Cai Dongfan cursed, his words were full of anger, and his breathing became much heavier.
Zhou Cheng pursed his lips and ran to the elevator behind Cai Dongfan, saying at the same time: "Teacher Cai, why don't you go see Tan Min's brother and tell the doctor there that you can't do anything about it. I'll go to Teacher Qin Yuanwu's operating room first.
Waiting for you."
"After all, the consultation order has been sent over," Zhou Cheng suggested.
I hope Cai Dongfan will finish the procedure.
Cai Dongfan glanced at Zhou Cheng angrily: "Why should I go see him? I didn't sign the consultation form! If I didn't sign, it means I can't come. It's none of my business?"
But despite saying this, Cai Dongfan still called the medical department of the Eighth Hospital directly and said sternly: "Chief Dou, please help me return the consultation form issued by the county hospital, and tell me that there is nothing I can do."
"They sent it to the wrong department. The hand surgery department in our hospital is the Department of Orthopedics, headed by Director Zeng."
Dou Chengpeng is in a good mood recently, because the business volume of the eight hospitals has been booming recently, and the emergency volume and patient volume have increased slightly. In addition, he also helped the police station and received a thank-you letter from them.
.
Nowadays, some hospitals from outside the hospital ask for help from the Eighth Hospital for consultation. This is something he is extremely willing to see.
However, now that Cai Dongfan wanted to reject the consultation order, he asked: "Director Cai, what is the situation? The county hospital belongs to our subordinate brother unit, and we still need to help where we should help."
Dou Chengpeng naturally knew that Cai Dongfan had led people to perform limb salvage surgery before.
Director Bu Chaodong is still in the hospital as a family member. Although he failed to save the director's cub, he did his best to save one. And I heard that the young hero in Yan Haihan's team now,
Recovery is pretty good.
Now that Cai Dongfan wants to refuse, something must have happened.
Cai Dongfan kept pressing the elevator button while swallowing his saliva and said: "Chief Dou, help me refuse. Just say that I can't leave, I'm not inside the hospital, or that I'm drunk. There are various reasons.
It will be all right."
Be firm.
"Okay. Director Cai, then you go about your business first." Dou Chengpeng didn't say much.
Consultation slips from other hospitals will be sent to you. Although it is an honor for the hospital, the consultation slip with a name also depends on whether the designated person is willing to go.
This is not a patient within the Eighth Hospital. Cai Dongfan can reject it for any reason.
Although doing so may affect the relationship between fraternal units, Dou Chengpeng can only respect Cai Dongfan's own ideas.
Zhou Cheng stood aside, pursed his lips, and said nothing more.
After Cai Dongfan hung up the phone, the elevator came just in time. Cai Dongfan and Zhou Cheng squeezed in. A bunch of people squeezed in until the elevator was overweight.
Neither of them spoke. When they arrived at the operating room, which is the second floor of the surgical building, Zhou Cheng and Cai Dongfan got off the elevator and then explained to Zhou Cheng: "Xiao Zhou, I didn't mean to scold you just now. It's just that I really meant it."
I don’t want to see that stupid son.”
"Although I know that from your perspective, he is now a patient. It was not him who hurt my friend, but his father. He himself is innocent."
"You have a good relationship with Qin Min, but as far as I am concerned, Qin Yuanwu is injured. Whether it is private or public, I will go to see him as soon as possible. I can help, but I can't."
"I would rather lose my temper incompetently and do whatever I want."
Zhou Cheng looked at Cai Dongfan and nodded.
Cai Dongfan has always been a person of good temper, but Zhou Cheng rarely saw Cai Dongfan's true temper.
Well, it seems that this Qin Yuanwu has a close relationship with Cai Dongfan. Although Cai Dongfan is a bit fierce on weekdays and is straightforward with Yan Haihan, he still knows how to advance and retreat when encountering serious matters!
Now for Qin Yuanwu, he even ignored his doctor's duties.
What procedures, what formalities, what should be. All gone.
The operating rooms of all hospitals are similar. Basically, the dressing room and operating room are separated upstairs and downstairs. So when Zhou Cheng and Cai Dongfan changed their clothes and walked up to the operating room floor, they heard an old lady crying loudly at the door.
"What a sin!"
