Chapter 314 There is no such thing as despair in miracles! (Please subscribe)
"Director Lu, which operating room is the patient in?" Zhou Cheng did not take Lu Bin's words, but sighed about life. There was not much expression on his face, not too much anger, and not cynical.
"In operating room 12, Dr. Zhou."
Lu Bin turned around and said, "But I guess we have already dealt with all the orthopedic problems now. I have to rush back and explain it to the patient's family."
Although the amputation was done with the informed consent of the family members in order to save their lives, after the operation was completed, an explanation was still required.
"Dr. Zhou, let's go together."
Zhou Cheng didn't say much, and then no one stopped the two of them, and they went straight to Changshi Traditional Chinese Medicine Hospital.
At the same time, outside the operating room.
A middle-aged man in a suit and tie, after listening to a phone call, grabbed the phone in his right hand tightly. Under the ischemia, the color of the fingertips and sides changed from red to purple, and then returned to purple.
Became extremely pale.
Next to him, a woman's eyes were red, her teeth were clenched and she was sobbing softly.
After a while, the man looked at the time and said, "I have to go to work. There are still some important things that I haven't dealt with."
The middle-aged man was explaining to his wife.
Hearing the words, the woman turned her head and said in a hoarse voice: "Fang Chujun, how long will you be busy? Now that your daughter has been amputated, and you only know how to work, do you still have this family in your heart?"
"You didn't care when mom was in the hospital, and you don't want to care about your daughter when she had such a big car accident?!"
"Is that all you know about your job?"
The middle-aged man paused when he heard the words, and his body trembled slightly.
"I can only use my spare time to take care of it, and there's nothing I can do about it. But I really can't spare so much time. I still have urgent things to deal with now."
"Thank you for your hard work these years." The man named Fang Chujun closed his eyes after saying that, and walked down to the hospital without hesitation!
The woman did not chase after the middle-aged man, but about ten minutes after the middle-aged man left.
He made a phone call and said, "Let's get a divorce. I've really had enough of this kind of life. My daughter is everything to me. You don't love her, but I do. Now she has become like this. She belongs to me, and you can't get along with me."
I'll grab it."
"Muyin, listen to me. I love you and my daughter. However, we are currently working on a large poverty alleviation project. As the person in charge, I must be present."
"I'll come over to stay with you and my daughter after I finish my work. Don't be impulsive." The person opposite was very calm and was just talking about the problem without any emotion.
"I don't want to be impulsive. When did I become impulsive? Because of you, your daughter was blocked at the door by the doctor who saved her. You don't even dare to let out a fart, do you? Are you still not a man?" The woman's mood was a little lighter.
It kind of exploded.
Fang Chujun frowned fiercely and covered his forehead with his left hand: "Muyin, this Xu Kairan, others don't know what's going on, how can you still know?"
"Last time, my mother had a sudden cerebral infarction and needed emergency monitoring. After she was sent to Changshi No. 1 Hospital, the director there could only spare one bed. You also know who it is."
"Originally, there was a senior cadre ward and an ICU. There were empty beds, but they were booked. What do you say about this matter? Xu Kairan's family was not forced to deal with it. In the end, it was not the secretary who personally came forward to handle this matter.
Now that the matter is settled, how do you think the fuss is going to happen? Is the fuss going to end?"
"Muyin, when people have the ability and financial strength, they pay attention to reputation and filial piety. That is not kind in itself."
"What does that have to do with my daughter?" The woman named Muyin was completely emotional.
"She's just a child, so what does that have to do with us? You're just a coward."
Fang Chujun took a deep breath, and then continued to calmly analyze Muyin: "What does the daughter's amputation have to do with Fang Chujun? Do you blame him for blocking Dr. Zhou from Director Lu? Or did he give Director Lu a
Delayed?"
"Changshi Hospital of Traditional Chinese Medicine, except for Director Lu and Dr. Zhou, can't it continue to operate?"
