My medical path
Chapter 152 Conquered by Chen Bo Just Like This
Chapter 152 Conquered by Chen Bo Just Like This
After listening to Chen Bo's opinion, Zhu Bin fully agreed.
For patients undergoing this second surgery, safety is more important than anything else.
However, the operation plan was decided, and two arteries were transplanted, and the one finger vein that was anastomosed before was not enough.
It is best to anastomose the veins at a ratio of one to two, as Chen Bo usually does, that is to say, it is best to anastomose four veins.
In addition to the one that was matched before, there are three more that need to be matched.
If the other two arteries are grafted, four fractures must be anastomosed, that is to say, a total of seven blood vessels must be anastomosed.
The workload is not small!
"Doctor Chen, let's anastomose one side of the blood vessel? This way the two of us won't be so tired..."
At this time Zhu Bin suggested.
If it was another fellow doctor, Zhu Bin would definitely not trust him to anastomose the blood vessels, so he would not make such a suggestion.
But if the other party is Chen Bo, it's different.
"Okay, then Mr. Zhu, you can come first."
Chen Bo readily agreed.
To get the grafted blood vessels, Chen Bo and the others had to find out how long the blood vessels on the other side needed to be. It would be safe to add up to more lengths on both sides.
For vascular grafts in this position, Chen Bo and the others only need to find a superficial vein on the wrist or the back of the hand as the grafted blood vessel, and there is no need to look for it elsewhere.
Because the operation wound was on the palm side, Zhu Bin chose the wrist as the site of the sample this time.
Unlike arteries, veins may have venous valves, and the blood vessels need to be anastomosed in reverse, otherwise the blood flow may be blocked by the venous valves and cannot pass through, which would be Yang Bailao's fault.
When Chen Bo watched Zhu Bin cut out the transplanted blood vessels, he was very careful.
Ligation can be completed before encountering branch vessels every time, and the whole process of sharp cutting reflects Zhu Bin's solid foundation in microscopic technology.
After cutting out the transplanted blood vessels, Zhu Bin divided them into two parts as planned.
After he cleaned up the stump of the artery, Zhu Bin preserved part of the transplanted blood vessel with wet gauze, and the other part was anastomosed.
Anastomosis of this kind of blood vessel is not difficult for Zhu Bin, it is nothing more than the length of time spent and the quality of blood vessel anastomosis.
In Chen Bo's view, Zhu Bin's microscopic technology is undoubtedly excellent.
Zhu Bin's hands are particularly steady, which is of course a necessary condition for the use of microscopic techniques.
If your hands are shaking badly, you won't even be able to hold the needle and thread, so there's nothing else to talk about.
So some people say that a good surgeon is not made by hard work, but born...
Of course, this sentence must be exaggerated, but it does emphasize the importance of talent.
Zhu Bin did the whole process of vascular anastomosis once, without repeated operations, which is really rare.
It took Zhu Bin less than 10 minutes to transplant a blood vessel. This speed is also very good. Chen Bo nodded while watching.
After Zhu Bin's side is finished, Chen Bo's side will be replaced.
According to the plan, Chen Bo needs to transplant an artery and anastomose a vein.
This time it was Zhu Bin who watched it under a microscope.
After Chen Bo quickly cleaned up the vascular stump, he started the vascular anastomosis.
"It's one thing to watch others operate, but it's another thing to operate by yourself", this sentence is usually used on operators who are not as good as others.
But now when Zhu Bin is watching it under a microscope, he thinks that this sentence should be reversed:
"It's one thing to operate by yourself, it's another to watch others operate"...
Because Chen Bo's operation is really pleasing to the eye!
Only those who really have rich experience in micromanipulation can understand Zhu Bin's feelings at this time.
Same as the previous nail flap surgery, Chen Bo adopted the method of eversion mattress suture, and this was the first time Zhu Bin saw Chen Bo use this method.
This method is of course good, but it is difficult to operate, and people who are not very skilled generally use it with caution.
Because of poor use, not only the quality of anastomosis is not good, but also may aggravate the damage of blood vessels.
But now that Zhu Bin sees Chen Bo's matching, he is very envious.
To describe it in one word, Zhu Bin thinks it is--flowing clouds and flowing water!
Chen Bo's whole operation process was so enjoyable that Zhu Bin didn't notice the time until Chen Bo completed the blood vessel transplantation and vein anastomosis.
The whole process took Chen Bo only - 4 minutes!
It really shocked Zhu Bin and felt a little ashamed at the same time...
.....................
After completing the anastomosis of the palmar blood vessels, Chen Bo and the others need to anastomose at least two veins on the dorsal side.
This is also a step-by-step thing.
Because Zhu Bin hadn't seen enough just now, so this time he directly asked Chen Bo to operate.