"God, if this old bone like me does something wrong and offends you, you can take my life away!"
"Am I doing this by torturing my grandson and my son?!"
"You have committed evil."
"..."
This sounds like it should be Qin Yuanwu's mother and Qin Min's grandmother who fainted. The voice is heartbreaking.
Cai Dongfan didn't stop and went directly to the operating room where he had called to inquire.
After Zhou Cheng heard this, he stopped for a moment, sighed slightly, shook his head slightly and continued to follow Cai Dongfan.
Soon, the two people arrived at Room 12 of the operating room. Inside, everyone was shocked and in chaos.
A group of strangers were walking around, and a nurse was shouting: "The blood has been prepared. Have you started drawing blood? I have all the tubes here. I need to type the barcode quickly."
"Did you sign it?"
"Director Chen, are you doing this surgery?"
"..."
Cai Dongfan entered the door and then walked to the operating table. He saw the man on the table, his face was pale and his brows were furrowed. It seemed that the pain was beginning to recover and spread.
Zhou Cheng took the opportunity to take a look at Qin Yuanwu, who had never been masked before——
Well, the palm of his left hand had been cut off until only the skin was left, hanging down. The metacarpophalangeal joint of the ring finger and the second phalanx of the middle finger were broken on an inclined plane.
In addition, the palm of his right hand was also shaking unsteadily.
On the arm of his left hand, there was a deep wound across the bone...
Where was it cut? This was simply killed!
After Zhou Cheng looked at it, his eyes blinked slightly. It was on his hands and arms, and it happened several times.
If any of the blows were aimed directly at the neck, Tan Yuanwu's banquet would probably be organized by now.
Qin Yuanwu's brother is really a talent. Zhou Cheng couldn't help but think to himself. Fortunately, he and others hadn't arrived yet. Otherwise, the one lying on the operating table now would be one of him and Cai Dongfan.
"Director Cai, are you here?" At this moment, Qin Yuanwu was lying on his back, and someone began to wash his injured wound. However, he was not under general anesthesia, but two anesthesiologists were operating on the brachial plexus from left to right.
Block anesthesia, but it seems that it is not completely anesthetized.
So he was conscious, saw Cai Dongfan's iconic small eyes, and recognized him.
Hearing Qin Yuanwu's words, Chen Kelong raised his eyebrows and glanced at Cai Dongfan. He quickly stepped aside and handed over the flushing work to his subordinate. He straightened up and said, "Director Cai, you are here."
"My side." Chen Kelong naturally knows Cai Dongfan. After all, they are all involved in the Shaxian Orthopedics circle. Recently, Cai Dongfan's reputation has spread beyond the Eighth Hospital, and basically all rural hospitals know about it.
Cai Dongfan just nodded slightly to Chen Kelong, and then asked Qin Yuanwu: "Yuanwu, what is the situation?"
"How did it happen?"
Qin Yuanwu took a deep breath, his face darkened slightly, and he shrank his neck slightly, but this time, he was scolded by the anesthesiologist: "Don't move, the needle will break if you move it again!?"
Qin Yuanwu quickly stiffened up and said with a wry smile: "Director Cai, I'm sorry to make you laugh. It's a mess. I can't speak."
"Director Cai, why don't you take a look at my nephew first? Look at his legs."
The family scandal should not be made public. It was his brother who hurt him. He grew up under the same quilt. Although he was married, blood is thicker than water. If it were not true, Qin Yuanwu would not believe it even if he beat him to death. He even stretched out his hand to stop his brother.
You can also pull the knife off.
And not just once!
"I'm looking at him!" Cai Dongfan cursed.
Then he didn't seem to want to say any more. The corner of his mouth twitched for a moment, and then he turned to ask Chen Kelong, "Director Chen, are you going to handle Yuanwu's situation yourself or hire someone to handle it?"
Chen Kelong blinked slightly and replied cautiously: "Director Cai, what do you think we should do in this situation? Our department's hand surgery currently only has one set of instruments."
"How about we do a debridement and then transfer him out?"
Chen Kelong knew Cai Dongfan, and he also knew that Qin Yuanwu was the matchmaker between Cai Dongfan and his wife, and they often interacted with each other. Therefore, after Qin Yuanwu's nephew was injured, Qin Yuanwu always called Cai Dongfan himself.