"If I could find something wrong with him, do you think I would just sit back and ignore it?"
"Muyin, let me tell you that the reason why Xu Kairan doesn't make a fuss is, to a certain extent, because of the face of what I'm doing now. By not making a fuss, they have already given me face."
"But in this kind of thing, it is inevitable to have hatred in your heart. You will wait for the opportunity to retaliate and use different methods. If you want to use evil, what can you do? Can you kill the person without leaving a trace or lock him up?"
"Who do you think you are? This is a society ruled by law!"
"Do you think I don't want to kill that beast? But if I do, how can you ensure that your daughter will not be harmed by anything other than an accident? This time it was just an accident."
"This time it's just Xu Kairan's uncle. What about next time? Where is his father? Where is his uncle? Have you thought about these issues?"
"Moreover, the reason why Xu Kairan couldn't be found in this matter is because Xu Kairan always created this character in Chang City, and he just wanted revenge!"
"But others are retaliating within the rules." Fang Chujun, extremely calm, analyzed the pros, cons and importance of the matter to Muyin.
At the same time, on the other end of the phone, Muyin was crying almost in despair. He slowly leaned against the wall and squatted down, imagining that his daughter might have no legs in the future, and might even become a vegetative state.
She was also desperate and yelled: "Ah!~~~~~~"
"Muyin, calm down. The matter is not final yet and it is difficult to make a final decision. Let's think about our daughter's condition first and survive first, and then we can think of other solutions."
"Xu Kairan, I'm still collecting details, and whether this car accident was an accident. If I find any doubts, Xu Kairan will not be able to escape the punishment he deserves."
"In addition, he will bear the wrath of a father."
"Don't make yourself so angry. Think about your daughter. When the operation is over, when I wake up, I want to see you first, want to eat, want to be encouraged, and may be scared."
"I will come back as soon as possible, but if I haven't come back yet, I hope you can let her not be alone." After Fang Chujun finished speaking, he slowly breathed a sigh of relief.
"Mayor, shall we go directly to the meeting place now?"
"Well, let's finish the meeting first. Then complete the reception procedures."
"Xiao Wang, by the way, in two days, when the inspection team leaves, you can arrange for me to prepare a RV, preferably a gas-burning car. I plan to drive on a self-driving trip to relax." Fang Chujun
Explain to your driver.
The man named Xiao Wang slammed on the brakes.
Is your daughter like this? Are you going on a self-driving trip to relax?
But then, he seemed to think of something and did not dare to speak.
"Remember this." Fang Chujun leaned his back against the leather chair and slowly closed his eyes.
…
At the same time, Zhou Cheng and Lu Bin also arrived in the operating room.
On the operating table, Yang Yifeng asked the circulating nurse meticulously for various instruments. The patient's chest and abdomen were split open, and the intestines, liver and spleen inside were clearly visible. In the middle of the body, there was the aorta.
Exposed to the public eye.
On the lower extremity, both teams were cleaning up the limb after amputation, trimming the stump, thinning the muscles, and smoothing the bone stump.
Next to the operating table, two large cardiopulmonary bypass equipment are running...
At the same time, Zhou Cheng also saw that there were dialysis equipment running slowly in the operating room.
Seeing this, Lu Bin took the initiative to walk towards a person, who was Director Tong in the department, and asked what he was asking.
After Zhou Cheng glanced around, he went out, washed his hands, and asked Xinxing to dress him.
In the operating room, there were as many as five circulating nurses. Looking at now, Zhou Cheng suddenly wanted to go on stage, they looked at each other.
Yang Yifeng glanced at Zhou Cheng and said nothing.
Then, the orthopedic, thoracic, and cardiac surgery teams all looked at Zhou Cheng curiously.
Finally, someone on the stage said: "Get Dr. Zhou dressed."
"Okay, Director Guo." The circulating nurse immediately acted. The person who spoke was the chief director of the Department of Orthopedics. Director Guo, I still have to give him this face.
