medical simulator

Chapter 152 Great Horror! (Please subscribe!)
Chapter 150 The Great Terror

Cai Dongfan was cursing, he was angry inside and out, and his breathing became a lot heavier.

Zhou Cheng pursed his lips and ran to the elevator behind Cai Dongfan, saying, "Teacher Cai, why don't you go and see Tan Min's brother, and tell the doctor there that there is nothing you can do. I'll go to Teacher Tan Yuanwu's operating room first." Waiting for you."

"After all, the consultation form has been sent." Zhou Cheng suggested.

I hope Cai Dongfan will finish the procedure.

Cai Dongfan glanced at Zhou Cheng angrily: "Why did I go to see him, and I didn't sign the consultation form! If I didn't sign, it means I can't come, it's none of my business?"

But despite saying this, Cai Dongfan still directly called the medical department of No. [-] Hospital, and said sharply: "Chief Dou, please help me return the consultation form issued by the county hospital, and say that there is nothing I can do."

"They sent the wrong target department. The hand surgery department in our hospital is the Department of Orthopedics, and Director Zeng is also in charge."

Dou Chengpeng is in a good mood recently, because the business volume of the Eighth Hospital has been booming recently, and the number of emergency calls and patients has increased slightly. In addition, he also helped the police station and got a letter of thanks from them. .

Nowadays, there are even outer courts turning to the Eighth Hospital for consultation. This is something he is extremely willing to see.

However, now that Cai Dongfan wanted to reject the consultation form, he asked, "Director Cai, what's the situation? The county hospital belongs to our lower-level brother unit, and we still need to help where we need to help."

Dou Chengpeng naturally knew that before that, Cai Dongfan led people to perform the limb salvage surgery.

Now the chief, Bu Chaodong, is still in the hospital as a family member. Although he failed to keep the chief's cub, he did his best to keep one.And I heard that the young hero in Yan Haihan's team is recovering pretty well.

Now that Cai Dongfan wants to refuse, something must have happened.

Cai Dongfan swallowed his saliva while pressing the elevator continuously, "Chief Dou, please help me refuse, just say I can't leave, I'm not in the hospital, or I'm drunk, whatever. Various reasons It will be all right."

Resolute attitude.

"Okay. Director Cai, then you should do your own work first." Dou Chengpeng didn't say much.

The consultation form from the outer hospital will be sent over. Although it is an honor of the hospital, the consultation form that refers to the name depends on whether the designated person is willing to go.

This is not a patient in the Eighth Hospital, Cai Dongfan can just find any reason to refuse it.

Although doing so may affect the relationship between brother units, but?Dou Chengpeng can only respect Cai Dongfan's own ideas.

Zhou Cheng stood aside, pursed his lips, and said nothing more.

After Cai Dongfan hung up the phone, the elevator just arrived. Cai Dongfan led Zhou Cheng to squeeze up, and a group of people squeezed until the elevator was overweight.

Neither of them spoke. When they reached the operating room, which is the second floor of the surgery building, Zhou Cheng and Cai Dongfan got off the elevator and explained to Zhou Cheng: "Xiao Zhou, I didn't mean to scold you just now. It's just that I really mean it." I don't want to see that stupid son."

"Although I know that from your point of view, he is now a patient. It is not him who hurt my friend, but his father. He is innocent."

"You have a good relationship with Tan Min, but as far as I'm concerned, Tan Yuanwu was injured. Whether it's private or public, I will go to see him as soon as possible. I can do my best, but I can't."

"I'm also willing to lose my temper incompetently, whatever."

Zhou Cheng looked at Cai Dongfan and nodded.

Cai Dongfan has always been a man of temperament, but Zhou Cheng rarely sees Cai Dongfan's true temperament.

Well, it seems that this Tan Yuanwu has a very close relationship with Cai Dongfan. Although Cai Dongfan is a bit fierce in his daily life, he also goes straight with Yan Hanhan, but when it comes to serious things, he still knows how to advance and retreat!
Now for Tan Yuanwu, he even ignored the doctor's duty.

What procedure, what is serious, what should be.All gone.

The operating rooms of all hospitals are similar, basically the changing room is separated from the operating room upstairs and downstairs, so when Zhou Cheng and Cai Dongfan finished changing and walked up to the operating room floor, they heard an old lady crying loudly at the door.