Although the Department of Orthopedics here is divided into departments, and Chen Kelong's Department of Orthopedics No. 2 does not only deal with spine, but hand surgery is also his specialty.
But this was a severed palm and replantation. He, Chen Kelong, didn't dare to do it. What he usually dared to do was suturing tendons.
Even if Cai Dongfan can do it, he can only do it with this set of equipment. What about the other hand?
"Transferring the patient out after debridement will affect the recovery after replantation. I'll make a call and see if I can ask someone to come over and help."
Cai Dongfan made a quick decision and said: "By the way, Director Chen, can you find another set of equipment from the equipment dealer? If not, can you borrow one from the nearest hospital?"
"The situation here is that both sides must start work at the same time."
Cai Dongfan does not know how to replant a severed finger, but he still knows the basic principles. The sooner he can do it, the better.
Chen Kelong's face darkened slightly and he nodded quickly: "Okay, I can adjust this in half an hour. There is a set at the Traditional Chinese Medicine Hospital."
Hand surgery has specialized instruments and even supermicrosurgery instruments, but these are not found in Shaxian First Hospital.
After Cai Dongfan finished the call, it seemed that the other party felt that the distance was a bit far or something, or that he was temporarily unavailable, so his face was a little ugly.
But he still asked Qin Yuanwu: "Do you feel uncomfortable in any other way? You are a doctor yourself, don't do it under the light and risk your life."
Qin Yuanwu shook his head: "The doctor from the general surgery department has already looked at it and temporarily performed a CT scan of the chest, abdomen and head. No internal organ damage or head trauma was found."
"Director Cai, I don't have any other problems here. Why don't you go see my nephew?" Qin Yuanwu took on a pleading tone.
"Why do you still care about him?" Cai Dongfan scolded Qin Yuanwu.
The corners of Qin Yuanwu's mouth twitched, and then he moved his buttocks: "After all, I'm the one who watched you grow up. My uncle is like my father. Director Cai, I'm sorry to bother you."
It seemed like he was about to stand up and bow to Cai Dongfan.
Upon hearing this, Cai Dongfan stuffed his cell phone into his trouser pocket, pointed at Qin Yuanwu's head and cursed: "Be honest, don't move, I'll go."
"You act like you are your own son, so your brother didn't even blink when he chopped you." Cai Dongfan muttered.
No one laughed at this joke, and everyone knew that ordinary people couldn't make it like this.
When Qin Yuanwu wanted to say something else, Cai Dongfan said: "Don't talk. Can't I just go and see it?"
"Xiao Zhou, you stay here to help and follow Director Chen's command."
Zhou Chengcheng nodded and said obediently: "Okay."
Not long after Cai Dongfan left, two people from the anesthesiology department said: "The anesthesia has been given, and we can start quickly."
Chen Kelong and others began to disinfect, and then there were only three people left in the department. After splitting, they could only be divided into two teams!
There are a total of nine people in the department, one of whom has to be on duty in the ward while Qin Yuanwu is lying on the hospital bed, and the other four are still operating on Qin Yuanwu's nephew. Aren't there only three of them?
So Chen Kelong looked at Zhou Cheng and asked: "Xiao Zhou, can you debridement? The debridement of this shoulder is relatively simple. I will arrange a circulating nurse for you, can you do it?"
Chen Kelong also has no one available.
The debridement of the broken palm required extremely tacit cooperation. Therefore, he did not dare to ask Zhou Cheng to be his assistant, so he planned to let Zhou Cheng go to the left arm. He did not ask for it to be done quickly. As long as he could stop the bleeding, it would be enough.
.
There was no way, even though Qin Yuanwu was stabbed by his brother, the people in the department who went to operate on his nephew still couldn't take them back.
I just hope that Cai Dongfan can be replaced by someone else soon.
Zhou Cheng was troubled for a moment, then nodded.
Said: "If you debridement, it should be OK."
Chen Kelong said: "Okay, let's do the surgery directly."
"Xiao Zhou, you come to debridement the left arm. Lao Bi, you come to debridement the right palm. Liu Yong, you follow me to replant the severed finger!"
"Call the nurse station of the Department of Orthopedics immediately and tell them that if Director Mi comes back, ask him to come to the operating room." Chen Kelong gave some instructions and immediately started the operation.