After Zhou Cheng got dressed and put on a double layer of sterile gloves, he walked towards Yang Yifeng and said, "Yifeng, how is the situation here?"
Zhou Cheng actually imitated some of Yang Yifeng's skills, but he was definitely not as masterful as Yang Yifeng. He had already seen that Yang Yifeng had treated several wounds on the abdominal aorta and was now suturing the partially damaged ones.
There is also a section of the aorta with an intimal tear, and it is estimated that a blood vessel replacement surgery will be required.
"It's not bad. I'm in better condition now than when I first came in. But whether I can save my life in the end has to be said separately. Moreover, now, the patient's head hematoma has not had time to deal with it. Changshi No. 1 Hospital
The neurosurgery department is on its way here."
"Before, there was a large area of embolism in both lower limbs, and a large amount of necrotic material returned, resulting in electrolyte imbalance, and a large amount of creatinine and other waste products accumulated, so the only option was amputation. Now the situation is better." Yang Yifeng multitasked while talking to Zhou Cheng
While speaking, one side is operating carefully, as if the two sides are not affected at all.
"That's good!"
Zhou Cheng nodded: "Neurosurgery, what diagnosis are you considering? Is it fatal?"
"She is lucky. The intracranial hematoma is just a relatively small intradural hematoma, but other brain injuries cannot be ruled out. This requires a professional person, and I don't have time to deal with it."
"Pulmonary contusion in thoracic surgery is not a big problem. Now, the blood circulation is undergoing heparinization and extracorporeal circulation. Under such circumstances, if you still can't survive, then there is really nothing you can do."
"The intracranial problem, at present, should be fine. Although the patient is currently in a coma, it is considered to be caused by insufficient blood volume and has little to do with neurotic shock. Now that the blood volume has recovered, the blood pressure has gradually stabilized.
." Yang Yifeng continued to explain that during this period, he had already sutured another gap.
At the same time, Yang Yifeng said: "The ischemia time of the kidney cannot be too long, otherwise it will lose activity. Let's do a temporary blood vessel transfer first."
Yang Yifeng is very professional. In order to ensure that the blood volume is supplied to the brain, lungs and other parts of the body first, he had to tie off the renal artery. It is estimated that there is still a blood clot, so he performed a transfer of the renal artery first and temporarily restored the renal artery.
blood supply, and then consider the rest.
Zhou Cheng saw that Yang Yifeng was busy. At this moment, many fatal points had been dealt with. Now it was in the stage of repairing and rescuing organ function, so he breathed a sigh of relief.
He said: "Then you take care of this, and I will transplant the amputated limbs."
When Yang Yifeng heard this, he was stunned, the movements of his hands froze, and he slowly turned his head.
At the same time, the two orthopedic teams who were dealing with the stump after amputation were confused.
In order to save the patient's life, they performed an amputation. What is Zhou Cheng saying now? He wants to re-transplant the amputated limb.
My big brother, can we stop making trouble?
You will make us very passive.
Moreover, can the limbs that have been amputated still regain activity? Can the nerves still be used? Aren't you trying to forcefully create difficulty?
Zhou Cheng saw that everyone had different reactions. Although he generally understood what they were thinking, he now came to Changshi Traditional Chinese Medicine Hospital as an instructor, not a junior doctor.
He has authorization for all levels of surgical procedures, and he has the authority to perform surgery second only to the director of orthopedics. Therefore, Zhou Cheng does not have to feel guilty.
He said: "When there is excessive blood loss, temporarily tying off the patient's arteries to ensure blood supply to important organs and redistribute arterial blood is an emergency avoidance."
"Because there is a large area of necrosis in the limbs, amputation is also a kind of first aid measure to increase blood circulation and reduce the body's cleaning burden. It is okay."
"When the patient's vital signs are stable, we will transplant the severed limb. Even if it is just to restore the patient's original appearance, it will be better than amputation in terms of the patient's aesthetics."
