The two arteries and four veins have been anastomosed, all in one go. There is no redundant and repeated movement, and there is no delay in the connection of each movement.
"Vital signs?" Yang Ping asked.
"Smooth! Don't worry, you continue." Liang Jing responded confidently. He was proud to be able to participate in such a challenging operation.
This kind of tension is not like those rescue operations, which are full of activity and noisy; this kind of tension is restrained, quiet, and calm.
It's like a person stepping on a tightrope without any protection, and the tightrope spans a canyon between cliffs. Once he loses his footing and falls, he will be shattered to pieces.
"Want to take a break?" Director Han asked with concern.
"No need!" Yang Ping replied.
Old Han looked at the time on the wall panel. It took more than 20 minutes to anastomose six blood vessels just now, that is, each blood vessel took an average of more than three minutes.
Next is the nerve. The anastomosis of the nerve is much easier than that of the blood vessel. The nerve is not a cavity structure, but a substantial structure, and there is no need to consider the smoothness. Moreover, the finger nerves are all sensory nerves, and the fault tolerance rate is relatively high. There are no sensory nerves and motor nerves.
The situation of mutual misalignment.
Tian Yuan, Song Zimo, and other doctors all temporarily removed their eyes from the screen to take a short rest and prepare for the next vascular anastomosis.
The most exciting and exciting part of the whole operation is the vascular anastomosis. They have to focus their limited eyesight on the essential parts. The nerves will be tense for too long and they will get tired easily.
After the two nerves are anastomosed, the flexor tendons and extensor tendons are anastomosed. This is a simpler operation that can be completed without a microscope.
Finally, the skin was sutured to completely close the wound, announcing the successful replantation of the middle finger.
From the beginning of the blood vessel anastomosis to the completion of the skin suturing, it only took about thirty minutes. This kind of speed makes people lose their temper.
After the anastomosis of the index finger is completed, loosen the rubber tourniquet at the base of the finger. The pale finger tip slowly turns red, and there is no blood leakage from the vascular anastomosis.
The next one is the middle finger. Song Zimo's arrogance is gone.
The sterile refrigerated small refrigerator was opened, and Song Zimo went to pick up the finger himself, reached in, took out the severed middle finger, and carefully placed it on the operating table.
He placed the severed finger on the operating table and sat back in his seat silently.
Repeat the previous actions, fix the fracture, anastomose blood vessels, anastomose nerves, anastomose tendons, and finally suture the wound.
"Let's take a rest?" Director Han suggested again.
"Thank you, director, I'm okay." Yang Ping said.
Starting to anastomose blood vessels again!
Everyone's relaxed nerves immediately became tense again. Some of them may not have had enough rest, so they tightened their nerves a bit hastily and were very uncomfortable. Everyone looked at the screen again and did not dare to look away for a second.
The surgical movements maintained the same stability and speed as before, and the middle finger was successfully replanted.
The fourth finger was the ring finger, and Song Zimo had to pick up the broken finger. If Song Zimo had the last trace of pride last time, it was gone now.
The ring finger was replanted without any suspense.
Lao Han's back sank and his whole body relaxed. After the ring finger was completed, there was still a little finger. Even if it failed, it was still the little finger, and the opponent's function would not be too much affected.
Now Song Zimo is completely convinced that surgery is a real thing, and you can't even brag about it. Everything is here, visible and tangible.
Finally there is the little finger.
"Pinky!"
Song Zimo put his little finger on the operating table, something he was happy to do now.
Yang Ping moved his neck, loosened the instrument in his hand, adjusted his posture slightly, and gained a moment of relaxation.
"There's something wrong with this severed finger. The blood vessels are a little stuck with the surrounding area." Yang Ping said in a low voice.
"Premature babies have poor blood vessel development and poor development of surrounding tissues, causing scar-like adhesions!" Lao Han reminded Yang Ping while watching the video.
"Yeah." Yang Ping agreed.
Yang Ping tried to find blood vessels and separated the hard adhesions bit by bit. The broken ends of the blood vessels were exposed a little. He clamped the outer membrane with tweezers and carefully separated them with scissors. The adhesions were too tight and difficult to separate, which could easily cause
Rupture of blood vessel wall.
Yang Ping's scissors stopped.
"Don't worry, I've already connected four of them. There's no problem with the function. It's already very successful." Director Han said.
"I'll try again." Yang Ping had no intention of giving up. He was confident that he could do it.
The scissors began to separate again, and the speed slowed down significantly. Little by little, each time they separated a little, they stopped.
The blood vessel held by the forceps does not move, and the scissors carefully open and close along the blood vessel wall.
"Have you ever had a finger amputated like this?"
Song Zimo asked gently.
"Um."
Yang Ping was busy with surgery and had no time to chat with him.
Possibly finding the feeling of separating this tissue, Yang Ping mastered the strength of the instruments in his hands better and better, and the speed of the scissors slowly increased.
The first blood vessel is freed from adhesions and gains sufficient length. Then the second blood vessel is started. There must be at least four blood vessels in total, two arteries and two veins, so that blood supply can be guaranteed.
Veins are more difficult to separate than arteries because the walls of veins are thinner than those of arteries. But the surgeon obviously quickly learned experience from previous separations. The scissors can accurately cut between the blood vessel wall and the adhering tissue every time.
Four blood vessels, two arteries, and two veins, both proximal and distal, were separated intact.
The walls of this kind of blood vessel separated from adhesions are more fragile. Moreover, it is the little finger, and the blood vessels are smaller. The difficulty of suturing is several times that of the previous blood vessels.
"This is too difficult to sew. I feel like it will tear if I'm not careful."
In the next room, someone spoke.
Everyone followed the voice to find the speaker and glared at him. The speaker immediately silenced himself and everyone focused on watching the video.
Su Yixuan is a professional instrument nurse in the orthopedics department. Her understanding of surgery is much deeper than that of ordinary nurses.
There was nothing to do on the stage, so she turned sideways to look at the screen. With such superb skills, no wonder no one spoke, and it was so quiet that the only sound was the sound of the anesthesia machine pumping air.
From Su Yixuan's position, you can see Yang Ping's profile, and you can even see Yang Ping's eyes facing the eyepiece.
Those eyes are persevering, confident and focused.
He started to anastomose the blood vessels again, suturing the blood vessels of this finger, which was relatively slow. Yang Ping was looking for a feeling, and the second one was obviously much faster. The third one was getting better, and he had completely figured out the technique for suturing this special blood vessel.
Yang Ping's stitching is still so natural, and the quality is not compromised at all.
After the last stitch of the blood vessel anastomosis was completed, Yang Ping put down the needle holder and needle and thread. Su Yixuan caught it steadily, and then carefully placed the tiny needle back on the sewing board.
"Shall I sew the nerves and tendons?" Song Zimo suggested.
Director Han flatly denied: "No, let him finish it."
It's not for anything else, it's just to make this operation come to a perfect conclusion. Anyone who replaces Yang Ping at this time, even one stitch of suturing, will be considered a defect.
Yang Ping continued, suturing the nerves, tendons, and skin in one breath.
Loosen the rubber tourniquet. After a few seconds, the distal end of your little finger will turn red.
Dressing, plaster fixation, the surgery ended perfectly.