The circulating nurse said yes.
Director Mi is the director of the First Department of Orthopedics, and Chen Kelong is the director of the Second Department of Orthopedics. Similar to the Eighth Hospital, Director Mi is the chief director of the Department of Orthopedics, mainly in charge of spine surgery, but before being divided into specialties, Director Mi is still the all-rounder.
Chen Kelong just pulled Qin Yuanwu's hand away completely, and his expression changed: "Only the middle and ring fingers of the left hand were broken, but the little finger and index finger were also cut to the bone. The palm of the right hand is gone."
"How much hatred and resentment is there." Chen Kelong cursed.
Although he was gossiping, he didn't dare to speak. After all, Qin Yuanwu was still awake.
Chen Kelong was very angry, so she immediately shut her mouth!
Then he asked: "Director Chen, the debridement package has been opened. Do you need a microscopy instrument package?"
"Here! The set from the Traditional Chinese Medicine Hospital will be delivered later. Send it to the sterilization room immediately. Send it up as soon as possible." Chen Kelong immediately ordered that at this time, regardless of the equipment or the number of people, the sooner the better.
Before the people invited by Cai Dongfan arrived, he could only take the lead in carrying out the operation himself.
The operation had just begun, and Chen Kelong's forehead was covered with fine sweat. Correspondingly, the same was true for several other colleagues.
His expression was heavy, and his breathing was also very heavy, inhaling and inhaling occasionally.
Everyone knows it very well.
With Qin Yuanwu's current injury, even if it can be cured, the severed palm and finger will be replanted.
The medical record room or internal medicine is where he belongs for the rest of his life! And Qin Yuanwu is only in his thirties now, and is in the golden age of a surgeon, and there is still a lot of room for improvement.
Whether the severed palm or finger can be replanted is a hurdle. If it cannot survive, it may eventually lead to amputation.
But even if it survives, the flexibility and function of the fingers will definitely not be as good as before!
Without flexible hands, you are not qualified to be a surgeon.
The atmosphere in the operating room became a little quiet for a while. There were no dirty jokes. Asking for instruments was just a whisper, tweezers, thread scissors...
Qin Yuanwu, a big man, had his face covered by a green sheet at the moment, finally leaving him a special private space. His helpless tears finally turned into lines, rolled down, and dripped down the roots of his ears onto the operating table.
superior.
He can't figure it out.
He still hasn’t figured it out yet. He has been running around for hours for his nephew without even eating——
Zhou Cheng was responsible for the left arm, deltoid and brachialis muscles, and the biceps brachii was completely severed. Fortunately, the wound was on the outside, so the brachial artery and great nerve were not injured.
Moreover, it has been washed and disinfected before, so the debridement and suturing of this part of the injury is the simplest.
Zhou Cheng only had to finish the debridement and suture the broken ends of the muscles.
After Zhou Cheng put on his clothes, a nurse sat opposite Zhou Cheng, and then carefully looked at this little doctor who did not belong to the hospital, as if he was curious.
However, when Zhou Cheng sat down and faced him, she saw Zhou Cheng's eyes, which were very lively. It seemed that these eyes had a magical charm, which made her feel a little red. What she thought was, this doctor
He must be very handsome.
"Hello, can you help me get the knife and retractor?" Zhou Cheng said to the nurse.
Qin Yuanwu is a doctor in our hospital, so the nurses are fully equipped today. Four nurses can be on duty. There are three equipment nurses alone. One tour should be enough to cover the whole situation.
The head nurse said that anyone who still needs help can come to the stage.
She immediately turned around and brought all the basic equipment.
After Zhou Cheng got the scalpel and forceps, he first took the initiative to put the retractor in the appropriate position, and then handed the other end to the helping nurse.
He quickly cleaned the surgical area he was responsible for.
Debridement is the foundation of any surgery, and Zhou Cheng's debridement has now reached a level of perfection.
Perfection is being able to judge well how to define debridement——
The dead tissue must be cut off, and the non-dead tissue must be kept.
Muscles with insufficient blood supply have a high probability of necrosis, so they must be cut off to avoid subsequent muscle necrosis, which will affect healing and release a large amount of potassium ions, causing electrolyte balance disorders.
And it is best to wait until blood supply occurs to facilitate recovery.
