My medical path
Chapter 157 Chapter 156
Chapter 157 Chapter 156
In just 10 minutes, Chen Bo completed the anastomosis of the five segments of severed fingers, and the speed is really amazing...
After completing the arterial anastomosis, the next step for Chen Bo to complete is the anastomosis of the veins.
Calculated by anastomosis of four veins for each fracture, Chen Bo needs to anastomose a full 72 veins!
If many doctors take 10 minutes to suture each vein, it will take twelve hours to anastomose these veins alone.
Even if it is a very good doctor, based on 5 minutes, it will take a full six hours...
Therefore, in the face of such near-destructive hand trauma, not many people have the courage to anastomose so many blood vessels.
First of all, whether technology can keep up is one thing, but whether it can survive is another matter.
Even if the surgeon survives, the risk of infection will increase if the time is too long. Once infected, it is likely to be nothing...
Before there was a system, Chen Bo could only feel helpless in the face of this kind of trauma, unable to do anything about it.
But now Chen Bo's mentality has quietly changed unconsciously.
Now Chen Bo thinks more about a responsibility...
At the beginning of owning a smart system, what Chen Bo wanted most was to get rich and feel proud...
But during this period of time, one patient after another was cured through the intelligent system, and he truly felt the gratitude of the patients from the heart. Only then did Chen Bo feel the heavy responsibility brought to him by the system.
So Chen Bo made up his mind to take down the small highland of the vein...
........................
At Chen Bo's speed, it takes about 1 minute to anastomose one vein, which means that it takes more than an hour to anastomose all the veins.
The whole process takes more than an hour, which means that Chen Bo needs to maintain a state of concentration for more than an hour, which is also a big challenge for Chen Bo.
So Chen Bo made up his mind to break through his own speed.
At this time, Zhu Bin discovered that, unlike the arterial anastomosis, Chen Bo chose to anastomose the vein from the distal end to the proximal end...
Combining the changes made by Chen Bo and Chen Bo's experience of anastomosis of arteries just now, Zhu Bin seems to have grasped a clue.
Arterial blood is supplied from the proximal end to the distal end, but the vein is just the opposite, going from the distal end to the proximal end.
That is to say, if Chen Bo anastomoses from the far end to the proximal end, he will loosen the tourniquet at the last cut...
The backflow of blood can flush the lumen of the vein!
Thinking of the thoughtfulness contained in this small change, Zhu Bin felt deep admiration for Chen Bo!
After the technology has reached a certain level, it is the handling of details, and Chen Bo is undoubtedly the best in this regard.
The continuous vascular anastomosis is mechanical and boring, but Zhu Bin is watching it with great interest...
It has been many years, Zhu Bin has never experienced this kind of feeling that makes the pores of his whole body permeate with desire for knowledge...
.....................
At this time, Professor Ning has completed the anastomosis of the thumbs and started the anastomosis of the index fingers.
Stimulated by Chen Bo's speed just now, Professor Ning almost lost his mind.
After adjusting his mentality in time, Professor Ning regained his state.
As a well-known professor in the province, Professor Ning also has his own pride.
When he was young, he showed his sharpness, but now he is middle-aged, Professor Ning is still ambitious...
So he is throwing knives everywhere now, and people who don't know will think that he is doing it for the consultation fee.
In fact, at the level of Professor Ning, money is no longer his primary concern.
What he pursues is the need for self-actualization that Maslow's needs theory says.
Mastering top-notch microsurgical techniques, Professor Ning has the courage to challenge world-class experts.
Now he actually found such an awesome trainee doctor like Chen Bo in his own hospital, which of course aroused Professor Ning's fighting spirit.
So Professor Ning has quickly recovered his rhythm after a brief absence.
Even Li Chonghuan, who helped Professor Ning, felt that Professor Ning was different from usual:
Professor Ning's operation is obviously compact now...
........................
Chen Bo's efforts were not in vain, 72 veins, after Chen Bo completed the last anastomosis, this time Chen Bo himself checked the time.
"Well, it's okay, but it feels like five to 10 minutes to sew up 72 veins is still a bit long..."
Chen Bo muttered to himself, he didn't notice that the opposite boss Zhu Bin almost spit out a mouthful of old blood!
"What do you mean is okay? What do you mean it takes five to 10 minutes to anastomose 72 veins and it takes a long time? Can you do it alone..."
