Datang Coroner

Chapter 1050 Principles of Surgery
Fu Shiyi shook his head and asked Chu Xin to look carefully at the wound: "The wound is like this now, we have to debride the wound first. Until all the carrion is cleaned up. Moreover, this section is infected, you can understand that something fell on the wound. The ground, even though it looks clean, is actually covered with dirty things. Only by cleaning as much as possible can we avoid more contamination by dirty things."

"This is the principle of giving up the small and protecting the big." Fu Shi looked at Chu Xin, and then pointed to the patient's leg: "If we directly cut a flat wound, it means that there is no skin underneath to wrap the wound, so the wound How to heal?"

"You see, every part of our body is covered with skin, which is to protect the muscles and bones. Only by covering the wound with skin can it heal faster. Otherwise, it will just rot." Fu Shiyi wanted to let Chu Xin They understood earlier, spoke quickly, but also in detail.

"So, we can't just cut it off and then bandage it. Remember, surgery is done to increase the chances of healing and create conditions for healing. Cutting off the bad part is an important part of it, but how to make the good part heal better Faster, better healing, and even the patient's life after healing, we have to take it into consideration."

Fu Shiyi demonstrated with his own arm.

"My arm, you think of it as a bone. This inner layer, you think of it as muscles and blood vessels. The outermost layer is the skin. Let's peel off the skin first, then the muscles, and finally the bones."

"You see, let's keep the bones the shortest. The muscles and skin should be longer. We try to wrap the bones with meat to make a closure. And the outermost layer of skin should be longer, so that the muscles and bones can be separated. Completely encased in it."

Fu Shiyi tied up the cuffs and tucked his fists in the cuffs: "But there will be bleeding inside, liquid will seep out, and there may even be a process of corruption. So in the end we have to put a tube on the wound , making sure that if there is liquid in it, it can come out of the tube."

"When no liquid comes out, we can pull out the tube and let the wound heal by itself."

Fu Shiyi asked a few people: "Do you understand?"

Chu Xin and Luo Yueqing nodded.

Bai Zequan still has another question: "Then, wouldn't it be more convenient to do it from the knee? If that's the case, how do you break the bone? Do you use an axe?"

"No, let's use a saw. The axe will break the bone, so we can't clean up these pieces, and we can't guarantee a smooth fracture. Even if it is bandaged, it will hurt the flesh and skin." Fu Shiyi shook his head and directly rejected the proposal.

"As for why not from the knee, it's because keeping this section allows him to make a wooden prosthesis to replace the leg in the future, at least he can walk, and he can take care of himself." Fu Shiyi gestured: "The prosthesis can do it. It is fixed here on the extra leg. Then the leg can be bent, so that life is more convenient. This is what I said just now, when performing surgery, one must also consider the patient's recovery."

Bai Zequan nodded immediately: "Miss Fu is right. It really clears up all the fog with one sentence."

During the half-day of talking, the patient has already drank all the medicine, and it has worked.

Fu Shiyi first drew the length of the skin to be preserved with herbal juice, and determined the radian and gap, and then started the knife.

Because he was considering surgery, Fu Shiyi prepared another set of tools—after all, it's not good to use dead people's tools for living people, and it's mainly unhygienic.

Surgery is a delicate job, and Fu Shiyi concentrates on it, and Luo Yueqing also takes Fu Pickup's palm of the lamp—there is not enough light in winter, so a lot of lights must be used.

So the simple version, the movable shadowless lamp was invented by Fu Shiyi.Fearing that Luo Yueqing's hands would be sore, he still stood on the ground.However, Luo Yueqing needs to adjust the angle and ensure the stability of the lamp.

It took a lot of effort to clean up the carrion, and then peel off the skin and muscles.

Not to mention, when cleaning up the rotting meat, you have to endure the stench all the time.

The water used for flushing, considering that there is no physiological saline, Fu Shiyi can only choose to use distilled water.When you run out of distilled water, you can only use cold boiled water-no way, it is so difficult when productivity is low.

Bai Zequan has no doubts about this process: he now understands very well that the wound will be healed more easily in the future if it is dealt with layer by layer.

Moreover, the handling of a pair of main blood vessels had already attracted his full attention.

"Small blood vessels don't need to be taken care of, but large and major blood vessels must be treated properly. Otherwise, the patient will lose too much blood and may not be able to survive the operation." Chu Xin explained for Fu Shiyi.

Fu Shiyi himself was so engrossed right now that he couldn't spare the time to speak.

After Fu Shiyi peeled off all the skin and muscles, exposing Bai Shengsheng's bones, she took the time to ask Bai Zejiu: "Does Doctor Bai know how to use a saw?"

Bai Zequan nodded.

Only then did Fu Shiyi say: "Then next, you saw first, and I'll take over. I'm tired and come to Yueqing. You must do it as soon as possible, okay?"

Everyone nodded.

As a result, there was a piercing sound of sawing bones in the operating room.

It has to be said that human bones are still quite hard.

So Bai Ze was already sweating profusely after sawing half of it.

Fu Shiyi asked him to rest, and then continued to work on his own - even if she had great strength, she would still feel strenuous.

And then there's the day-to-day miss of modernity: the chainsaw is such a good thing.

When Fu Shiyi was also sweating, he finally sawed off the bone.

After the bone was broken, Fu Shiyi asked Bai Zejiu to remove the amputated leg immediately, so as not to accidentally pollute the treated section.

"Get ready to start sewing." Fu Shiyi said in a deep voice, then picked up the needle and threaded the thread.

The fish gut is soaked soft, which is actually a bit difficult to control.Fortunately, Fu Shiyi has enough experience, so he is still able to do a job with ease.

"Generally speaking, we try our best to suture this kind of main large blood vessel." Fu Shiyi explained while suturing: "This is a delicate job, so you must be patient. And it should not be too loose, otherwise it will not be able to heal for a long time." .In this way, the blood vessels are sutured well, and the blood flow here can also be guaranteed.”

"Muscles need to be sewn together, and the butt joints should be neat—"

"Okay, finally the skin."

When this level is reached, the operation is completely coming to an end.

After Fu Shiyi finished suturing, he breathed a long sigh of relief, then gave up his position, and asked Bai Zeji to apply the bandage.

After the bandage was finished, a small arc appeared at the opening, and although there was a silver round tube in the middle for drainage, it didn't look hideous or scary at all.

Fu Shiyi asked Chu Xin and Bai Zejiu to check the patient's pulse: "Check to see if there is any other condition in the body. It is best to prescribe some medicine to help with healing."

　Next update, eight o'clock~ I'm really hardworking today hehehe~
　　
　
(End of this chapter)