Legendary star: Signed to the Palace at the beginning

Chapter 214
Yang Guangdao: "Cousin, how does this dress look like filial piety?"

Xiao Chuan said: "It can be made into other colors, but white does not need to be dyed, which can reduce the chance of infection for patients."

Xiao Chuan asked Yu Wenshu to sit in front of the operating table, gave him Mafeisan, fixed his severed arm with a clip, and asked Sun Simiao to be his assistant to prepare for the operation.

Xiao Chuan recalled the surgical procedure of replantation of a severed arm again in his mind, and said to Sun Simiao: "The surgical process of replantation of a severed limb is relatively complicated. First, the bones and joints must be fixed, and then the muscles and ligaments should be sutured, blood vessels anastomosed, and The operation is performed in stages in order of anastomosis of nerves and skin. Vascular anastomosis is a key step. The ratio of arteriovenous anastomosis is 1:2, that is, one artery is matched with two veins. After a while, I find out the broken muscles, ligaments, Blood vessels and nerves, Dr. Sun, you are responsible for suturing, Xu Zhizang and Chao Yuanfang are responsible for treating the wounds, Xu Yinzong is responsible for wiping sweat from me and Dr. Sun, Zhen Quan and Zhen Liyan are responsible for handing over the surgical tools."

Sun Simiao said: "Okay, although I have never had an arm replantation operation, I have also stitched up the wound."

The other five genius doctors also expressed their understanding.

Xiao Chuan unwrapped the bandage on Yu Wenshu's severed arm, took out the severed arm from the ice bucket, and asked Xu Zhizang and Chao Yuanfang to carefully wipe the wounds on Yu Wenshu's two severed arms with alcohol cotton balls.

Xiao Chuan explained: "By distilling wine and removing water, you can obtain high-concentration alcohol. Alcohol can kill viruses and avoid wound infections. You can wipe off the sweat on the doctor's head in time to avoid falling on the patient's wound and causing secondary infection. Deliver surgical supplies in a timely manner. , which can speed up the progress of the operation and prevent the patient from losing too much blood."

Xiao Chuan's eyes are comparable to a microscope, and the capillaries and meridians on Yu Wenshu's severed arm are clear at a glance.

Xiao Chuan clamped the broken muscle with tweezers, and said to Sun Simiao, "Sew."

Although Sun Simiao's eyesight was not as sharp as Xiao Chuan's, he could see the muscles in front of him clearly. It's no wonder that he was a Chinese genius doctor. Although Sun Simiao had never undergone surgery, he was far superior to ordinary people, and he quickly sewed up that muscle.

Then Xiao Chuan picked up the ligament with tweezers, and Sun Simiao still sewed it up.

The operation lasted for more than two hours before the muscles and ligaments of Yuwenshu's broken arm were reconnected.

It was Sun Simiao's first surgery, and he was very nervous and out of breath.

At the critical moment of the operation, the large blood vessels were sutured.

Seeing that Sun Simiao was exhausted, Xiao Chuan said, "Doctor Sun, take a break first, and I will sew up the large blood vessels."

Sun Simiao also knew that now was not the time to show off his abilities. If the large blood vessels were not sutured in time, the patient would easily die from bleeding, so he said, "Okay, you can sew, and I will assist."

Xiao Chuan said to the Zhen brothers: "Brother Zhen, you clamp the blood vessel with a hemostat to prevent heavy bleeding. I'm going to sew it up."

In order to maintain his physical strength, Xiao Chuan activated his evil physique, and immediately felt that his whole body was full of strength, and his fatigue was swept away.

The Zhen brothers clamped the large blood vessels with hemostats, and when they were together, Xiao Chuan immediately held the needle and thread in his hand, and inserted the needle like flying.

Just now, Sun Simiao sewed muscles and ligaments just like women sew clothes, but now Sun Simiao and others were surprised to find that Xiao Chuan's suturing method was different, Xu Zhizang couldn't hold back, and asked, "My lord, what is your suturing method. "

Xiao Chuan explained while suturing: "I use the continuous penetrating suture method, which is the most commonly used suturing method for blood vessels. Basically, it can be used for all vascular reconstruction operations, and it is a very critical operation in vascular surgery. When suturing blood vessels, the most basic requirement is that each stitch is repaired, and the intima of the segmented vessels on both sides must be correctly aligned, so that there is no blood leakage or stenosis after suturing, and the blood flow can be smooth.”

