Since 1981 Health School
Chapter 327: whimsical foster care
Chapter 327 Whimsical foster care
Director Bian became more serious as he spoke:
"Second question, you put such a palm on your calf, have you ever thought that maybe the palm is not connected, and you first pollute the good lower limbs, which will cause infection, or even systemic infection. It's not a question of whether you can protect your hands, but I'm afraid you can't even protect your legs."
The little doctors next to them nodded wildly again.
In everyone's ideology, any body or organ should go where they should go.
For example, the palm should be connected to the arm, and the sole of the foot can only be connected to the calf. How can it be possible to connect the hand to the foot and the foot to the hand?
Isn't this a mess.
It is really unimaginable that a person stretched out his hand, only to find that it was a foot.
Everyone in the emergency room got goosebumps when they thought of this.
Chen Qi could only explain patiently. Of course, he was not very confident. After all, he knew how to operate this operation in theory, but in reality he had never done similar operations in his two lifetimes.
Ghost knows that he came up with such a "new technique" based on the memory of just a photo and a paper.
Chen Qi has a spirit of not admitting defeat. If you say no, he has to do this operation, so he patiently explained:
"Old Bian, that's what I think. I'll make an opening in the calf first, because this part is rich in blood vessels and nerves, such as tibial nerve, cutaneous nerve, sural nerve, posterior tibial artery and vein, peroneal artery and vein, etc. Wait,
In addition to these main blood vessels and nerves, there are countless small blood vessels, which are enough to feed a palm. As long as I can survive these two months, when the arm is almost recovered, I will cut off the foster palm. Transplanted to the arm, you say O is not OK? "
Director Bian's face was already wrinkled as if he was constipated, and his mind was a little confused. He kept thinking about the feasibility of what Chen Qi said, but he was not optimistic.
The villagers of Liandong Village nearby are fans of Chen Qi. Upon hearing this suggestion, Village Chief Zhang immediately stood up:
"Director Bian, I think Chen Qi's method can be tried. Anyway, now we can only give it a go. If we don't do this operation, Xiaodong will definitely lose his hand. According to Chen Qi's method, there is still a glimmer of hope. It's better to have hope than no hope."
When Director Bian heard this, his brain went crazy, and he suddenly felt enlightened.
Yes, there is still a chance of life after trying, otherwise there is really only a dead end.
At the same time, Director Bian felt ashamed all of a sudden, thinking that he was really old, and completely lacked the courage and determination of young people to dare to fight and try.
"Okay, Deputy Chen, then I will listen to you. I hope you can lead us all to create a miracle."
Chen Qi was very happy to see that the head of surgery was persuaded, and turned around and asked:
"Uncle Agen, the operation cannot be guaranteed to be 100% successful. It requires the signature and consent of the family members. Do you want to call Zhang Xiaodong's mother?"
Zhang Agen waved his hand:
"Xiaodong's mother is bedridden, and she can't come at all. None of the younger brothers and sisters in the family can make decisions, so I, the village head, will be the one today. I signed the operation, what's the matter? I'll take care of it, Chen Qi, you can rest assured to perform the operation."
Chen Qi was very relieved, he had absolute trust in Zhang Agen's character.
At this time, all the people who came to support arrived, and they came very quickly and in a timely manner.
Chen Qi’s original incentive policy worked, because everyone knows how much subsidy a difficult multidisciplinary surgery can get, so everyone is very motivated.
In the past, a consultation can be delayed for most of the day, and it may even wait until the next day before arriving late.
Multidisciplinary surgery is even more important to complete the task, especially for doctors who are not surgeons, their business is not their responsibility, and they are too lazy to provide more advice and energy.
Director of the orthopedics department, Ma Shouli, came the fastest. He was excited when he heard that it was another limb replantation operation.
It is important to know that the main force in replantation of amputated limbs is actually orthopedic surgeons. Director Ma has ambitions to take this "special department" from surgery to orthopedics.
Yan Shifan and Bian Meng also came with a full set of surgical tools and cameras.
As everyone expected, when they heard that Chen Qi was going to foster the broken palm on his lap, everyone's mouths were wide open, with disbelief on their faces.
Rescue is a race against time, everyone immediately entered the working state, and Zhang Xiaodong also underwent emergency surgery after being quickly general anesthesia.
In the cleft lip and palate operating room dedicated to the Second Department of Surgery.
Two operations were carried out at the same time. Director Bian and Director Ma jointly performed bone repair and debridement and suture. While operating, the two of them looked at Chen Qi from time to time, and they were a little distracted today.
Chen Qi, with the help of his assistant Yan Shifan and the border alliance, set up an electron microscope and prepared to attach the severed palm to his leg.
Almost all the doctors who could come from the Department of Surgery and Orthopedics came, and everyone stared wide-eyed at Chen Qi's operation.
In fact, the step of transplanting the broken palm to the calf is not too difficult.
Chen Qi cut open the skin and subcutaneous tissue on the outside of the calf, exposing the blood vessels and nerves inside, and then began to pick.
The aorta should be avoided. Do you dare to cut the aorta? Spray blood on your face on the spot, so that you can't stop it.
Chen Qi wanted to find a few small arteries and veins that were not too important. The blood vessels of the human body are a network, and if a few of them are interrupted and connected to other places, it will not affect the blood supply and circulation.
What the surgeon needs to do is to connect the two main arteries of the palm, the ulnar artery and the radial artery, and then connect the three deep and superficial veins.
In this way, the arteriovenous network can work and initially start blood supply, ensuring that the broken palm will not be necrotic due to ischemia.
The other thing is the anastomosis of some major nerves, such as the median nerve, ulnar nerve, and radial nerve.
Nerve necrosis, the palm loses the significance of transplantation.
As for the remaining bones, tendons, muscles, etc., they can not be repaired temporarily, as long as the blood supply can be guaranteed, let them slowly repair themselves.
The last thing is to suture the skin flap between the hand and the leg, and after checking that the blood supply of the severed palm has been restored, this "severed limb allogeneic fostering operation" is completed.
The total time spent was only about 6 hours. During this period, the Border Alliance changed several video tapes.
As soon as the operation was completed, Director Bian and Director Ma couldn't wait to let the assistant continue the operation, and they ran over quickly to watch the excitement.
The little doctors next to him also gathered around one after another, their eyes widened, and they dared not breathe.
As soon as Chen Qi took off the sterile towel, the patient's entire calf was exposed, and the sound of air-conditioning was heard everywhere in the operating room.
Hiss~~~~
The scene in front of me is really ruining the three views. I saw a hand growing on the patient's calf. No matter how you look at it, it's weird, just like a science fiction novel.
"Oh my god, this is horrible..."
"I have goosebumps all over my body..."
"Can such a foster care operation really work?"
(end of this chapter)
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