I Spent Those Years In the Operating Room Fighting Monsters

"There are only two sets in total, Director Chen. I will bring them all." The itinerant nurse explained and hurried to get the surgical kit.

Qin Yuanwu’s entry into the operating room is a special green channel. As the director of Changshi No.1 People’s Hospital, he entered the operating room without any delay, and when he was on the way, the director of the anesthesiology department went to the operating room in person. Ready to give Tan Yuanwu anesthesia.

At this moment, Chen Bing watched Tan Yuanwu being stuck in a tube numb on the operating table, and then looked at the shocking wounds, no matter how strong his heart was, his heart could not help but feel a little sad.

Even if Tan Yuanwu's current injury can be cured, he will not be able to go to the operating table in the future. This is the end of his career in surgery. In the future, the medical record room or the department of hematology will belong to him! This is for Tan Yuanwu who is in his fifties.

The second half of life will be a huge torture. At his age, he fell down when he was proficient in both the surgical technique, the size and temperature of the operation, and it would be a huge blow to him.

Replantation of a severed finger may survive, but it may not survive and eventually necrosis, and even if it survives, the flexibility of the finger is not as good as before!

Chen Bing sighed long on the operating table, his mouth closed tightly, and his chest undulating violently. Said: "Lu Cheng, Lao Cai, let's start cleaning up first."

After speaking, he started to clean up the stains of severed fingers and palms...

Lu Cheng was responsible for the complete separation of the deltoid, brachial and biceps in his left arm. Fortunately, the wound was on the outside, so the brachial artery and great nerve were not injured.

So, the debridement and suture of this part of the injury is the easiest.

Lu Cheng only needs to sew up the broken ends of the muscles after the debridement is done.

Cai Xuan is responsible for the injury to the right elbow. The injury here is a bit serious. Basically, 90% of the muscles of the forearm originate from the humeral condyle. It was chopped here, and all the muscles of the forearm were cut. Re-stitch.

After stitching in this way, adhesions are very easy to occur. Once the muscles have adhesions after the operation, the movement of the fingers will be stiff.

In addition, there is also the broken palm of the right hand...

Lu Cheng quickly cleaned the surgical area he was responsible for. He had special orthopedic glasses. Lu Cheng could clearly see that the blood supply arteries of the muscle tissue were damaged. The probability of necrosis of the muscles in the blood-cut part was extremely high, so he had to get it. Cut off.

The blood supply arteries also have a fine network of capillaries, which are also unobstructed under Lu Cheng's special glasses.

Therefore, when Lu Cheng used a big knife to cut the sub-necrotic muscle, he seemed a bit bold, as if a butcher was chopping meat. While Cai Xuan was still slowly scraping blood scabs layer by layer, Lu Cheng had already started stitching.

This is the first time that Lu Cheng, Chen Bing and Cai Xuan have performed operations on different parts on the same stage.

Seeing that Lu Chengcheng began to stitch together, Cai Xuan could not help being interrupted by Lu Cheng's movements even if he was directly opposite Lu Cheng. He narrowed his small eyes, forming a line, and the crow's feet at the corners of his eyes were also lined up. It was revealed to Lu Cheng, and asked in a somewhat unnatural tone: "Xiao Lu, what are you doing so quickly?"

"Even if the operation on your side is over, it will not benefit Tan Yuanwu too much?"

The faster the operation, the greater the probability of errors and infections. Cai Xuan can't even estimate whether Lu Cheng's current operation can meet the disinfection standards.

The reason why he didn't say it bluntly was to save face for Lu Cheng, after all, Cai Xuan still regarded Lu Cheng as his student.

Chen Bing also saw Lu Cheng's speed and thought it was too fast, so he said: "Xiao Lu, this operation must take a long time. There is no need to take unnecessary risks."

Tan Yuanwu will not step down before the replantation of the severed finger, nor will it reduce the entire operation time.

After hearing this, Lu Cheng said, "Director Chen, what I think is that I can replant the severed limb sooner!"

"According to existing research, although there is a certain probability of survival for replantation of severed fingers within eight hours, the earlier the replantation of severed fingers and severed limbs is completed, the higher the survival rate and the probability of neural resurrection. The biggest. The function is also better."

Chen Bing was slightly taken aback when he heard this!

What do you mean, do you still want to come to sever your fingers after finishing the debridement of your arm?

Lu Cheng, you really don't think of yourself as an outsider. Cai Xuan and I are still here. It seems that according to the truth, it is not your turn to take the initiative, right?

