Chapter 21 A blockbuster (Part 2)
The magician did not capsize, the challenge was successful!
Everyone was sighing, it was like riding a roller coaster.
Hong Zhigang sat there without moving. He became more and more curious about this junior brother whom he had not contacted for ten years.
Those steady hands pushed the operation forward at a speed of more than ten seconds. In this way, it only took four or five minutes to anastomose one nerve, and only ten minutes to connect three nerves. This was already done by a professional The surgeon used epicardial suture to anastomose the nerve quickly.
Hong Zhigang lamented that it is no wonder that peritoneal suturing can be used boldly. To be honest, for the repair of peripheral nerves, the effect of perimenal suturing is far greater than that of epicardial suturing. Replantation of a severed limb is meaningless if it only survives without considering its function. Many patients after replantation of severed limbs are forced to have their limbs amputated because their limbs have no function and become an unnecessary burden. The most critical function of a severed limb after replantation is the repair of nerve damage. The sensory nerves cannot be restored, and they are prone to burns, frostbite, and ulcers from time to time. The motor nerves cannot be repaired and the limbs cannot move, which is a complete burden.
For the second fracture of the forearm, repeat the previous sequence and method.
The blood vessels are getting thinner and thinner. The fracture of the palm is connected with the arteries that connect the superficial and deep palm arches, four veins, and thirteen tendons.
This is no longer exciting enough and can't arouse everyone's interest. Everyone needs to take a rest, and the barrage has been reduced accordingly. It seems that everyone is waiting.
When it came to the finger, everyone's energy, which had just dispersed, had to be forcibly gathered together. If it is said that no matter how powerful perimenal suturing is, it is just suturing nerves, and it is difficult to draw a final conclusion, then the finger vascular anastomosis, which represents the core technology of microsurgery, begins at this time!
The barrage gradually decreased, and everyone concentrated, fearing that they would miss any details.
——
"The wait is finally here! The finger veins are anastomosed."
——
"Would you like to take a break and let Song Zimo take over for a while to catch your breath? I can wash my hands and go on stage." Old Han said with his body turned this way.
Yang Ping: "You can still insist, but if it doesn't work, I'll tell you anytime."
Old Han continued to pay attention to the screen, he knew what was going on.
Replanting a severed finger of a baby can be done with ease. Adult blood vessels are several times thicker than those of babies, so it is much easier to do. What Lao Han is worried about is fatigue, which can reduce a person's ability.
Maybe due to fatigue, or maybe in order to control the intensity to the best so as not to cause tearing force on the blood vessel wall, Yang Ping slowed down a little, and Song Zimo took the opportunity to enter the surgical field under the microscope and began to prepare the stage.
Song Zimo took a deep breath and adjusted himself to the best condition. Yang Ping was tired, but he was recharging his energy. If you wait for work, you won't be unable to keep up with the rhythm.
Instruments and needles and threads are like elves with living souls. Under the microscope, they go back and forth, maintaining a certain speed without excessive pulling of blood vessels due to the friction between the threads and the blood vessel walls. The best between the two is achieved. balance.
Yang Ping is like a machine. His whole body is under the command of his brain and is highly coordinated. Even his breathing is terrifyingly even.
From Lao Han's perspective, he was like a wooden sculpture, calm and focused. Except for his two hands, other parts of his body were motionless, and there was no sweat on his forehead.
At this time, even if the earth is shaking, he probably doesn't care. He is completely immersed in another world, his own world.
In this world, surgery is everything!
——
“Breaking perfection!”
"I suspect that the surgeon is not a person, but a cutting-edge surgical machine? Every stitch is so perfect, so perfect that only a machine can do it."
“The chief surgeon has never been replaced!”
"Is this an advertisement for Red Bull?"
"No, give me Viagra!"
"Finally, the assistant's hand came into view."
"I repeat, we are located in the imperial capital. The hospital is ranked among the top three. The top microsurgery expert in our hospital is willing to be inferior. I can say this with my real name."
"See clearly, not a single stitch needs to be corrected."
"It's as easy as me sewing skin. Is there any way to play like this? Do you want to live?"
"Hey! Why is the gap so big?"
"The world is too big, I want to go out and see!"
——
operating room.
"Director Han!" Dean Sun came in at some point.
Dean Xia is in charge of overall command in the conference room, while Dean Sun is in charge of scheduling in the operating room.
"Everything went well!" Old Han turned around and said.