Hearing Chen Bo's muttering, Zhu Bin had the urge to beat Chen Bo to death.
10 veins were anastomosed in 72 to 42 minutes, and the average anastomosis time for each vein was about [-] seconds, which was unmatched by Zhu Bin.
This also included the time when Chen Bo loosened the tourniquet to observe the blood return...
Generally, the operator needs to clamp the blood vessel with a vascular clip to temporarily block the blood flow.
But for this kind of patients, the vascular injury itself is very serious, and each segment of the blood vessel is only so long, and the use of vascular clips will aggravate the vascular injury.
Therefore, Chen Bo and Professor Ning did not use vascular clips when they chose to transplant.
However, the use time of the tourniquet is limited. Generally, it should be controlled within one hour to one and a half hours before it is loosened. If you need to continue to apply it, you have to wait for more than ten minutes.
Under special circumstances, it can be used continuously for two hours, but nerve numbness is prone to occur after surgery, and it may take a period of recovery.
Chen Bo's current use time has reached 10 minutes, so after completing all the anastomosis of veins, Chen Bo asked the roving nurse to loosen the tourniquet.
Then hemostasis was carefully performed on some small blood vessels on the edge of the skin.
At this time, Chen Bo's side became the focus of the eyes of the bystanders in the operating room.
As soon as the tourniquet was loosened, the blood from the heart re-entered Chen Bo's anastomotic severed finger.
The originally shriveled fingertips instantly filled up, and the color also became rosy...
Seeing that the five fingers had returned to normal color, assistant Zhu Bin's lips trembled slightly with excitement, and there were a few tears in his eyes...
This is a moment worth remembering. Zhu Bin himself participated in it, and he felt unprecedentedly honored!
The eyes of the other onlookers were full of disbelief, their mouths opened into a big O-shape, conservatively guessing that stuffing a duck egg would be no problem...
........................
"Bang bang bang..."
Before everyone's expression management could keep up, they heard the sound of intensive collisions, and the mobile phones that several people were holding in their hands came into close contact with the ground...
Chen Bo smiled when he saw the phone that fell on the ground...
The family status of these buddies who dropped their mobile phones is probably worrying, right?
To choose such an extreme method of self-harm...
(End of this chapter)
In just 10 minutes, Chen Bo completed the anastomosis of the five segments of severed fingers, and the speed is really amazing...
After completing the arterial anastomosis, the next step for Chen Bo to complete is the anastomosis of the veins.
Calculated by anastomosis of four veins for each fracture, Chen Bo needs to anastomose a full 72 veins!
If many doctors take 10 minutes to suture each vein, it will take twelve hours to anastomose these veins alone.
Even if it is a very good doctor, based on 5 minutes, it will take a full six hours...
Therefore, in the face of such near-destructive hand trauma, not many people have the courage to anastomose so many blood vessels.
First of all, whether technology can keep up is one thing, but whether it can survive is another matter.
Even if the surgeon survives, the risk of infection will increase if the time is too long. Once infected, it is likely to be nothing...
Before there was a system, Chen Bo could only feel helpless in the face of this kind of trauma, unable to do anything about it.
But now Chen Bo's mentality has quietly changed unconsciously.
Now Chen Bo thinks more about a responsibility...
At the beginning of owning a smart system, what Chen Bo wanted most was to get rich and feel proud...
But during this period of time, one patient after another was cured through the intelligent system, and he truly felt the gratitude of the patients from the heart. Only then did Chen Bo feel the heavy responsibility brought to him by the system.
So Chen Bo made up his mind to take down the small highland of the vein...
........................
At Chen Bo's speed, it takes about 1 minute to anastomose one vein, which means that it takes more than an hour to anastomose all the veins.
The whole process takes more than an hour, which means that Chen Bo needs to maintain a state of concentration for more than an hour, which is also a big challenge for Chen Bo.
So Chen Bo made up his mind to break through his own speed.
At this time, Zhu Bin discovered that, unlike the arterial anastomosis, Chen Bo chose to anastomose the vein from the distal end to the proximal end...
Combining the changes made by Chen Bo and Chen Bo's experience of anastomosis of arteries just now, Zhu Bin seems to have grasped a clue.
Arterial blood is supplied from the proximal end to the distal end, but the vein is just the opposite, going from the distal end to the proximal end.