"A crime!"

"God, if my old bone does something wrong and offends you, you will take my life away!"

"What am I doing to torture my grandson and my son?!"

"A sin."

"..."

This sounded like Tan Yuanwu's mother, Tan Min's grandma who had passed out, and the voice was heart-piercing.

Cai Dongfan didn't stop, and walked directly to the operating room that he had called to inquire about.

After hearing this, Zhou Cheng stopped for a while, sighed a little, shook his head slightly, and continued to follow behind Cai Dongfan.

Soon, the two of them came to Room 12 of the operating room, where everyone was startled and in chaos.

A group of strangers were walking around, and some nurses were shouting, "Blood has been prepared, is the blood drawn yet? I have all the tubes here, and I need to print the barcode quickly."

"Is it signed?"

"Director Chen, are you guys doing this operation?"

"..."

Cai Dongfan entered, and then walked to the operating table. He saw the man on the table with a pale face and frowning. It seemed that the pain had just begun to recover and spread.

Zhou Cheng also took the opportunity to look at the unmasked Tan Yuanwu——

Well, the palm of his left hand had been cut to the point where only the skin remained, and it was drooping. The metacarpophalangeal joint of the ring finger and the second phalanx of the middle finger were cut off on an oblique plane.

In addition, the palm of the right hand is also shaking unsteadily.

On the arm of the left hand, there is a deep wound where the bone can be seen...

Where is this cut off?This is simply being killed!

After Zhou Cheng looked at it, he blinked his eyes a little. It was on his hands and arms, and it happened several times.

But if any of the strokes were directed towards the neck, it is estimated that Tan Yuanwu's banquet can start to be organized now.

Tan Yuanwu's brother is really talented, Zhou Cheng couldn't help but think to himself, it's a good thing he and others have not arrived yet, otherwise, the one lying on the operating table now, could it be the one between himself and Cai Dongfan?
"Director Cai, are you here?" At this moment, Tan Yuanwu was lying flat, and someone began to wash his injured wound, but he was not under general anesthesia, but two anesthesiologists were working on the brachial plexus. Block anesthesia, just doesn't seem to be fully anesthetized yet.

So he was conscious, saw Cai Dongfan's iconic small eyes, and recognized them.

Hearing Tan Yuanwu's words, Chen Kelong raised his eyebrows and glanced at Cai Dongfan, stepped aside quickly, handed over the washing job to his subordinates, and straightened up: "Director Cai, you are here."

"My side." Naturally, Chen Kelong also knew Cai Dongfan. After all, he was in the orthopedic circle of Shaxian County. Recently, Cai Dongfan's name even went out of the Eighth Hospital, and basically all the township hospitals knew about it.

Cai Dongfan just nodded slightly to Chen Kelong, and then asked Tan Yuanwu, "Yuanwu, what's going on?"

"How did this happen?"

Tan Yuanwu took a deep breath, his face darkened slightly, and he shrunk his neck a little, but this time, he was scolded by the anesthesiologist: "Don't move, the needle will break if you move again!?"

Tan Yuanwu froze quickly, and said with a wry smile, "Director Cai, I'm sorry, but I let you see a joke. It's a mess. I can't open my mouth."

"Director Cai, why don't you go and see my nephew first? Look at his legs."

The family ugliness is not publicized, and it was his own brother who hurt him, who grew up in a blanket.Although he was married, blood is thicker than water. If it wasn't for the truth, he wouldn't believe it if he killed Tan Yuanwu. He even stretched out his hand to stop him, but his brother was able to pull the knife down.

And more than once!
"I'll see his ass!" Cai Dongfan scolded.

Then he didn't seem to want to say any more, the corners of his mouth twitched for a moment, then he turned to Chen Kelong and said, "Director Chen, Yuan Wu, are you going to do it yourself, or hire someone to do it?"

Chen Kelong blinked his eyes a little, and replied cautiously: "Director Cai, what do you think should be done in the current situation? The hand surgery department in our department currently only has one set of instruments."

"How about transferring out after doing a debridement?"

Chen Kelong knew Cai Dongfan, and even more knew that Tan Yuanwu was the matchmaker between Cai Dongfan and his wife, and they walked around a lot on weekdays.So after Tan Yuanwu's nephew was injured, Tan Yuanwu called Cai Dongfan himself.

