After assigning tasks, the whole team carried out relevant work quickly and orderly!
Limb replantation is cumbersome, and the required instruments, staffing and surgical process are troublesome.
Head nurse Li Ying went into battle in person, quickly arranged the operating room and prepared all the surgical supplies.
The three sterile tables beside the operating table are ready, with broken right hand, debridement instruments and surgical instruments respectively.
The anesthesiologist is still Liu Jian. In fact, the old director should have taken the stage, but the old director smiled and asked Liu Jian to do it.
The old director didn''t care about such an opportunity, but it was an opportunity for Liu Jian.
You know, anesthesiologists also have a high position in the operation. This is a favor. After the operation, the Kong family must entertain the people. This is a good opportunity for Liu Jian to get acquainted with people.
In this regard, Liu Jian is also grateful to the old director!
In this life, people will always meet several dignitaries. The dignitaries of Qin Xiaoyuan are teacher Fang Yonglin, and the dignitaries of Liu Jian are old directors.
These noble people will give you some opportunities and give you a push at the critical time, which is a big step for your life!
Because the right hand is only disconnected, general anesthesia is not required, but epidural anesthesia with minimal impact on general circulation and respiration, but the anesthesia time can be extended arbitrarily according to the needs of the operation.
Liu Jian''s basic skills are very solid. After giving an account, he gave anesthesia. Before long, the operation officially began!
The first is still debridement. Thorough debridement is the basis for infection prevention and successful replantation.
High quality vascular anastomosis is the key to the survival of severed limbs.
The repair of muscles, tendons, bones and nerves is the guarantee of functional recovery.
Therefore, every step needs to be handled carefully.
Debridement is not only to clean up the wound, but also an essential process to further understand the damaged tissue.
This is very important for Chen Cang to decide the replantation operation plan later.
So when Chen Cang asked for a wound, he was very serious and spent a lot of time understanding the details of blood vessels, nerves, tendons and bones!
Chen Cang washed the two ends of the severed limbs with sterile soapy water and sterile brush again and again, and then washed them with a large amount of isotonic saline.
The next most important process is to completely debridement the damaged tissues and foreign bodies!
What is debridement?
Not just cleaning the wound!
It also includes cleaning the wound.
According to the condition of tissue section, whether the tissue is bleeding, shape, color, etc., judge whether the tissue is alive and whether it is removed.
Chen Cang is very careful and serious.
Because this is not only the guarantee of successful operation, but also the key factor of late recovery.
Everyone present knew the difficulty and naturally held their breath and watched it carefully.
But anyway, QingChuang is one of his biggest advantages!
Because Chen Cang''s eyes can clearly see the necrotic tissue, and then clean it bit by bit, or trim, or cut, or keep it.
At this time, Huo Guoqing couldn''t help saying, "Dr. Chen... Don''t you need to make a mark?"
Chen Cang was a little stunned. Before he could speak, Tan Zhonglin shook his head at Huo Guoqing: don''t bother Dr. Chen Cang.
Generally speaking, before removing the inactivated tissue, the main nerves and blood vessels need to be ligated with black silk thread, and then it is convenient to find them later.
But Chen Cang doesn''t need to do this at all, because after ligation, there will be continuous damage, and Chen Cang doesn''t need to be identified by ligation. He can clearly distinguish each nerve, blood vessel and tendon
Every minute is important to him.
Tan Zhonglin and an Yanjun, who often follow Chen Cang, understand these things!
This can''t be imitated by others. It requires a sufficient understanding of organization and structure, as well as the memory ability of a super brain!
Tendon retention, skin retention and nerve selection are the most important links in debridement.
Chen Cang has his own standard. As long as the system prompts to cut off all the black, it means hopeless.
But in the eyes of others, Chen Cang has become a decisive, sharp, stable, accurate and ruthless existence!
The selection of each nerve and tendon is in place.
People can''t help feeling!
One operation, from the beginning of debridement, Chen Cang has conquered all the directors present with strength.
For the wrist with such a large wound, such high precision and dense nerves and tendons, Chen Cang seems to be a precision instrument.
About an hour or so, Chen Cangcai finished processing!
When you think about it, three hours have passed since you broke your hand.
Chen Cang can''t help but be serious!
Every minute means further damage to muscle tissue, which is related to the later recovery of palm function and the quality of life of patients.
This process, very tired!
Chen Cang is a little tired. After all, those subtle operations may have an impact if they cut more than a penny, and adhesion will occur if they cut less. Such complex and fine debridement, accurate trade-offs, decisive cutting and repair... These are not guaranteed by all the directors present!
But how old is Dr. Chen?
After not knowing how long, when everyone felt very tired, Chen Cang finally handled it!
Chen Cang put down the scalpel and said to tan Zhonglin, "clean the vascular bed. I''m going to fix the bone!"
Tan Zhonglin didn''t dare to be careless. He and an Yanjun quickly began to clean up the blood vessels.
Replantation surgery, whether it is replantation of a severed finger or replantation of a severed limb, needs to clean the vascular bed. Otherwise, if you are anxious to do vascular anastomosis, there is a great possibility of blood circulation disorder after the operation, causing another degree of necrosis, and even overall systemic symptoms, because amputation or death caused by one hand are not rare!
However, Tan Zhonglin and an Yanjun are well prepared and pay great attention to these details!
Following Chen Cang''s surgery, there are details everywhere. Chen Cang''s grasp of the details is also in place, which makes the two disciples feel something.
After cleaning up, Chen Cang picked up the broken hand and compared it carefully!
Bone nail is not only an important step in replantation, but also a scaffold and support for tissue repair.
The requirements of bone fixation are: simple, rapid, stable and time-saving!
This is a moment to test the surgeon''s technique. The chief surgeon can quickly, quickly and stably connect the bone end. There are not hundreds of operations, which can''t be done at all.
Because the bone after trauma is defective, how to choose and how to connect all these are very important.
At this moment, all directors looked at Chen Cang attentively and waited for Chen Cang to connect!
However, just as everyone was confused, Chen Cang picked up his hands at random and said, "the screws run through and fix!"
Tan Zhonglin nodded, an Yanjun helped, Huo Guoqing was forced!
This NIMA?
So casual?
Senior official Kong will go crazy when he knows!
The butt joint of fracture doesn''t say ten times and eight times, but it also needs serious comparison. Where are you butt joint? It''s obviously put together at will!
But at this time, he looked down and suddenly the picture in front of him made him unforgettable all his life!
What is manipulation?
This is his technique!
And the people around also came together one after another, with incredible expressions on their faces.
……
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PS: I''m tired of writing these two chapters. I checked a lot of things and watched two operations. I''m also drunk