Soon, one blood vessel was anastomosed, and another one began to anastomose.
Zhang Linyou picked up the microscopic instrument and wanted to enter the field of view to help, but his hands were shaking so much that he almost cut off the blood vessel that Yang Ping had connected.
"Don't move!" Yang Ping said.
This guy is not good enough. Helping will cause trouble.
Zhang Lin's face felt a little burning, so he simply put down the equipment and did nothing. He just looked at the eyepiece, stared at the field of view under the mirror, and watched Yang Ping do it.
Yang Ping operated calmly by himself, using tweezers and scissors in cooperation, and the broken end of the blood vessel was exposed bit by bit, and another blood vessel was found.
Immediately trim the broken end of the blood vessel and remove part of the outer membrane. Once the scissors are cut, the broken end of the blood vessel becomes clean and neat.
"Can the surgery be videotaped?" Yang Ping asked Zhang Lin.
"Yes, the microscope is directly connected to the video system." Zhang Lin answered affirmatively.
"Turn on the video and record the entire operation." Yang Ping instructed Zhang Lin.
Although I have the purpose of not delaying the patient, I still record the video as evidence. Whether I have an explanation to Director Tian or other parties, if anything happens, it can be traced back.
"Video, turn on the video system!" Zhang Lin remembered the video and called the circulating nurse.
If the microscope itself is connected to a high-definition camera, the entire field of view under the microscope can be recorded.
"Okay!" the circulating nurse responded, and immediately went to bring in various video systems, connect various lines, and turn on the host computer.
"Rinse with heparinized saline and use eleven-zero microscopic sutures."
A syringe with a flat needle, filled with heparin saline, was handed over.
The microsurgical suture needle and thread are handed over with the thread board.
The instrument nurse today was very good. Although it was her first time setting up the instrument, she was very skilled. Yang Ping turned around and saw that those eyes, with long eyelashes, were clear and lively. They looked familiar.
But without thinking about it, I immediately went into surgery again.
The needle and thread, which is much thinner than a hair, can be stably inserted under the microscope and in Yang Ping's hands, as easily as sewing skin.
Continue to the next one, and one after another.
Six anastomoses were performed in one go, two arteries and four veins.
Because it is broken into three sections, there are two fractures.
Then he started to anastomose blood vessels at the other fracture, the same six, which seemed quite easy.
After loosening the blood vessel clamp, the blood vessels rippled gently, and the pale fingers at the distal end immediately turned red. The blood vessels were well anastomotic, the blood flow was good, and there was no obvious blood leakage.
Zhang Lin only has the job of handing out instruments, and even handing them out is a bit slow. He has never eaten pork and never seen pigs running away. He cannot replant amputated fingers independently, but he has seen and watched Director Tian do it.
I’ve seen Song Zimo’s work and even acted for them.
Today's severed finger replantation, in the hands of Dr. Yang, has a different flavor. It does not feel like a difficult operation, but like a simple debridement and suturing, or a simple tendon anastomosis and other small operations, which seems particularly easy.
.
If the replantation of severed fingers he saw before was the speed of a train, then this is the speed of an airplane.
Nerve anastomosis, tendon anastomosis! End-to-end nerve anastomosis, standard reinforced Kjeldahl suture anastomosis of tendons, small drainage pieces were carefully placed under the skin of the two cross-section wounds, and finally, the skin was also completed under a microscope, and the skin lines were correct.
Neatly.
Yang Ping breathed a sigh of relief. As expected, the quality of this vascular anastomosis should not be a big problem.
"Bandage and fix it with plaster!" Yang Ping and Zhang Lin began to bandage the injured limb.
The anesthesiologist seemed to want to call it a day: "What's wrong? I won't answer the call anymore?"
"Okay!" Zhang Lin said.
"It's connected?" The anesthesiologist was a little unconvinced. In fact, the most knowledgeable about the surgeon's quality is the anesthesiologist and the nurse, because they often cooperate with the doctor.
