. In orthopedics, C-arm X-ray machines are commonly used. Similarly, medical staff need to wear lead clothing to protect against radiation.

  Put the child on the operating table, and the c-arm X-ray machine is placed parallel to the operating table.

  At the scene of the car accident, everyone could see that Shanshan was a very strong child. Sure enough, now lying on the operating table, Shanshan didn't show any fear, and looked at the movements of the doctors with both eyes.

  The nurse said, "Oh, does this child want to be a doctor in the future?"

   Generally, children are too afraid to enter the operating room. If a child with a dream of a white coat is really not afraid.

  Shanshan's little face turned red. Today, after seeing the valiant doctor's sister in a white coat, she had this thought in her heart: thinking that one day she will be as handsome as the doctor's sister, will she be able to cure her sister Xiaoyu by herself.

   "Doctor Liu, are you the only one?" the nurse asked Liu Huaiyu who came in after washing his hands.

   "Aren't the two of them human?" Liu Huaiyu pointed to the students.

   "I haven't seen the two of them before."

  It is normal for the two new students to be suspected of their technical skills by their seniors.

   An anesthesiologist passed by the door of the operating room and found Xie Wanying saying: "I know her. With her there, there will be no problem with the operation."

   This senior insisted that she was very powerful, which aroused the curiosity of a large group of people.

   Pediatricians who were about to leave work came to watch the fun.

   (end of this chapter)


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