The magician did not capsize, the challenge was successful!
Everyone was in awe, it was like riding a roller coaster.
Hong Zhigang sat there without moving. He became more and more curious about this junior brother whom he had not contacted for ten years.
Those steady hands pushed the operation forward at a speed of more than ten seconds. In this way, it only took four or five minutes to anastomose one nerve, and only ten minutes to connect three nerves. This was already done by a professional
The surgical surgeon used epicardial suturing to anastomose the nerve quickly.
Hong Zhigang lamented that it is no wonder that peritoneal suture can be used boldly. To be honest, in the repair of peripheral nerves, the effect of periperimenal suture is far greater than that of epiperitoneal suture. And if a severed limb is replanted, if the function is not considered, it will only survive.
Significance. Many patients after replantation of severed limbs are forced to have their limbs amputated because their limbs have no function and become an unnecessary burden. The limbs that have been attached after painstaking efforts are abandoned. The function of severed limbs after replantation is the most critical.
It means that after the nerve damage is repaired, the sensory nerves cannot be restored, and they are constantly burned and frostbitten, and they break out and form ulcers from time to time; the motor nerves cannot be repaired, and the limbs cannot move, which is a complete burden.
For the second fracture of the forearm, repeat the previous sequence and method.
The blood vessels are getting thinner and thinner, including the fracture of the palm, the arteries anastomosing the superficial palmar arch and the deep palmar arch, four veins, and thirteen tendons.
This is no longer exciting enough to arouse everyone's interest. Everyone needs to take a break, and the barrage has been reduced accordingly. It seems that everyone is waiting.
When it comes to the fingers, the energy and energy that everyone had just dispersed have to be forcibly gathered together again. If we say that no matter how powerful the perineurial suture is, it is just suturing nerves, and it is difficult to make a final conclusion, then it represents the core technology of microsurgery -
Finger blood vessel anastomosis begins now!
The barrage gradually decreased, and everyone concentrated their attention, fearing that they would miss any details.
---
"The wait is finally here! The finger veins are anastomosed."
---
"Would you like to take a break and switch to Song Zimo for a while to catch your breath? I can wash my hands and go on stage." Old Han said with his body turned this way.
Yang Ping: "You can still insist, but if it doesn't work, I'll tell you anytime."
Old Han continued to pay attention to the screen, he knew what was going on.
It is easy to replant amputated fingers of babies. Adult blood vessels are several times thicker than those of babies, so it is much easier to do. What Han is worried about is fatigue, which can reduce a person's ability.
Maybe due to fatigue, or maybe in order to control the intensity to the best so as not to cause tearing force on the blood vessel wall, Yang Ping slowed down a little, and Song Zimo took the opportunity to enter the surgical field under the microscope and began to prepare the table.
Song Zimo took a deep breath and adjusted himself to the best condition. Yang Ping was tired, but he was recharging his energy. Waiting for work, he should not be unable to keep up with the rhythm.
The instruments and the needle and thread are like elves with living souls. Under the microscope, they pass back and forth, maintaining a certain speed without excessive pulling of the blood vessels due to the friction between the thread and the blood vessel wall. The best between the two is achieved.
balance.
Yang Ping is like a machine. His whole body is under the command of his brain and is highly coordinated. Even his breathing is terrifyingly even.
From Lao Han's perspective, he was like a wooden sculpture, calm and focused. Except for his two hands, other parts of his body were motionless, and there was no sweat on his forehead.
At this time, even if the earth is shaking, he probably doesn't care. He is completely immersed in another world, his own world.
In this world, surgery is everything!
---
“Breaking perfect!”
"I suspect that the surgeon is not a person, but a cutting-edge surgical machine? Every stitch is so perfect, so perfect that only a machine can do it."
“The chief surgeon has never been replaced!”
“Is this an ad for Red Bull?”
"No, give me Viagra!"
"Finally, the assistant's hand came into view."
"I repeat, I am located in the imperial capital, the hospital is ranked among the top three, and the top microsurgery expert in our hospital is willing to be inferior. I can say this with my real name."
"Look clearly, not a single stitch needs to be corrected."
"It's as easy as me sewing skin. Is there any way to play like this? Do you want anyone to live?"
"Hey! Why is the gap so big?"
"The world is so big, I want to go out and see it!"
---
operating room.
"Director Han!" Dean Sun came in at some unknown time.
Dean Xia is in charge of overall command in the conference room, while Dean Sun is in charge of scheduling in the operating room.
"Everything went well!" Lao Han turned around and said.