Although the orthopedics department here is divided into departments, and Chen Kelong's second orthopedics department is not involved in the spine, hand surgery is also his specialty.

But this is a replantation of a severed palm. He, Chen Kelong, dare not do it. What he dares to do on weekdays is tendon suturing.

Even if Cai Dongfan could do it, he only had this set of equipment, so what about the other hand?
"Transferring out after debridement will affect the recovery after replantation. I will make a call to see if I can ask someone to come and help."

Cai Dongfan said decisively: "By the way, Director Chen, can you find another set of equipment from the equipment dealer? If not, can you borrow one from the nearest hospital?"

"The situation here is that both sides must start working at the same time."

Cai Dongfan will not know how to replant a severed finger, but he still knows the basic principles, the sooner it can be done, the better.

Chen Kelong's face darkened slightly, and he nodded quickly: "Yes, I can get this in half an hour, and there is a set at the Chinese Medicine Hospital."

There are special instruments for hand surgery, and even ultramicrosurgery instruments, but you can't find them in Shaxian No. [-] Hospital.

After Cai Dongfan finished the phone call, it seemed that the other party felt that the journey was a bit far away or something, or that he was temporarily unavailable, so his face was a little ugly.

But he still asked Tan Yuanwu: "Do you feel any other discomfort? You are a doctor yourself, don't make a mess under the lights, and ruin your life."

Tan Yuanwu shook his head: "The doctor of the general surgery department has already seen it, and temporarily performed a CT of the chest, abdomen and head, and found no internal organ damage or head trauma."

"Director Cai, I don't have any other questions. Why don't you go and see my nephew?" Tan Yuanwu said in a pleading tone.

"Why do you care about him?" Cai Dongfan scolded Tan Yuanwu.

The corner of Tan Yuanwu's mouth twitched, and then he moved his buttocks: "After all, I watched it grow up, my uncle is like a father. Director Cai, please excuse me."

It seemed that he was going to stand up and bow to Cai Dongfan.

Upon hearing this, Cai Dongfan stuffed his phone into his trouser pocket, pointed at Tan Yuanwu's head and cursed, "Be quiet, don't move, I'll go."

"You act like your own son, that's why your brother didn't blink when he chopped you up." Cai Dongfan muttered.

Everyone didn't laugh at this joke, and knew that ordinary people couldn't make it like that.

When Tan Yuanwu wanted to say something, Cai Dongfan said, "Don't talk. Can't I go and see?"

"Xiao Zhou, you just stay here to help, everything is under Director Chen's command."

Zhou Chengcheng nodded and said obediently, "Okay."

Not long after Cai Dongfan left, two people from the anesthesiology department said, "The anesthesia is ready, so we can start quickly."

Only then did Chen Kelong and the others start to disinfect, and there were only three people left in the department, and they could only be divided into two teams if they were split!

There are nine people in the department, one must be on duty in the ward, Tan Yuanwu is lying on the hospital bed, and the other four are still operating on Tan Yuanwu's nephew.But there are only three people?

So Chen Kelong looked at Zhou Cheng and asked, "Xiao Zhou, can you do debridement? The debridement of this shoulder is relatively simple. I'll arrange a patrol nurse for you. Can you do it?"

Chen Kelong is also unavailable.

The debridement of the broken palm requires an extremely tacit cooperation, so he didn't dare to let Zhou Chenglai be his assistant, so he planned to let Zhou Cheng go to the left arm to do it. It doesn't need to be quick, as long as he can stop the bleeding or something. .

There was no way, even though Tan Yuanwu was hacked by his brother, the person in the department who went to operate on his nephew still couldn't take it back.

I only hope that Cai Dongfan can replace someone sooner.

Zhou Cheng hesitated for a moment, then nodded.

Said: "If it is debridement, it should be fine."

Chen Kelong said: "Okay, then we will operate directly."

"Xiao Zhou, you come to the debridement of the left arm, Lao Bi, you come to the debridement of the right palm, Liu Yong, follow me to do the replantation of the severed finger!"

"Traveling, immediately call the nurse's station of the Department of Orthopedics and tell them that if Director Mi comes back, invite him to the operating room." Chen Kelong gave some instructions, and immediately started the operation.

