This doctor has a system

Chapter 474 538. Then you can step on yourself!

As the amount involved was large, the police did not dare to delay and immediately launched an investigation.

It was obvious that Feng Dawei was a huge suspect. The police summoned him, but he of course denied everything.

However, the police soon found some evidence. A vendor on the street confirmed that Feng Dawei had bought some "Qingtangjing" from him some time ago.

"I did buy it, but I didn't use it." Feng Dawei refused to admit it. "Many people bought Qingtangjing. What's the point of arresting only me?"

"This is not an arrest, a summons." said a policeman. Anyone with a discerning eye could see that this immoral act was done by Feng Dawei.

However, handling a case requires evidence. Without finding direct evidence that Feng Dawei had indeed put "Qingtangjing" into the fish pond, the police could not do anything to him.

But soon, the case took a turn for the better.

The victim directly issued a reward in the village, offering a reward of 5 yuan to anyone who could provide enough clues.

The whole village was in an uproar, and many people were waiting for someone to come forward and testify.

Feng Jiantong was very excited when he saw the reward. He didn't want to stand up at first because the victim, like Feng Dawei, had a bad reputation in the village. If the two of them fought, everyone would be waiting to see them make a fool of themselves.

Dog bites dog - a mouth full of hair, this is what most people think.

But 5 yuan was obviously a lot of money, and Feng Jiantong was tempted.

It's not too shameful to say it out loud, he went to the fish pond to steal fish that night. 3 o'clock in the morning is when everyone is dreaming, at this time the village is quiet and the dogs are asleep.

Feng Jiantong walked towards the fish pond with a net bag. During the day, he found that the fish in the pond were fat and big, so he slept for the whole afternoon, waiting to show his skills tonight.

To be honest, the fish is not expensive, but how can I put it, it tastes better when it is stolen.

As soon as Feng Jiantong arrived at the place, he saw two people standing by the pond. He recognized them at a glance under the bright moonlight. They were the village tyrant Feng Dawei and his brother.

The two men threw several bags of things into the fish pond.

"Is it enough?" Feng Dawei asked worriedly, "His fish pond is quite big."

"Don't worry! No matter how big the fish pond is, after using so much pond cleaner, if there is still a fish that doesn't float up the next day, I will jump in directly."

"That's not the case..Hahaha!"

Feng Jiantong hid in the grass nearby and didn't dare to breathe. After the two men left, he found himself covered in cold sweat, so he quickly ran home.

It turned out that Feng Dawei was not the only one who poisoned the person. Based on the clues provided by Feng Jiantong, the police immediately arrested his brother as well.

When the two men saw that the police had so much evidence, they knew it was useless to deny it, so they admitted their crimes.

The case should have ended there, but Feng Jiantong soon came to the police station to seek refuge.

As mentioned earlier, Feng Dawei is a village bully with many brothers. When they learned that it was Feng Jiantong who provided the evidence, they were furious. Several of them went directly to Feng Jiantong's house and beat him up in front of the villagers. They also slapped his elderly mother several times.

"They said they would come over tonight and chop off my hands." Feng Jiantong, with a bruised face and nose, told the police at the police station. He was obviously very scared.

"They are rebelling!" said a policeman disapprovingly. It was obvious that the other party was threatening them.

"You can't take this beating for nothing. They are looking for trouble and will be detained!"

The people who beat Feng Jiantong were quickly punished, but he came to the police station again after a while.

"I met Feng Daqiang today. He said he would come over and chop off my hand today."

Feng Daqiang is one of Feng Dawei's brothers.

The police were furious. What a gangster! They did this over and over again, just like they were just idlers.

Then several people followed Feng Jiantong to the village and gave Feng Daqiang a serious warning in person. But Feng Jiantong was still worried because he felt that the other party did not mean to threaten him and the look in his eyes when he looked at him was full of malice.

When the two policemen saw him like this, they felt a little disapproving, but at his request, they decided to stay in the village for one night.

In order to achieve the greatest deterrent effect, a police car was parked directly in front of Feng Jiantong's house.

Now everyone thought that the other party would definitely behave himself, including Feng Jiantong.

But at around 1 a.m., the door of his house was kicked open, and Feng Daqiang rushed in with a machete in hand and chopped at his hands.

"I told you to report it! I'll make sure you have money but no life to spend it!"

