Back to the Republic of China as a doctor

Chapter 21 21. Officially invites you to join Santa Maria (seeking a monthly ticket for collection investment recommendation!)
Bill went into the operating room smoothly, and Jiang Lai personally administered the anesthesia. Before the operation, he also asked about the operation of the Japanese with internal chest and abdomen injuries, but it turned out that he hadn't finished it yet.

I heard that the liver and spleen were damaged, the chest wall was compressed, and ribs were broken.

Jiang Lai felt a little emotional in his heart, whether he can be rescued or not depends on his luck.

As for the woman, because the car turned in a timely manner, there was nothing in the co-pilot's position except some glass shards, and the woman was protecting her head, so it was true that she only hurt her hand, or a skin injury.

For this sake, Jiang Lai has no regrets.

Professor Bourne took the position of Bill as the first assistant, and Sophia took the second assistant position. Because the other doctors who were observing were all pulled by Rodin for surgery, only two young doctors were left to observe.

Of course, the camera is indispensable.

"The left wrist was completely severed and replanted. The operation started. The start time was 1937:1 am on January 1, 3."

The eyes of several people were very solemn. The wrist was completely severed, and it was much more difficult to replant than the severed finger. The bluish-white severed limb indicated that it had been severed for a while, and the incision was slightly torn, but it was all bright red and white The bone, the red bone marrow cavity, the stretched muscles, the pale yellow fat particles, and the black oil stains...it looks quite scary.

The equipment nurse is Zhang Li. She graduated from the same nursing school as Xia Yu, and they are the two most outstanding students in that class. Looking at the severed hand at this moment, her face turns pale. It's not that she has never seen a bloody wound, but ... Severed hands are quite shocking from a close look!

"Hydrogen peroxide is ready! Normal saline is ready!" Jiang Lai said immediately, because he had previously stated in the newspaper that the severed limb does not require any treatment from the patient, as long as it is brought to the hospital, so the severed limb is heavily stained and needs to be disinfected repeatedly.

"Let me do the disinfection, Jiang, prepare for the next step!" Professor Byrne took over the disinfection job.

"Okay." Jiang Lai responded, "Be careful, try not to hurt blood vessels and nerves."

"Don't worry, little guy." Professor Byrne smiled. They had discussed for a long time about issues related to the replantation of severed limbs, so he also wanted to verify it during the operation.

On the side, Sophia had no choice but to hold the suction device as the second assistant, continuously absorbing the mixed liquid of blood and disinfectant, and looked at Jiang Lai's profile when she was free. Such a doctor...

Unparalleled first aid ability, super field control ability, and innovative imagination will play a greater role in their St. Mary's Hospital and save more people.

Jiang Lai, they must win Santa Maria!
……

Jiang Lai didn't know what his first and second assistants were thinking, but looked at Bill's wound and thought about how much tissue would be appropriate to remove, but he had doubts in his heart.

"Why do patients still go to check the machine after the New Year?" In Jiang Lai's impression, foreigners would not work on New Year's Day, so he asked naturally.

"Huaxia is not the New Year." Sophia explained, "The machine in the factory is broken, and he has to go to repair it."

Jiang Lai is helpless, is this the factory of this era?It really is the evil ZBism!
"It turned out that it was the New Year after all, and I drank some wine..." Sophia sighed, "So there was an accident. Thanks to the timely response of the worker next to him, he pulled his hand out and sent it to Santa Maria in time. We immediately The venous access has been established... Otherwise, I'm afraid it won't work."

Jiang Lai was taken aback, was he drinking again?

"The people in the car accident just now, Mr. Louis also drank a lot of alcohol." Jiang Lai added, "These few incidents tell us that it is not easy to live after drinking!"

Bourne: ...Fortunately, I only drank a little at night!

Sophia: ...Fortunately, I don't like drinking!

Zhang Li: ...Fortunately, I am on duty!

After more than ten minutes, Bourne let out a long breath. He cleaned and disinfected the wound, and poured two full bottles of hydrogen peroxide. No matter what, you can't be stingy with medicine at this time.

It's just that he was a little tired. He had stayed up all night, but in the end he had an operation. For a person of his age, it was still a bit strenuous.

