The thirty-third sheet of anonymous stitching
"...sharp blade...mosquito pliers..."
Tanglou continued to direct the equipment nurse to bring up new tools.
The thin and translucent gloves ensured the most sensitive touch on the fingertips. Tanglou held a long silver mosquito pliers, clamped the tip of the knife at the front, and stabbed the tip of the sharp knife diagonally in from the center of the bottom of the V-mouth of the thick tendon.
, and then penetrates out from the dorsal side of the tendon...
In terms of technique, the fish-mouth suture method has higher operational requirements and more precise control of force.
...
...
"Everyone, please pay attention to Tanglou's current operation. The core of the fish-mouth suture method is to use a blade to cut a tunnel on the thick tendon to accommodate the thin tendon."
Under the magnified lens, what everyone saw was indeed like killing a fish, entering through the mouth, tinkering in the belly to form a passage, and then making another hole in the belly, and finally removing the tendons from the passage
Pour it in and pass it out through the opening in your belly.
After this biting, the two severed tendons were tightly connected together.
"Kneel down to Master Tang, how did you learn this?"
"There is a morgue at home. If you have nothing to do, you can dissect human bodies for fun."
"The knees are broken!"
Everyone was amazed.
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...
Tanglou had no feeling for the admiration in the observation room, and even felt a little bit dissatisfied with his slow movements. These were just three ways.
However, he would not ignore the quality of suturing for the sake of brushing. After all, the patient's recovery is a doctor's greatest comfort.
After Tanglou tightened the tendons to the required tension, he used mattress sutures to fix the two tendons at the break of the tunnel.
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"This is the third time I've reminded you. Let's take a look at the processing details again! Xiao Tang stuffed all the exposed thin tendon stumps into the thick tendon. Look at this frame again. After the suturing is completed, in order to ensure that the tendon is
The surface was smooth, so he sewed the aponeurosis with one stitch, and finally sutured the upper and lower parts of the fish mouth to the thin tendons."
Everyone nodded frequently. The suturing was indeed done in detail. After such treatment, the repaired tendon was completely integrated.
"It's amazing. It turns out that suturing a tendon requires so many details. If I just memorize these operations, it would take me several days. As for the psychological panic on the spot, it is impossible to be so calm."
"Bah bang bang!"
I don't know who was the first one to applaud in the observation room. He admired it from the bottom of his heart.
Everyone applauded together, today the tenement building indeed taught them a lesson they will never forget.
Everyone's interest was aroused: "Master Tang, here is another suture method!"
"Not bad, here's another one!"
Of course, the big guys were more hesitant. After all, it is extremely impressive for a doctor, especially an intern, to be able to master three suturing methods!
Huo Tong looked at the people in the observation room and was speechless for a while. You thought Tanglou was Kong Yiji who knew how to write four kinds of characters.
After completing the tendon suturing, Tanglou sutured the subcutaneous tissue and skin layer by layer.
Still quick and neat.
"...No. 5 straight needle..."
Tanglou chose two severed tendons in the second area and penetrated 0.5cm from the tendon end of one of them...
Looking at the distance between Tang Lou's starting position and the tendon, everyone heaved a sigh of relief. After all, Guizhou Donkey's skills were exhausted, but they also felt a little disappointed.
"Hey, that's not right. If I remember correctly, that's not how I wore it just now."
An intern discovered the subtle differences very keenly.
"Could it be..."
Everyone's depressed mood just now was lifted up again, and they watched every step of the tenement house carefully.
"Sure enough, it's a new way of sewing!"
But I couldn't tell you what kind of suture method to use, so I looked to Huo Tong for help.
"I'm not sure about this approach now..."
"Isn't it?"
Everyone was in an uproar. Didn't even Director Huo know?
"Everyone, please be patient. The reason why Director Huo said this is because there have been several improvements in the history of tendon suturing. These subtle improvements are insignificant to the entire operation, but they have brought great benefits to the patient.
Better and faster recovery.”
Cheng Jian added on the side.
"What Director Cheng Jian said is absolutely correct. In addition to the three types of tendon suturing shown in Tanglou, there is another one that was often used in the past called the Kessler method."
"You can see that the tendon end of Tanglou comes out, locks it and then crosses it and penetrates the tendon, and exits from the opposite side. Then it locks the tendon and penetrates into the muscle and exits from the tendon end... Finally, you can see the entire suture.
It presents a long flat rectangle with four knot locks at the four corner points. This method is the Kessler method."
"The Kessler method is a classic suturing method, but in domestic clinical practice, experienced experts and scholars have found that adding a continuous circle of sutures to the tendon suture will make it stronger. But this is all oral and heart-taught experience.
It is not clearly stated in the specification. So generally beginners only know the Kessler method."
When Cheng Jian explained, Tanglou also fell into a little tangle.
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[If the host chooses to complete the suturing now, it can be counted as a suturing method. 】
"System, in fact, I can re-open a tendon, and then add a circle of continuous sutures based on the Kessler method, which is the Kessler modified version of the suture method."
[Yes, although it only adds a circle of continuous stitching, and there is no clear name in the industry. However, the effect has been greatly improved, and it can be counted as a suture method]
"System, do you think it is because of the vast clinical experience of so many unknown doctors who are dedicated to research? This improved version of the system is taught by word of mouth and heart. Because it is a joint effort, it is not named after an individual."
[Theoretically speaking, this is indeed the case. Many doctors have gained experience in clinical practice. It is just a simple effort, but it has greatly increased the chance of recovery. Everyone tacitly calls it an improved version, rather than letting someone take it for themselves.
have.】
"Yes, so the valuable experience gained by so many doctors through experiments on so many patients has finally improved the probability of recovery. How can I single him out as a suturing method in order to complete the task?"
[The host has a gifted surgical master, which theoretically can increase the chance of recovery by 20%, which can be offset by the Kessler modified method. In other words, the host's use of the Kessler method can in principle be equivalent to that of ordinary doctors using the Kessler modified method]
"Of course I know, but ordinary doctors cannot 100% ensure tendon recovery even if they use Kessler's modified method."
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In the observation room, everyone looked at Tanglou who had stopped, thinking that he was going to end with the Kessler method, but his hand moved again.
Carefully and meticulously, a continuous loop of suture was added to the tendon connection.
"As expected of Tanglou, he uses the Kessler modified method, also known as the unknown suture method."
Cheng Jian finally sealed the coffin.
【As expected of a host!\(???)/?】
Chapter completed!