Therefore, Zhou Cheng directly used a round knife to cut away the sub-necrotic muscles. He originally wanted to use a sharp knife or electric knife to slowly coagulate, but that was too slow.
Just using a round knife seems a bit drastic!
It's like a butcher chopping meat...
The nurse opposite was frightened.
Damn it, this little doctor, is he so powerful? Do you think he is selling meat in the vegetable market? The more you cut, the more business you will get and you will make more money?
She was a little anxious, but when she looked at Chen Kelong and Liu Yong, she found that Liu Yong was doing two tasks, helping back and forth, and couldn't spare any time. The two surgeons, Chen Kelong and Luo Zailin, were carefully staring at the wound site, cautiously, and did not dare to
Distracted.
As a result, Zhou Cheng was directly in a state where no one could control him.
About seven or eight minutes later.
"Sutures!" While Chen Kelong was still slowly scraping away the blood scabs layer by layer, Zhou Cheng was already asking for sutures from the medical nurse.
These words made the three surgeons, Chen Kelong and Luo Zailin, tremble at the same time. They sat up straight and looked towards Zhou Cheng.
The instrument nurse, on the other hand, was hesitant about whether to give sutures or not, and looked at Chen Kelong.
Chen Kelong's eyes narrowed into a line, and the crow's feet at the corners of his eyes were exposed to Zhou Cheng. He asked in an unnatural tone: "Xiao Zhou, why are you doing the debridement so quickly?"
"Even if your operation is over, it won't be of much help to the patient's final recovery, right?"
The faster the surgery, the greater the probability of errors and infection. Even Chen Kelong couldn't estimate whether Zhou Cheng's current surgery could meet the standards of disinfection.
Who are you forcing? Why did I let him do the debridement there?
The reason why I didn't say it outright was to save face for Cai Dongfan. After all, it was Cai Dongfan who brought him here.
Chen Kelong also saw Zhou Cheng's speed and thought it was too fast, so he said: "Xiao Zhou, this operation will definitely take a long time. There is no need to take unnecessary risks."
When the replantation of the severed finger is not completed, Qin Yuanwu will not step down, nor will it reduce the overall operation time.
After hearing this, Zhou Cheng said: "Director Chen, I want to come over and help you later. This big brother is doing two things for one person, so he is a bit tired!"
"The debridement on my side is in place. I have explored the nerve bundles, brachial artery, and radial nerve. You see, there is no damage in these locations." Zhou Chengtao showed Chen Kelong one by one.
"The wound surface has been quite tidy, and the debridement area has already received blood supply." Zhou Cheng also deliberately scraped the section of the muscle, and blood slowly overflowed.
These movements are clean and neat, and the thinking is clear, as if they are not proving Chen Kelong, but performing teaching surgery.
Chen Kelong then closed his mouth and lowered his head.
He didn't see any flaws, so it can't be said that Zhou Cheng did something wrong.
Chen Kelong could only nod his head and said, "That's okay. The little brother who has been working hard will come over and help me later."
The circulating nurse handed over the sutures.
Zhou Cheng’s suturing skills are not low, and his speed is not slow!
Moreover, the suturing of muscles does not require special attention compared to the suturing of tendons. Therefore, in order to save time, Zhou Cheng was too lazy to ask the nurse to cut the threads. He held the needle pliers and thread scissors in one hand, and the rotating autogenous suture scissors, like an acrobatic.
.
In just over four minutes, Zhou Cheng finished suturing all the skin.
There is no emphasis on cosmetic sutures, just vertical interrupted sutures.
time is life.
In this way, when Zhou Cheng finished debriding the area, Chen Kelong brought up all the microscopy equipment kits.
The instrument nurse opposite Zhou Cheng stood up in confusion, walked back to the group of nurses who were watching, with a confused look on her face, and then looked at the timing panel in the operating room——
00:08:25!
In eight minutes, debridement and suturing were completed.
After Zhou Cheng completed the less technical debridement here, he immediately changed two pairs of gloves! The most rigorous thing to do when changing parts of debridement is to wash hands and change gloves again, but in order to save time, the same patient can
There is no need to change clothes, but gloves must be changed.
Then he naturally took over Chen Kelong's flushing position and finally freed Liu Yong.
