Chapter 9 Aircraft Speed
Soon, one blood vessel was anastomosed and another one began to anastomose.
Zhang Linyou picked up the microscopic instrument and wanted to enter the field of view to help, but his hands were shaking so much that he almost cut off the blood vessel that Yang Ping had connected.
"Don't move!" Yang Ping said.
This guy is not good enough. Helping will cause trouble.
Zhang Lin's face felt a little burning, so he simply put down the equipment and did nothing. He just looked at the eyepiece, stared at the field of view under the mirror, and watched Yang Ping do it.
Yang Ping operated calmly by himself, using tweezers and scissors in cooperation, the broken ends of the blood vessels were exposed bit by bit, and another blood vessel was found.
Immediately trim the broken end of the blood vessel and remove part of the outer membrane. Once the scissors are used, the broken end of the blood vessel becomes clean and neat.
"Can the surgery be videotaped?" Yang Ping asked Zhang Lin.
"Yes, the microscope is directly connected to the video system." Zhang Lin answered affirmatively.
"Turn on the video and record the entire operation." Yang Ping instructed Zhang Lin.
Although I have the purpose of not delaying the patient, I want to leave a video as evidence. Whether I have an explanation to Director Tian or other parties, if anything happens, it can be traced back.
"Video, turn on the video system!" Zhang Lin remembered the video and called the circulating nurse.
The microscope itself is connected to a high-definition camera, which can record the entire field of view under the microscope.
"Okay!" the circulating nurse responded, and immediately went to bring in various video systems, connect various lines, and turn on the host computer.
"Heparinized saline flushing, eleven-zero microscopic suturing needles."
A syringe with a flat needle, filled with heparin saline, was handed over.
The microsurgical suture needle and thread are handed over with the thread board.
The instrument nurse today was very good. Although it was her first time setting up a device, she was very skilled. Yang Ping turned around and saw that those eyes, with long eyelashes, were clear and lively. They looked familiar.
But without thinking about it, he immediately went into surgery again.
The needle and thread, which is much thinner than a hair, can be stably inserted under the microscope and in Yang Ping's hands, as easily as sewing skin.
Go on to the next one, and another and another.
Six anastomoses were performed in one go, two arteries and four veins.
Because it is broken into three sections, there are two breaks.
Then he started to anastomose blood vessels at the other fracture, the same six, which seemed quite easy.
After loosening the blood vessel clamp, the blood vessels rippled gently, and the pale fingers at the distal end immediately turned red. The blood vessels anastomosed extremely well, with good blood flow and no obvious blood leakage.
Zhang Lin only had the job of handing over the equipment, and even handing out the equipment was a bit slow. Have you never eaten pork or seen a pig running? He could not replant amputated fingers independently, but he had seen it done by Director Tian and Song Zimo, and even acted for them.
Today's severed finger replantation, in the hands of Dr. Yang, has a different taste. It does not feel like a difficult operation, but like a simple debridement and suturing, or a simple tendon anastomosis and other small operations, which seems particularly easy. .
If the replantation of severed fingers he saw before was the speed of a train, then this is the speed of an airplane.
Nerve anastomosis, tendon anastomosis! The nerves were anastomosed end-to-end, and the tendons were anastomosed with standard reinforced Kjeldahl sutures. A small drainage piece was carefully placed under the skin of the two cross-sectional wounds. Finally, the skin was completed under a microscope, and the skin lines were neatly aligned.
Yang Ping breathed a sigh of relief. As expected, the quality and survival of this vascular anastomosis should not be a big problem.
"Bandage and fix it with plaster!" Yang Ping and Zhang Lin began to bandage the injured limbs.
The anesthesiologist seemed to want to call it a day: "What's wrong? I won't take the call anymore?" "Okay!" Zhang Lin said.
"Did you get it?" The anesthesiologist was a little unconvinced. In fact, the most knowledgeable about the surgeon's level was the anesthetist and the nurse, because they often cooperated with the doctor.
It took less than three hours. The actual surgery actually only took about two hours. How could it be so fast? The anesthesiologist couldn't believe Yang Ping. This kind of surgery wouldn't be possible anywhere in five or six hours. He even suspected that the two young men couldn't get off the stage, so he simply closed the wound and made a simple suture. But as an anesthesiologist, he knew that he could think about it this way but not say it out loud, so he just said yes.
The equipment nurse's bright eyes were also full of suspicion and speculation. She was ready to fight a protracted battle, but she didn't expect the battle to end so soon.
Zhang Lin opened the sheets layer by layer and handed the last pair of towel pliers to the nurse: "It's done!"
"Doctor! Is it impossible to pick up the phone?" The patient heard that the work was about to end so soon, and said disappointedly: "You must help me. My child is still young, and the whole family relies on me to earn money to support the family. Without this hand-- "This man actually started sobbing.
Without the thumb, the hand is basically useless.
Yang Ping gently pressed his shoulder and comforted him: "Don't worry, the finger has been attached. You will lie in bed for ten days. You will eat, drink, and defecate on the bed. You must not smoke. Do you understand, otherwise the finger will become necrotic?" .”
The patient immediately burst into tears and smiled: "Really, doctor, thank you. When I get better, I'll treat you to a barbecue and a beer. A young doctor said that it would take five or six hours to take care of the patient, but he didn't expect to receive it so quickly."
Yang Ping got off the operating table and took off his surgical gown and secretly looked through the surgical nursing records. The instrument nurse was indeed Su Yixuan. Although they chatted for a while at the riverside restaurant, they only discussed the obstruction of foreign bodies in the trachea and did not ask about their respective majors.
It turned out that Su Yixuan was a nurse in the operating room. Su Yixuan packed up the instruments 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 originally an orthopedic surgeon? ’
"Have you known each other before?" the traveling nurse said, pointing to the two of them.
Su Yixuan nodded.
The two chatted briefly for a while and then went about their own business.
Zhang Lin, the anesthesiologist and the nurse sent the patient back to the ward, but the nurse in the ward didn't even respond: "Is it a broken repair or a replantation?"
"Replanted!"
That’s right! The little nurse didn't believe it, but she didn't have time to study it carefully, so she immediately went to the ward to prepare.
Yang Ping sat in the locker room for a while, leaning back on the chair to rest. Really, it feels good.
It was the first time that I applied the surgical skills acquired in the system to reality. I was a little excited, but at first I was a little nervous, so I didn’t dare to go too fast during the entire operation.
Now I can rest assured that the surgical skills acquired in the system can be brought into reality without any discount, and they are no different from the skills learned in reality.
"Complete a case of replantation of a severed finger, and the reward is 1,600 points."
The good people and good deeds system has given out bonuses again.
Subtitles appeared in the upper right corner of Yang Ping's field of vision, stayed for a moment and then disappeared.
Through several tasks, Yang Ping got a feel for the system's temperament. Real-life events can trigger system tasks. Through these tasks, you can obtain rewards, such as points, and then the points can be exchanged for some surgical compensation training in the system to improve surgical skills.
Back in the ward, Yang Ping did not dare to slack off. After all, it was the first time he had replanted a severed finger in real life. 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 that affected the operation. .
Regardless of any factors, once a blood vessel is blocked or a vascular crisis occurs in a severed finger, immediate treatment must be taken as soon as possible. If it is delayed, the broken finger will become necrotic.
Waiting until necrosis occurs is already too late to treat.
(End of chapter)