Yang Ping ate a piece of chocolate, quickly compressed the biscuits, and rushed to the operating room.
Director Han, Song Zimo, Director Tian, Zhang Lin, and Fang Yan all arrived. There were also many young doctors and interns who came after hearing the news. They all wanted to see this machine for replanting amputated baby fingers. After all, this is a rare high-tech machine.
Difficult surgery, sometimes you may only encounter such a case in your lifetime.
The circulating nurse was scolding the unruly intern: "So many people? Who is the teacher? Please stay away and pay attention to the concept of sterility!"
Fortunately, the operating room of the Department of Orthopedics is relatively spacious, so it doesn't seem very crowded even if there are many people.
"Divided into two groups, Tian Yuan led Fang Yan and Chen Xiaobo debrided the free severed finger and searched for blood vessels, nerves and tendons; Song Zimo led Yang Ping, and Zhang Lin debrided the proximal wound and looked for blood vessels, nerves and tendons; then the transplant was led by Song Zimo and
Yang Ping is in charge, and the rest are the reserve team." Director Han is very organized.
"Which nurse is on stage today?"
"Su Yixuan!"
"That orthopedic surgery specialist nurse?"
"Yes, Director."
The circulating nurse replied that Su Yixuan had already gone to wash her hands.
The anesthesiologist is Liang Jing. He is a real grown man, but he is also fat. He just accidentally picked up a woman’s name. The anesthesia was successfully induced. He gently pried open the baby’s mouth, and then carefully inserted the tracheal tube.
Pull out the guidewire and place the stethoscope on the chest to confirm that it has entered the trachea. Then connect the anesthesia machine.
"Well, the anesthesia is successful, you can wash your hands now." Liang Jing sat on the side of the child's head, recording while staring at the monitoring data on the display screen.
"It's too difficult to pick up this one today. It's so small that even if the microscope is magnified fifty times, it's not easy to handle. If your hand shakes even slightly, the blood vessel will break."
"Yes, I heard that the most difficult thing to replant after severed fingers is a baby's. The blood vessels are probably like hair."
"Director Han should do it. Director Han used to work at the Sixth Hospital of Shanghai, which is the birthplace of amputated limb replantation in the country. The world's first amputated limb replantation was in that hospital."
"Really, no wonder Director Han is so awesome."
"No, it was Senior Brother Song who did it."
"Senior Brother Song, wow!"
"He is very powerful. I heard he is a genius. Didn't you see that Director Han always takes him with him?"
"He is tall, handsome, highly educated, and so good. I heard that many girls like him."
A female intern started secretly gossiping.
"I'm sure, I heard that my family is very rich."
"No way, he gets all the good things."
Once the gossip box is opened, there is no end.
"Quiet, keep quiet if you are observing! Replanting a severed finger requires a high degree of concentration. Turn on the video system next door, and when the show starts, go next door--" The head nurse inspected the operating room and came in to take a look. p>
This operating room is the main operating room. There are supporting rooms on both sides. One side is a storage room and the other side is a demonstration classroom. Half of the partition wall from the demonstration classroom is a transparent glass wall. There is a high-definition screen on the wall, which is connected to a microscope or
The high-definition camera on the shadowless lamp can play the entire surgical video in real time when needed.
Su Yixuan had already washed her hands, raised her hands in front of her chest, picked up a sterile gown, stood on the side of the open space, facing the sterile table, shook her hands slightly, and her hands went deep into the inner cuffs. The circulating nurse immediately stood behind her
, help her pull up her clothes and tie the belt behind her.
Then put on gloves, start counting the instruments, and divide the instruments into sections.
Two operating tables.
On this side, Song Zimo and Yang Ping wash the wounds.
On the other side, Tian Yuan and Fang Yan were also rinsing the severed finger, carefully for fear of losing it and not finding it.
After rinsing, everyone went to wash their hands and dress.
Usually the first assistant disinfects the sheets, but Song Zimo asked Yang Ping to get dressed and disinfected the sheets himself.
Push the microscope over and put it aside.
Begin debridement on both sides, which is to remove foreign matter, necrotic tissue and loss of vitality from the wound, and then trim the skin edges neatly.
The young doctors and interns who were observing were all driven next door.
Five fingers, starting from the thumb, Fang Yan brought the thumb that had been debrided and rinsed. Song Zimo used an electric drill to drill the steel needle into the phalanx and connected the bones first, so that the general support was established.
The next step is to find blood vessels, nerves, and tendons and suture them together. In simple terms, this is the step. Blood vessels are the most difficult to find and suture; nerves are second; tendons are easy to find and suture.
Any orthopedic resident can suture very skillfully.
Push the microscope to the surgical area, fix it, and adjust the focus, interpupillary distance and magnification. This blood vessel is too thin and is magnified fifty times.
Song Zimo used micro tweezers in his left hand and micro scissors in his right hand to start debridement and search for blood vessels under the microscope. His operation under the microscope was really good. Under the fifty times larger field of view, his hands did not shake and he was very skilled in the operation.
This guy has pride, Yang Ping has to admit.
"The blood vessels are too thin, so keep your hands steady and calm down." Director Han encouraged Song Zimo.
Song Zimo remained silent, quietly controlling the microscopic instruments and searching for blood vessels, nerves and tendons under the microscope.
In addition to the large screen on the wall next door, there is also a screen in the operating room, which is not as big as the one next door. Director Han sat in front of the screen and stared at it.
The blood vessels of the thumb were successfully found, and then the nerves and tendons were found. Next, the broken ends of the blood vessels were debrided and trimmed to make the broken ends of the blood vessels clean and standard. There should be no impurities in the lumen, let alone damage.<
/p>
Rinse with normal saline.
Line!
The thinnest double-needle non-damaging blood vessel suture needle is only a few tenths of the diameter of a child's hair.
Cut it in the middle, give half to Song Zimo, and half to Su Yixuan for safekeeping.
Song Zimo began to suture arteries and blood vessels.
However, this baby's blood vessels are smaller than expected, the diameter should be much less than 0.1 mm, and the visual inspection should be about 0.05 mm.
Song Zimo took a deep breath, calmed down, and tried to keep his hands as slow and steady as possible. At this time, he was challenging the pinnacle of microsurgery.
The first stitch begins.
"Slow down, don't rush." Director Han told Song Zimo.
Even if I want to go faster now, I can't get up quickly. Not only are blood vessels small, but their walls are relatively thin, not at all like the walls that arteries should have.
Song Zimo's first injection was very slow, much slower than his usual training speed. The tweezers lifted the outer membrane of the blood vessel wall. This kind of wall is very easy to tear, which is a test of his skill.
The needle gently penetrates the tube wall at the right position, then passes through the tube wall at the other end, gently pulls it together, and knots it, and the first stitch is perfectly sutured.
Director Han nodded slightly. Song Zimo's talent is indeed very high. He has been growing rapidly recently. He is already so proficient in suturing blood vessels down to 0.05 mm.
Yang Ping was about to cut the thread, but Song Zimo refused and picked up the microscissors to cut the thread himself.
The second needle, the third needle, --- until the sixth needle, his rhythm was very smooth, the needle distance was very beautiful, and the first blood vessel was connected smoothly.
If the operating room hadn't needed to be quiet, the people watching the operation next door would probably have applauded.