Dean Sun whispered a few words in Lao Han's ear, and Lao Han got up and followed him out. They walked out of the operating room and the automatic door opened.
"Thumb found!"
Dr. Lu from the emergency department immediately handed over his finger to Director Han. Several firefighters didn't even change their clothes, and their faces were all black from smoke.
"You just found it, can you connect it?" one of the firefighters asked.
Director Han looked at his finger and saw that it had been torn off in multiple sections, with two fractures and three sections. The broken end was severely squeezed, and the last section was severed from the root of the nail, and the broken ends were very uneven.
If you try this without replanting, it will take a very long time.
Lao Han was silent for a moment and said: "We will think of a way, but the main thing is to save lives."
This type of amputated finger is in extremely poor condition, and blood vessel transplantation is required for arteries and veins, which is difficult and time-consuming.
If it doesn't work, you can do a second-stage free second toe to reconstruct the thumb.
Lao Han returned to the operating room and looked at the vital signs on the monitor: "How is it? Can the patient still tolerate it?"
The anesthesiologist said: "Young people are bleeding a lot, but there are no other injuries. If the blood transfusion and fluid replenishment follow up, it won't be a big problem. It will be fine after a few more hours."
Old Han looked at the timer on the wall panel again. Good guy, it was still going on for more than three hours. If the thumb reimplantation could be completed within an hour and the time was extended, it shouldn't be a big problem.
But is it necessary to take this risk? The replantation condition of this thumb is extremely poor and it was torn off and broken. It is basically a type of abandonment.
The patient was under general anesthesia and could not ask for his own opinion. Old Han walked around in the open space of the operating room, then sat down, tapping his fingers rhythmically on his thigh.
There is no problem with Yang Ping's ability. However, after having been doing it for several hours, it is inevitable that he will be tired and his energy will drop. He doesn't know if he can persist.
It is very difficult to find the severed end of the avulsed blood vessel and then forcibly replant it, and the failure rate is extremely high.
If not, wash your hands yourself.
---
"I've already guessed that this was done intentionally by Mo Liu, and it was Professor Hong Zhigang who performed the surgery, right?"
"Professor Hong just spoke in the video conference, how could he be separated?"
"That's his rising star - Professor Wen, right?"
"Stop talking, it's not Mo Liu!"
"How can you be so sure?"
"The University of Windsor is right in front of us."
"Damn it! Reply to the big cow in the imperial capital."
"Not me!"
Professor Wen, Hong Zhigang’s favorite disciple and Song Zimo’s idol, there is a story in the industry -
Back then, Professor Hong recruited a graduate student who was extremely talented in microsurgery. However, after the interview, he heard nothing from him and said that he would not come to graduate school. When Professor Hong inquired, he found out that this guy worked in a private hand surgery hospital, so
I was so exhausted that I came to this hospital.
After a face-to-face conversation, it turned out that this man was short of money. His father was hospitalized due to illness and he had to raise medical expenses everywhere. He had no choice but to give up graduate school and continue to work to earn money.
Professor Hong expressed his position on the spot: "Well, you come to graduate school! Look, how much does it cost to solve the current difficulties? Give me a card number and I will call you. Also, I will pay for your tuition fees in the past few years.
"
The guy was so moved that he shed tears and wished he could kneel down and kowtow a few times. In this way, Professor Hong gained a rare talent, which is said to be only one in 20,000 people.
This graduate student is Professor Wen - Wen Rentao. He studied for a master's degree and a doctoral degree under Professor Hong, studied abroad, and later stayed in the Sixth Academy of the Magic City and became Professor Hong's most capable general.
Wen Rentao is the pinnacle of the younger generation of orthopedics. He has made breakthrough contributions in multiple fields. He has published many articles in some of the top international orthopedic magazines and has a very high citation index.
This matter has become a hot topic in the industry, so much so that for those who cannot afford to study at a graduate school, some people offer advice: "How about you study at Professor Hong Zhigang's School of Moliu?"
---
"This is not surgery, it's racing!"
"roller coaster!"
"It's finally over. The thumb is partially repaired and will be rebuilt in the second phase!"
"The meeting is dismissed!"
"Collect clothes when it rains!"
A moment of silence.
"Holy shit, what does this mean? This is not the posture of a disabled repairman. Are you opening a snuff den? Exploring blood vessels? Do you need emergency reconstruction?"
"I heard that the thumb was found and torn off in multiple sections."
"Contraindications for replantation. Do we need to break through the contraindications and perform detachment and replantation?"
