Duan Jianhui shook his head and said, "We don't know, and we haven't performed any surgery in this area, but Doctor Li knows, and we all listen to him!"
If it were an ordinary patient, even if he really couldn't do it, he would definitely not tell the patient that he couldn't do it.
But this patient was too special. Limb lengthening was a field he was completely unfamiliar with. Although he trusted Li Zheng very much, this patient was mainly being treated in his own hospital. If any problems arose later, the patient's family would definitely blame him.
So make it clear in advance that if you choose to preserve value, you will have to bear the corresponding risks, otherwise I would rather not take over this patient.
The foreman of the workers was a little hesitant.
What Dr. Li said earlier was true, but how could a doctor from a county hospital perform a surgery that even the municipal hospital found difficult? Shenzhen Municipal Hospital had never seen it before.
Several workers looked at each other and were hesitating when Dachun turned around and said in a pleading tone, "I want to save my limbs. I'm still so young and don't want to lose my legs. I don't want to be a cripple from now on! Please, let me save my limbs!"
After saying that, Dachun looked at Director Duan again and said in a firm tone: "Doctor, please feel free to treat me. No matter how bad the result is, I will not blame you!"
The workers all nodded.
The foreman said, "Then treat it. If we just amputate it, there will be no chance. I believe the doctor will take a gamble and maybe it will really work!"
With the unanimous consent of the patient and his companion, Director Duan no longer had any concerns.
Someone was quickly arranged to perform a preoperative examination on Dachun.
"Let's go to the small conference room in the emergency room to discuss it first. Li Zheng, you have to explain it to us in detail so that we can have a clear idea of what is going on." Director Duan said.
The other doctors had the same idea. After all, this was incredible. Li Zheng always had some wild ideas. I wonder what good ideas he would come up with this time.
The group came to a small meeting room.
Everyone sat down around the small long table.
Li Zheng said in a deep voice: "Without further delay, I will first explain to you the key points of this patient's treatment."
Everybody cheer up.
Director Duan turned to the cameraman and asked, "Are you ready? You must record it carefully, especially what Dr. Li said. Don't miss anything!"
The cameraman nodded and said, "Don't worry, Director Duan, I know Dr. Li and he's very capable. Not only you, but I, too, really want to hear Dr. Li's unique insights!"
Director Duan originally wanted to say that you would become the most knowledgeable about medicine among the cameramen, but now was not the time, so he didn't say it.
"The first step is to remove the crushed tissue and preserve as much length as possible of the remaining limb, completing the replantation in one stage."
"Two weeks later, if the limb is completely alive, we will proceed to the second step of lengthening. After the replantation operation, I will draw a sketch for Director Duan. I will need you to customize some special medical equipment." Li Zheng said.
"What? You have to make medical equipment yourself? So you mean you haven't done this operation before?" Deputy Director Zhou Ming asked in confusion.
Li Zheng was also helpless.
There is no such concept in China now, let alone medical devices.
Li Zheng nodded and said, "Our tissues actually have great growth potential. Whether it's skin, muscles, bones, blood vessels or nerves, they can all regenerate. Under continuous traction, tissues can grow one millimeter per day. For example, this patient's calf defect is about 15 centimeters. After about five months of traction and lengthening, it can basically be restored to its original length!"
Everyone was stunned.
They knew that tissue could regenerate, but to regenerate 15 centimeters was incredible!
But what Li Zheng said does make sense. Under continuous traction, one millimeter of growth every day is entirely possible.
But where did this kid Li Zheng learn these theories?
Although Director Duan is old, he still reads medical journals frequently and has never seen any articles or reports on this subject.
"So you need to customize some special equipment to perform limb lengthening!" Director Duan concluded.
Li Zheng nodded. "This set of equipment will make it easier for patients to adjust themselves every day. After all, this process is very long and can only be done by the patients themselves. Asking patients to stay in the hospital for five months doesn't seem realistic."
Everyone nodded.
Director Duan said excitedly, "If this is successful, does it mean that this is the first time in the province that this type of patient has been treated?"
Zhu Qidong also nodded excitedly and said, "That must be the first time in the province. I haven't heard of this kind of surgery, at least in the provincial capital. We can write a good paper about it then!"
Duan Jianhui shook his head: "Let's not think too far ahead. Today's limb replantation is a tough battle. We all need to give it our all. Otherwise, we won't be able to complete the first step, let alone the second step!"
"With Brother Zheng here, are you still worried that the reimplantation won't be successful?" Zhu Qidong said, standing up first.
All the doctors left the emergency room and headed to the operating room.
All the medical staff they met along the way moved aside and gave way.
"Such a big scene, it seems that we have encountered another critically ill patient!"
The patient has been taken to the operating room.
After everyone changed into their wash clothes, they went to the operating room first.
Zhang Yong has already inserted the film into the reading light.
Everyone gathered around and frowned as they looked at the image of the calf bones on the film.
"The bones in the middle section that was compressed have turned into powder, but the bones at the ends are also broken quite badly!" Zhou Ming said with some difficulty.
In order to preserve the limb as much as possible, we must not remove too much bone. However, if these broken bones are not removed, fixation will become a problem, and later healing will also be a problem.
Director Duan took a look and frowned. He asked, "Li Zheng, if we remove all the broken bones from the remaining limb, the defect will be at least 20 centimeters long! Wouldn't it be too difficult to extend the limb then?"
Li Zheng nodded and said, "Try to keep the limbs as long as possible, because the existing limbs are definitely better than the extended ones."
"What should we do with these broken bones?" asked Director Duan.
"I will use Kirschner wires to fix it first, and then combine it with an external fixator for one-stage fixation." Li Zheng said.
Duan Jianhui and Zhu Qidong's eyes lit up instantly.
Although they had never seen Li Zheng's Kirschner wire technique in action, the film of his patient with tibial fracture was truly amazing.
"Oh, today I finally have the chance to see your Kirschner wire technique! I can't forget your patient!" Director Duan said with a smile, full of anticipation for the operation.
"What kind of patient is it that Director Duan is so fascinated by him?" Zhou Ming asked curiously.
Duan Jianhui smiled mysteriously and said, "You are very lucky to have a patient who has completely overturned your understanding. Today, you can also witness the true perfection of Kirschner wire technology!"
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