When the emergency surgery department is busy, I don’t know how time slips through my fingers.
One hour, two hours, four hours, after the ward rounds, Zhao Yuan and Sun Liang did not leave the operating room for a whole day.
Hernia, gallbladder, appendix, breast lipoma, various minor surgeries...
For emergency surgery, minor surgeries are routine, while major surgeries are usually transferred to other surgeries.
However, Zhao Yuan felt that there was nothing wrong with minor surgeries, as they were also racing against time to save and treat people.
If we have to judge the level, the patients encountered in emergency surgery are much more critical than those in other departments.
It is very satisfying when you cure a critically ill patient.
About to get off work, the 120 ambulance pulled in a patient. His right hand was wrapped with gauze and his hand was injured.
The moment he opened the gauze, Sun Liang's face turned pale and he almost vomited.
The scene is really amazing.
The patient's right hand was peeled off from the nail caps of the index finger and middle finger due to external force. The bones were terrifying, the red ones were muscles, the white ones were tendons, and the yellow ones were the skin that had not been blown away.
Semi-detached tissue, black engine oil, and small blood vessels kept bleeding.
"How did it happen like this?" Ren Min got the news and rushed to the scene.
"The patient is a lathe worker and can be considered a skilled worker. Today he was careless and was run over by the machine." The doctor on board the car introduced the condition.
Sun Liang shook his head and sighed, "My hands are like wonton fillings. I'm afraid I can't save them."
Zhao Yuan carefully observed the patient's hand, "That's not necessarily true!"
Seeing that Zhao Yuan was very confident, Ren Min said, "Come and try the surgery. Don't put too much psychological pressure on him."
The patient's hand was mutilated with blood and flesh, and the original shape could not be seen at all. The patient's family had no intention of saving the patient's hand at this moment.
However, Ren Min still went out to explain the details of the operation to her family.
The factory owner was the patient's uncle, and he made a decisive decision to save his hand as much as possible, and the factory would pay for the surgery.
The patient was still very young, only twenty-eight years old. He had just gotten married last year and his wife was four months pregnant. Her family did not dare to tell her the news. Her father signed the agreement with trembling hands.
The surgery fee is based on the normal debridement fee.
The operation was relatively difficult, as in addition to multiple tears and fractures, there was also skin avulsion.
Zhao Yuan brushed his hands, put on surgical clothes, took a look at the patient's condition, and told Sun Liang: "Prepare the skin, choose the root of the thigh."
Sun Liang responded quickly. He took off the patient's pants and used iodophor to disinfect, especially around the anus and balls. He used oval forceps to hold an iodophor cotton ball and wiped it again and again until the skin selection site was completely clean.
Doctors are human beings too. When Sun Liang was doing these operations, he instinctively wanted to vomit again, but he held it back.
This is a sterile operating room. Vomiting it out yourself is not as simple as embarrassing.
"disinfect!"
Zhao Yuan gave verbal instructions.
Sun Liang started to brush his rotten hands with a brush. Blood and black engine oil flowed under the shadowless lamp, showing colorful oil flowers.
Then, he started disinfecting with iodophor.
At this time, the condition of the fingers was truly revealed. The white tendons were broken in many places, and in some places they were cut in half. In places where the skin was thin, the bones were exposed.
"Bai Xiaohu, please cut the patient's nails shorter." Zhao Yuan and Bai Xiaohu gave instructions.
Bai Xiaohu took action immediately. She felt that Zhao Yuan was a little excited at the moment.
If you think about it carefully, you can understand it.
After a whole morning of minor surgeries, I finally had a more difficult one.
This operation not only requires tendon suturing, blood vessel anastomosis, but also skin grafting. If it can ensure that the fingers can still function, it will be more valuable than a hundred appendicitis surgeries.
The first step is to repair tendons and repair blood vessels.
Ren Min's eyes brightened, and just as he had guessed, Zhao Yuan was about to start making the "soup method".
The last time Zhao Yuan performed the decoction method was a month ago, and now the patient has been successfully discharged from the hospital. Judging from the later recovery results, this operation was an extremely successful one.
Ren Min has long been involved in the fields of orthopedics and sports medicine, and he knows the difficulty of the "Soup Method" better than anyone else.
Ren Min felt that she was holding her breath unconsciously, because Zhao Yuan made the soup so fast, without any feeling of jerkiness. Only after having performed at least a hundred surgeries could he achieve this level.
Time passes minute by minute.
Hearing that Zhao Yuan was doing soup suturing, Tong Zheng, Xie Changtian and several deputy chief physicians also came to the operating room to observe.
Zhao Yuan's attention was entirely focused on the operation, so he did not know that he was being watched.
Bai Xiaohu wiped the sweat from Zhao Yuan's forehead from time to time.
Zhao Yuan was making the soup very quickly, and at the same time he was consuming his physical strength and energy. From the beads of sweat that appeared on his forehead from time to time, you could guess his condition at the moment.
The operation was very quiet. Even Tong Zheng, who liked to joke, kept silent.
Finally, Zhao Yuan completed the last vascular anastomosis and exhaled a sigh of relief.
"Skinning knife!" Zhao Yuan did not ask Sun Liang to assist in the core part of the operation, but performed it himself.
A skinning knife not only sounds scary, it looks scary too.
The structure is quite simple. The blade is clamped between two iron bars, and one end of the iron bars is mounted on the rocker, which is full of cold air.
The blade is extremely sharp and fits the skin. If you shake it with your hand, the skin will be thinned directly.
As for how thick or thin you want your skin to be, you need to adjust the spacing of the blades. Whether the technique is good or not can be judged by the thickness of the skin.
Zhao Yuan's technique is very good, and the leather is neat and consistent in thickness.
Sun Liang couldn't help but glance at Zhao Yuan and sighed in his heart, "Cruel!"
He remembered a certain horror movie in which the murderer enjoyed skinning people.
The next step is skin implantation.
Many people do skin implants, just like putting on a random patch, without paying much attention to the appearance.
The skin is stretchable and requires force to spread.
Zhao Yuan covered the patient's back of hand and fingers with skin, made several holes, and put his fingers through the holes. Then he cut the skin to be implanted into long strips, and then wrapped it around the skin in a circle.
on fingers.
Finally ready to sew!
Bai Xiaohu inserted the needle, and Zhao Yuan took the needle and started puncturing back and forth.
Zhao Yuan's movements were like embroidery, but the key was that he was more cautious than embroidery.
If the embroidery pattern is wrong, you can start over, but if the skin is implanted wrongly, you will have to peel off another piece, causing secondary harm to the patient.
When Zhao Yuan finished suturing, Bai Xiaohu handed the scissors to Zhao Yuan.
Sun Liang completed the last step at this time, applying pressure and bandaging.
The entire operation ends here.
Ren Min looked up at the time, three hours and eighteen minutes.
This is not a minor operation, but it is an operation in a no-man's land. It would take at least five hours for a hand surgeon to do it.
Zhao Yuan completed this operation quickly enough!
Ren Min is well aware of how difficult it is for the hands, because the division of labor in the muscles of the hands is too fine, and if you are not careful, there will be functional problems.
What's more, in addition to soup suture, there is also skin implant surgery.
Ren Min never thought that he would feel such pressure from a young man.