Dean Sun whispered a few words in Lao Han's ear, and Lao Han got up and followed him out. They walked out of the operating room and the automatic door opened.
"Thumb found!"
Dr. Lu from the emergency department immediately handed over his finger to Director Han. Several firefighters didn't even change their clothes, and their faces were all black from smoke.
"You just found it, can you connect it?" one of the firefighters asked.
Director Han looked at his finger and saw that it had been torn off in multiple sections, with two fractures and three sections. The broken end was severely squeezed, and the last section was severed from the root of the nail, and the broken ends were very uneven.
This kind of condition without replanting would be extremely time consuming if attempted. Lao Han was silent for a moment and said: "We will think of a way, but the main thing is to save lives."
This kind of amputated finger is in extremely poor condition, and requires blood vessel transplantation from both arteries and veins, which is difficult and time-consuming.
If it doesn't work, you can do a second-stage free second toe to reconstruct the thumb.
Lao Han returned to the operating room and looked at the vital signs on the monitor: "How is it? Can the patient still tolerate it?"
The anesthesiologist said: "Young people have a lot of bleeding but no other injuries. If the blood transfusion and fluid replenishment keep up, it won't be a big problem. It will be fine after a few more hours."
Old Han looked at the timer on the wall panel again. Good guy, it was still going on for more than three hours. If the thumb re-implantation could be completed within an hour and the time was extended, it shouldn't be a big problem.
But is it necessary to take this risk? The replantation condition of this thumb was extremely poor and it was torn off and broken. It was basically a type of abandonment.
The patient is under general anesthesia and cannot seek his own opinion. Old Han walked around in the open space of the operating room, then sat down, tapping his fingers rhythmically on his thigh.
There is no problem with Yang Ping's ability. But I have been doing it for several hours, and I am inevitably tired and my energy has dropped. I don’t know if I can persist.
It is very difficult to find the severed end of the avulsed blood vessel and then forcibly replant it, and the failure rate is extremely high.
If not, wash your hands yourself.
——
"I've already guessed that this was done intentionally by Mo Liu, and it was Professor Hong Zhigang who performed the surgery, right?"
"Professor Hong just spoke in the video conference, how could he be separated?"
"That's his rising star, Professor Wen, right?"
"Stop talking, it's not Moliu!"
"How can you be so sure?"
"The University of Vancouver is right in front of us."
"Damn it! Reply to the big cow in the imperial capital."
"Not me!"
Professor Wen, Hong Zhigang’s favorite student and Song Zimo’s idol, has a story in the industry--
At that time, Professor Hong recruited a graduate student who was extremely talented in microsurgery. However, after the interview, there was no news and he said that he would not come to graduate school. When Professor Hong inquired about it, he found out that this guy worked in a private hand surgery hospital, so he came to this hospital after a long journey.
After a face-to-face conversation, it turned out that this man was short of money. His father was hospitalized due to illness and he had to raise medical expenses everywhere. He had no choice but to give up graduate school and continue to work to earn money.
Professor Hong expressed his position on the spot: "Well, you come to graduate school! Look, how much does it cost to solve the current difficulties? Give me your card number, and I will call you. Also, I will pay for your tuition fees in the past few years. ”
The guy was moved to tears and wanted to kneel down and kowtow a few times. In this way, Professor Hong acquired a rare talent, the kind that is said to be found only once in 20,000 people.
This graduate student is Professor Wen - Wen Rentao. He studied for a master's degree and a doctoral degree under Professor Hong, studied abroad, and later stayed in the Sixth Academy of the Magic City and became Professor Hong's most capable general.
Wen Rentao is the pinnacle of the younger generation of orthopedics. He has made breakthrough contributions in multiple fields and published many articles in some of the top international orthopedic magazines with a very high citation index.
This matter has become a hot topic in the industry, so much so that for those who can’t afford graduate school, some people offer advice: “How about you study at Professor Hong Zhigang’s School of Moliu?”
——
"This is not surgery, it's racing!"
"Rollercoaster!"
"It's finally over, the thumb is repaired and rebuilt in the second phase!"
"The meeting is dismissed!"
"Collect clothes when it rains!"
There was a moment of silence.
"Holy crap, what does this mean? This is not the posture of a disabled repairman. Are you opening a snuff den? Exploring blood vessels? Do you need emergency reconstruction?"
"I heard that the thumb was found and torn off in many sections."
"Contraindications for replantation. Do we need to break through the contraindications and perform detachment and replantation?"
"I'm dizzy!"
(End of chapter)