Qilu Evening News Qilu One-point reporter Guo Jixuan Correspondent Daniel Zhang Dong Yaning
Under the microscope, the pain is sutured with flying needles to reshape the "reinforced iron bone" for trauma patients. Founded on July 19, 2004, the Department of Hand and Foot Surgery of Jiyi Affiliated Hospital is an early professional department established in Jining City to treat hand and foot trauma and diseases. With the coordinated development strategy of "one hospital and two districts" of the hospital, the department as a whole was relocated to the Jiyi Affiliated Hospital (Taibai Lake), and the development of the department has reached a new level.
Skilled
Build a brand department
"Microsurgery is like dancing on a tightrope, and we need to be in awe at all times." Professor Han Qingluan, director of the Department of Hand and Foot Surgery and head of the discipline of Jiyi Hospital, said. After nearly 18 years, the department has developed from only 3 doctors and 3 nurses to a high-level medical service team covering 20 doctors and 26 nurses, with exquisite business technology, unity and enterprising, and dare to fight a hard battle.
In the department's hand surgery ward, Ms. Li, who has just completed tenosynovyle giant cell tumor resection, is receiving health education from nursing staff. Half a year ago, Ms. Li's left hand grew a lump without warning, but Ms. Li has not taken it seriously, "This lump is not painful or itchy, I thought I would go down on my own, but I did not expect that after half a year, the huge lump has affected normal work and life." ”
As one of the most common diseases in the department, tenosynovyloblastoma has the characteristics of high postoperative recurrence rate, if not completely removed, it will lead to the "resurgence" of the disease, which is a test of the doctor's skills. "The data shows that the postoperative recurrence rate of the disease is between 7% and 8%, and the return visit statistics of discharged patients in our department are much lower than this figure." Han Qingluan introduced.
Practice the responsibility and responsibility of doctors with actions, and hone skills with inheritance and innovation. The department once received a 28-year-old patient with a severe upper limb crush injury and hand rotation and avulsion injury, and the patient and his family were afraid of facing amputation, and came to the Jiyi Hospital with the last glimmer of hope. After carefully examining his physical condition and limb conditions, and fully evaluating and discussing, Han Qingluan led 3 doctors in the department to fight on the operating table for 39 hours, not only preserving the patient's limbs, but also restoring 70%-80% of the function of the upper limbs through post-rehabilitation training.
Under the leadership of Han Qingluan, the department has continuously strengthened the construction of disciplines, combined with the new trends in the development of disciplines, timely updated and upgraded medical technology, and enhanced the development potential of professional disciplines. It has become a brand department featuring multi-finger detachment replantation of one hand, multi-segment replantation of fingers, replanting of fingertip detachment, replanting of broken palm, broken wrist, and severed limb; full reconstruction of the thumb, surgical reconstruction of discarded fingers, remanufacturing of free toe emergency disease; free flap repair of bone exposure of various soft tissue defects of limbs; reconstruction of multiple groups of neural transposition functions after brachial plexus injury; orthopedics of ectropion, hyperborcular deformity, and flat foot; treatment of fractures such as calcaneus and talus, with nearly 3,600 patients discharged from the hospital every year. More than 33,000 outpatients have cured a large number of patients with acute and critical diseases and difficult diseases, and patients from Heze, Tai'an, Zaozhuang, Linyi and other areas around the radiation have come to visit.
Sub-professional construction
Escort the health of the masses
In August 2021, the Taibaihu Branch of the hospital was officially opened, opening a new situation of "one hospital and two districts" development. While retaining the emergency wards and outpatient clinics at the headquarters of the hospital, the hand and foot surgery department of the hospital was relocated to the Taibai Lake Campus as a whole. In the new environment with a few clean windows, facilities and equipment and information construction are in accordance with the requirements of high standards and high starting points, laying a solid foundation for improving patient satisfaction and comfort.
At present, the Hand and Foot Surgery Department of Jiyi Medical Affiliated Hospital (Taibai Lake) is equipped with Xerox-Flexi wrist, ankle arthroscopy, Zeiss Z88 surgical microscope in Germany, Johnson & Johnson Micro-invasive Power System of Switzerland, GE Mini Mini "C" Arm, Panasonic Blood Flow Detector, Photon Therapy Instrument, Neurostimulator, Medtronic Defibrillator, Integrated ECG Monitor, Anti-Venous Thrombotic Pump and other modern medical emergency equipment and surgical equipment.
"In terms of health education, we continue to enrich the department's health education materials, through a variety of ways to patients health education, from oral to written, from paper to multimedia multi-form production of mission audio and video, according to the flash mode to produce department education animation, improve patients' interest in health education, comprehensively improve patients' self-health management capabilities, improve patients' hospitalization experience." Zhang Yu, chief nurse of the Hand and Foot Surgery Department of Jiyi Hospital, introduced.
The department morning meeting collective handover class adopts the electronic shift mode, comprehensive and meticulous, and truly makes every day's morning medical and nursing shift become a micro-class study within the department, Jin Dongdong, chief nurse of hand and foot surgery of Jiyi Affiliated Hospital (Taibai Lake), said frankly that through this form, nurses are urged to take the initiative to understand and be familiar with the situation of each patient in the ward, effectively improving the professional ability of all nursing staff.
With the joint efforts of the medical team, the department team has achieved impressive results, and has successively promoted to the clinical key specialty of Shandong Province, the national standardized training base for resident physicians, the "Ten-year 100-item Plan: Wound Treatment Promotion Center", and the Lu southwest training base for grass-roots orthopedic education of the China Medical Foundation.
The department continues to promote the construction of sub-specialties, and currently has 4 sub-specialty groups, including peripheral nerve and tendon injury repair, wound repair and reconstruction, wrist bone and joint diseases, congenital malformations, wrist arthroscopy, diabetic foot specialist, and foot and ankle trauma specialist. He has completed 1 provincial natural science foundation scientific research project, 5 scientific research projects of Jining Science and Technology Bureau, published 15 monographs, and published more than 60 papers.
"With the continuous development of the hospital's orthopedic cause, in the next step, the department will take the sub-professional construction as an opportunity, take the construction of a national-level clinical key specialty as the goal, build a reputation of strength, continue to do fine clinical business and academic work, practice the responsibility and responsibility of the doctor's benevolence, and escort the health of the people in innovation and inheritance." Han Qingluan said.