But, after all, Lu Cheng is his own, and Lu Cheng is relatively conservative when he speaks to outsiders. Being able to say that at this moment also proves that Lu Cheng doesn't want to fight each other perfunctorily.

Chen Bing could only nod his head and said, "That's okay, come and help early."

Lu Cheng's level of suture is not low, and the suture of the muscles does not need to be too particular. In many major operations, the muscles are cut and sutured again.

However, after Lu Cheng finished stitching, he called the visiting nurse to take a sodium hyaluronate and injected it into the severed end of the muscle, and then quickly closed the wound.

There is no beauty stitching, just vertical intermittent stitching.

In this way, when Lu Cheng finished the debridement site, Chen Bing got all the microscopy kits.

After Lu Cheng finished the debridement that didn't have much technical content, he immediately changed two pairs of gloves, and then naturally took over to the position of Chen Bing washing.

Said: "Director Chen, shall I help you? Director Kang hasn't come yet, or did we do this by ourselves first?"

Lu Cheng's words of nonsense made Chen Bing black.

He asked uncertainly: "Will you do replantation of severed fingers?"

Although Lu Cheng has never engaged in replantation of severed fingers, he still has his own confidence in the operation of severed finger replantation, because he has advanced vascular and nerve sutures, coupled with top-notch tendon sutures and dexterous touch. , He can be at least 70% sure to know whether the blood vessels are re-canalized.

As long as the blood supply to the distal end of the severed finger and limb is restored, then there is a high chance of survival!

Lu Cheng didn't intend to keep anything. Tan Yuanwu was a good man. Lu Cheng couldn't guarantee that all of Tan Yuanwu's functions would be restored. However, the faster and higher quality of the amputated finger replantation, the greater the help to his recovery.

Lu Cheng has this ability, of course he does not intend to retain it. Moreover, Lu Cheng now has tiger skins to talk about: "I have done a few with Professor Zhou Xuanqing! The results after surgery are all pretty good."

When Chen Bing heard this, he immediately said decisively: "Upon the microscopic instruments, the operation will begin immediately. 1.0 Kirschner wire!"

Of course, Chen Bing, the former director of trauma surgery, knows the surgical procedures for replantation of severed limbs.

Regardless of any severed finger replantation, the bones must be fixed if the restriction is limited, and then the tendons will be sutured, then the blood vessels and nerves, and then the skin will be sutured!

In fact, in terms of priority, blood vessels and nerves have the highest priority. However, if the tougher tendons are not sutured, the toughness of nerves and blood vessels will not be sufficient, and they will easily break again and cause secondary damage.

Although the process is clear and the anatomical reduction of bones is not difficult, it is time to test the time when suturing blood vessels and nerves. Chen Bing is not too sure about these steps. But since Lu Cheng had done it with Professor Zhou Xuanqing, and he spoke so directly, there must be something wrong.

If you do it first, you can definitely save time for the operation. The big deal is that when Lu Cheng does it slowly, and Kang Xinghua does a finger less, it can also save a lot of time.

The blood vessels of the fingers are called the proper arteries of the fingers. They are so thin that they can doubt life. It is not easy to suture them. If these blood vessels are not sutured, the meaning of replantation of the severed finger will not exist.

Chen Bing picked up the Kirschner wire and began to restore the broken bone in his left middle finger!

But Lu Cheng still felt that this was a little slower, so he suggested: "Director Chen, should we deal with it separately? Are you going to deal with the severed palm of your right hand? I will deal with the severed left hand first? It’s more difficult."

What Lu Cheng said was actually giving Chen Bing face, he actually wanted to take off both the severed finger and palm of his left hand, and let Chen Bing and Kang Xinghua do the severed palm of his right hand first!

But, after all, Chen Bing is the director, so he still wants to save face.

Of course, Chen Bing didn’t hear Lu Cheng’s illocutionary meaning, so he nodded and said, “That’s OK. I’ll be on the tour, and I’ll put on a set of instruments and get at least four Kirschner needles, oh no, let’s do eight more. Let's spare it!"

Then Chen Bing gave up the surgery position, and Lu Cheng immediately came to the left.

The broken end of the left finger is at the metacarpophalangeal joint of the ring finger and the second phalanx of the middle finger!

The more the distal finger is broken, the better the reconstruction of the broken bone. Lu Cheng holds the electric drill with Kirschner wire in one hand, and the other hand fixes the broken end and stump of the middle finger. After only a slight turn, the Kirschner wire was inserted from the middle finger’s distal finger pad, directly perpendicular to the distal end of the bone graft, until the proximal phalanx, and then to the distal end of the metacarpophalangeal joint.

