It takes a lot of effort to look at a broken finger.
It takes more effort on the eyes and brain to see with a high-power microscope for a long time.
For a doctor who has just completed a high-intensity emergency operation, the next finger-amputation operation can be said to challenge the limits of surgical nerves.
Ren Zhelun frowned and almost remained motionless.
At this moment, surgeon Ren seemed to be transformed into a neurosurgeon, needing to remove human tissue bit by bit. The purpose of debridement is to expose the tissue structure of the severed finger, so surgical movements need to be more careful.
"You do it. I'll watch you do it." Ren Zhelun said and gave up the position of the surgeon. He was sweating too much like never before, and his physical strength was a little weak. Just like a cheetah, which is famous for its speed and long time, its physical strength is not that good.
of.
Occasionally, something like this happens on the operating table. The surgeon suddenly becomes ill and can only complete the patient's operation with an assistant. If the operation is extremely difficult, others around him cannot help at all and no one can be called.
, it can be said that the importance of assistants is fully reflected at this moment.
How to choose a surgical assistant is really not as simple as whether the assistant has performed this type of surgery.
Xie Wanying felt that she learned a lot from Senior Brother Ren tonight, which were all lessons learned from her predecessors.
Looking up, Ren Zhelun saw her thoughtful expression and blurted out: "Stop learning, do it quickly."
All he had to say to her was: don't touch the senior's brain.
Xie Wanying actually took the lead, walked over and got down on the surgeon's stool.
Everyone was so surprised by her unique reaction.
At this critical moment, there was no way she could dawdle. Senior Brother Ren said she could do it, and there was nothing wrong with her trusting Mr. Ren.
So Ren Zhelun was shocked by her decisive trust.
Yao Zhiyuan, who was not far away, looked over there while Dr. Li was operating, thinking that Dr. Xie's trump card for identifying his trustworthy person was a bit too powerful.
He took the cudgel from Senior Brother Ren, lowered his head to face the surgical field of view in the eyepiece, and continued to concentrate on the replantation surgery of the severed finger.
Nerves, tendons, arteries, veins... clearly distinguish them. With so many tissues, which one should be connected first?
It's bones.
The skin flaps at both ends of the severed finger should be lifted and pulled apart first, and the other tissues should be removed to expose the residual bone end.
Kirschner wires or steel plates are used to fix the bones.
"Have you ever been to an orthopedics department?" Seeing that she seemed to be familiar with K-wires, Ren Zhelun, who became her assistant, could clearly see her every move and immediately recognized the strangeness and asked.
She has never had an orthopedic rotation, but that doesn't stop her from having surgery with a big orthopedic surgeon. The Kirschner needle thing can be traced back to learning from teacher Liu Huaiyu during her internship in Shouer.
Fixation with K-wires is usually performed under fluoroscopy.
This is not an orthopedic operating room, and the cardiopulmonary surgery being performed at the same time has not been completely completed, so the X-ray machine cannot be used.
Without the aid of instruments, doctors can only rely on clinical practice experience and medical knowledge.
"I believe you." Ren Zhelun said to her.
Senior Brother Ren is treating others in his own way.
In open orthopedic surgery, during the head-to-alignment surgery, the doctor should observe the corresponding positions of the two broken ends and the force line of the fracture site to make judgments on reduction. That is, if possible, the broken bone should be restored to its original state as much as possible.
Anatomical position. In clinical practice, positioning and alignment are usually not 100%. Generally, a certain level of more than 100% can be considered a pass. The specific standards vary depending on each part.