The Godfather of Surgery
Chapter 9 Aircraft Speed
Soon, one blood vessel was anastomosed, and the other began to be anastomosed.
Zhang Lin picked up the microscope instrument and wanted to enter the field of vision to help, but his hands were shaking so badly that he almost cut off the blood vessel that Yang Ping had connected.
"Don't move!" Yang Ping said.
This guy's level is not good, help will add chaos.
Zhang Lin's face seemed to be on fire, so he put down the equipment and did nothing. He just looked at the eyepiece, stared at the vision under the mirror, and watched Yang Ping do it.
Yang Ping did it calmly. With the cooperation of forceps and scissors, the broken end of the blood vessel was exposed little by little, and another blood vessel was found.
Immediately trim off the stump of the blood vessel, remove part of the adventitia, and cut off with scissors, the stump of the blood vessel becomes clean and neat.
"Can the operation be videotaped?" Yang Ping asked Zhang Lin.
"Yes, the microscope is directly connected to the video system." Zhang Lin answered affirmatively.
"Open the video and record the whole operation." Yang Ping instructed Zhang Lin.
Although I was trying not to delay the patient, I left the video as evidence, no matter if I had an explanation to Director Tian or other parties, if anything happened, it could be traced back.
"Video, turn on the video system!" Zhang Lin remembered the video and called the patrol nurse.
The microscope itself is connected to a high-definition camera, which can record the entire field of view under the microscope.
"Okay!" The roving nurse replied, and immediately pushed various video systems, connected various lines, and turned on the host.
"Heparin saline flush, eleven zero microsutures."
A syringe with a flat needle, filled with heparinized saline, was handed over.
Microsurgical sutures are handed over with thread boards.
Today's equipment nurse is very good. Although it is the first time to provide a table, he is very skilled. Yang Ping turned his head and saw that those eyes, with long eyelashes, were clear and agile, and they looked a little familiar.
But without thinking about it, he immediately went into surgery again.
Needle and thread that is much thinner than a human hair, under the microscope, in Yang Ping's hand, pierce and pierce firmly, as easily as sewing skin.
Continue to the next one, one after another.
Six anastomoses, two arteries, and four veins were anastomosed in one breath.
Because it is broken into three sections, there are two fractures.
Then, the blood vessels were anastomosed at the other fracture, with the same six, which seemed quite relaxed.
After loosening the vascular clip, the blood vessels fluctuated gently, and the pale fingers at the distal end immediately became red.
Zhang Lin only had the share of handing over the equipment, and even handing over the equipment couldn't keep up with the rhythm. Have you ever eaten pork or seen a pig run? He can't do the replantation of severed fingers independently, but he has seen it, saw Director Tian do it, watched Song Zimo do it, and even gave them a stage.
Today's replantation of a severed finger, in Dr. Yang's hands, has a different taste. It doesn't feel like a difficult operation. It seems that a simple debridement and suture, or a simple tendon anastomosis and other minor operations are particularly easy. .
If the replantation of the severed finger he saw before was the speed of the train, then this is the speed of the plane.
Nerve anastomosis, tendon anastomosis! End-to-end nerve anastomosis, standard reinforced Kjeldahl suture anastomosis tendon, a small drainage sheet was carefully placed under the skin of the two sections of the wound, and finally, the skin was also completed under a microscope, and the skin lines were neatly aligned.
Yang Ping breathed a sigh of relief, no accident, the quality of this vascular anastomosis should not be a problem.
"Bandage, plaster fixation!" Yang Ping and Zhang Lin began to bandage the injured limb.
The anesthesiologist saw that he meant to stop work here: "What's the matter, don't pick up?"
"It's done!" Zhang Lin said.
"Is it connected?" The anesthesiologist is a little unconvinced. The level of the surgeon is actually the best known than the anesthesiologist and the nurse, because they often cooperate with the doctor.
It's less than three hours, and the actual operation is actually about two hours, how can it be so fast. The anesthesiologist couldn't believe Yang Ping. This kind of operation was impossible within five or six hours. He even suspected that the two young men could not get off the stage, so he closed the wound and made a simple suture. But as an anesthesiologist, he knew that it was okay to think like this, but he couldn't say it, so he just hummed.
The equipment nurse's bright eyes were also full of suspicion and speculation. She was ready to fight a protracted battle, but she did not expect the battle to end so quickly.
Zhang Lin lifted the sheets one by one and handed the last pair of towel tongs to the nurse: "Come on!"
"Doctor! Can't I make it?" The patient heard that he was about to finish work so soon, and said disappointedly: "You must help me, my child is still young, and the whole family relies on me to earn money alone. Without this hand-- ' The man actually sobbed.
Without the thumb, the hand is basically useless.
Yang Ping gently pressed his shoulders and comforted him: "Don't worry, your fingers are already connected, then you have to lie on the bed for ten days, eat, drink, and lax on the bed, and absolutely can't smoke, you know, otherwise your fingers will be necrotic. ."
The patient immediately burst into laughter: "Really, doctor, thank you, when I'm ready, I'll invite you to barbecue and beer. A young doctor said it would take five or six hours to pick up, but he didn't expect to pick up so quickly."
Yang Ping got off the operating table and took off his surgical gown, and secretly looked at the surgical nursing records. The equipment nurse was Su Yixuan. Although they chatted for a while in the bar, they only discussed the blockage of foreign bodies in the trachea, but did not ask their respective majors.
It turned out that Su Yixuan was a nurse in the operating room. Su Yixuan packed up the equipment and waved to Yang Ping: "Yang Ping?"
"Su Yixuan?" Yang Ping wanted to confirm.
Su Yixuan nodded: 'You really submitted your resume and came to work so soon? Are you an orthopedic surgeon? ’
"You know each other before?" said the itinerant nurse, pointing to the two.
Su Yixuan nodded.
The two simply chatted for a while, then each was busy.
Zhang Lin, the anesthesiologist and the nurse sent the patient back to the ward, but none of the nurses in the ward responded: "Replanted or replanted?"
"Replanted!"
Make no mistake! After a long time, the nurse girl didn't believe it, but she didn't have time to study it, and immediately went to the ward to prepare.
Yang Ping sat in the locker room for a while, resting on the back of the chair. Really, it feels good.
It was the first time to apply the surgical skills acquired in the system to reality.
Now I can rest assured that the surgical skills acquired in the system can be brought to reality without any discount, which is no different from the skills learned in reality.
"Ding Dong, complete a case of replantation of a severed finger, reward 1600 points."
The good people and good deeds system has issued bonuses again.
The subtitles appeared in the upper right corner of Yang Ping's field of vision, and disappeared for a while.
Through several missions, Yang Ping felt a little bit of the system's temperament. Real events can trigger system missions. Through these missions, you can get rewards, such as points, which can then be exchanged for some surgical training in the system to improve surgical skills.
Back in the ward, Yang Ping didn't dare to slack off. After all, it was the first time in reality to do this kind of replantation of a severed finger. He got up several times to check the blood supply of the severed finger, because no matter how perfect the operation was, there was a possibility of failure, and there were too many factors affecting the operation. .
Regardless of any factors, once a severed finger is blocked by blood vessels and a vascular crisis occurs, it is necessary to act decisively and deal with it as soon as possible. Once delayed, the severed finger will become necrotic.
It is too late to wait until the necrosis is reprocessed.
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