Then Zhou Cheng sat firmly in the assistant's seat and watched Chen Kelong's debridement quietly. His heart was filled with excitement.
After a while, Cai Dongfan walked in from the door of the operating room again. After sighing with emotion, he said, "Director Chen, you may have to handle this severed palm yourself. I just made a few calls."
"But they didn't call to make an appointment, and they didn't have time to come. However, Director Zeng of our hospital is already on his way."
When Chen Kelong heard the first half of what he said, he felt a chill in his heart. Finally he became happy and said, "Has Director Zeng come? Then I'll feel relieved."
To be honest, if Chen Kelong had to personally cut off the palm and replant it, he would be under a lot of pressure. Qin Yuanwu was his own brother. If something went wrong, he might not be able to tell clearly.
Zhou Cheng's silent words shocked Chen Kelong.
"Director Cai, how is the situation with my nephew?" Qin Yuanwu heard Cai Dongfan's voice at this moment and asked quickly.
"There's nothing we can do, the artery is clotted. I'm thinking about removing the thrombus, but I can't help much, so I came here."
"However, your nephew has better luck than you. He contacted the professor of vascular surgery at the Provincial Hospital and sent someone to pick him up." Cai Dongfan sighed.
Because Chen Kelong was talking to Cai Dongfan now, his movements were frozen, so Zhou Chengcheng stood up, then walked to Cai Dongfan's side and whispered a few words.
Cai Dongfan immediately shrank his small eyes, and his pupils almost narrowed into a line: "Shall we replant the broken finger?"
Zhou Cheng pursed his lips. Cai Dongfan had said it, so he could only continue: "Anyway, there is no other better way. Teacher Cai, can you take me to do it together? I think we should give it a try."
When Chen Kelong and Liu Yong heard this, they all raised their heads and looked at Zhou Cheng beside Cai Dongfan, their heads a little frothy.
While Cai Dongfan was still hesitating, Qin Yuanwu pondered for a moment and then gritted his teeth and said, "Director Chen, please go to the microscope. Director Cai, we can't find anyone else now, no matter what the final result is!"
"It's all fate, I accept it, don't keep it for your hard work!"
Qin Yuanwu felt that the rumors within the circle that Cai Dongfan could save his limbs were definitely not false, because although Cai Dongfan had a wide range of contacts, it would not make so many people take the initiative to flatter Cai Dongfan!
Zeng Yi, a hand surgeon, has replanted severed fingers, but has never heard of any commotion in the industry.
Therefore, instead of waiting to die, it is better to take a risk.
After all, I still know Cai Dongfan and Qin Yuanwu. He is open-minded, easy to make friends, and has a quite outgoing personality. He has a kind of charlatanism. But he definitely has some strength.
Qin Yuanwu spoke in person, and Cai Dongfan became confused again and looked at Zhou Cheng.
If he remembered correctly, this was one of the few times when Zhou Cheng took the initiative to talk about what kind of surgery he wanted to perform.
You should have some idea in your heart, so he said: "Yuanwu, if the final result is not good, don't blame me, and don't file a complaint against your sister-in-law."
"Definitely not. Brother Cai, you are telling me this. How can I be such a person?" Tan Yuanwu smiled immediately, but felt bitter in his heart.
If he had not had a temporary accident and the replantation of the severed finger had to be done as quickly as possible, he would have been given 120 drops and gone to Shonan University Hospital.
When Cai Dongfan went out to wash his hands and dress, Chen Kelong could only act as a doctor and said to the circulating nurse: "Get vascular sutures. 9-0. Prepare Kirschner needles."
Although Chen Kelong does not replant severed fingers, the basic principle is still clear, giving priority to blood vessels and nerves.
After Zhou Cheng heard this, he said: "Director Chen, Teacher Qin's broken finger has not been broken for a long time. The restoration of blood vessels can be delayed for a while. Let's fix the finger bone first."
"Within 6 hours, priority will be given to fixation and then to unblocking the blood supply."
Chen Kelong is right. The key to replanting an amputated finger is the suturing of blood vessels, but that depends on the situation. If the amputated finger lasts for a long time, it means that the ischemia time of the distal limb is also long. At this time, priority should be given to restoring the blood vessels.
transport.
