Zhou Ming and Zhang Yong were both very excited and could not wait to see Li Zheng's surgery.
The anesthesiologist has completed the general anesthesia.
Three groups of doctors, two instrument nurses, and two circulating nurses.
The photography team had already set up the live broadcast equipment in the operating room.
Many doctors have come to the operating room next door, ready to witness the wonderful process of this double calf replantation surgery.
This type of surgery was performed for the first time in the city hospital.
It was also thanks to the successful replantation of both wrist joints not long ago, otherwise the city hospital would not dare to treat such patients.
This patient was brought by Li Zheng, so they dared to take the case. If it weren't for Li Zheng, they wouldn't have the courage to do it.
Of course, amputation is relatively simple. It can be done in the city and even in the county.
"Well, let's make our three groups of doctors clear about our tasks first." Li Zheng turned around and said after looking at the film.
The other doctors perked up and followed Li Zheng's instructions.
Even Zhou Ming and Zhang Yong immediately got into the state.
"Dr. Zhu and I are in a team responsible for exploring, trimming and marking the blood vessels." Li Zheng said to Zhu Qidong.
"Got it!" Zhu Qidong stood at attention excitedly.
I still hold a very important position in Brother Zheng's heart. Not only do I name him as my partner, I am also responsible for the most important blood vessel cleaning.
"Director Duan and Dayong are in a team responsible for cleaning and marking the nerves and tendons." Li Zheng said in a deep voice, like a marshal commanding a battle.
Director Duan and Chen Dayong both nodded seriously.
"I guarantee to complete the task!" Chen Dayong wanted to stand at attention and express his stance, but after thinking about it, he felt that it was inappropriate, so he expressed his attitude through his tone.
Director Duan has now become a junior doctor and completely obeys Li Zheng's arrangements.
Li Zheng looked at Zhou Ming and Zhang Yong again and said, "Director Zhou and Doctor Zhang will be responsible for the initial treatment of the bones. After removing any obvious small bone fragments, they will perform moderate limb shortening. Bone fragments larger than one square centimeter will be preserved as much as possible. I will then fix them with Kirschner wires."
"Okay, no problem."
Zhou Ming was not familiar with microsurgery, but he was very experienced in bone treatment. At the same time, he also wanted to see Li Zheng's so-called superb Kirschner wire fixation technique.
Zhang Yong also nodded vigorously. In the previous operation, his participation was not high, but this time he had to devote himself to it.
They understood Li Zheng's intention in making such an arrangement, which was to improve efficiency. One group of people was responsible for handling a specific organization, so that they would be more proficient and have better coordination.
After the arrangements were made, everyone immediately went to wash their hands and came back to prepare for the operation.
Zhang Yong, Zhu Qidong, Chen Dayong and Zhou Ming, four people, two groups, rapid disinfection.
For the two remaining limbs, simply use a knife to cut off the remaining connecting tissue.
Zhang Yong and Zhu Qidong each held a broken leg, while Chen Dayong and Zhou Ming used iodine-complexed gauze to disinfect it.
After repeated disinfection three times, the two men placed the broken leg on the instrument table.
Then pick up the thigh and disinfect it thoroughly.
After Li Zheng got dressed, he came to Lin Xiaomei's instrument table.
I picked up an external fixation rod and took a look at it.
This external fixator is made of stainless steel and is used for temporary fixation of fractures.
This type of open calf injury cannot be fixed with an internal fixation plate because it is very likely to cause infection and lead to surgical failure.
"How is it? Have you used this external fixator before?" asked Director Duan.
Li Zheng shook his head and said, "I have never performed orthopedic surgery in the city hospital before, and I have never performed external fixation surgery in the county. I only followed the external fixation surgery table when I was an intern."
Director Duan was stunned for a moment, then nodded and said, "It's okay. I'm quite familiar with this type of frame. I can do the initial external fixation later."
Li Zheng familiarized himself with the equipment and nodded, "Director Duan, how confident are you that we can succeed on the first try?"
Director Duan was stunned again and said, "Success in one go? Li Zheng, your expectations are too high!"
Li Zheng shook his head and said, "Every minute of delay increases the risk of limb necrosis, so try not to waste time!"
Director Duan said angrily, "Who can succeed on the first try? The pins of the external fixator need to be adjusted repeatedly."
"Then let me do it!" Li Zheng said, picked up the severed left limb, came to a small wooden table covered with a sterile sheet, and began to process the tissue.
Director Duan really wanted to say something like "You are so arrogant", but when the words came to his lips, he swallowed them back.
Because he suddenly remembered the case of Li Zheng who had Kirschner wire inserted into the tibia. That case was much more difficult than using an external fixator. That kind of patient could be fixed in one go, so this one would be even more of a problem.
Shaking his head, Director Duan also picked up a broken leg and began to deal with the broken end with Chen Dayong.
Director Duan had no objection, but the live broadcast room next door was in an uproar.
Since the camera was always following Li Zheng, they could hear his conversation with Director Duan clearly.
"Damn, this Li Zheng is too outrageous. He actually asked Director Duan to succeed in one go." said a general surgeon.
"It's not that simple. He has never used this kind of external fixator before, so he certainly doesn't know the difficulty. After the fixation needle is inserted, the length and force line of the lower limb need to be adjusted, which involves three-dimensional changes. No one can succeed in one go." said an orthopedic surgeon.
"That's right. Although his microsurgery skills are indeed amazing, orthopedics is a large specialty with many branches. It is impossible for a doctor to be proficient in several sub-specialties, not to mention that he is so young. He has a talent for microsurgery, so he has reached his current level. But it is simply wishful thinking to think that he can reach this level in other areas!" Another orthopedic doctor had always disliked Li Zheng, and now he saw the opportunity to scold him.
"Director Duan is the only one with a good temper. If it were me, I would have started to argue with him a long time ago!" said a urology doctor.
"He still wants to do it himself. We'll see what he can do. If he gets embarrassed, he'll have to be careful not to lose face."
Everyone was a little angry. This was like someone coming to mess things up. A city hospital was actually looked down upon by a doctor from a county hospital. Even though you came from here, you're now in a lower-level hospital, the first level, and yet you're still so arrogant.
The camera zooms in.
The images of Li Zheng and Zhu Qidong's surgery were clearly displayed in front of everyone.
Li Zheng was seen covering the foot of his left broken leg with a towel with small holes, leaving only the broken end exposed.
Li Zheng picked up a No. 15 small round knife and quickly cut off a circle of skin. After cutting it off, he cleared away the obviously necrotic muscle fascia tissue, and then cut off some broken bones, retaining the larger bone pieces.
Reprocess the nerves.
The tibial nerve and the common peroneal nerve, two important nerves, were quickly found.
Cut off all the obviously flattened and stringy nerve fibers.
Finally, process the blood vessels.
The anterior tibial artery and posterior tibial artery, two major groups of blood vessels, were also quickly identified.
Li Zheng carefully trimmed the inner and outer membranes, explored the patency of the lumen, and flushed the blood vessel cavity with low molecular weight heparin saline solution to completely remove the blood clots.
All muscles, tendons, blood vessels, and nerves were marked one by one.
Everyone was immersed in Li Zheng's operation.
The seemingly ordinary surgical instruments seemed to have spirituality in Li Zheng's hands.
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