Hand surgery can be said to be a field that developed relatively slowly and then progressed very rapidly.
Before World War II, the field of hand surgery was almost completely blank. Infection caused by injury can be said to be the biggest factor leading to amputation. At the same time, compared to parts such as arms and legs, although the hands are still important, in many cases
, the cost of treatment is much higher than that of amputation, and it is also prone to postoperative infection. Even after recovery, the impact on all aspects of flexibility is relatively large, so amputation almost occupies a large proportion of the treatment option in the field of surgery.
As sulfa drugs and penicillin gradually entered clinical application, the field of hand surgery began to gradually develop. However, even so, progress was still slow, and the no-man's land of hand surgery was still an area that many doctors could not touch.
The rapid development period of the field of hand surgery actually lasted from 1980 to 2000. In 1984, the Orthopedics Branch of the Chinese Medical Association established the Hand Surgery Group. In 1994, the Hand Surgery Group was officially renamed the Hand Surgery Society of the Chinese Medical Association.
Although the development of the field of hand surgery has gradually entered a period of rapid development in recent years, many hospitals do not yet have specialized hand surgery departments. The hand surgery departments of some hospitals were transformed from general surgery or orthopedic surgery in the late 1990s or even after the 21st century.
Departments and other areas were separated and became independent departments.
In recent years, the field of hand watches has developed relatively rapidly in the developed southern provinces. With the development of the national economy, factories and small workshops have begun to bloom in the developed southern provinces, and the number of patients with hand injuries has also begun to increase sharply.
The development of the field of hand surgery in Qinzhou Province is still relatively slow, and the hand surgery department of Xijing Hospital is still not independent.
As far as modern medicine is concerned, independence in a certain field is actually beneficial. After independence, more manpower and resources will be available to explore specialized fields. If it is a hodgepodge, human resources will be slightly insufficient in all aspects.
In the same department, the bias of the department director has a great influence. If the department director attaches great importance to a certain field, the field will naturally develop quickly. If the department director does not pay attention to it, the development will be slower.
It hasn't been too long since Fang Le came to Xijing Hospital. Xijing Hospital has many departments. Fang Le is really not very clear about the situation in some departments.
Fang Le frowned when he heard Han Shengxue said that amputation was very likely in this case.
Although an eight-year-old child only has two fingers on his left hand, if he loses two fingers, the impact will be considerable. At the very least, he will be discriminated against and ridiculed at school.
Before the general surgery doctor arrived, Fang Le observed the little boy's condition, and then walked to the child's mother to prepare for an examination.
But when Fang Le just touched the female patient, the female patient hid.
From the moment Fang Le and others came in, the woman seemed a little dull. She kept looking at her son and didn't say a word, just crying.
"I'll give you a checkup first."
Fang Le said softly.
Fang Le said twice in a row, and the woman turned around, then looked at Fang Le, and spoke slowly and hoarsely: "Doctor...save my son first. He is only eight years old. He cannot be amputated. He cannot be amputated."
......Wow......."
As she spoke, the woman began to cry loudly.
Obviously, although the woman was silent just now, she also heard what Han Shengxue said.
"Don't worry, we will do our best. I will check you first."
Fang Ledao.
As he spoke, Fang Le grabbed the injured right leg of the female patient with both hands and examined the injured part of the female patient's right leg with touch.
Fortunately, before Fang Le and Han Shengxue arrived, Huang Xiaolong had already taken someone to do an examination. Just now, a doctor was debriding the patient, and the injured part of the patient was exposed. It was very convenient for Fang Le to do the examination.
When Fang Le was examining the female patient, Han Shengxue also looked over.
The doctors who were idle for the moment also looked over.
At present, many doctors in the emergency department know that Fang Le can actually set bones, and his level of bone setting is very high, but they have always heard about it but have never seen it. Today, I have a chance.
"Does it hurt?"
Fang Le asked while inspecting.
The female patient shed tears and looked at her son, as if she didn't care about her condition.
Fang Le asked a few questions, but when he saw that the female patient remained silent, he stopped asking and examined her carefully.
The fracture of the female patient was lighter than that of Li Wanjiang. It was just a simple fracture and not too seriously dislocated. After the examination, Fang Le grabbed the female patient's ankle with one hand and pulled it down. With the other hand, he touched the patient's injury.
Gently press the affected area, then quickly wrap your hands around the patient's injured area, and raise your palms upward...
"Handling fixed."
Fang Le turned around and shouted.
"ah......"
Huang Xiaolong on the side was stunned for a moment and hurriedly stepped forward: "Doctor Fang, is this all right?"
"It has been reset. You can handle the rest."
Fang Le said to Huang Xiaolong.
Han Shengxue, who was watching from the side, felt a little dazed.
Doctors at the Department of Orthopedics and Traumatology of Xijing Hospital also know how to do resets, but generally speaking, this kind of resets requires help from people, at least two people, sometimes three people. What did Fang Le do just now?
Han Shengxue looked at Fang Le, who was still examining the patient. Suddenly he came for a few times, and then he was fine?
