Li Zheng finished bandaging the wound. Although the skin flap was small, it left a pea-sized observation window. The distal part of the thumb was also exposed, allowing for good observation of blood circulation.
Finally, a plaster cast was applied to immobilize the thumb in flexion.
Li Zheng also explained to Bao Youshan the precautions after the operation, including using an infrared magic lamp to keep warm, observing the blood circulation of the fingers and skin flaps every 2 hours, and if the venous return of the fingers is insufficient, timely acupuncture and bloodletting should be performed, etc.
"It was really worth coming here today. I have a comprehensive understanding of microsurgery!" Duan Jianhui said with a smile.
Li Zheng said as he took off his surgical gown, "It's actually not that complicated. It just tests your operating ability!"
Duan Jianhui chuckled, "You sound like a simple surgery, but that's just you. As for today's surgery, most doctors would never be able to perform to this level in their entire lives!"
Li Zheng shook his head but did not refute.
My current abilities were accumulated bit by bit in my previous life, and my achievements in my previous life are indeed something that most doctors cannot achieve no matter how hard they try.
"Li Zheng, I have arranged the patient. Come to the municipal hospital tomorrow and help us perform a hip replacement." Duan Jianhui said.
Joint replacement is the key focus of a hospital's orthopedics department because it sees a larger number of patients, especially elderly patients. After a femoral neck fracture, joint replacement is almost always necessary, creating a steady source of patients. After all, everyone ages.
Several young doctors looked at Li Zheng with admiration.
Inviting the chief expert of the municipal hospital to perform surgery is more than just an honor.
Li Zheng nodded and said, "Tomorrow happens to be the weekend, so you can go over. Who is the patient?"
"A 28-year-old female patient has congenital hip dysplasia and is now unable to walk," said Duan Jianhui.
"28?"
Everyone was surprised.
This is too young!
"The service life of a joint prosthesis is only about 10 years, so she will face many revisions and replacements in the future!" said Bao Youshan, who knew something about joint replacements.
Duan Jianhui nodded and said, "That's why the first surgery is so important. We need to keep her in good condition for a few more years. Each subsequent revision will be more difficult than the last!"
Everyone nodded.
It’s painful to think about it.
This is probably the reason why Duan Jianhui asked Li Zheng to perform the surgery.
Li Zheng nodded and said, "Did you bring the film?"
"I brought it. It's in the car. Go get it in Qidong." Duan Jianhui said.
Zhu Qidong was a little unhappy and stood there without moving.
"What? Do you still want me to get it?" Duan Jianhui's face looked a little ugly. Although you are the relative of the dean, I am also your direct leader. If you don't take me seriously, don't expect me to teach you anything in the future.
Zhu Qidong shook his head and said, "Doctor Li, if there is a suitable patient, you can perform another microsurgery operation tomorrow!"
Duan Jianhui was so angry that he laughed. This kid was really too persistent.
"Microsurgery basically involves trauma, so we can't wait for anyone! If you want to learn, you can apply to come here for further studies later!" Duan Jianhui said with a smile.
Zhu Qidong was a little helpless. Director Duan was right. All patients with trauma needed emergency treatment. Six hours after injury was the golden time. Generally, patients with trauma who could go to the city were of relatively serious condition. Most of them were transferred from the county hospital. Traffic conditions were not good, and patients would be delayed for several hours on the road. It would also take time for Li Zheng to come over, and it was impossible for Li Zheng to be on call at any time.
After thinking about it, Zhu Qidong could only temporarily give up this idea, turned around and walked out of the operating room with a bit of loneliness.
"Let's go straight to the emergency room after getting the X-ray. Let's all go back." Li Zheng said.
Dean Zhang looked at Zhu Qidong's back and said with a smile, "This young doctor has quite the personality!"
Duan Jianhui shook his head and smiled, saying, "He has a very strong personality and won't obey!"
Dean Zhang smiled and said, "Don't be too controlling of doctors with unique personalities and abilities. They have their own ideas and can grow well on their own."
After saying that, both of them looked at Li Zheng who was about to go out.
One look is of relief, the other one is of envy.
…
Emergency department.
Doctor's office.
A group of doctors gathered around a reading light, staring at a pelvic anteroposterior and lateral X-ray.
Li Zheng, Duan Jianhui and Dean Zhang stood at the front.
Xiang Yuanzhong stood behind Director Zhang, looking at the film and frowning. "This patient has a subluxated hip joint. A new acetabulum has been worn out on top of the original acetabulum. Although it's not deep, the local anatomical structure is completely disrupted. This surgery will be very difficult!"
Patients with hip dysplasia are born in a state of hip subluxation, so the development of the hip is definitely deformed.
Duan Jianhui nodded and said, "If it's not difficult, I won't ask Li Zheng to do it!"
"Li Zheng, how do you feel?" Dean Zhang asked with concern.
Li Zheng looked at the plain film and then the CT scan.
"Although he's young, he's had hip osteoarthritis for many years. The entire joint is severely sclerotic. After the sclerotic bone is worn away during surgery, there will definitely be a bone defect. Bone grafting will be required. Furthermore, the patient's femur is dysplastic, so you need to have a full range of prosthetic models available."
Li Zheng said in a deep voice. After becoming famous in his previous life, he performed highly difficult hip replacements. Congenital hip dysplasia accounted for a large proportion of his patients, so the surgeries were not difficult. He was concerned about whether the prostheses of this era could meet the requirements.
Duan Jianhui nodded and said, "Don't worry about that. The device company has already discussed it with us, and they will provide a special hip prosthesis."
Li Zheng nodded, feeling relieved, and said, "At least 400cc of blood should be prepared, and a little more would be even better."
This type of surgery is a major joint replacement surgery. A lot of tissue needs to be loosened, and there is a lot of bleeding during the operation. Without blood supply, the operation is very risky.
"Everything is ready, and the blood bank is well stocked," said Duan Jianhui.
"That's no problem. I'll be there at 8 o'clock tomorrow." Li Zheng nodded, looking very confident.
"Teacher Li, I'll pick you up tomorrow!" Zhu Qidong said quickly. After listening to Li Zheng's extremely professional and meticulous preoperative preparations, his recognition of Li Zheng increased further.
This Li Zheng will definitely achieve extraordinary success in the future! By learning from such a person, your own realm will also be elevated to a level that was originally impossible to reach!
"Haha, that's great. Qidong has his own car, so it's very convenient for him to come and pick me up!" Duan Jianhui was very happy that Zhu Qidong was so considerate.
But these words scared everyone.
In this era, those who owned private cars were either rich or noble. Ordinary families would ride a 28-inch bicycle, and for those better off, a motorcycle was the limit. Private cars, even domestic ones, would cost 20,000 to 30,000 yuan, and imported ones were even more expensive.
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