Lu Bin's scalp was numb, and he had to stop talking with Director Tong. He came over, said hello to Director Guo first, and then helped explain: "Director Guo, Dr. Zhou is the current instructor of our department.
The theory and operation level are very solid, we might as well listen to Dr. Zhou's strategy for dealing with the current large-area necrosis of both lower limbs."
"Make the final decision."
The man named Director Guo stared blankly. He knew that Zhou Cheng had an unusual background and was also an instructor. Otherwise, even if Lu Bin said this, he would have started to argue, "Who are you?"
Think of yourself as a god?
Zhou Chengze continued: "We all know that after the affected limb has a thrombosis, recanalization of the thrombus, necrotic tissue and a large amount of metabolic waste in the blood, and reperfusion of the internal blood circulation will lead to irreversible vascular recanalization - perfusion injury.
The nature of the damage is."
"Metabolic wastes place a huge burden on our body's normal cells, cleaning system, heart, lungs and kidneys. In the most serious cases, it can lead to death."
"Such a situation is very dangerous. But if we make good use of the hemodialysis machine, we can avoid this problem to a certain extent."
"If we can reflux the veins of the lower limbs and insert multiple venous dialysis equipment at the same time, so that multiple levels of metabolic waste can be cleaned out during the blood return process, then this problem can be avoided to a large extent."
"We should not underestimate the capabilities of dialysis equipment. Whole-body hemodialysis only takes a few hours. Our patients currently do not need full-body hemodialysis, so it is still feasible to a certain extent."
"In addition, the cost of such an operation is quite high. I wonder if the patient's family is willing to bear the cost?"
The cost of one dialysis session is quite high. This kind of surgical idea is not prepared for ordinary people at all.
But there was no way, Zhou Cheng was very angry and angry.
But what he was angry about was not Xu Kairan, but Xu Kairan, who was sideways judging other people's life and death, and their right to be treated.
This was something Zhou Cheng found difficult to accept.
The bad guys have their own destiny. There is nothing wrong with Zhou Cheng for not resisting Xu Kairan. However, his goal of killing Xu Kairan was not achieved.
It was obvious that Xu Kairan held him back just to make this little girl's condition worsen, amputation, and vegetative state, and she would probably have to GG Smecta directly.
Zhou Cheng would definitely not go as he wished. If this little girl died before he entered the operating room, or there was no possibility of rescuing her, then it can only be said that life and death are determined by fate and wealth.
But now that he has arrived at the operating room and the little girl's condition is still stable, it can only be said that the little girl is lucky, and Zhou Cheng has the ability to prevent her from encountering all this.
Although what Zhou Cheng said was true, Director Guo still hesitated: "Is this feasible? Doctor Zhou, is the risk a bit too high?"
Before Zhou Cheng could reply, Yang Yifeng lost his temper: "Director Guo, if you think the risk is too high, why don't we go out to rest together now and forget about giving up the rescue. Anyway, if we don't continue to take action, there will be no trouble."
.”
"Everyone can go back early and sleep in."
Yang Yifeng's words did not give Director Guo any face. The meaning was very clear. If you think the risk is high, don't call me here in the first place. You will be gone and all your worries will be gone.
How comfortable would it be for you to go directly to the patient’s family to talk about death?
It's all over, he's good at it and loves to say, just play der!
Director Guo's expression immediately became uncertain.
But he didn't say anything. After Yang Yifeng came in, he sorted out the patient's condition one by one until the vital signs were now stable. This ability and ability are obvious to everyone.
So when Yang Yifeng complained like this, everyone lost their temper. Otherwise, there would be no need to perform the operation now. There are no people left, so why do you still need to perform a bullshit operation?
Zhou Cheng didn't waste any more nonsense. Time is money now: "Director Lu, thank you and Director Tong for strictly disinfecting the affected limb, and then move it to the stage. We can fight for it. Anyway, today is the weekend, so there is no need."
thing."
In the past, when Zhou Cheng wanted to have an operation, he had to seek the opinion of the superior doctor because he did not have absolute authority to operate. But now, it is different. He has the authority to operate.