The itinerant nurse said yes.

Director Mi is the director of the first department of orthopedics, and Chen Kelong is the director of the second department of orthopedics. Similar to the No. [-] Hospital, Director Mi is the chief director of the department of orthopedics, mainly in charge of spinal surgery, but before the division, Director Mi is still omnipotent.

Chen Kelong only pulled Tan Yuanwu's hand completely away, and his face changed: "Only the middle finger and ring finger of the left hand were broken, but the little finger and index finger were also cut, reaching the bone. The palm of the right hand is gone."

"What the hell is a hatred, what a grievance." Chen Kelong cursed.

Although Xun Xun gossiped, he didn't dare to speak. After all, Tan Yuanwu was still awake.

Chen Kelong was so angry that she immediately shut her mouth!

Then I asked: "Director Chen, the debridement kits have been opened, do you need a microscopic equipment kit?"

"Take it! When the set from the hospital of traditional Chinese medicine arrives later, send it to the disinfection room immediately, and send it up as soon as possible." Chen Kelong immediately ordered that at this time, regardless of the equipment or the number of people, the sooner the better.

Before the person Cai Dongfan invited came, he could only take the lead in carrying out the surgery himself.

The operation had just begun, and Chen Kelong's forehead was covered with fine sweat. Correspondingly, the same was true for several other colleagues.

His expression was heavy, and his breathing was also heavy, occasionally sucking in and out.

Everyone is very clear.

With Tan Yuanwu's current injury, even if it can be cured!The severed palm and severed finger were replanted.

The medical record room or internal medicine is where he belongs for the rest of his life!Tan Yuanwu is only in his 30s now, and he is in the golden age of surgeons, and there is still a lot of room for improvement.

It is a hurdle to survive the replantation of severed palms and severed fingers.Unable to live, it may eventually lead to amputation.

But even if he survived, the dexterity and functions of his fingers would definitely not be as good as before!
A hand without dexterity is not worthy of being a surgeon.

The atmosphere in the operating room became a little quiet for a while, without any dirty jokes, and it was only a soft-spoken sentence to ask for equipment, tweezers, thread scissors...

Tan Yuanwu, a big man, his face was covered by a green sheet at the moment, finally leaving him a special private space, and his helpless tears finally turned into lines, rolling down, dripping down the ears and onto the operating table superior.

He couldn't figure it out.

I haven't figured it out yet, he has been running around for hours for his nephew, and he hasn't eaten any food—

Zhou Cheng was in charge of the left arm, where the deltoid, brachialis, and biceps were completely severed. Fortunately, the wound was on the outside, so the brachial artery and great nerve were not injured.

Moreover, it has been rinsed and disinfected before, so the debridement and suturing of this part of the injury are the easiest.

Zhou Cheng only needs to sew up the broken ends of the muscles after finishing the debridement.

After Zhou Cheng put on his clothes, a nurse sat across from Zhou Cheng, and then carefully looked at this little doctor who did not belong to the hospital, as if curious.

However, after Zhou Cheng sat down and faced him.She saw Zhou Cheng's eyes, which were very energetic, as if these eyes had a magical charm, which made her a little blush, thinking that this doctor must be very handsome.

"Hello, can you help me get the knife and hook?" Zhou Cheng said to the nurse.

Qin Yuanwu is a doctor in this hospital, so today's nurses are fully equipped, four nurses can be on duty, and there are three equipment nurses alone, one tour should be enough to run.

The head nurse said that she can come on stage for anyone who needs help.

She immediately turned around and brought all the basic equipment.

After Zhou Cheng got the scalpel and tweezers, he first took the initiative to put the retractor in the proper position, and handed the other end to the helping nurse.

He quickly cleaned up the operation area he was in charge of.

Debridement is the basis of any surgery, and Zhou Cheng's debridement has reached the perfect level.

Perfection is being able to judge well how to define debridement——

The dead tissue has to be cut off, and the surviving tissue has to be left behind.

Muscles with insufficient blood supply have a high probability of necrosis, so they must be cut off to avoid subsequent muscle necrosis, affecting healing, and releasing a large amount of potassium ions to cause electrolyte balance disorders.