The miserable screams were very harsh in the quiet village and woke up all the villagers.

The two policemen who stayed behind were stunned. They really didn't expect Feng Daqiang to be so cruel, and they immediately called for support.

When the main force arrived, Feng Jiantong had already been carried into the ambulance. He was in a coma due to blood loss and severe pain.

Feng Daqiang was also quickly found by the police.

At this time, a problem arose. The doctor in the ambulance discovered that the severed arm was missing, and he quickly told the police about it.

"We have to find it quickly. If it is properly preserved, we may be able to connect it."

There was no doubt that the severed arm must have been taken away by Feng Daqiang. The police immediately questioned him, but the latter refused to answer.

This completely annoyed Ma Xiaohu, who had just learned about the situation.

"I want to know the result in five minutes," he said to the two policemen who had stayed in the village.

Feng Daqiang finally understood why the police station was called a violent agency. He would remember the next five minutes for the rest of his life.

Soon, Feng Jiantong's severed arm was found in the nearby grass.

"This incident has such a bad impact." Ma Xiaohu's face showed both anger and worry. He was almost dying of anxiety. If Feng Jiantong's arm could not be reconnected, the consequences would be serious.

Even though the victim was warned in advance by the police and there was a police car parked at the door, the victim's hands were still chopped off!
The nature of this matter was so bad that not only Ma Xiaohu but even the head of the district bureau felt a little panicked.

Ma Xiaohu was under the greatest pressure, as the police officers who stayed behind were under his command.

"I don't know what to do either, so I called you." He wiped the sweat from his forehead and said to Gao Feng anxiously.

A doctor just talked to him and said that the chances of survival after the transplant are not high.

"Don't worry, I'll go take a look." Gao Feng comforted.

When he walked into the operating room, the operation had already begun. There were two familiar people on the stage, Director Huang and Wang Jingxun from the Hand Surgery Department.

Director Huang's eyes lit up when he saw his serious expression, "Oh, hey! Director Gao is here!" "Hurry up and put on your clothes!" Wang Jingxun on the side also shouted.

Since both arms were cut off, this was obviously a major operation.

Feng Jiantong was placed in a supine position with his arms stretched out on both sides of his body. Director Huang and Wang Jingxun were in charge of one side, while Director Li and his junior doctors in the department were in charge of the other side, with two assistants standing nearby.

Almost everyone present knew Gao Feng. Director Li felt a little strange about Gao Feng's arrival, but he didn't say much, as he didn't care.

Gao Feng quickly washed his hands, put on surgical gown and gloves, and arrived at the operating table. Director Huang and Wang Jingxun consciously left the surgeon's position empty for him.

Feng Jiantong is obviously unfortunate. If he knew that he would suffer so much because of 5 yuan, he would never choose to report it.

Gao Feng felt very sympathetic towards the victim lying on the stage, and he was determined to use all his strength.

"Help the wounded: Please help poor Feng Jiantong to keep his hands. You will get 50 skill points if you complete the task. No skill points will be deducted if you fail." The system released the task in a timely manner.

Gao Feng's suturing skill is at an advanced level, but it is obvious that this skill alone cannot cope with today's situation. He clicked on the skill bar of surgery and quickly found the item of limb replantation.

A limb that is completely or partially severed due to trauma or surgery and must have anastomosis of arteries to survive is called a severed limb. Reattaching a severed limb to its original position by surgery is called severed limb replantation or limb replantation.

In medical treatment, the injury conditions of severed limbs vary due to different causes of injury. Common types of severed limbs include: cutting severed, crushing severed, compression severed, and tearing severed.

Among them, cutting separation is mainly caused by sharp objects such as punching machines, milling machines, paper cutters, sharp knives, and glass.

This type of injury is more common in the upper limbs. The bones, nerves, blood vessels, muscles, skin and other tissues of the severed limbs are cut on the same plane, the tissue damage on the adjacent sections is less, and the success rate of replantation is higher.

Feng Jiantong's situation is one of this kind.

Because the machete was very sharp and Feng Daqiang used all his strength when he attacked him, the wound on Feng Jiantong's left side was very smooth, which was undoubtedly a blessing in disguise.

However, the tissue damage near the cross section of the right arm was more serious.

Director Li is the doctor with the best hand and foot surgery skills, so he is responsible for the right arm.