You can say no, but you can't stop me from doing it.
Director Guo has not stepped down, but other people in the Department of Orthopedics have already stepped down.
Then, Lu Bin and Director Tong also started a new round of disinfection, while Zhou Cheng was checking the condition of the patient's amputation stump. The arteries were tied one by one, and Zhou Cheng also tied up some other hidden parts.
All the small arteries were found.
The amputation plane of this amputation surgery is in the middle and lower section of the femur, so there is still a part of the limb left. The blood vessel structure in the middle and lower section of the femur is relatively simple, and the shape of the nerves is also quite simple.
Amputations below the tibial plateau are slightly easier to handle.
Because Zhou Cheng couldn't explain it, he opened a new copy called limb transplantation, and the so-called limb transplantation does not mean transplanting other people's limbs, let alone transplanting limbs of other species into the patient.
It is an evolved version of replanting a severed limb. With Zhou Cheng's current ability and technical background, it does not take too much time to simulate a simple skill. It is easy to simulate a perfect skill.
Therefore, Zhou Cheng has long imitated this skill to perfection.
This surgery is difficult and even unheard of in the minds of ordinary people and most professionals. Its design is based on the replantation of diseased bone from bone tumors!
Amputating the limb first to save life, and then replanting the limb to restore it may sound a bit horrifying, but in fact, it is not impossible in principle.
This kind of surgery is a groundbreaking surgical concept, and it is not difficult to create a surgical concept. It is far less difficult than subverting the foundation...
The most difficult point in replanting a severed limb after amputation is not to deal with the proximal stump of the amputation, but the distal end of the amputation. There is a time limit required, which must not exceed twenty-four hours.
Otherwise, if the person has been out of the body for too long, the immortal will really not be able to save him or her.
The steps are also more complicated, but generally speaking, the principle of replanting a severed limb is still followed, restoring the overall structure first, then restoring blood supply, and finally nerves, muscles, tendons and other tissues.
Of course, there are many more steps, the first of which is to pan-heparinize the amputated limb distal to the amputation to recanalize the coagulated blood supply.
This operation is not difficult, but it is not simple either. Therefore, when they heard that Zhou Cheng needed a large amount of heparin, several circulating nurses almost despaired, but they had no choice but to break off the bottles first and clean out the inventory.
Finally, you have to adjust the goods, but this is not difficult.
Use it first, keep the inventory, just enough for Zhou Cheng to clear the blood supply of one leg first.
Zhou Cheng began to look at the amputated limbs, including the knee joints and calves. They were all relatively well-proportioned. In addition to fractures, soft tissue injuries, and some edema, the patient's skin condition was still quite good.
If you throw away the concept of a patient, these legs are actually kind of pretty.
Of course, Zhou Cheng observed this appearance not to make himself more evil or to have other ideas. He needed to find the corresponding blood vessel shape according to the appearance to evaluate the size of the blood vessel cavity.
Then, after heparin was put on the table, Zhou Cheng asked the vascular surgery department to bring a lot of thrombectomy equipment.
Now, the blood supply to the distal end of the amputation must be in a coagulated state, so the thrombus must be removed, and then the thrombus in the small arteries and veins can be recanalized through pan-heparinization...
Director Lu and others looked a little dumbfounded when they looked at Zhou Cheng's thrombectomy operation.
Then he looked at Yang Yifeng, then at Zhou Cheng, his eyes wandering back and forth, and he was thinking secretly, where did these two freaks come from?
One is an orthopedic surgeon, and the professor of vascular surgery thinks he did an excellent job in surgery.
Zhou Cheng is a genius in orthopedics, but the vascular surgery department still does such a good job in thrombectomy? You two are here to attack people, right?
When Zhou Cheng was removing the thrombus, Yang Yifeng also stood on tiptoes to take a look, his eyes condensed for a moment, and then he said casually: "Not bad, Zhou Cheng, I have started to dabble in vascular surgery. It seems that I am speeding up my own surgery."