But in a situation like Qin Yuanwu's, he was pulled into the operating room for treatment very promptly, so he could fix the phalanges first, and then consider suturing blood vessels and nerves.
Chen Kelong frowned slightly. His plan was rejected by Zhou Cheng! In fact, he was a little unhappy, but considering what Zhou Cheng said just now, he planned to let Zhou Cheng give it a try. If it didn't work, Cai Dongfan would definitely do the same.
Stop Zhou Cheng's surgery immediately.
"Let's change places, Xiao Zhou." Chen Kelong took the initiative.
Since Zhou Cheng is willing to do it, let him do it and see what he can do.
Zhou Cheng immediately returned to the left side.
The broken ends of the fingers of the left hand are at the metacarpophalangeal joint of the ring finger and the second phalanx of the middle finger!
Zhou Cheng just took a quick glance and found that Chen Kelong's debridement was only half done.
Although you will have to trim it later, you can do it later when you sew.
Nowadays, the broken end is the distal broken finger. The more distal the finger, the better it is to reconstruct the broken bone. If it is a broken limb, the bone will be too big, which will waste a lot of time.
The phalanx is one of the few bones that can be fixed with K-wires.
Zhou Cheng held an electric drill with a K-wire in one hand, and fixed the broken end and stump of the middle finger with the other hand. He just turned his hand slightly in a circle, and the K-wire was placed on the distal pulp of the middle finger.
The needle was inserted directly into the distal phalanx vertically.
There are also broken fingers and fractures, so the principles of treatment still apply.
Reduction and firm fixation.
The K-wire is a fixed tool, and reset is the key to this step. I saw Zhou Cheng holding the severed finger, moving it for a moment, and then inserting the needle again without hesitation.
All the way to the proximal phalanx, and then to the metacarpophalangeal joint.
Zhou Cheng shook a little, and after confirming that the bones were basically fixed, Zhou Cheng called the circulating nurse to get a second Kirschner needle!
Go into the electric drill, insert the needle from the proximal interphalangeal joint of the ring finger, and nail the Kirschner wire to the triangular bone and hamate bone of the metacarpal bone.
However, it was still difficult to fix the metacarpophalangeal joint with a Kirschner wire, so Zhou Cheng inserted a cross Kirschner needle on the side, and inserted the needle as far as the capitate bone of the metacarpal bone——
The speed with which Zhou Cheng fixed the bones immediately stunned Chen Kelong and Cai Dongfan who entered the operating room.
In Chen Kelong's view, Zhou Cheng's Kirschner's injection was played like a joke.
The look he looked at Cai Dongfan was, did you bring this thing?
Cai Dongfan immediately approached, grabbed Zhou Cheng's hand, and stopped letting him play!
He didn't speak, but his eyes stayed on Zhou Cheng's body for a while, and then he began to examine Zhou Cheng's fixed broken bones.
Although Cai Dongfan is not a specialist in hand surgery, he still knows the extent of recovery from broken bones.
After inspecting for nearly ten seconds, Chen Kelong and Cai Dongfan were also looking at the fitting position of the broken end of the broken bone.
Then, both of them turned a little pale with fear.
He suddenly stood up with his feet and then fell down!
They were so frightened that they grabbed the anesthesia machine next to them!
Just stood still.
It’s so polluted!
I almost pushed over the anesthesia machine.
The anesthesiologist scolded me right there: "Director Chen, what are you doing? Why are you touching my anesthesia machine with your hands?"
Then he started wiping the blood stains on it with a bit of disgust.
After Chen Kelong and Cai Dongfan finished reading, they immediately began to apologize. Then they walked out again and washed their hands again.
Everyone in the operating room saw this scene, and naturally knew that Chen Kelong and Cai Dongfan were so frightened after they opened and looked at Qin Yuanwu's severed finger just now.
I'm very curious about what there is to see there and what horrors there are.
But it was obviously not appropriate to walk over at this moment.
Zhou Cheng didn't say much and just continued his operation.
Before the operation started, he had already asked for the authority to be the surgeon, and Chen Kelong gave it to him. Since he had already given it, there was no need for him to say too much.
If you haven't encountered it and can't do it, there's nothing you can do about it.