And it's best to cut it when there is blood supply, so as to facilitate recovery.

Therefore, Zhou Cheng started to cut the sub-necrotic muscle directly with a round knife. Originally, he planned to use a sharp knife or an electric knife to slowly coagulate it, but that was too slow.

If you just use a round knife, it seems a bit drastic!

It's like a butcher chopping meat...

It frightened the nurse opposite.

Fuck, is this little doctor so fierce?You are selling meat in the vegetable market, cut a little more to get more business and make more money?

She was a little anxious, but when she looked at Chen Kelong and Liu Yong, she found that Liu Yong had two jobs, helping each other back and forth, and couldn't spare time at all.The main surgeons, Chen Kelong and Luo Zailin, stared at the wounded area carefully, not daring to be distracted.

As a result, Zhou Cheng was actually in a state where no one could control him.

About seven or eight minutes later.

"Stitches!" While Chen Kelong was still slowly scraping the blood scab layer by layer, Zhou Cheng already needed stitches for the equipment nurse.

These words made Chen Kelong and Luo Zailin, who were in charge of the knife, tremble at the same time, sat up straight suddenly, and looked towards Zhou Cheng.

On the other hand, the equipment nurse hesitated whether to suture or not, and looked at Chen Kelong.

Chen Kelong's eyes were narrowed into a line, and the crow's feet at the corners of his eyes were also exposed to Zhou Cheng. He asked in an unnatural tone: "Xiao Zhou, why are you doing debridement so quickly?"

"Even if the operation on your side is over, it won't help the patient's final recovery much, will it?"

The faster the operation, the greater the probability of errors and infections. Even Chen Kelong couldn't estimate whether Zhou Cheng's current operation could meet the disinfection standard.

Who is this forcing, why did I let him do the debridement there?
The reason why he didn't say it outright was to save face for Cai Dongfan, after all, Cai Dongfan brought him.

Chen Kelong also saw Zhou Cheng's speed and felt that it was too fast, so he said, "Xiao Zhou, this operation must take a long time, there is no need to take unnecessary risks."

When the replantation of severed fingers is not finished, Tan Yuanwu will not step down, nor will he reduce the overall operation time.

After hearing this, Zhou Cheng said: "Director Chen, I want to come over to help you guys later, this big brother is a bit tired because he has two uses for one person!"

"The debridement on my side is already in place. I have explored the nerve bundles, brachial artery, and radial nerve. You see, there is no injury in these positions." Zhou Chengyitao showed Chen Kelong,

"The wound surface is quite neat, and the debridement site has blood flow." Zhou Cheng also deliberately scraped open the section of the muscle, and the blood slowly overflowed.

These movements are neat and clear, as if they are not proving to Chen Kelong, but teaching surgery.

Only then did Chen Kelong shut his mouth, and then lowered his head.

He didn't see any flaws, so it can't be said that Zhou Cheng did something wrong.

Chen Kelong could only nod his head, and said, "That's fine, after a while, the little brother who has worked so hard will come over and help."

The circulating nurse just passed the sutures.

Zhou Cheng's sewing skills are not low, and his speed is not slow!

Moreover, muscle suturing requires less attention than tendon suturing. Therefore, in order to save time, Zhou Cheng didn’t bother to ask the equipment nurse to cut the thread. He held the needle-holding forceps and thread scissors with one hand, and the rotary autologous suture scissors were like acrobatics. .

In just over 4 minutes, Zhou Cheng sewed up all the skin.

There is no particular about cosmetic sutures, just vertical interrupted sutures.

time is life.

In this way, when Zhou Cheng finished debridement of the wound, Chen Kelong brought up all the microscopic instrument kits from Chen Kelong's side.

The equipment nurse opposite Zhou Cheng stood up in a daze, and walked back to the surrounding nurse team with a puzzled expression on her face, then looked at the timing panel in the operating room——

00:08:25!

In 8 minutes, the wound was debrided and sutured.

And after Zhou Cheng finished the debridement that didn't have much technical content here, he immediately replaced the two pairs of gloves!The most rigorous way to change the site of debridement is to re-wash hands and change gloves. However, in order to save time, the same patient does not need to change clothes, but gloves must be changed.

Then he naturally took over the washing position of Chen Kelong, and finally liberated Liu Yong.