This is too sloppy.
"Director Han."
But before Han Shengxue could question him, doctors from the general surgery department and the orthopedics and traumatology department had already arrived.
A senior attending physician came from the Department of Orthopedics and Traumatology, and two people came from the general surgery department, a senior attending physician and a resident doctor. After the three people came in, they all saw the child first.
After seeing the child, the attending orthopedics department noticed the female patient next to him.
"Are you... done with it?"
The doctor in charge of the orthopedics department was a little confused.
Huang Xiaolong and another resident doctor had obviously immobilized the female patient and put on splints.
No, you can handle it. Why did you ask me to come over?
Amputation?
The attending doctor in the Department of Orthopedics and Traumatology is a bit wise.
At present, the hand surgery department has not yet become independent in some hospitals, so when encountering a situation similar to that of a little boy, you can notify the general surgery department or the orthopedics and traumatology department. Now the general surgery department of Xijing Hospital is also considered a large department.
"It was Dr. Fang who reset it."
Huang Xiaolong said.
"square?"
Liu Anyang looked at the tall Fang Le next to him: "Is it Fang Le?"
"Dr. Liu also knows about our family Fang Le?" Han Shengxue asked with a smile.
"Fang Le, I already knew that."
Liu Anyang smiled and said: "I guess I knew it earlier than you, Director Han. Our Director Chen is very interested in Fang Le. He was not satisfied when he found out that Fang Le came to the emergency department."
"That's right, our Fang Le is very popular. He just came back from cardiothoracic surgery. Jiang Hailei's paralyzed face also likes our little Fang very much."
Han Shengxue smiled happily.
What's the use of liking?
What's the use of being interested?
Cheng Zaiming also likes it, so what if Zheng Gaofeng scolded Cheng Zaiming so many times?
"Don't worry, I'll do a check-up. Do you mind, Xiao Fang?"
Liu Anyang ignored Han Shengxue. Director Han was obviously a little proud of what he was doing, but Liu Anyang was now very interested in Fang Le's bone-setting effects.
Liu Anyang only heard about what happened to Li Wanjiang last time, and he was not qualified to do it himself. This time he happened to encounter it, how could he not take a look.
"Of course, just be careful."
Fang Le nodded. At this moment, Fang Le's mind was already focused on the little boy.
Fang Le can naturally perform replantation and suturing of severed fingers. In the treatment room a while ago, Fang Le taught Gao Dawei several styles and techniques in the field of watches.
Fang Le knew all these suture techniques, such as the Kessler method and the Tang method, and Fang Le's father, Fang Han, later created the Fang method that was more suitable for watches based on some previous suture methods.
But I will return to the meeting. After all, surgery in the field of surgery is different from the PDT that Fang Le did before. The operation takes a long time and requires many people. According to Fang Le’s experience in his previous life, one finger takes almost twenty minutes, and two fingers are enough.
Forty minutes, plus preparation, and some limitations of this era, the entire operation takes at least an hour.
Secondly, the prognosis and other aspects after the operation also require a process. If there is necrosis or blood circulation obstruction after the operation, amputation may be necessary.
In this way, the opinions of the patient's family members are particularly important. If the patient suffers the same amputation and ends up with the amputation, many family members of the patient will probably have opinions.
This kind of surgery is not something that Fang Le can just ask for. At the very least, it needs the support of Han Shengxue. But does Han Shengxue agree?
While Fang Le was thinking, the general surgery doctor had also made a detailed assessment of the child's injuries.
"The chain is broken, the damage is too great, the muscles and bones are a bit deformed, and the probability of infection is very high. It is too difficult. Let's ampute the leg."
Ma Liangliang, the senior attending physician of the Hand Surgery Department, made a detailed examination and then said softly to Han Shengxue.
"don't want......"
The mother of the child over there has been paying attention, and Ma Liangliang has no intention of hiding this from the mother of the child. This is something that must be told. When Ma Liangliang mentioned amputation, the mother of the child hurriedly shouted, unable to lie still: "Please
You guys, please, please don’t amputate, my child is still young..."
"We don't want to either."
Ma Liangliang sighed and patiently explained to the child's mother: "But in this case, not only suturing is needed, but simple shaping is also required. The operation is quite difficult, and the prognosis is difficult to say..."
"But... the child is so small and has no fingers. How can he bear it..." the child's mother choked.
"Director Han, how about I give it a try?"
Fang Le suddenly spoke up.
"you?"
Han Shengxue was stunned.
"Director Han, you also know that my suturing skills are quite high, and tendon suturing is no problem..."
Fang Le said to Han Shengxue.
"Xiao Fang, finger stitching is not just about high-level suturing, it involves a lot of things."
Ma Liangliang had also heard of Fang Le Fang Fuzi, but he didn't recognize it just now, but as soon as Liu Anyang told him, he knew who this young doctor was.
Just now, Han Shengxue opened his mouth to Fang Le, and shut up to Fang Le. Everyone could hear this respect, so Ma Liangliang did not directly scold him, but explained the situation to Fang Le in a very tactful way.