In less than 5 minutes, Xiao Chuan sewed up the large blood vessel, and the blood began to flow in the blood vessel without leaking out of the wound. Then he started to sew up the nerve.

While suturing, Xiao Chuan explained: "Choose different suture methods according to the arrangement and nature of the nerve bundles in the nerve trunk, as well as the morphological characteristics. This is the middle nerve, and it is a mixed nerve in the upper arm without natural bundles. If the site is damaged, adventitial suture should be used."

"The median nerve is near the elbow, and there are motor bundle groups at the front and rear ends of the nerve trunk cross-section, but its natural bundle division is short. In this injury, the bundle group suture method can be used, otherwise the adventitial membrane suture method is still used. .”

"This is the anterior interosseous nerve, which should be sutured separately. Above the carpal tunnel, there is a motor bundle or bundle group with thenar muscle branches on the outside of the nerve trunk, and the perineal suture method should be used, and the adventitial suture method can be used for the remaining sensory bundles."

"This is the ulnar nerve. The ulnar nerve has no natural bundles in the upper arm, and the adventitial suture method should be used. In the lower part of the forearm, the sensory bundle group represented by the superficial branch of the ulnar nerve is in the front, and the motor bundle group represented by the deep branch is in the front. For the posterior part, the damage of this segment should be sutured with bundle group."

"In the middle of the forearm, there is a clearly demarcated sensory bundle group of the dorsal branch of the ulnar nerve on the inner side of the nerve trunk. Its natural bundles are particularly long, sometimes reaching the lower part of the cubital fossa. The bundle group suture method can be used. There is a bundle group on the back side of the anterior superior nerve trunk that innervates the forearm For the small motor bundle of the flexor carpi ulnaris, the perineal suture method can be used. The proximal wrist nerve is divided into deep and superficial branch groups, and the group suture method should be used."

"Radial nerve, in the lower part of the upper arm and the elbow, the motor bundle is located in the posterior part and becomes the deep radial nerve, and the sensory bundle is located in the anterior part and becomes the superficial radial nerve."

"In the upper part of the upper arm, the medial half of the nerve trunk is clearly divided into the triceps motor bundle group and the medial forearm branch nerve bundle group, and the lateral half is a mixed bundle group. Therefore, the above-mentioned parts should be sutured with bundle groups. In the middle of the upper arm, The motor and sensory fibers have been attached and mixed, the motor-based bundles are on the side, and the sensory-dominant bundles are on the outside, so adventitia suture is suitable."

Finally, before the effect of the evil physique disappeared, Xiao Chuan stitched all the nerves in his arm and felt dizzy and weak. Fortunately, Sun Simiao reached out to support him.

Xiao Chuan said: "I'm a little tired, please suture the skin."

Now Xiao Chuan is Bian Que's rebirth in the eyes of Sun Simiao's six famous doctors. Hua Tuo is not only highly skilled in medicine, but also humble and humble. He not only teaches them how to perform surgical operations, but also provides them with opportunities to practice.

No one doubted that Xiao Chuan was half-hearted, and the operation could only be performed by cheating, but they felt that he was respecting his predecessors.

Being both a teacher and a friend, Xiao Chuan's image in the hearts of the six famous doctors suddenly grew.

Yang Guang said curiously: "Cousin, I didn't expect you to have such skills. You have to teach me, and I want to learn too."

Xiao Chuan said: "Ah Chan, you can practice with chickens and ducks first."

The operation was a complete success, Sun Simiao and the others benefited a lot, Yang Guang excitedly followed them out to find chickens, ducks and sheep to practice surgery.

Li Yu's eyes were full of little stars, he grabbed Xiao Chuan's hand, and put it in front of his eyes.

Xiao Chuan said embarrassedly: "What are you looking at, I don't have flowers in my hand."

Li Yudao: "Mr. Turtle, although you don't have flowers in your hands, you can embroider them."

Xiao Chuan's face darkened, and he said, "Princess, didn't I tell you not to call me Earl Turtle?"

(End of this chapter)