Zhou Cheng is still not in a hurry to suture the blood vessels. Instead, he sutures the tendons first. The advantage of suturing the tendons first is that it can provide a soft tissue bed for suturing the blood vessels, making it easier to suture.
This sequence is opposite to the long-term replantation of severed fingers.
However, the surgical method will never be static. Zhou Cheng has a perfect replantation of severed fingers. Although this is the first time he has used it, he has long been familiar with the rules and changes.
Moreover, in order to practice this skill, Zhou Chengfei put a lot of effort into training all the skills to the full level!
To suture the tendons, Zhou Cheng used the modified Kessler suture method, which is most commonly used in clinical practice.
The tendons in the fingers are divided into the extensor tendons on the dorsal side and the flexor tendons on the palm side.
The flexor tendon group can be divided into the flexor digitorum superficialis tendon and the flexor digitorum profundus tendon. The extensor tendon of the hand can be divided into the central tendon and the lateral tendon.
Therefore, the number of tendons that need to be sutured is not small.
However, the large number is not the difficulty, the problem is that the tendons need to be sutured properly and just right.
Zhou Cheng's tendon suturing technique is still perfect.
It is difficult for ordinary people to understand, but he has spent his whole life pursuing it.
Suturing this kind of tendon is simply a small case.
Cai Dongfan and Chen Kelong walked in again without disturbing Zhou Cheng. Instead, after seeing Zhou Cheng's sutures, his scalp became numb again. They looked at the sutures of the extensor tendon of the middle finger that Zhou Cheng had sutured.
I almost didn't find where the broken end was.
The wrapping is so good that the muscle breakpoints almost look like they have been processed by high-tech PS tools.
However, this time, the two of them were a little prepared, so they were not too frightened. They sat down obediently, and then began to help Zhou Cheng stabilize the distal and proximal ends of his fingers.
"Stitches!"
"Stitches!"
"Stitches!"
After each tendon was sutured, Zhou Cheng did not tie the knot first and then cut it to complete the next stitch.
It's about every tendon and every suture. Although this will be more wasteful, it can save more time. Moreover, multiple tendons are knotted at the same time, which can better control the tightness of the knot and prevent the suture from being damaged.
The length of the broken ends and the tightness of the sutures are inconsistent.
Because the length and tightness are different, the degree of stress will be different, and the degree of stress will be different, and there will be unevenness.
Concave and convex areas are more likely to produce scars!
Although scarring is definitely unavoidable, it can be avoided.
None of this is a problem for Zhou Cheng.
Therefore, Zhou Cheng finished suturing a dozen small tendons before starting to tie them!
"Crack!"
"Crack!"
The crisp sound of thread cutting sounded again.
At this moment, Mi Huan hurriedly ran in from the door. As soon as he entered the door, he asked: "Chen Kelong, how is Qin Yuanwu's situation?"
Then Mi Huan saw Chen Kelong and Cai Dongfan looking at them dumbfoundedly. There was a person carrying him on his back, twisting his butt left and right, and the tail of the green surgical gown was swinging constantly.
.
This person didn't reply to Mi Huan's words.
Mi Huan frowned and secretly asked you two Snake Skin, am I going to retire soon and you will start to ignore me?
I haven’t withdrawn yet? The tea has started to cool down?
He came down specially after hearing the call from the department.
What’s cool about watching other people’s surgeries?
However, after Mi Huan moved his position and saw what Zhou Cheng was operating, his feet stiffened on the spot, but he didn't have time to stabilize his forward posture. He staggered on the spot and was obviously shocked!
His eyes widened several times, and he looked at Zhou Cheng's hands carefully, while his mind was rapidly recalling the principles of replanting severed fingers!
① Carry out debridement of the broken finger joint and broken finger. ② Use Kirschner wires to fix the phalanges. ③ Use cotton thread or nylon thread to suture tendons. ④ Anastomose the digital artery, digital vein, and digital nerve in sequence. ⑤ Suture the skin in a Z shape, and finally
Bandage and fix!
If you guessed it correctly, the operation that this person has completed now is suturing tendons.
Shouldn't the tendon that can be sutured be slightly uneven?
How good is the stitching? Mi Huan looked confused and confused.
Is this awesome?
Why is it so flat?
Mi Huan is fifty-eight years old this year. He has seen many things, but he has never seen anyone be able to sew tendons so smoothly.