You have made progress in your studies, otherwise, you may have to wait a long time in vascular surgery."
"But now, you are still a little bit behind."
Yang Yifeng actually had the intention to make a joke, Zhou Cheng ignored it, and just said to himself, it's okay, it's okay, you study hard, how much do you learn, and how much I rip you off, I will definitely rip you off until you are bald, you are not even a scumbag.
Nothing left!
Don’t you believe it? Just wait and see?
Zhou Cheng took the operation seriously, and Yang Yifeng did not disturb him any more. Instead, after completing the drainage of both renal arteries, he continued to deal with the gap at the connection between the abdominal aorta and the thoracic aorta.
The patient was seriously injured in a car accident and suffered extensive rib fractures. Except for his head, no part of his body was healed.
Time passed slowly, and the hands of Zhou Cheng and Yang Yifeng seemed to be on the move. They moved quickly and accurately, but it was hard to understand. It was impossible to understand what these two little hands were doing.
What.
Fortunately, Yang Yifeng knew Yang Yifeng's purpose, so he could understand the results.
However, Zhou Cheng's side looked a little psychedelic and felt a little confused when he was operating on a dead leg. Is this still an operation that humans should do?
However, just half an hour later, Zhou Cheng was overjoyed: "Finally, the blood clots in the arteries and veins have been cleared."
"Here, syringe, 50 ml, remove the needle and draw heparin!"
Zhou Cheng said and was quickly sent up.
Zhou Chenggong began to pour heparin into the artery. After pouring seven or eight tubes, he saw that the heparin liquid slowly flowed out from the vein, along with some thrombus residues, and was dark.
, slowly melted into the liquid, turning into a dark, dark cooking-like soup.
Kind of like black pepper sauce…
When he arrived here, Zhou Chengcai slowly breathed a sigh of relief.
Then he said: "Director Lu, can you find someone to help find a hemodialysis machine? It's troublesome."
Lu Bin nodded naturally. He had now placed all his hopes on Zhou Cheng, and the operation had already been carried out, so it was impossible to stop it.
He was also curious about whether the end-limb transplant mentioned by Zhou Cheng could be realized.
If this can be realized, then Changshi Traditional Chinese Medicine Hospital will be in the news this time. Even if such an operation is impossible to replicate, it is still enough to make the news.
And it will definitely become an academic earthquake. Perhaps most of the benefits will be attributed to Zhou Cheng, but Changshi Traditional Chinese Medicine Hospital will definitely become famous.
Because it is the unit that makes this miracle!
After a while, the hemodialysis machine was pushed over. The principle of the hemodialysis machine is actually not difficult. It is to re-purify the blood in the body so that excessive substances in the blood are removed.
Use steps, buttons and other methods to puncture blood vessels; first puncture the vein, then the artery. The puncture point at the artery end should be more than 3cm away from the arteriovenous fistula, and the distance between the arteriovenous puncture points should be more than 10cm. Fix the puncture needle.
.
This is the operating specification of the blood purifier, and the working principles of the blood purifier are divided into two types.
Solutes are removed through dispersion, convection, adsorption and other removal principles, while solutions are removed through ultrafiltration.
Ordinary patients, if their kidney function is not strong, have too many toxins in their bodies, which can be solved through dialysis.
This patient is unusual. There may be necrosis of most of the cells in her lower limbs. If the necrotic material flows back into the normal blood supply, it will cause a burden on the body. The little girl's current physical condition cannot tolerate such necrosis.
Some burdens.
Therefore, Zhou Cheng plans to use a few more units to solve this problem, filtering and dialyzing multiple times to avoid various situations...
Soon, Zhou Cheng completed the connection of the two dialyzers. In fact, Zhou Cheng originally considered three dialyzers. However, with two dialyzers now, he first checked the efficiency and status of the work!
After temporary and rapid recanalization of arterial and venous anastomosis, blood supply was restored.