It was less than three hours. The actual operation only took about two hours. How could it be so fast? It was impossible for the anesthesiologist to believe that Yang Ping believed that such an operation would be impossible in less than five or six hours. He even doubted that it would take less than five or six hours.
The two young men couldn't get off the stage, so they closed the wound directly and made a simple suture. But as an anesthesiologist, he knew that it was okay to think about it this way, but not to say it out loud, so he just said yes.
The equipment nurse's bright eyes were full of suspicion and speculation. She was ready to fight a protracted battle, but she didn't expect the battle to end so soon.
Zhang Lin opened the sheets layer by layer and handed the last pair of towel pliers to the nurse: "We're done!"
"Doctor! Are you unable to take the call?" The patient heard that the work was about to end so soon, and said disappointedly: "You must help me. My child is still young, and the whole family relies on me to earn money to support the family. Without this hand--
"This man actually started sobbing.
Without the thumb, the hand is basically useless.
Yang Ping gently pressed his shoulder and comforted him: "Don't worry, the finger has been attached. You will lie in bed for ten days. You will eat, drink, and defecate on the bed. You must not smoke. Do you understand, otherwise the finger will become necrotic?"
.”
The patient immediately burst into tears and smiled: "Really, doctor, thank you. When I get better, I'll treat you to a barbecue and a beer. A young doctor said that it would take five or six hours to take care of the patient. I didn't expect that he would be taken care of so quickly."
Yang Ping got off the operating table and took off his surgical gown and secretly looked through the surgical nursing records. The instrument nurse was indeed Su Yixuan. Although they chatted for a while at the riverside restaurant, they only discussed the obstruction of foreign bodies in the trachea and did not ask about their respective majors.
It turned out that Su Yixuan was a nurse in the operating room. Su Yixuan packed up the instruments and waved to Yang Ping: "Yang Ping?"
"Su Yixuan?" Yang Ping wanted to confirm.
Su Yixuan nodded: 'You really submitted your resume and came to work so soon? Are you originally an orthopedic surgeon?'
"Have you known each other before?" the traveling nurse pointed at the two of them and said.
Su Yixuan nodded.
The two briefly chatted for a while, then each went about his or her own business.
Zhang Lin, the anesthesiologist and the nurse sent the patient back to the ward, but the nurse in the ward didn't even respond: "Is it a broken repair or a replantation?"
"Replanted!"
You're right! It's only been a while, and the nurse girl didn't believe it, but she didn't have time to study it carefully, so she immediately went to the ward to prepare.
Yang Ping sat in the locker room for a while, leaning on the back of the chair to rest. Really, it felt good.
It was the first time that I applied the surgical skills acquired in the system to reality. I was a little excited, but at first I was a little nervous, so I didn’t dare to go too fast during the entire operation.
Now I can rest assured that the surgical skills acquired in the system can be brought into reality without any compromise, and they are no different from the skills learned in reality.
"Complete a case of replantation of a severed finger, and the reward is 1,600 points."
The good people and good deeds system has given out bonuses again.
Subtitles appeared in the upper right corner of Yang Ping's field of vision, stayed for a moment and then disappeared.
Through several tasks, Yang Ping got a feel for the system's temperament. Real-life events can trigger system tasks. Through these tasks, you can obtain rewards, such as points, which can then be exchanged for some surgical compensation training in the system to improve surgical skills.
Back in the ward, Yang Ping didn't dare to slack off. After all, it was his first time to replant a severed finger in real life. He got up several times to check the blood supply of the severed finger, because no matter how perfect the operation was, there was a possibility of failure, and there were too many factors that affected the operation.
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Regardless of any factors, once a blood vessel blockage occurs in a severed finger and a vascular crisis occurs, prompt treatment must be taken as soon as possible. If delayed, the severed finger will become necrotic.
Waiting until necrosis occurs is already too late to treat.
