godfather of surgery

Chapter 16 Perfection
The two arteries and four veins have been anastomosed in one go, without a single redundant repetitive movement, and there is no delay in the connection of each movement.

"Vital signs?" Yang Ping asked.

"Smooth! Don't worry, you continue." Liang Jing responded confidently. He was proud to be able to participate in such a challenging operation.

This kind of tension is not like those rescues, which are open and close, noisy; this kind of tension is restrained, quiet, and calm.

It's like a person stepping on a steel wire without any protection, and the steel wire spans the ten thousand zhang canyon between the cliffs.

"Want to take a break?" Director Han asked with concern.

"No!" Yang Ping replied.

Lao Han looked at the time on the wall panel. It took about 20 minutes to anastomose six blood vessels just now, that is, an average of more than three minutes for each blood vessel.

Next is the nerve. The anastomosis of the nerve is much easier than that of the blood vessel. The nerve is not a hollow structure, but a solid structure, and there is no need to consider patency.Moreover, the finger nerves are all sensory nerves, and the fault tolerance rate is relatively high, and there is no situation where sensory nerves and motor nerves are staggered.

Tian Yuan, Song Zimo, and other doctors temporarily removed their eyes from the screen and took a short rest to prepare for the next vascular anastomosis.

The most exciting and exciting part of the whole operation is the vascular anastomosis. They have to focus their limited eyesight on the essence, and the nerves are stretched for too long, which makes them easy to fatigue.

After the two nerves are anastomosed, the flexor tendon and the extensor tendon are anastomosed, which is simpler and can be done without a microscope.

Finally, the skin is sutured, the wound is completely closed, and the middle finger is successfully replanted.

From the start of the blood vessel anastomosis to the completion of the skin suturing, it only took about three to ten minutes. This kind of speed makes people lose their temper.

After the index finger anastomosis was completed, the rubber band tourniquet at the base of the finger was loosened, and the pale finger tip gradually became rosy, and there was no blood leakage from the vascular anastomosis.

The next one was the middle finger, and Song Zimo's arrogance was almost gone.

The aseptically refrigerated small refrigerator was opened, Song Zimo personally went to take his finger, reached in, took out the severed middle finger, and put it on the operating table seriously.

He put the severed finger on the operating table and sat back in his seat silently.

Repeat the previous actions to fix the fracture - anastomotic blood vessels - anastomotic nerves - anastomotic tendons, and finally suture the wound.

"Take a break?" Director Han suggested again.

"Thank you, Director, I'm okay." Yang Ping said.

Anastomoses started again!

Everyone's relaxed nerves immediately tightened again. Some of them may not have rested enough, and they tightened their nerves a little hastily, which is very uncomfortable.Everyone looked at the screen again, and didn't dare to move away for a second.

The stability and speed of the operation were maintained before, and the middle finger was successfully replanted.

The fourth finger is the ring finger, or Song Zimo will take the severed finger. If Song Zimo had the last trace of arrogance last time, it's gone now.

The ring finger was replanted without any suspense.

Lao Han's back sank, his whole body relaxed, and after the ring finger was completed, there was still a little finger. Even if he failed, it would still be the little finger, and the opponent's function would not be affected too much.

Now Song Zimo is completely convinced that surgery is a real thing, even if you want to brag about it, everything is here, you can see it, and you can touch it.

Lastly is the little finger.

"Little finger!"

Song Zimo put his little finger on the operating table, which he is now happy to do.

Yang Ping moved his neck and loosened the equipment in his hands to slightly adjust his posture and relax for a moment.

"There is something wrong with this severed finger. The blood vessels are a little stuck around." Yang Ping said in a low voice.

"Premature babies have poor blood vessel development and poor development of surrounding tissues, resulting in scar-like adhesions!" Lao Han watched the video and reminded Yang Ping.

"Well." Yang Ping agreed.

Yang Ping tried to find the blood vessels and separated the hard adhesion tissue bit by bit. The broken end of the blood vessel was exposed a little bit. The adventitia was clamped by forceps. The scissors were carefully separated. The wall of the blood vessel ruptures.

Yang Ping's scissors stopped.

"No hurry, I have already received four, and the functions are completely fine. It has been very successful." Director Han said.

"I'll try again." Yang Ping didn't plan to give up, he was confident that he could do it.

The scissors began to separate again, and the speed slowed down significantly, little by little, a little at a time, and stopped.

The blood vessel held by the forceps does not move, and the scissors carefully open and close along the blood vessel wall.

"Have you ever done this kind of amputation?"

Song Zimo asked gently.

"Ah."

Yang Ping was busy with surgery and didn't have time to chat with him.

It is possible to find the feeling of separating this tissue. The strength of the instruments in Yang Ping's hand is getting better and better, and the speed of the scissors is slowly increasing.

The first blood vessel is freed from the adhesion, gaining sufficient length.Then start the second blood vessel, a total of at least four blood vessels, two arteries, and two veins, so that the blood supply can be guaranteed.

Veins are more difficult to isolate than arteries because veins have thinner walls than arteries.But the surgeon apparently quickly learned from the previous separation.The scissors can precisely cut between the vessel wall and the adherent tissue every time.

Four blood vessels, two arteries, two veins, proximal and distal ends were isolated intact.

This blood vessel separated from adhesions has a more fragile wall.And it's the little finger, and the blood vessels are smaller.The suture is several times more difficult than the previous blood vessels.

"This is too difficult to sew, and it feels like it will tear if you're not careful."

In the next room, someone spoke.

Everyone followed the voice to find the speaker, glaring at them, the speaker immediately silenced, and everyone focused on watching the video again.

Su Yixuan is a professional instrument nurse in the Department of Orthopedics. Her understanding of surgery is much deeper than that of general nurses.

There was nothing to do on the stage for the time being, and she also looked sideways at the screen. With such superb skills, it was no wonder that everyone didn't speak, and it was so quiet that only the sound of the anesthesia machine was aspirating.

From Su Yixuan's position, you can see Yang Ping's profile, and even Yang Ping's eyes facing the goggles.

Those eyes, determination, confidence, focus.

He started anastomosing the blood vessels again and sutured the blood vessels of this finger. It was relatively slow. Yang Ping was looking for a feeling. The second one was obviously much faster, and the third one was getting better.

Yang Ping's stitching is still as natural, and the quality is not compromised at all.

After the last stitch for anastomotic blood vessels, Yang Ping put down the needle holder and needle thread, Su Yixuan caught it steadily, and then carefully put the tiny needle back on the needle thread board.

"Should I sew nerves and tendons?" Song Zimo suggested.

Director Han categorically denied: "No, let him finish it all the time."

Not for anything else, but to make this operation come to an end perfectly. Anyone who replaces Yang Ping at this time, even if a stitch is sutured, will be considered a defect.

Yang Ping continued, sutured in one breath, nerves, tendons, and skin.

Release the rubber tourniquet, and after a few seconds, the distal end of the little finger turns red.

Dressing, plaster immobilization, the surgery is a perfect curtain call.

(End of this chapter)