Li Zheng shook his head and said, "The blood flow in the posterior tibial artery and the anterior tibial artery is very large. If we anastomose the arteries first, it will inevitably cause a waste of blood after opening. Therefore, we should anastomose the two main veins first to allow as much blood as possible to flow back."
As he spoke, Li Zheng asked the circulating nurse to put on microscope glasses, pick up 8-0 lossless nylon thread, and start suturing.
"That will prolong the ischemia time of the limbs!" Zhu Qidong kept moving his hands, using retractors to pull the tissues apart to make it easier for Li Zheng to operate, but he still couldn't help asking.
"It's okay." Li Zheng said, "It won't take long to sew up two veins. We still have plenty of time."
All right.
Everyone was speechless.
For you, it doesn't take long to sew two blood vessels, but for everyone, it takes at least ten minutes to sew one blood vessel, and almost half an hour to sew two blood vessels.
The skill of speaking.
Li Zheng had already sutured two stitches at the 3 o'clock and 9 o'clock positions of the posterior tibial vein in the left calf and left a traction line.
Then 3 more interrupted sutures are made in the upper half of the vascular cavity.
After the stitches were completed, Li Zheng pulled the two traction lines and turned the blood vessels over, exposing the lower half that was not sutured.
Zhu Qidong immediately took over and pulled the traction line.
Li Zheng then performed three more intermittent sutures.
The venous lumen pressure is relatively small, so 8 interrupted sutures are sufficient.
But Li Zheng still sewed the edges together to ensure that there would be no bleeding.
"That speed really doesn't take much time! From inserting the needle to suturing a vein, it takes less than three minutes." Zhou Ming exclaimed. He checked the time. It was so damn fast!
Even the other doctors, who had experienced double wrist replantation, were still deeply shocked by Li Zheng's speed.
Li Zheng is like a precision machine, his hands steadily controlling the delicate movements.
No stopping whatsoever.
Li Zheng quickly sutured the marked great saphenous vein with the same dazzling speed.
During this period, Chen Dayong did not have time to flush the heparin.
The posterior tibial artery is then sutured.
The three of them cooperated well.
Zhu Qidong pulled the hook, pulled the thread, and cut the thread, while Chen Dayong flushed the heparin.
Li Zheng also used 8-0 nylon thread to quickly suture the posterior tibial artery.
"Loosen the tourniquet!"
When Zhu Qidong cut the last suture, Li Zheng had already given the order.
The circulating nurse immediately unscrewed the tourniquet air pressure valve.
The tourniquet is slowly deflated.
The posterior tibial artery gradually developed pulsations.
No surprises.
There was no bleeding from either the arterial anastomosis or the venous anastomosis.
Wrap it with wet gauze.
The three men then turned to the right calf.
In less than ten minutes, the anastomosis of two veins and one artery was completed.
Li Zheng then sutured the tibial nerve.
Although there was no microscope, the tibial nerve is a very thick nerve, and Li Zheng sutured each nerve bundle one by one.
People observing in the operating room couldn't see it clearly.
But the doctor in the live broadcast room next door could see it clearly.
When the lens is zoomed in to its maximum, the nerve bundles on the screen are magnified to the thickness of a finger.
Every stitch and thread of Li Zheng's work is clearly displayed.
"This is too exaggerated! The perineurium can be aligned so well!" An orthopedic surgeon exclaimed again.
"It's incredible! It's hard to believe that this was sutured without a microscope." Another general surgeon also exclaimed.
"Every movement he makes is extremely stable and precise. Even when magnified so many times, there's still no noticeable shaking."
"How did he acquire such skills? I never heard that he could perform microsurgery when I was in the municipal hospital." The urologist felt his scalp tingling.
"With this skill alone, he can set up a department independently, whether in the city or the province!"
"Alas, it's impossible for him to come back to our hospital. He only comes to Feidao now because of some old friendship!"
After Li Zheng sutured the tibial nerve, he sutured the muscle tissue.
Although the middle part is missing, the thickness of the muscles at both ends are basically matched, so Li Zheng did not make too many adjustments.
After suturing the gastrocnemius, soleus, and toe flexors at the back, Li Zheng also sutured the skin. Because of the frequent turning over, the wound was more susceptible to contamination.
After finishing the back of the left leg, do the same with the right leg.
After both legs were treated, everyone turned the patient over to lie down.
Then suture the anterior tibial artery and vein, common peroneal nerve, tibialis anterior muscle, and extensor digitorum muscles of both legs.
Finally, the small saphenous vein was sutured.
Then suture the skin.
The reimplantation surgery is complete.
"Wonderful!"
In the live broadcast room, the doctors watching the performance unconsciously applauded.
"As a general surgeon, I never expected that someone would be so absorbed in watching a microsurgery operation."
"There's nothing strange about this. I'll watch such a pleasing surgery no matter how long it takes."
"Yes, it's a rare opportunity. No doctor in our hospital has ever done a live broadcast."
"Who has the guts to do a live broadcast? Wouldn't it be embarrassing if there were no viewers?"
"I really hope Li Zheng can come to our hospital more often to perform surgeries. I heard he's also very good at general surgery. I'm going to report this to our director and ask him to arrange for a difficult surgery that we can't perform, and ask Li Zheng to do it instead."
"I don't know how well Li Zhengmi is at surgery, but judging by his appearance, he should be able to do it, and he's pretty good at it."
Everyone was sharing their thoughts on the show, and everyone wanted Li Zheng to come over and throw his knife.
In the operating room.
Li Zheng bandaged the wounds on both legs himself.
The operation is officially over.
"Li Zheng, it's still early. Let's go to the department and draw a sketch of the extended external fixator you mentioned so that I can arrange for it to be customized as soon as possible." Director Duan personally helped Li Zheng untie the knot behind the collar of his surgical gown and said anxiously.
I have been thinking about this matter all the time.
Even if the patient's calf is successfully reattached, if it is only this length, it would be better not to reattach it and directly install a prosthesis.
Li Zheng nodded and glanced at the clock on the wall.
3:30 p.m.
He glanced at Lin Xiaomei and found that she was also looking at him with a tacit understanding.
Lin Xiaomei nodded, signaling Li Zheng not to rush back, as business was more important.
Li Zheng nodded and said, "That's a special external fixator, but the principle is not complicated. Director Duan, you will understand it after just one look."
After Li Zheng finished speaking, he had already taken off his surgical gown.
Before the group walked out of the operating room, the door had already opened.
Several doctors walked in.
Li Zhengdu knows everyone.
"Wow, such a big fuss, what are you doing?" Chen Dayong asked with a smile, they were all old acquaintances.
"Brother Zheng, your surgery today was wonderful. I have never seen such a wonderful surgery in my life. I heard that you are also very good at general surgery, better than our director. Come and help us perform an operation as well!" The fat doctor in general surgery said with a smile.
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