Knight Story: Learning medicine can’t save the world!

Chapter 71 Lin Sang, it’s up to you!!

Of course, there is also the point that this operation allowed Morita to participate in them and succeeded. It gives them some sense of accomplishment, which brings them closer to each other.

Under the premise of not harming his own interests, or even in his own favor, Lin Yu does not mind selling this favor.

Morita glanced at Lin Yu and walked straight to the table where the severed limb was stored.

He first used the heparin saline that had been prepared for the first time to infuse the amputated limb.

AFTER COMPLETION, THE AMPUTATED LIMB IS RE-PERFUSED WITH FRESH HEPARIN BLOOD 200CC.

Fortunately, perfusion showed that the vascular network of the patient’s severed limb was intact.

“After the perfusion is complete, the next step is to join the broken bone.”

“The bones at the patient’s fracture are badly broken, and there are two ways to deal with it now.”

“Fixed with a steel mold and filled with nano-calcium carbonate collagen-based artificial bone material, the advantage is beautiful, the disadvantage is that this arm cannot withstand high-intensity exercise”

“The second method is to directly remove all the broken parts and perform bone fixation, which is a bit reducible, but the disadvantage is that this arm will be two to three centimeters shorter.”

Morita Dakong said, worthy of being the director of orthopedics, he is familiar with this aspect.

“I think it’s still necessary to be practical, otherwise there is no need to take this risk at all.”

Jimura Danzo also voiced his opinion.

“Lin Yu, you are the main knife, tell me what you think.”

Hideki Takano looked directly at Lin Yu.

“Excise and fix, the length of the original blood vessels, tendons, and nerves is not enough.”

“The arm is two centimeters short and is basically invisible to the naked eye, which can not only increase the success rate, but also save a lot of money for the patient.”

Lin Yu said.

“Well, I agree with Lin Yu’s statement.”

Hideki Takano nodded.

The first method, although it can maintain aesthetics, but the cost of filling artificial bone materials is outrageously high, and it is not conducive to recovery.

Moreover, for at least one year, the patient cannot perform any high-intensity movements.

In addition, a total of four centimeters of muscle at the broken arm was squeezed and deformed and contaminated, and this part was removed during debridement.

If the first bone method is chosen, the four-centimeter meat needs to be supplemented.

There is only one way to cut off the flesh of the patient’s buttocks and plant it where the arm is missing.

Doing so will add a certain risk to the patient’s postoperative recovery, and the operation fee will increase by at least 300,000 yen!

Combined with the artificial bone filling, the operation fee will increase by at least 400,000 yen.

Of course, this is nothing for the rich.

But the two families don’t look very rich.

Moreover, his dream is to play tennis, the first is in addition to beauty, completely inaccessible to tennis balls, which is equivalent to indirectly ruining his dreams!

“Okay! Then remove the fixation! ”

“Knife!”

After taking the scalpel, starting from the beak, make an arc-shaped incision along the inside of the deltoid muscle to the deltoid tubercle with a length of about four centimeters, cut the skin and subcutaneous tissue, cut the deep fascia at the anterior inner edge of the deltoid muscle, pull the cephalic vein and pectoralis major muscle to the inside, and pull the deltoid muscle to the outside, and find the humerus-sized nodule and fracture end at its proximal end.

Next, he removed the hematoma and torn tissue at the end of the fracture, revealing about four centimeters of bone at the fracture.

“Bone saw!”

Morita shouted, took out the bone saw, and he began to repair it.

Everyone stared at Morita’s movements, and for a while, only the sound of bone saws rubbing bones remained in the operating room.

Lin Yu felt a little rash, compared to the first time to see this situation, this feeling is like watching a chainsaw massacre, but the real version.

It has been said that surgeons and butchers belong to the same profession.

It’s just that one vocation is to save people, and the other profession is to kill.

“Help hold up the severed limb!”

Morita Ohku’s voice fell, Takano Hideki came to the operating table, grabbed the severed limb with both hands, and aimed at the arm bone under the command of Morita Ōku.

Morita Dakong took the intramedullary nail, and in just a few minutes, the two bones were perfectly combined.

“That’s all I can do, and the rest is up to you.”

Morita took off his bloody gloves, took the sterile towel in Shizuka Kumagawa’s hand and wiped the sweat from his face.

“Director Morita, your bones are so good, it’s just art.”

Jimura Danzo said sincerely.

“Don’t slap me on the! If you want to learn, transfer to orthopedics, I will teach you…. It may be that the bone joints went smoothly, Morita Dakong was in a good mood, and he even made a joke, which is very inconsistent with him, who has always been quite serious. ”

“Lin Sang, it’s up to you!”

When Hideki Takano said this, he was going to laugh, but he didn’t laugh.

“Director Takano, don’t worry.”

Lin Yu smiled slightly and came to the front of the operating table.

“Director Jimura, please help cut off the median and ulnar nerves of the patient’s right foot that control the five and fourth toes, by five centimeters.”

“Good!”

Hearing Lin Yu’s words, the Dimura Tuanzo replied with an excited look.

It felt like a student who was doing well together, being called out by a teacher to answer a question.

Replantation of severed limbs is a race against time.

Therefore, this kind of surgery is generally in accordance with the principle of simple to difficult, the sooner the connection is successful, the higher the success rate of the operation.

Lin Yu selects tendons.

“No. 4 silk thread!”

Lin Yu shouted.

Due to the tight timeline, there are too many tendons that need to be sutured, requiring the use of simple, fast and effective methods.

Therefore, Lin Yu chose the double cross stitching legally, and it didn’t take much skill, just like tying a shoelace, just go back and forth.

At Lin Yu’s suturing level, his hands flew up and down, and the suture time of each Achilles tendon did not exceed 30 seconds.

“Oh my God! Can it still be stitched like this?? That’s faster than I can wear my shoelaces! ”

Jimura Danzo once again spoke everyone’s hearts!

Takano Hideki glared at him, and the Jimura Danzo immediately shut up.

When suturing, it is taboo to distract, not to mention that it is all such a difficult stitching?

Next, it is nerve suturing, which has already had experience before, so this is not very difficult for Lin Yu, mainly consuming mental effort and time.

Compared with the nerves on the arm, there are many nerves, plus there are not enough median nerves and ulnar nerves in length, which require secondary connection.

For some nerves that have relatively little effect, Lin Yu chose the outer membrane suture.

For some important nerves, Lin Yu still chose the outer membrane bundle suture.

There is no way around this, the sooner the operation is completed, the success rate of amputated limb replantation of patients will be much higher!