The two veins were just a matter of convenience in Chen Bo's hands. Because the vein wall is thin, Chen Bo still chose mattress suture for the quality of the anastomosis.
This also greatly satisfied Zhu Bin's desire...
After Chen Bo completed the anastomosis of the last two veins, Zhu Bin asked the patrol nurse to loosen the tourniquet.
The fingers that were a little shriveled just now are full again, and the color immediately turns ruddy...
Exposing and inspecting the transplanted and anastomotic blood vessels just now, Zhu Bin had a small mouth spurting blood and received an injection, while Chen Bo didn't even need a single injection...
Seeing this result, Zhu Bin expressed emotion again:
"Doctor Chen is really talented, I'm not as good as..."
Now that the blood vessels are all fine, it doesn't matter if the two of them are left to suture the wound together.
After the entire operation was completed, Zhu Bin noticed that it only took about 10 minutes from the beginning to the end of the operation...
Zhu Bin remembered what Chen Bo said, and completed the replantation of a severed finger in half an hour.
I didn't believe it before, but I believed it after the nail flap and thumb reconstruction surgery yesterday. This time I verified it again. It is obvious that Chen Bo is humble...
At Chen Bo's current speed, it would take less than half an hour to replant a severed finger.
Now Zhu Bin has started to think in his mind, where can he find such an outstanding talent?
He is already considering whether to strongly recommend Chen Bo to the leader...
Of course, the premise is that Chen Bo must be a graduate student.
In the current affiliated hospital directly under the Provincial Medical College, except for some postgraduate students brought by famous professors who can stay, all others require a Ph.D.
This requirement must be too high for a county hospital doctor...
Chen Bo has just been here for a few days, and this matter is not in a hurry, so Zhu Bin only has this idea for the time being, and has not expressed his idea.
But now Zhu Bin's appreciation for Chen Bo has taken root in his heart.
To Chen Bo, a young junior, Zhu Bin is also different from other trainee doctors, and treats him as a peer...
Of course, Chen Bo himself didn't know the twists and turns in Zhu Bin's mind.
After the operation, Chen Bo was still in a good mood.
There are so many cases in the provincial doctor, which really opened his eyes, and Chen Bo also intends to cherish this rare opportunity.
Some people say that as a doctor, treating diseases can be satisfying in itself.
Chen Bo said that he was right, because now Chen Bo is very satisfied...
(End of this chapter)
After listening to Chen Bo's opinion, Zhu Bin fully agreed.
For patients undergoing this second surgery, safety is more important than anything else.
However, the operation plan was decided, and two arteries were transplanted, and the one finger vein that was anastomosed before was not enough.
It is best to anastomose the veins at a ratio of one to two, as Chen Bo usually does, that is to say, it is best to anastomose four veins.
In addition to the one that was matched before, there are three more that need to be matched.
If the other two arteries are grafted, four fractures must be anastomosed, that is to say, a total of seven blood vessels must be anastomosed.
The workload is not small!
"Doctor Chen, let's anastomose one side of the blood vessel? This way the two of us won't be so tired..."
At this time Zhu Bin suggested.
If it was another fellow doctor, Zhu Bin would definitely not trust him to anastomose the blood vessels, so he would not make such a suggestion.
But if the other party is Chen Bo, it's different.
"Okay, then Mr. Zhu, you can come first."
Chen Bo readily agreed.
To get the grafted blood vessels, Chen Bo and the others had to find out how long the blood vessels on the other side needed to be. It would be safe to add up to more lengths on both sides.
For vascular grafts in this position, Chen Bo and the others only need to find a superficial vein on the wrist or the back of the hand as the grafted blood vessel, and there is no need to look for it elsewhere.
Because the operation wound was on the palm side, Zhu Bin chose the wrist as the site of the sample this time.
Unlike arteries, veins may have venous valves, and the blood vessels need to be anastomosed in reverse, otherwise the blood flow may be blocked by the venous valves and cannot pass through, which would be Yang Bailao's fault.
When Chen Bo watched Zhu Bin cut out the transplanted blood vessels, he was very careful.
Ligation can be completed before encountering branch vessels every time, and the whole process of sharp cutting reflects Zhu Bin's solid foundation in microscopic technology.
After cutting out the transplanted blood vessels, Zhu Bin divided them into two parts as planned.
After he cleaned up the stump of the artery, Zhu Bin preserved part of the transplanted blood vessel with wet gauze, and the other part was anastomosed.
Anastomosis of this kind of blood vessel is not difficult for Zhu Bin, it is nothing more than the length of time spent and the quality of blood vessel anastomosis.
In Chen Bo's view, Zhu Bin's microscopic technology is undoubtedly excellent.