Looking at the several crooked blood vessels that had been stitched together on the stage and Director Huang standing by waiting to help him, a word suddenly flashed in Gao Feng's mind: 鶸.

The order of limb replantation surgery is debridement first and then repair. The surgical steps include debridement, bone fixation, blood circulation reconstruction, vascular anastomosis, nerve repair, muscle and tendon repair, skin covering, etc.

There is no problem with the debridement, and internal fixation of the bones is not difficult. The remaining steps are the most important.

In order to restore blood circulation, the severed blood vessels must be anastomosed one by one. Vascular anastomosis is usually done by suturing, sleeve connection, or instrument anastomosis.

Laser welding and bonding are occasionally used in clinical practice, but they are still in the experimental stage.

Anyone can operate on large blood vessels, including Wang Jingxun. However, it is not so easy to operate on small blood vessels, which really tests the surgeon's fine craftsmanship.

Gao Feng has a great advantage in this regard, that is, he has amazing eyesight. If he was not afraid of causing discomfort to others, he would not want to wear a surgical microscope.

Watching him quickly extract and separate tiny tissues and tie sutures, Director Huang was a little unable to keep up with the pace.

Wang Jingxun and others on the side were already stunned. In their eyes, Gao Feng's hands were like dancing elves, flying up and down nimbly.

"Oh shit!" A doctor wanted to pinch himself hard with his hands, but considering the principle of aseptic operation, he stepped hard on the foot of his colleague next to him.

"Ouch!" The colleague cried out in pain, "What the hell are you doing?"

"I checked to see if I was dreaming," the doctor explained.

"Then you can step on yourself!"

"Haha..I just didn't think of that."

Seeing that Gao Feng was going to continue anastomosing even smaller blood vessels, Director Huang could not stand it any longer.

He was worried about wasting too much time. Firstly, every second counts in replanting a severed limb. Secondly, he felt that the blood vessels were too small and the chances of survival would be low even if they were anastomosed.

"Director Gao, why don't we hurry up and repair the nerves!"

Nerve repair is the basis for functional recovery after limb replantation, so nerve repair of a severed limb should be completed as much as possible during the replantation operation.

And this also requires sufficient time to allow muscles and tendons to repair.

"It won't take too long." Gao Feng didn't stop his hands while speaking.

Helpless Director Huang couldn't help but look at Director Li's group and immediately breathed a sigh of relief. Their progress was much slower than here.

Under normal circumstances, he would have been amazed by Director Li's operation, but after seeing the comparison today, Director Huang couldn't help but feel that it was just so-so.

I admit that you are a little better than me, but who isn't a weakling in front of the big guy?

Director Li glanced at Gao Feng's operation unintentionally, and his brain felt like it was hit by a sledgehammer. He almost stabbed his hand.

Holy shit! What the hell!

If it weren't for the aseptic operation principles engraved in his mind, he would have wanted to wipe his eyes with his hands.

"Director Gao, you..." Director Li's tongue seemed to be tied, "Aren't you from the respiratory department?!" he said in shock.

"It's not difficult to suturing." Gao Feng said casually, "Didn't our surgery teacher teach us this when we were in college?"

Repairing nerves is an important part of restoring limb function. Generally speaking, nerve tissue should not be removed easily during limb replantation surgery to avoid affecting the anastomosis of the opposite end.

In most cases, nerves are usually contaminated on the surface. After cleaning, the injured part can be temporarily left uncut, and the decision on how much to remove can be made when suturing. For contused but not severed nerves, be careful not to cut them off, and observe recovery or perform secondary treatment.

The wound on Feng Jiantong's side was very smooth and the nerve was not seriously bruised, which saved Gao Feng a lot of effort and he quickly dealt with it.

Next is the repair of muscles and tendons, which is beneficial to the active exercise of joints, preventing adhesions around the joints and joint capsule contracture, and should be completed in one go during the replantation surgery if possible.

It took Gao Feng more than 10 minutes to finish it.

The last thing is skin coverage. Early wound coverage can help the survival of the limb, prevent infection, reduce scars, and create conditions for later repair surgery.

"Let me do this." Director Huang finally found a place to put his skills to use.

"Done???!!!" Director Li from another group was so scared that he pissed himself. He had just started working on nerve repair.

Damn it!
"How about I come?" Gao Feng

"How about you come?" Director Li said.

(End of this chapter)