My medical path

Chapter 143 Nail Flap Surgery

Today Wednesday, Chen Bo showed up in the operating room early.

Chen Bo's bed was taken in and out of the hospital again yesterday.

The two children with thumb deformity have been discharged from the hospital, and two patients with finger problems have been replaced.

Chen Bo was very interested in these two patients.

One is Zhao Xinshu, a piano artist, with a missing distal thumb on the right hand, and the other is Zhu Jianrong, with both thumbs missing.

Both are tissue defects caused by trauma.

The former function has no effect, but because I am a piano artist, I have clear requirements for the appearance of my opponent, so I want to improve the partial appearance through surgery.

The latter is missing both thumbs, which seriously affects the function of the hand, so I want to improve the function through surgery.

The thumb plays an important role in the function of the hand. If the thumb is gone, the function of the human hand will be lost by at least 60.00%.

In particular, Zhu Jianrong also made a joke with Chen Bo, he said that without a thumb, it would be impossible to give others a thumbs up...

Because of the other fingers, the index finger is for provocation, the middle finger is for demonstration, and the little finger is for contempt, and it is not appropriate to stand it up...

Two patients were admitted yesterday and operations have been scheduled for today.

The first one performed Zhao Xinshu's surgery.

When Chen Bo had a pre-operative talk with her yesterday, what Zhao Xinshu was most concerned about was the anticipation of the operation.

Because she was missing half of the distal part of her right thumb, and she happened to be missing nails. For a woman who loves beauty, especially for those who work in a special nature, the desire for surgery is strong.

Chen Bo also told her the truth that the operation has a high success rate in general, but it belongs to tearing down the east to make up for the west.

According to the plan set by Professor Ning Qiang, this patient is scheduled to use the nail flap with the nail bed transferred to the position of the thumb for repair.

At that time, Zhao Xinshu's toe will definitely be missing a part, and after moving it, there will be scars on the thumb.

But Zhao Xinshu is very determined, scars are better than missing nails, so she herself is looking forward to this operation.

Of course, Chen Bo did not forget to remind the risks of the operation. After all, no one can guarantee this kind of operation, and Zhao Xinshu also expressed his understanding.

Today, Professor Ning Qiang is the chief surgeon. As the deputy director of the department, Professor Ning Qiang is good at various flap operations.

Besides the boss Zhu Bin, Professor Ning Qiang also brought his graduate student Zhong Xiaofu to the stage as assistants.

Zhong Xiaofu stayed in the Department of Traumatology and Hand Surgery after graduating from graduate school, and now he has been working as an attending doctor, and he can be regarded as a member of the regular army.

As a bed doctor, Chen Bo also had the opportunity to learn on stage.

Professor Ning Qiang is different from Professor Ding Wei, the former looks obviously more serious.

Because he had never dealt with Chen Bo before and knew that Chen Bo was a doctor in training, when Ning Qiang walked into the operating room, he just nodded to Chen Bo and didn't speak.

The preparation for the operation was completed by Zhu Bin and Chen Bo.

Because the transfer of tissues requires nerves and blood vessels, it is very important to evaluate the condition of the toes used for transplantation before the operation.

Such patients need to use Doppler ultrasonography to conduct a comprehensive scan of the local blood vessels of the feet in detail before the operation, mainly to clarify the direction of the blood vessels and whether there are any variations.

After the blood vessels are scanned, they need to be marked.

At this time, before the operation was sterilized, as the chief surgeon, Professor Ning Qiang had to reconfirm Zhu Bin's pre-operation preparations as a habit.

Then draw a schematic diagram of the surgical incision by yourself.

The key to flap surgery lies in the design, so this step is very critical.

Because Professor Ning Qiang did not speak, Chen Bo also kept quiet, staring at the operation diagram drawn by Professor Ning.

I have to say that professional professors are indeed unique.

It can be seen from the schematic diagram drawn by Professor Ning Qiang and Chen Bo that the design is very reasonable.

A surgical schematic diagram can generally reflect the surgeon's surgical thinking, especially the design of the flap.

Every element such as the size, shape, and position of the flap is the key to the success of the operation.

It is no exaggeration to say that a doctor who does a good job of skin flap surgery is an artist himself.

"Doctor Chen, have you ever done this kind of surgery down here?"

When preparing for the operation, Zhu Bin looked at Chen Bo and asked.

From the first day Chen Bo came to the present, the shock that Chen Bo brought to Zhu Bin was really overwhelming, so he couldn't help asking this question.

As soon as this question came out, it immediately attracted the attention of everyone in the operating room.

Although Professor Ning Qiang didn't turn around, he still listened to the question.

For Professor Ning, this operation is a specialty in his professional field, but for the doctors who come to study next, whether they have seen it or not is a problem.

So he actually felt a little puzzled when Zhu Bin suddenly asked such a question.

Of course, Zhu Bin didn't believe that the hospital below could carry out such a complicated operation, but he saw too many differences from Chen Bo, so he wasn't too sure.

"Mr. Zhu, I haven't done it. I haven't encountered this type of patient so far. I have taken some of my severed fingers."

Chen Bo told the truth.

Hearing Chen Bo's answer, Zhu Bin obviously breathed a sigh of relief, he was really afraid that Chen Bo's answer would be "often"...

Professor Ning Qiang and Zhu Bin have different concerns.

After hearing Chen Bo's answer, Professor Ning Qiang was moved because he heard the hidden meaning in Chen Bo's words.

Broken fingers, representing the field of microscopy, have been done by Chen Bo, and there are quite a few of them, and the success rate is estimated to be not low...

In other words, Chen Bo's microscopic technique is acceptable.

Then, Chen Bo did say that he had never done it for patients who needed to have nail flaps.

But Chen Bo's expression is very interesting. It's not that he doesn't understand, but that he hasn't encountered...

This is a bit intriguing.

"How many blood vessels did you connect when you cut off your finger? How long does it take to connect a severed finger?"

At this time, Professor Ning Qiang, who was a little serious, suddenly asked.

Professor Ning did not address Chen Bo by his name, nor did he address him as "Dr. Chen", but directly used "you". Apart from Professor Ning's personality, it was actually a bit contemptuous.

A young doctor at the county hospital said that he could do finger amputation surgery. Professor Ning Qiang actually had doubts in his heart.

"Mr. Ning, I usually make two movements and four quiet ones. I'm not fast. It will take about half an hour..."

Chen Bo is undoubtedly keeping a low profile. In fact, at his speed, it takes no more than 10 minutes to catch a severed finger.

"puff……"

As soon as Chen Bo finished speaking, both Zhu Bin and Professor Ning's graduate student Zhong Xiaofu almost spit out a mouthful of old blood.

"Will you die if you don't brag?"

At this time, both of them had this idea in their hearts.

Even in the provincial hospital, if so many blood vessels are connected, there are not many doctors who can take a severed finger off in an hour...

The half an hour that Chen Bo said could only be realized if Professor Ning Qiang cooperated well with the team.

It took half an hour for Chen Bo to open his mouth, and he didn't know whether he had thought about it, so Zhu Bin and Zhong Xiaofu felt that Chen Bo had already boasted to the sky.

Professor Ning, who was seriously drawing lines, paused for a moment when he heard Chen Bo's answer. What Zhu Bin and the others didn't notice was that Professor Ning's eyes were more serious...

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(End of this chapter)