My medical path

Chapter 147 The Curtain Opens

As soon as Professor Ning's words came out, except for Zhu Bin and those who had been in contact with Chen Bo many times, everyone else petrified on the spot.

Professor Ning's arrangement is not surprising, but scary, and it is the kind that can scare people to death.

Liao Shixing, who was also a doctor at the county hospital, arrived a month earlier than Chen Bo.

But when it comes to surgery, let alone the chief surgeon, there is no chance to sew the skin...

Jin was even worse on Wednesday. Although he was Chen Bo's senior brother, he only had one operation.

Moreover, he was disgusted by Professor Ning Qiang, the chief surgeon, which made him depressed for a long time when he returned to the dormitory.

However, on Wednesday, how much Jin heard about the deeds of advanced training from his predecessors, and he knew that it is the lightest thing to be disliked by the professor during the advanced training, and it is normal to be tested by the "lion roar skill" at every turn...

So after going back to learn from the pain, Zhou Jin managed to rekindle his fighting spirit, but found that the song was still left to him...

There is no harm without comparison, and there is inequality instead of poverty.

If everyone was in the same state, Jin Zhoujin's little heart would occasionally have an abnormal rhythm at most, but now he already feels suffocated...

Zhong Xiaofu was also depressed to the point of flying.

As a graduate student of Professor Ning, under the influence of Professor Ning's years of experience, he would actually be a powerful person if he went to the hospital below.

But today he met Chen Bo, so he is destined to be unable to indulge in silky smoothness...

A doctor who came to a county hospital for further training, Professor Ning actually arranged for him to perform the surgery.

However, this regular army of his own is still a striker...

If there is a calculation formula, then he really wants to calculate the dark area in his heart...

Li Chonghuan, who arrived later, was considered to have the better mentality among the crowd.

After all, he is the director's doctor, and he is the deputy chief physician himself, so his status is very good.

His vision was also much wider. Although he was a little surprised that Professor Ning arranged for a trainee doctor to perform the surgery, he was only interested in Chen Bo, and his self-confidence was still full.

Moreover, Li Chonghuan, who has read monographs and literature thoroughly, is very confident in his knowledge reserve.

Li Chonghuan himself also undisputedly got the chance to be the chief surgeon.

Except for Professor Ning, the boss, Zhu Bin, who was present, could catch Li Chonghuan's eyes, and everyone else couldn't see it enough.

After the personnel were assigned, the operation began in full swing.

Because Chen Bo performed the key operation on one foot, the boss Zhu Bin specially arranged Zhong Xiaofu, who was a little more experienced, as his assistant according to Professor Ning's instructions.

This is undoubtedly another deep blow to Zhong Xiaofu...

........................

Unlike nail flap surgery, the requirements for thumb reconstruction surgery are obviously higher.

Before the operation, Chen Bo had a detailed understanding of the patient's condition.

The patient is missing both thumbs at the metacarpophalangeal joints.

According to the defect classification of hand surgery, it belongs to the defect of degree 4, that is to say, the entire thumb is gone.

In this case, a new toe needs to be transplanted.

As usual, the second toe is the first choice for transplantation.

The length of transplantation should be such that the tip of the thumb can reach the proximal interphalangeal joint of the index finger after transplantation, because the thumb of a normal person probably reaches this position.

Professor Ning also made a detailed plan before the operation, and the length has been measured.

The length of the second toe is still slightly insufficient, and the whole joint needs to be taken off to meet the requirement.

This means that in addition to the second toe, a part of the second metatarsal that is associated with it needs to be amputated.

Then remove the 1st metacarpal bone at the joint between the thumb and the hand, and connect the transplanted toe with the 1st metacarpal bone after the metacarpal head was cut off...

Because the length of the interception is relatively long, the free blood vessels and nerves that need to be dissected are also deeper, and the structure is more complicated.

In addition to the blood vessels and nerves, the tendons also need to be dissected out this time.

Because of the reconstruction of the thumb, the tendon is also indispensable.

All four limbs have to be operated on, and the patient must choose general anesthesia.

Professor Ning and Chen Bo were in charge of the preparations for the toe transplant, while Zhu Bin and Li Chonghuan were in charge of the general thumb stump transplant preparations.

At this time, Chen Bo did not have the excitement and excitement of being the chief surgeon. What he thought of was that his team must be established as soon as possible.

If you are in your own hospital, even if you can perform such an operation, you have to perform it on each limb separately, which is equivalent to three times more time.

Now the limbs start at the same time, if the speed can keep up, it will save a lot of time, and the patient's treatment effect will definitely be better.

Today's nurse Chen Shu's work is destined to be no longer easy.

Because the four sides started at the same time, and one side needed four pieces of equipment in total, Chen Shu couldn't stop as the operation started.

What Chen Bo wanted was a small round knife.

There was no problem with the incision line planned by Professor Ning, so Chen Bo made the skin incision according to the line planned by Professor Ning.

The choice of skin incision is similar to that of the nail flap, but try to keep as much skin on the sole of the foot as possible, so more skin on the dorsum of the foot should be cut.

This is the first time Zhong Xiaofu has partnered with Chen Bo. Although he feels awkward, he still possesses the basic qualities of a surgeon.

So when Chen Bo cut his skin open with a single knife, he wiped the blood as soon as he should, and the hook was still the hook, and the work did not fall.

Same as before, Chen Bo still chose the one-shot style.

The whole layer of skin was cut directly with one knife, but the underlying blood vessels and nerves were not injured.

Seeing Zhong Xiaofu was a little dazed...

This time, according to Professor Ning, at least two arteries must be anastomosed on each side of the reconstructed thumb, that is, one anastomosis on the palm side and one on the back side, just like the nail flap surgery.

Chen Bo chose to dissect the blood vessels, nerves and tendons in the sole of the foot first.

After Zhong Xiaofu's hook exposed the incision, Chen Bo's operation finally entered the fast lane.

Under the scanning of the intelligent system, the patient's local anatomy is clearly presented in front of Chen Bo...

Next, Zhong Xiaofu's little heart was beating incessantly following Chen Bo's operation...

Because he saw Chen Bo directly inserting a scalpel, he pushed it longitudinally along the border of the nerve and blood vessels, and almost lost most of the handle of the knife...

In the process of propulsion, I stab it back and forth from time to time, and turn it around...

"Isn't he afraid of hurting neurovascular?"

As soon as Zhong Xiaofu's doubts arose, he saw Chen Bo's second knife pushed in again...

A total of four times like this, Chen Bo took out the scalpel, and then asked nurse Chen Shu for a ligature.

This time Zhong Xiaofu finally saw clearly, and his eyes gradually enlarged...

The eyes are full of incredible!

Because he could clearly see at this time that after Chen Bo's four cuts, the blood vessels and nerves on both sides of the second toe had been freed...

(End of this chapter)