Then Zhou Cheng sat firmly in the assistant's seat, watching Chen Kelong Qingchuang quietly.The heart is full of excitement.

After a while, Cai Dongfan came in again from the door of the operating room, and after a sigh of emotion, he said, "Director Chen, you may have to deal with this severed palm yourself. I just made a few calls."

"But they didn't call to make an appointment, and none of them were free to come. But the director of our hospital, Zeng, is already on his way."

When Chen Kelong heard the first half of what he said, his heart turned cold.Finally, he turned happy and said, "Is Director Zeng here? Then I can rest assured."

To be honest, Chen Kelong was under a lot of pressure to personally cut off his palm and replant it. Tan Yuanwu was his own brother. If something went wrong, he might not be able to explain clearly.

Zhou Cheng's out-of-the-ordinary words startled Chen Kelong.

"Director Cai, what's the situation with my nephew?" Tan Yuanwu hurriedly asked when he heard Cai Dongfan's voice.

"There's nothing I can do, the artery is clotted. I was thinking about getting the clot, but I couldn't help, so I came here."

"However, your nephew's luck is better than yours. He contacted the professor of vascular surgery at the Provincial People's Hospital and sent someone to pick him up." Cai Dongfan sighed.

Because Chen Kelong was talking to Cai Dongfan right now, his movements were frozen, so Zhou Chengcheng stood up, walked to Cai Dongfan's side, and whispered a few words.

Cai Dongfan immediately narrowed his eyes, his pupils almost narrowed into a line: "Shall we replant the severed finger?"

Zhou Cheng pursed his lips, and Cai Dongfan started talking, so he could only continue: "Anyway, there is no other better way, Teacher Cai, can you take me to do it together? I think you should give it a try."

When Chen Kelong and Liu Yong heard this, they raised their heads one after another and looked at Zhou Cheng who was beside Cai Dongfan, their brains a little bit down.

While Cai Dongfan was still hesitating, it was Tan Yuanwu who pondered for a moment, then gritted his teeth and said, "Director Chen, please use the microscopic equipment. Director Cai, I can't find anyone else now, no matter what the final result is!"

"It's all life, I admit it, don't keep it if you work hard!"

Qin Yuanwu felt that the rumors in the circle that Cai Dongfan could save his limbs were definitely not false, because although Cai Dongfan had a wide range of contacts, it would not allow so many people to take the initiative to flatter Cai Dongfan!
Zeng Yi, a hand surgeon, has done replantation of amputated fingers, but he has never heard of any disturbances in the industry.

Therefore, rather than waiting to die, it is better to take a risk.

After all, Cai Dongfan and Tan Yuanwu knew something about him. He was open-minded and easy to make friends. He was also quite outgoing and had a quack air.But his strength is definitely there.

Tan Yuanwu spoke up in person, Cai Dongfan became entangled again, and looked at Zhou Cheng.

If he remembered correctly, this was one of the few times when Zhou Cheng took the initiative to ask for some kind of operation.

He should have some sense in his heart, so he said: "Yuan Wu, if the final result is not done well, don't blame me, and don't sue your sister-in-law or anything."

"Certainly not. Brother Cai, you said that. Can I be such a person?" Tan Yuanwu laughed immediately, but his heart became bitter.

If he hadn't had a sudden accident, and the replantation of the severed finger should be done as soon as possible, he would have taken 120 drops to the Affiliated Hospital of Shonan University long ago.

When Cai Dongfan went out to wash his hands and put on his clothes, Chen Kelong had no choice but to act like a living doctor. He said to the itinerant nurse: "Take the blood vessels and sutures. 9-0. Prepare Kirschner wires."

Although Chen Kelong does not engage in replantation of amputated fingers, the basic principle is still clear, giving priority to blood vessels and nerves.

Zhou Cheng heard the words, but said: "Director Chen, Mr. Tan's severed finger is not long, the restoration of blood vessels can be delayed for a while, let's fix the finger bones first."

"Within 6 hours, priority should be given to fixation and smooth blood supply."

What Chen Kelong said is correct. The key to replanting a severed finger is the suture of blood vessels, but that also depends on the situation. If the severed finger lasts for a long time, it means that the ischemic time of the distal end of the limb is also long. At this time, priority should be given to restoring blood. transport.

