The fire captain was the most critical of the patients. Xie Changtian arranged for Ren Min to perform surgery, and Ren Min appointed Zhao Yuan as the first assistant.
Zhao Yuan followed Ren Min into the preparation room.
"Now we are ready to cut the tourniquet on the patient's hand." Ren Min put on gloves, confirmed that all the medicines and instruments were complete, and was ready to start the operation.
"Pay attention to stop the bleeding!" Ren Min cooperated with Zhao Yuan for the first time, so he reminded many details, "Use warm saline gauze to compress."
Zhao Yuan did not follow Ren Min's suggestion, but pressed the artery of the patient's arm with his hand.
Hemostasis of internal organs can be accomplished, let alone external hemostasis?
Ren Min was a little surprised at first, but when he saw the blood was easily stopped, he gave Zhao Yuan a complicated look.
Then the debridement phase began, and Ren Min discovered that Zhao Yuan had a high degree of tacit understanding with him.
Zhao Yuan could guess his thoughts no matter what he did.
It's like roundworms in my stomach.
"You finish the stitching below."
The most difficult part of the entire arm was completed, and he handed over the remaining easier tasks to Zhao Yuan.
Zhao Yuan and Bai Lu asked for tools.
Tissue shears.
gauze.
Thread cutter.
Line 0.
tweezers.
When Zhao Yuan kept asking for tools, it involved microscope glasses.
Ren Min suddenly became alert and sensed something was wrong. When he glanced over, Zhao Yuan's eyes focused on the patient's hand.
"what are you planning to do?"
"Vascular anastomosis and tendon suturing of the hand."
"Our main task is to deal with the external wounds of the arm, and the tendon part will be left to the orthopedic surgeon."
"Director Ren, can you give me twenty minutes, no, ten minutes!"
Ren Min was surprised. He didn't expect to see such a strong aura from an intern.
Tendon suturing is beyond the scope of the division of labor in emergency surgery.
The emergency surgery department is only responsible for simple surgeries such as suturing and debridement. Tendon suturing is a medium-to-high-complexity surgery.
Ren Min has also studied hand surgery and can perform tendon suturing, but the patient's current injury is complicated and his status is special.
He was not 100% sure of completing the operation.
If the operation fails, the focus of media attention will shift to emergency surgery, and the consequences will be disastrous.
In short, this firefighter is a hot potato.
It is a reasonable and correct way for emergency surgery to handle arm wounds and hand the more difficult hand to hand surgery.
Zhao Yuan also knew what Ren Min meant.
However, the fire fighter's hand injury was very serious. It was not caused by a sharp object, but by a blunt object.
Now the entire hospital is very busy. If there are no doctors with certain abilities in the hand surgery department, then this soldier may be disabled.
Ren Min planned to terminate the surgical mission.
However, he smelled a familiar feeling from Zhao Yuan.
courage!
Once upon a time, he began to lose his "fearless doctor" character?
He actually wants to pass the responsibility to the hand surgery department and take care of himself?
Is he still the high-spirited "courtyard grass"?
That’s it!
Ren Min made a decision.
No matter what the consequences are, give it a try and see if you can save the patient’s fingers!
"Okay, let's do vascular anastomosis and tendon suturing in the hand!"
Zhao Yuan received Ren Min's permission and his movements accelerated instantly.
As soon as Ren Min put on the gloves, he was dumbfounded.
Zhao Yuan had already started the operation, and in the blink of an eye, two blood vessels were anastomotic and a tendon was sutured.
"Zhao Yuan, you are really..." Ren Min shook his head and smiled bitterly.
He originally planned to do it himself, but he didn't expect that Zhao Yuan had already started to operate.
The hand surgery has begun, and there is no way to stop it now, otherwise the patient's fingers will completely lose function.
"Zhao Yuan, please..."
Ren Min didn't have time to say "open" and his attention shifted to Zhao Yuan's movements.
Zhao Yuan's suturing process was quick, but every stitch and line was not sloppy.
The faster the stitching is, the less damage will be caused.
When Zhaoyuan tendons are sutured, three tendon suturing methods are mixed.
After each suturing, Zhao Yuan loops the tendon.
This detail attracted Ren Min's attention.
He quickly realized that what Zhao Yuan used might not be an ordinary suturing technique.
Could it be Tang's suture, which is known as one of the most advanced skills in the field of hand tendon suturing today?
Tang's suture, also known as multi-group intratendinous suture method, was named in 1992 by Tang Jinbo based on the suture method accumulated in a large amount of clinical work.
Tang's suture is equivalent to the Dugu Nine Swords of hand surgery.
With this core technology, doctors can stand firm in the hand surgery department of any hospital.
Ren Min put on microscope glasses and began to observe the details of the surgical treatment.
The edges are neat and the stitching is firm, meeting all specifications.
Zhao Yuan is not only proficient in Tang's suture technique, but also handles many details skillfully and reasonably.
Ren Min stopped talking.
Do not interfere with Zhao Yuan's race against time.
"10 ml of normal saline."
"Hemostats."
"The light remains steady."
The hemostatic forceps clamp the tendon rupture and then tighten it.
Cut off part of the damaged tendon, turn over the hemostat, and expose the cross section.
Pass a long, straight needle through both ends, and keep crossing the needle.
Every part is breathtaking.
The extensor pollicis longus tendon was sutured successfully!
The extensor digitorum superficialis tendon was sutured successfully!
…
The surgical department of Tianhua Hospital is second to none in the country.
The reason why the comprehensive strength is strong is that there are extremely high-level experts in each subdivided field.
The firefighter was transferred to the hand surgery department after emergency surgery.
Because he is a disaster relief hero, he is highly valued by the hospital.
The full name of hand surgery is surgery of the hand, which is affiliated with the Department of Orthopedics. Zhang Zhiyuan, who was just promoted to the director of hand surgery, immediately came to the ward to examine the soldier after completing an operation.
"They even had surgery on their hands during an emergency surgery. They don't take us seriously." The young doctor said dissatisfied.
Zhang Zhiyuan took the report from his subordinate, and his frown relaxed.
"Xiao Ren did it?"
"Huh? Zhao Yuan? It looks familiar. I think I've heard it somewhere before!"
On the operation report, both Zhao Yuan and Ren Min filled in the column of the surgeon.
Zhao Yuan's name is placed in front of Ren Min.
As usual, Zhao Yuan plays a more important role in this operation.
Zhang Zhiyuan began to analyze the report carefully and asked the young doctor, "Is there any skin edge examination?"
The young doctor shook his head and said, "I'll hand it over after the operation is done. I haven't had time yet."
Zhang Zhiyuan said in a deep voice: "Then why are you still dazed? Check it quickly. If the indicators are not up to standard, you must reprocess it immediately."
Zhang Zhiyuan sweated.
The fracture caused by a blunt instrument was sutured in more than an hour. Even at his peak, it would probably be difficult for him to do it.
Judging from experience, there must be flaws in the surgery.
After a while, the young doctor came over with a report, "The blood supply to the entire arm is smooth, and there is no sign of bleeding."
The result surprised Zhang Zhiyuan.
He murmured to himself, "Good luck."
The young doctor continued: "The patient's anesthesia has passed and he is awake. We just did a nerve ending test and his fingers can flex and extend slightly."
"……you sure?"
Zhang Zhihua couldn't hold back any longer.
According to normal circumstances, some functions will not be restored until at least one day after the suturing operation is completed.
As soon as the suturing was done, there was a flexion and extension reaction.
I have been working on watches for many years, and this is the first time I have met him.
He wanted to understand how this operation was done!
