My medical path

Chapter 154 When In Full Swing

After distinguishing the severed fingers and marking them one by one, the operation officially began.

According to the previous plan, Chen Bo and Professor Ning were mainly responsible for anastomosis, and Zhu Bin and Li Chonghuan were mainly responsible for debridement, so the four groups of people officially went into battle.

Because the severed finger has not been cleaned up yet, Chen Bo and Professor Ning will help to deal with the severed finger first.

The injury of the patient's hand was truly desperate. Except for the thumb and little finger, which were three-segment free, the other three fingers were all four-segment free...

The treatment of each segment of the severed finger is very critical. Any problem with any segment will lead to the failure of the entire finger.

So Chen Bo didn't dare to be sloppy, he cleaned up every section very carefully, and Professor Ning and the other two were also engrossed...

Of course, Chen Bo's speed was not comparable to the three of them, and this time Chen Bo didn't hide his clumsiness anymore.

The cleaning of severed fingers is very demanding, and it needs to be cleaned in layers and structures under the microscope.

Because it was a cutting wound, the cross section was flat and relatively clean. Chen Bo and Professor Ning agreed that limited debridement would do.

The so-called limited debridement means that only a thin layer of contaminated tissue is cut off, basically without causing shortening of fingers or joint fusion.

This maximizes the appearance and function of the hand.

The four groups performed the same operation at the same time. Except for the chief surgeon who was concentrating, the assistants were indifferent, and everyone else was watching.

Seeing the operations of the four groups, there is a comparison.

Among the four, there is no doubt that Zhu Bin and Li Chonghuan are almost at the same level, and it takes about 3 minutes for them to debride a fracture.

Chen Bo and Professor Ning were obviously faster.

At this time, Professor Ning's microsurgical skills were fully displayed, and the debridement of a fracture took about one minute to two minutes.

Before the operation, Professor Ning specifically emphasized that in addition to paying attention to the speed of debridement, quality must also be ensured, so the standards of debridement for several people have not been lowered.

This makes Chen Bo very special...

Because everyone saw that Chen Bo couldn't handle a break——

30 seconds!
It is more than twice as fast as Professor Ning...

Those who have never seen Chen Bo's surgery before are all muttering in their hearts:
"Isn't Chen Bo doing a random debridement just to save time? If that's the case, even if the operation is successful, the finger will be necrotic after the operation due to infection..."

Since debridement generally has no technical content, the onlookers are puzzled, but they have no specific concept.

Although all four of them worked hard, it took more than ten minutes to complete the debridement of all severed fingers.

Including the time of soaking the severed finger before, another half an hour passed.

Among them, Chen Bo almost completed the debridement of one finger, Professor Ning completed two more, and Zhu Bin and Li Chonghuan took care of the remaining two fingers.

The two people in the back were puzzled, they had just completed the debridement of a finger, how could they look at the basin, it was almost cleaned up...

The two of them didn't relax at all, they went all out...

………………

After the debridement of the severed finger is completed, it is necessary to string the segments of each severed finger together according to the marks.

This requires a Kirschner wire to be drilled longitudinally from the middle of the bone and strung together like a candied haw...

This step is not difficult for several experienced surgeons.

The real test of skill is the key step of matching.

Each fracture is equivalent to a replantation of a severed finger, and there are many structures that need to be repaired.

Two arteries, four veins, two nerves, and tendons before and after...

According to Professor Ning's previous speed, it would take at least half an hour to match a section.

That is to say, if it goes well, it will take about one and a half hours to complete the anastomosis of the thumb and little finger, and two hours each for the other three fingers.

It will take at least eighteen hours in total, divided into two groups, and each group will need at least nine hours...

This is still the smoothest case, and the actual time spent is only a lot more.

Because with the passage of time, it is impossible for the chief surgeon to maintain an absolutely efficient state.

So it is possible to spend more than [-] hours on trauma like this.

This is also the reason why all members are concentrated, and they have to take turns to play!

But for Professor Ning and Chen Bo, the two chief surgeons are more tested.

The chief surgeon is different from the assistant, and is often irreplaceable.

For this operation, besides Chen Bo, who is currently confirmed as the chief surgeon, Professor Ning can rest assured to perform the operations on Zhu Bin and Li Chonghuan.

But it can be predicted that the speed of the two will definitely drop, and that is something that cannot be helped.

Having to operate for ten hours continuously, Professor Ning knew that he would definitely not be able to bear it.

This kind of operation generally needs to anastomose the middle segments first, and then join hands and tails to ensure the patency of blood vessels.

So Chen Bo and Professor Ning are now starting to anastomose the middle segment, and the assistants at this stage are naturally replaced by Zhu Bin and Li Chonghuan.

So there was a strange scene again, Chen Bo, the doctor who was in training, was the chief surgeon, and the boss Zhu Bin was the assistant...

Now Zhong Xiaofu has no doubts or PK feelings towards Chen Bo at all, and some of them are just like Chen Bo's senior brother Zhou Jin, a little embarrassed, a little ashamed, more admiration and envy...

It was different for other trainee doctors and young doctors who had never seen Chen Bo do it.

Seeing that Zhu Bin, who was already infinitely close to the great professor in their eyes, was attacking Chen Bo, his eyes almost popped out...

But Professor Ning's arrangement first, and Zhu Bin's natural attitude later, they were in no hurry!
"Anyway, he's a quasi-professor, can Mr. Zhu have the awareness of a master?"

"Chen Bo really saved the Milky Way in his previous life, to be treated like this..."

"Although it looks so awkward, I'm so envious..."

"If I can perform this kind of operation once, I will be worth a lot of money in this life..."

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

Of course, Chen Bo didn't know what was going on in the hearts of the audience.

At this time, he really entered the state of concentration, the wisdom system has been activated, and the blood vessels and nerves in the fingers are clearly displayed in front of his eyes.

To anastomose blood vessels and nerves, exposure must first be accomplished.

For Chen Bo, who is a swordsman, this has never been a problem.

Under the eyes of Zhu Bin and the audience, Chen Bo's directness made people tremble.

Because Chen Bo cut very deeply with each knife, and after cutting, he moved the small round knife in his hand left and right...

Others couldn't see why, but Zhu Bin could really see it under the microscope.

Chen Bo's every knife just stopped on the surface of the blood vessel and nerve sheath, and then the left and right movements have completed the partial separation...

What's even more impressive is that Chen Bo didn't make incisions one by one, but made incisions on all the blood vessels and nerves in one finger...

"What does he want to do?"

This is the common question in everyone's mind, including Zhu Bin.

(End of this chapter)