Start From Emergency Doctor

Chapter 9

Zhou Yuan is like a director who is teaching students, “reverse stealth stitching method.”

“Reverse stealth stitching?” He Jianyi had never heard of this stitching method.

There are too many suturing methods in surgical operations. There are six kinds of sutures for just one butt suture, as well as varus suture, valgus suture, tension reduction suture and intradermal suture.

Each stitching method has its own advantages and disadvantages, adapting to different scenes, and naturally different in difficulty.

Zhou Yuan knew that He Jianyi and Haiyang had never heard of it.

Because he also learned about the master-level replantation technique of severed limbs.

He explained methodically: “The so-called reverse stealth stitching…”

“Retrograde is when the needle enters the bone and soft tissue channel, the needle’s tail is advanced, not the needle tip. In other words, the needle with the thread retreats into the channel.”

“Sneaking means that when the pointer tip does not enter the soft tissue channel to the outside of the skin, but retreats from the dorsal side to the bone channel and the soft tissue channel, the needle tip walks between the bone and the soft tissue and passes back to the dorsal wound, that is, the needle tip sneaks into the bone. On the interface with the soft tissue.”

After Zhou Yuan finished speaking, he found that He Jianyi and Haiyang both listened with gusto.

“Understand?”

The ocean recovered and looked at Zhou Yuan blankly: “No…no…”

“Oh, all right.”

After speaking, Zhou Yuan continued to deal with the separation.

The reverse stealth suture method is not a high-precision technique, but it is extremely suitable for suturing tendons. As long as the surgeon understands the meaning and principle, the operation can be performed.

“Look carefully at the direction, strength and technique of my needle.” Zhou Yuan reminded the ocean.

The ocean immediately glanced at Zhou Yuan gratefully and observed it carefully.

“The reverse stealth suture method has three advantages. First, it is quick to get started. As long as the principle is mastered, beginners can also use the instrument to do it well. Of course, the beginners I am talking about don’t shake their hands.”

“Second, the secondary injury of the operation is small. Our current amputated limb replantation technology is most afraid of additional secondary injury, which will seriously affect the postoperative convalescence. The third is the firm fixation, which can ensure good tendon healing. ”

While talking, Zhou Yuan skillfully replaced needle holders, curved shears, straight shears, vascular forceps, and so on.

He Jianyi, Haiyang and others were attracted by Zhou Yuan’s superb flying probe, until Zhou Yuan said “replantation of severed limbs completed”, the two came back to their senses.

Zhou Yuan breathed a sigh of relief, with a comfortable smile on his face.(Read more @ wuxiax.com)

Finally successfully replanted Wang Tie’s severed limb!

“Counting equipment.” Zhou Yuan said calmly.

The instrument guard quickly counted: “Hemostatic forceps, toothless forceps, curved scissors…”

“Count the gauze.”

The ocean happily stirred up the bloody gauze and counted: “One, two, three…”

After all this was completed, the chief surgeon and intern Zhou Yuan finally announced: “The operation is complete!”

The anesthesiologist quickly stood up and looked around with sleepy eyes, still in a daze: “Done? Finished?”

“The end of the operation, 13:21,” the anesthesiologist said.

Then, quietly said to Haiyang: “From now on, if you have an operation, don’t call me, okay? You called me an anesthesiologist to let me watch you for anesthesia?”

The ocean smiled: “I’m sorry, I can’t hold it back.”

…

When Zhou Yuan, He Jianyi and others left, Wang Tie’s wife was already waiting outside.

Wang Tie’s wife is a simple peasant woman. Seeing He Jianyi walking ahead, she immediately greeted him: “Doctor, how is my man’s operation? Has his life been saved?”

Zhou Yuan, He Jianyi, and Haiyang all felt warm in their hearts.

She subconsciously cared about whether her life was saved, not whether her hands were saved.

It seems that this is a happy family.

He Jianyi didn’t take credit, so he gave in a little bit and launched Zhou Yuan: “This time, Doctor Zhou is in charge of the operation.”

“Doctor Zhou?”

Wife Wang Tie quickly turned her anxious gaze to Zhou Yuan.

Zhou Yuan smiled kindly: “Don’t worry, Wang Tie’s operation was very successful. We also took the broken finger back, and basically all survived. However, we still need to see how the replanted fingers can recover. To judge.”

Hearing that Wang Tie was okay, Wang Tie’s wife held Zhou Yuan’s hand excitedly: “Thank you! Doctor Zhou!”

Then, Wang Tie’s wife took He Jianyi and Haiyang’s hands one after another, expressing her gratitude to the three doctors.

Three days later.

He Jianyi brought Zhou Yuan and Haiyang to Wang Tie’s bed.

This is the time to judge the functional recovery of the replanted limb after the replantation of the severed limb.

How much functional recovery can determine the success of this severed limb replantation operation!

“Move your fingers a little bit. It’s mainly the tip of your finger. Move it slightly.” He Jianyi said.

Seeing Wang Tie’s fingertips move under his control, He Jian heaved a sigh of relief.

This means that the blood supply to the distal end of the finger is good, and there is no necrosis. Moreover, nerves, bones, etc. are all well stitched.

“Next, fit the thumb, middle finger, ring finger and little finger with your thumb, respectively.” This is to test the fine movements of the fingers.

Once this action is completed, it represents the basic success of this operation!

——

Seeking flowers, seeking evaluation! .