However, in the case of Qin Yuanwu, he was pulled into the operating room for treatment in a timely manner, so he could fix the phalanx first, and then consider the suture of blood vessels and nerves.

Chen Kelong frowned slightly, his plan was rejected by Zhou Cheng!In fact, it was a bit uncomfortable, but considering what Zhou Cheng said just now, he planned to let Zhou Cheng try it. If it didn't work, Cai Dongfan would definitely stop Zhou Cheng's operation immediately.

"Let's change positions, Xiao Zhou." Chen Kelong offered.

Since Zhou Cheng is willing to do it, let him do it and see what he can do.

Zhou Cheng immediately returned to the left side.

The broken ends of the fingers of the left hand are at the metacarpophalangeal joint of the ring finger and the second phalanx of the middle finger!
Zhou Cheng just glanced at it, and Chen Kelong's debridement has been done in sevens and eighties.

Although it will be trimmed later, it can be done later when it is stitched.

The current severed end is the distal severed finger. The more distal, the better the reconstruction of the broken bone. If it is a severed limb, the bone is too big, and it will waste a lot of time.

The phalanx is a bone that can be fixed with a few Kirschner wires.

Zhou Cheng held an electric drill with a Kirschner wire in one hand, and fixed the broken end and stump of the middle finger with the other hand. With just a slight turn of the hand, the Kirschner wire came out from the distal end of the middle finger. The needle was inserted, directly perpendicular to the distal phalanx.

Severed fingers also have fractures, so the principles of treatment still apply.

Reset and fix firmly.

The Kirschner wire is a fixed tool, and reset is the key to this step.Zhou Cheng held the severed finger, moved it for a while, and then inserted the needle again without hesitation.

All the way to the proximal phalanx, and then to the inside of the metacarpophalangeal joint.

Zhou Cheng shook it a little, and after confirming that the bones were basically fixed, Zhou Cheng called the itinerant nurse to take the second Kirschner wire!
Go up to the electric drill, insert the needle from the proximal interphalangeal joint of the ring finger, and nail the Kirschner wire to the triangle bone and hamate of the metacarpal bone.

However, at the metacarpophalangeal joints, a Kirschner wire was still difficult to fix, so Zhou Cheng inserted a crossed Kirschner wire from the side, and the needle was inserted far beyond the capitate bone of the metacarpal bone——

Zhou Cheng's speed of bone fixation directly stunned Chen Kelong and Cai Dongfan who entered the operating room.

From Chen Kelong's point of view, Zhou Cheng's K-needling was like a game.

Looking at Cai Dongfan, did you bring this thing?

Cai Dongfan immediately approached, grabbed Zhou Cheng's hand, and stopped him from playing!
He didn't speak, but his eyes stayed on Zhou Cheng's body for a while, and then he began to check Zhou Cheng's fixed broken bones.

Although Cai Dongfan is not a specialist in hand surgery, he still knows the degree of recovery from broken bones.

After checking for nearly ten seconds, Chen Kelong and Cai Dongfan were also looking at the joints of the broken bones.

Then, both of them turned pale with fright.

With a sudden force on both feet, he stood up, and then fell down!
At a loss, they were so scared that they grabbed the anesthesia machine next to them!
Just stand still.

It can be polluted!

It almost knocked down the anesthesia machine.

The anesthesiologist scolded there: "Director Chen, what the hell are you doing? Why are you touching my anesthesia machine?"

Then he began to wipe the blood on it with a little disgust.

After Chen Kelong and Cai Dongfan finished watching, they immediately apologized.Then go out again and wash your hands again.

Everyone in the operating room saw this scene, so they naturally knew that just now, Chen Kelong and Cai Dongfan were so frightened after seeing Tan Yuanwu's severed finger.

Curious what there is to see and what horrors there are.

But it is obviously not suitable to walk over at this moment.

Zhou Cheng didn't say much, just continued with his operation.

Before the operation started, he had already obtained the permission of the chief surgeon, which was given by Chen Kelong. Since he had already given it, there was no need for him to say too much.

If you haven’t encountered it, you can’t do it, there is no way.