That is to say, if Chen Bo anastomoses from the far end to the proximal end, he will loosen the tourniquet at the last cut...
The backflow of blood can flush the lumen of the vein!
Thinking of the thoughtfulness contained in this small change, Zhu Bin felt deep admiration for Chen Bo!
After the technology has reached a certain level, it is the handling of details, and Chen Bo is undoubtedly the best in this regard.
The continuous vascular anastomosis is mechanical and boring, but Zhu Bin is watching it with great interest...
It has been many years, Zhu Bin has never experienced this kind of feeling that makes the pores of his whole body permeate with desire for knowledge...
.....................
At this time, Professor Ning has completed the anastomosis of the thumbs and started the anastomosis of the index fingers.
Stimulated by Chen Bo's speed just now, Professor Ning almost lost his mind.
After adjusting his mentality in time, Professor Ning regained his state.
As a well-known professor in the province, Professor Ning also has his own pride.
When he was young, he showed his sharpness, but now he is middle-aged, Professor Ning is still ambitious...
So he is throwing knives everywhere now, and people who don't know will think that he is doing it for the consultation fee.
In fact, at the level of Professor Ning, money is no longer his primary concern.
What he pursues is the need for self-actualization that Maslow's needs theory says.
Mastering top-notch microsurgical techniques, Professor Ning has the courage to challenge world-class experts.
Now he actually found such an awesome trainee doctor like Chen Bo in his own hospital, which of course aroused Professor Ning's fighting spirit.
So Professor Ning has quickly recovered his rhythm after a brief absence.
Even Li Chonghuan, who helped Professor Ning, felt that Professor Ning was different from usual:
Professor Ning's operation is obviously compact now...
........................
Chen Bo's efforts were not in vain, 72 veins, after Chen Bo completed the last anastomosis, this time Chen Bo himself checked the time.
"Well, it's okay, but it feels like five to 10 minutes to sew up 72 veins is still a bit long..."
Chen Bo muttered to himself, he didn't notice that the opposite boss Zhu Bin almost spit out a mouthful of old blood!
"What do you mean is okay? What do you mean it takes five to 10 minutes to anastomose 72 veins and it takes a long time? Can you do it alone..."
Hearing Chen Bo's muttering, Zhu Bin had the urge to beat Chen Bo to death.
10 veins were anastomosed in 72 to 42 minutes, and the average anastomosis time for each vein was about [-] seconds, which was unmatched by Zhu Bin.
This also included the time when Chen Bo loosened the tourniquet to observe the blood return...
Generally, the operator needs to clamp the blood vessel with a vascular clip to temporarily block the blood flow.
But for this kind of patients, the vascular injury itself is very serious, and each segment of the blood vessel is only so long, and the use of vascular clips will aggravate the vascular injury.
Therefore, Chen Bo and Professor Ning did not use vascular clips when they chose to transplant.
However, the use time of the tourniquet is limited. Generally, it should be controlled within one hour to one and a half hours before it is loosened. If you need to continue to apply it, you have to wait for more than ten minutes.
Under special circumstances, it can be used continuously for two hours, but nerve numbness is prone to occur after surgery, and it may take a period of recovery.
Chen Bo's current use time has reached 10 minutes, so after completing all the anastomosis of veins, Chen Bo asked the roving nurse to loosen the tourniquet.
Then hemostasis was carefully performed on some small blood vessels on the edge of the skin.
At this time, Chen Bo's side became the focus of the eyes of the bystanders in the operating room.
As soon as the tourniquet was loosened, the blood from the heart re-entered Chen Bo's anastomotic severed finger.
The originally shriveled fingertips instantly filled up, and the color also became rosy...
Seeing that the five fingers had returned to normal color, assistant Zhu Bin's lips trembled slightly with excitement, and there were a few tears in his eyes...
This is a moment worth remembering. Zhu Bin himself participated in it, and he felt unprecedentedly honored!
The eyes of the other onlookers were full of disbelief, their mouths opened into a big O-shape, conservatively guessing that stuffing a duck egg would be no problem...
........................
"Bang bang bang..."
Before everyone's expression management could keep up, they heard the sound of intensive collisions, and the mobile phones that several people were holding in their hands came into close contact with the ground...
Chen Bo smiled when he saw the phone that fell on the ground...
The family status of these buddies who dropped their mobile phones is probably worrying, right?
To choose such an extreme method of self-harm...
(End of this chapter)
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