Zhu Bin's hands are particularly steady, which is of course a necessary condition for the use of microscopic techniques.
If your hands are shaking badly, you won't even be able to hold the needle and thread, so there's nothing else to talk about.
So some people say that a good surgeon is not made by hard work, but born...
Of course, this sentence must be exaggerated, but it does emphasize the importance of talent.
Zhu Bin did the whole process of vascular anastomosis once, without repeated operations, which is really rare.
It took Zhu Bin less than 10 minutes to transplant a blood vessel. This speed is also very good. Chen Bo nodded while watching.
After Zhu Bin's side is finished, Chen Bo's side will be replaced.
According to the plan, Chen Bo needs to transplant an artery and anastomose a vein.
This time it was Zhu Bin who watched it under a microscope.
After Chen Bo quickly cleaned up the vascular stump, he started the vascular anastomosis.
"It's one thing to watch others operate, but it's another thing to operate by yourself", this sentence is usually used on operators who are not as good as others.
But now when Zhu Bin is watching it under a microscope, he thinks that this sentence should be reversed:
"It's one thing to operate by yourself, it's another to watch others operate"...
Because Chen Bo's operation is really pleasing to the eye!
Only those who really have rich experience in micromanipulation can understand Zhu Bin's feelings at this time.
Same as the previous nail flap surgery, Chen Bo adopted the method of eversion mattress suture, and this was the first time Zhu Bin saw Chen Bo use this method.
This method is of course good, but it is difficult to operate, and people who are not very skilled generally use it with caution.
Because of poor use, not only the quality of anastomosis is not good, but also may aggravate the damage of blood vessels.
But now that Zhu Bin sees Chen Bo's matching, he is very envious.
To describe it in one word, Zhu Bin thinks it is--flowing clouds and flowing water!
Chen Bo's whole operation process was so enjoyable that Zhu Bin didn't notice the time until Chen Bo completed the blood vessel transplantation and vein anastomosis.
The whole process took Chen Bo only - 4 minutes!
It really shocked Zhu Bin and felt a little ashamed at the same time...
.....................
After completing the anastomosis of the palmar blood vessels, Chen Bo and the others need to anastomose at least two veins on the dorsal side.
This is also a step-by-step thing.
Because Zhu Bin hadn't seen enough just now, so this time he directly asked Chen Bo to operate.
The two veins were just a matter of convenience in Chen Bo's hands. Because the vein wall is thin, Chen Bo still chose mattress suture for the quality of the anastomosis.
This also greatly satisfied Zhu Bin's desire...
After Chen Bo completed the anastomosis of the last two veins, Zhu Bin asked the patrol nurse to loosen the tourniquet.
The fingers that were a little shriveled just now are full again, and the color immediately turns ruddy...
Exposing and inspecting the transplanted and anastomotic blood vessels just now, Zhu Bin had a small mouth spurting blood and received an injection, while Chen Bo didn't even need a single injection...
Seeing this result, Zhu Bin expressed emotion again:
"Doctor Chen is really talented, I'm not as good as..."
Now that the blood vessels are all fine, it doesn't matter if the two of them are left to suture the wound together.
After the entire operation was completed, Zhu Bin noticed that it only took about 10 minutes from the beginning to the end of the operation...
Zhu Bin remembered what Chen Bo said, and completed the replantation of a severed finger in half an hour.
I didn't believe it before, but I believed it after the nail flap and thumb reconstruction surgery yesterday. This time I verified it again. It is obvious that Chen Bo is humble...
At Chen Bo's current speed, it would take less than half an hour to replant a severed finger.
Now Zhu Bin has started to think in his mind, where can he find such an outstanding talent?
He is already considering whether to strongly recommend Chen Bo to the leader...
Of course, the premise is that Chen Bo must be a graduate student.
In the current affiliated hospital directly under the Provincial Medical College, except for some postgraduate students brought by famous professors who can stay, all others require a Ph.D.
This requirement must be too high for a county hospital doctor...
Chen Bo has just been here for a few days, and this matter is not in a hurry, so Zhu Bin only has this idea for the time being, and has not expressed his idea.
But now Zhu Bin's appreciation for Chen Bo has taken root in his heart.
To Chen Bo, a young junior, Zhu Bin is also different from other trainee doctors, and treats him as a peer...
Of course, Chen Bo himself didn't know the twists and turns in Zhu Bin's mind.
After the operation, Chen Bo was still in a good mood.
There are so many cases in the provincial doctor, which really opened his eyes, and Chen Bo also intends to cherish this rare opportunity.
Some people say that as a doctor, treating diseases can be satisfying in itself.
Chen Bo said that he was right, because now Chen Bo is very satisfied...
(End of this chapter)
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