After shaking for a while, after confirming that the bones were basically fixed, Lu Cheng called the visiting nurse to take a Kirschner wire and went up to the electric drill. The needle was inserted from the proximal interphalangeal joint of the ring finger and kept the Kirschner wire. Nailed to the triangle and hook bones of the metacarpal bones.

However, at the metacarpophalangeal joints, a Kirschner wire was still difficult to fix, so Lu Cheng hit a crossed Kirschner wire on the side, and the needle was inserted farther than the head of the metacarpal bone.

Lu Cheng's speed at fixing the bones directly stared at Chen Bing and Cai Xuan.

In their opinion, Lu Cheng's shot of Kirschner shot was like playing.

Cai Xuan immediately caught Lu Cheng's hand and stopped him from playing!

He didn't speak, but his eyes stayed on Lu Cheng's body for a while, and then he checked Lu Cheng's fixed broken bone.

After checking for nearly ten seconds, Cai Xuan stepped back a few steps, his face paled in fright.

With both hands and feet, he was so scared that he grabbed the anesthesia machine next to him!

Contaminated!

The anesthesiologist cursed there: "Master Cai, what the **** are you doing, why are you touching my anesthesia machine with your hand? What's wrong with me?"

Cai Xuan heard this, but his little eyes kept looking at Lu Cheng.

Chen Bing understood Cai Xuan's eyes and what was hidden in Cai Xuan's eyes, and immediately joked: "Lao Cai, you are not in good health. The operation has just begun, and the alcohol has not been drunk. It is like being drunk. ."

The anesthesiologist said, "Hey, Master Cai's wife is good-looking and understands."

Speaking of going out and getting a paper towel and starting to clean up the blood stains, the itinerant nurse and the hand-washing nurse were tick-and-tick all the time holding things, so they didn't pay much attention to the weirdness of this scene.

Lu Cheng didn't say much, and continued his operation.

To suture the tendons, Lu Cheng adopted the most commonly used modified Kessler suture method in clinical practice.

The tendons of the fingers are divided into the extensor tendons on the dorsal side and the flexor tendons on the palm side. The flexor tendons can be divided into superficial flexor tendons and deep flexor tendons. The extensor tendons of the hand can be divided into central tendons and lateral tendons.

Therefore, the number of tendons that need to be sutured is not large.

However, Lu Cheng’s current tendon suture is top-notch!

Therefore, suturing this tendon is simply a small case.

"Stitches!"

"Stitches!"

"Stitches!"

After suturing a tendon, Lu Cheng did not tie the knot first, and then cut it to complete the next stitch.

But every tendon, every suture, although this will be more wasteful, but it can save time. Moreover, knotting multiple tendons at the same time can better control the tightness of the knot, so that the length of the suture and the tightness of the suture will not be inconsistent.

Because after the difference in length and tightness, the degree of force is different, the more likely it is to produce scars!

Therefore, after Lu Chengyi finished suture more than a dozen small tendons in a row, he began to tie the knot!

"Crack!"

"Crack!"

The crisp thread cutting sound rang again.

At this moment, Kang Xinghua hurriedly ran in from the door. As soon as he entered the door, he asked: "Chen Bing, what's the situation with Lao Tan?"

Then Kang Xinghua saw Chen Bing and Cai Xuan looking dumbfounded at their opposites. There was a person carrying him on his back. There was twisting his buttocks from left to right, and the tail of the green surgical gown was constantly swinging. NS.

He didn't reply to Kang Xinghua's words.

Kang Xinghua frowned~www.wuxiaspot.com~ and secretly said you two snakeskins, what's so interesting about other people's operations?

However, after Kang Xinghua moved the position and saw what Lu Cheng was operating, he told the truth on the spot, and his feet staggered slightly, obviously startled!

The eyes across the eyes widened several times, and he looked at Lu Cheng's hands carefully, and quickly recalled the principle of replantation of severed fingers in his mind!

① Perform debridement of severed finger junction and severed finger. ②Fix the phalanx with Kirschner wire. ③Using cotton thread or nylon thread to suture the tendon. ④ Anastomosis of finger artery, finger vein, and finger nerve in sequence. ⑤Z-shaped suture skin, finally bandage and fix!

If you guessed it right, what Lu Cheng has done now is to suture the tendons.

And I rushed to the operating room!

Moreover, at this level of stitching, Kang Xinghua looked dazed and confused.

How can this force be so flat? Shouldn't the normal force be uneven...

Note: Shashi dialect, this force = this person.