Looking at the energetic Jiang Lai again, Bourne had to lament that time flies.

Jiang Lai had already adjusted the microscope, and he felt that the microscope was easy to operate at this time, at least meeting the basic requirements of microsurgery.

"Because some of the blood vessels and nerves in the hands are too small, we only use microscopes. In the future, we can call this kind of surgery-microsurgery!" In addition to the crushed carpal bone, the carpal bone is modified to make it suitable for fixation and regeneration.

"Because of the damage, some tissues are already unusable, including tendons and bones, so we need to clean them up, and we need to repair the bones. After all, we will connect the broken sections." While operating, Jiang Come and explain to these people, "Of course, after the operation is completed, the severed limb will be shortened."

For people of this era, these are novel theories, but they are not difficult to understand.

"So the severed finger you attached before is indeed shorter than the fingers on the other hand!" Sophia suddenly realized.

"Well, but his reconnection conditions are much better than this one, so it's not much shorter, about 0.4 cm." Jiang Lai responded, "Kirschner wire!"

After repairing the wrist bone, Jiang Lai first fixed the wrist joint with Kirschner wires, "In the order of the operation, we usually look at the alignment of the bones first, so the wrist joint is first fixed with Kirschner wires, followed by the tendons. Tendons that affect the patient's flexion function."

Taking over the needle holder with needle thread from Zhang Li, she sewed up the tendon firmly with a loop method, which is extremely comfortable.

Sophia was stunned watching Jiang Lai's operation, she had never seen such a stitching method before.In this day and age, there are not many current surgical suture patterns.

"The tendons are sutured before the blood vessels and nerves begin."

"We usually do the stitching of the vein first."

"Then the radial-ulnar artery."

While suturing, Jiang Lai explained the positions of the sutures. Each anastomosis was beautifully neatly stitched, and everyone was full of admiration.

Just by doing this one hand, Jiang Lai is destined to leave a name in this industry!Not to mention, the technology of replantation of severed limbs brought by him.

……

Time also passed by minute by minute. Outside the operating room where Jiang Lai and the others could not see, the dawn broke the darkness, which meant that a new day had truly arrived, the first day of 1937.

……

In the operating room, seeing Jiang Lai suturing the artery, Professor Byrne loosened the vascular clamp at the proximal end. Visible to the naked eye, the two arteries started beating again.

"It's a magical skill!" Bourne said excitedly, "I am more and more sure that this technology will flourish in our hands!"

"Yes!" Sophia also exhaled. As an experienced doctor, she is too aware of the important role of the surgical technique of replantation of severed limbs.

With the opening of the industrial revolution, the industrial age has developed to a fairly mature stage. Every day, workers have accidents in their jobs... For these countries with a small population, this operation is undoubtedly extremely important .

"And then the nerves."

After Jiang Lai sutured his nerves, his whole body relaxed. He glanced at the clock hanging on the wall, it was just past 9 o'clock!
That is to say, the entire operation only took a little over 5 hours. Such a record will be placed in later generations, and the operation time is considered short. Generally, 6 hours or even 8 hours are common for replantation of severed wrists. of.

"It's over?" Bourne let out a long breath. He felt that he was about to die. "Then I'll step down first... In the end, there should only be skin stitches left, right?"

"Yeah." Jiang Lai nodded, "Dean Sophia should go to rest first."

Sophia shook her head, "Although I'm tired, I'm not sleepy, and I'm even excited! Doctor Jiang, do you know the significance of this technique?"

Jiang Lai carefully inspected the sutured blood vessels and nerves, and after confirming that they were all anastomosed, he raised his head, met Sophia's eyes full of excitement, and said with a smile, "I thought that every advancement in medical technology would be beneficial to patients. They are irreplaceable, as doctors, what we have to do is to save lives, isn’t it?”

Sophia laughed and nodded, "Doctor Jiang, as the dean of Santa Maria Hospital, which is also known as Guangci Hospital, I formally invite you to join us at Santa Maria as the director of surgery at the same level as Luo Dan, and to establish a division Limb replantation technology promotion group, you will be the team leader! Of course, the salary will not let you down!"

　Today is the last day of August, please vote!

　　
　
(End of this chapter)