The arterial blood quickly entered the lower limbs and distal ends, and the blood purifier also started working. Most of the venous blood was collected into the purifier, and then passed through the so-called 'stopper' and returned to the blood circulation.
After the treatment, I passed the second blood purification device and returned to the blood circulation.
"Anesthesia teacher, there is venous reflux. Please pay attention to the patient's electrolyte status. If something is wrong, I will stop the operation immediately." Zhou Cheng said to the anesthesiologist.
In fact, there is no need for Zhou Cheng to say anything. When Zhou Cheng started the operation, he was scolding Zhou Cheng in his heart for making an oval shape. Now, he is constantly staring at the patient's vital signs, not even daring to blink.
I was afraid that if I was not careful, the patient would be killed by Zhou Cheng.
However, after running for a while, because the blood purifiers are automatic and can adjust parameters, there is nothing wrong.
On the contrary, after some excessive substances in the blood were removed, the degree of blood purification was improved to a certain extent.
Seeing this, Zhou Cheng felt a little better.
Then, it took more than half an hour to use the same method to open up the blood supply to the other leg.
At this time, the people from the neurosurgery department of Changshi No. 1 Hospital had already treated the small hematoma, and they could have left. But at this time, they looked at him in amazement.
The expression was extremely surprised: "This leg?"
"Cut it down and put it back on again?"
"You orthopedists know how to play."
"Is this playing with equipment?"
It was obvious that he was watching the excitement and was not afraid of the excitement.
However, now, even Director Guo has gradually calmed down.
Now, the patient's vital signs have not fluctuated much, which proves that reperfusion injury was avoided by Zhou Cheng in other ways. In other words, even if there is large area of necrosis in these two legs,
But there is still a small amount of tissue surviving, and you can continue to live by relying on the re-established blood supply.
The next operation became a replantation of the severed limb that they could understand.
Director Guo and Director Lu came up one after another to help, Director Tong also squeezed onto the stage, and the orthopedic surgeons who had stepped down before also rushed over and stood on tiptoes.
"The muscle replantation on this amputated limb was sewn well. It basically restored the original muscle deformation and the joints were not deformed?"
"Dr. Zhou, your tendon reconstruction surgery seems a bit mysterious? Can this tendon defect still be filled in this way?"
"Look, Dr. Zhou's nerve suturing? Hiss!~~~~"
"Director Lu, please stop sewing." When I saw this, I originally thought that Zhou Chengyuan was here as a guest, and they were the hosts. Since the operation has reached a level where I can help, and if I can help and speed up the progress of the operation, then I can help.
But now I see that Zhou Cheng's surgical skills are at a level that they cannot match. If by then Zhou Cheng's leg survives and theirs does not, it will be really ridiculous.
Before seeing Zhou Cheng perform the operation, they really had no idea that replantation of severed limbs could achieve such a level. No wonder Zhou Cheng had such confidence in replanting severed limbs.
With this ability in mind, do they have enough confidence?
After skimming over what was incomprehensible before, experts began to look at the doorways and details.
Lu Bin said to Director Guo: "Director Guo, when we perform muscle deformation reconstruction like this, it is easy to form dents when we usually suture, but Dr. Zhou did not have any dents at the stitches."
"This sewing technology is more than one level higher than ours!"
Director Guo's full name is Guo Dashan. He is not tall and is quite honest, but his temper is not very good. If Lu Bin told him in normal times, who is several levels better than others in suturing skills, he would definitely
It's nonsense to scold Lu Bin.
But now, the facts are before our eyes.
The so-called basic operations of suturing, incision, reduction, and anastomosis of nerves and blood vessels can be performed completely differently by different people.
Zhou Cheng did not explain too much, but continued to complete the remaining operations one by one.
By this time, it was already past seven o'clock.
Zhou Cheng had been undergoing intensive and rapid surgery for more than four hours.