Zhou Cheng was still not in a hurry to suture the blood vessels.Instead, the tendon is sutured first. The advantage of suturing the tendon first is that it can provide a soft tissue bed for the sutured blood vessel, which is convenient for suturing.

This sequence is the reverse of the long-term replantation of amputated fingers.

However, the operation method will never be static. Zhou Cheng has a perfect finger replantation. Although this is the first time he has used it, the rules and changes in it have long been familiarized by heart.

Moreover, in order to practice this skill, Zhou Chengfei put a lot of effort into training all the lower skills to the full level!
To suture the tendon, Zhou Cheng adopted the most commonly used modified Kessler suture method in clinical practice.

The tendons in the fingers are divided into extensor tendons on the dorsal side and flexor tendons on the palm side.

The flexor tendon group can be divided into superficial flexor tendon and deep flexor tendon, and the extensor tendon of the hand can be divided into central tendon and lateral tendon.

Therefore, the number of tendons that need to be sutured is not a lot.

However, the large number is not a difficult point, but the tendon must be sutured well and sutured just right.

Zhou Cheng's tendon suture is still perfect.

It is difficult for ordinary people to understand, and he spent his whole life pursuing it.

Suturing this kind of tendon is simply a small case.

Cai Dongfan and Chen Kelong re-entered, but still did not disturb Zhou Cheng. Instead, after seeing Zhou Cheng's suture, his scalp became numb again. Looking at the suture of the extensor tendon of the middle finger that Zhou Cheng had sutured, Almost couldn't find where the stump was.

The wrapping is so good that between the muscle breakpoints, it almost looks like it has been processed by high-tech PS tools.

However, this time, the two of them were slightly prepared, so they were not too scared.He sat down obediently, and then began to help Zhou Cheng, stabilizing the far and near ends of his fingers.

"Stitches!"

"Stitches!"

"Stitches!"

Every time a tendon was sutured, Zhou Cheng did not tie the knot first, and then cut it off to complete the next stitch.

It is every tendon and every suture. Although this will be more wasteful, it can save more time.Moreover, multiple tendons are knotted at the same time, which can better control the tightness of the knot, so that the length of the broken end of the suture and the tightness of the suture are not inconsistent.

Because after the length and tightness are different, the degree of force will be different, and the degree of force will be different, and there will be bumps.

Bumps, the more prone to scars!
Although scarring is definitely unavoidable, it can be reduced by a little bit.

These are not problems for Zhou Cheng.

Therefore, Zhou Cheng only started to tie the knots after suturing more than a dozen small tendons in a row!
"Crack!"

"Crack!"

The crisp thread-cutting sound sounded again.

At this moment, Mi Huan hurried in from the door, and asked as soon as he entered the door: "Chen Kelong, how is Qin Yuanwu doing?"

Then Mi Huan saw Chen Kelong and Cai Dongfan looking at them in a dumbfounded way. There was a man with his back on his back, wriggling his buttocks left and right, and the tail of the green surgical gown was constantly swinging. .

This man didn't reply to Mi Huan's words either.

Mi Huan frowned, and thought to himself, you two snake skins, is it because I'm about to retire, and you're starting to ignore me?
I haven't returned yet?Is the tea cold now?

After hearing the phone call from the department, he rushed down on purpose.

What's so great about watching someone else's surgery?

However, after Mi Huan shifted his position and saw what Zhou Cheng was operating, his feet stiffened on the spot, but he couldn't stabilize his forward posture in time, and staggered on the spot, obviously startled!
His eyes widened several times across the eyes, and he looked carefully at Zhou Cheng's hands, and he was quickly recalling the principle of replanting severed fingers in his mind!
① Debridement of the junction of the severed finger and the severed finger. ②Fixation of the phalanges with Kirschner wires. ③The tendon is sutured with cotton thread or nylon thread. ④Sequentially anastomose the finger artery, finger vein, and finger nerve. ⑤ Z-shaped suture the skin, and finally bandaged and fixed!

If I'm not mistaken, the operation that has been done now is to suture the tendon.

The tendon can be sutured, shouldn't it be slightly uneven?

The level of this stitching?Mi Huan looked dazed and bewildered.

This forced?
Why is it so flat?
Mi Huan is 58 years old this year. He has eaten and seen many times, but he has never seen someone who can suture the tendon so smoothly.

(End of this chapter)