After the limb replantation and blood purification equipment were working normally, Zhou Cheng stepped down, rested for a while, then put on his clothes again, washed his hands aseptically, and came to Yang Yifeng's position.
Said: "Yi Feng, you go and take a rest. Shall I do the rest of the operations?"
Yang Yifeng glanced at Zhou Cheng, frowned, and pinched his fingers: "You can be my assistant. You don't have the authority to operate in general surgery or vascular surgery."
He actually wanted to rest, but he didn't dare to cheat Zhou Cheng. He thought that he would have to find a time to get Zhou Cheng's authorization for vascular surgery.
When registering, the scope of practice only states surgery. However, vascular surgery and orthopedic surgery are two fields, and the authorization for surgery is different.
"Okay!" Zhou Cheng continued to assist.
The surgery he performed looked very big, but in fact it was far less delicate than the blood vessels performed by Yang Yifeng. Moreover, Yang Yifeng's pursuit of surgery was also very perfect.
He had to recanalize the renal artery, deal with the edge of the replaced blood vessel, and carefully deal with all the branches of the abdominal aorta in the abdomen.
Because of Zhou Cheng's help, although Zhou Cheng cannot be the chief surgeon, Yang Yifeng can be the assistant. He can be the chief surgeon, and the two of them can take turns to rest.
But even if the two of them cooperated, the operation still continued until one o'clock in the morning. It took a full thirteen hours before the patient was able to get off the operating table...
Then he was sent to the ICU urgently. However, before going to the ICU, Yang Yifeng still seriously explained to the anesthesiologist: "This patient's postoperative condition will definitely be very unstable, so the doctor may need to be in bed 24 hours a day."
Supervise."
“If there are any fluctuations in vital signs, please contact me!”
"You can also contact Dr. Zhou. After surgery, pay special attention to high and low blood pressure. In addition, be ready to do a color ultrasound of the abdomen at any time to evaluate the fluid inside the abdomen. If you can't do it, find a professional to do it.
Monitor at all times.”
"Avoid blood vessel rupture, which may lead to sudden shock."
"In addition, lung problems also need to..."
This was the first time Zhou Cheng saw Yang Yifeng working so seriously. It can be seen that Yang Yifeng looks careless, but in fact, he is as careful as his hair.
This time, this girl's ability to persist depends entirely on him.
On the contrary, the life-saving role played by orthopedics in this process is not large.
When leaving the operating room, Lu Bin, Guo Dashan and others were surrounded by people from the general surgery department and vascular surgery department. They also surrounded the two in the center, talking about where to eat later and asking for advice on surgery.
some details in.
Zhou Cheng and Yang Yifeng both looked at each other, a little helpless, because some of the questions they asked for advice were actually a bit too basic. They just read less books, so if they wanted to talk about it, they would have to be lengthy.
Therefore, neither Zhou Cheng nor Yang Yifeng mentioned anything more.
After Zhou Cheng and Yang Yifeng arrived at the eating place, they found a chance to go to the toilet and became quiet.
Yang Yifeng asked: "Why did it take you so long to come to the operating room?"
"Forget it, I met a god! If I had come earlier, I probably wouldn't have had to amputate the leg, but there is no other way. This is also a rescue operation."
Then Zhou Chengcheng told Xu Kairan's story in detail.
Yang Yifeng solemnly said: "Poor people must be hateful, and hateful people are often pitiful. But this is not the reason why they can judge whether other people are guilty or not."
"You have to be careful about this person."
"Well, I know. I'm too lazy to inquire about their grudges. I just do my own thing. We can't judge their right or wrong, or their sins."
"Do your own work and do your best, as long as you have no regrets." After Zhou Cheng washed his hands, he sprinkled the water.
Just when he was about to say something more, the two people's phones rang almost at the same time.
The two looked at each other, shrugged their eyelids, and Yang Yifeng said: "I'm going to report to my girlfriend. You can arrange your own time and explanation..."
"Okay, pay attention to your health." Zhou Cheng smiled at Yang Yifeng and joked.