It's strange, where did this piece of wrapped skin come from?
The doctor’s first choice is definitely not to cut a piece of skin from other parts of the injured person’s body for transplantation, as that would cause secondary injury to the patient.
Therefore, this piece of wrapped skin is exactly what the doctor needs to make surgical planning starting from the part to be removed during surgery. The professional term for this is a skin flap.
The length of the skin flap should be greater than the length of the osteotomy. The specific surgical shape should be made into two pieces, front and back, so that they can be closed together to completely wrap the cross-section of the amputated tissue, just like packing a bundle.
From the above description, we can know that the lower limit of the height of the amputation plane cannot be achieved on the limit line of leg stretching in the stone pile, it needs to be higher.
How long it goes up also depends on the doctor's skills. The doctor can design the flap to retain as much length as possible.
In the operating room, the doctor will use a ruler to measure and figure out the specific length of the flap.
The flap length design type can be a long anterior flap and a short posterior flap, a short anterior flap and a long posterior flap, or an equal length of the anterior and posterior flaps. Even in extreme cases, the anterior flap is longer than the osteotomy plane and is zero, and the cross section is entirely covered by the length of the posterior flap.
One of the most important considerations for doctors is how much of the flap can be preserved. This involves not only observing the skin integrity of the flap, but also focusing on the blood supply area of the flap. When cutting, the doctor should try to design the length and shape of the flap to preserve the important blood vessels contained in the flap.
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The emergency surgery at the accident site today was destined to be performed by doctors who could not think slowly or measure slowly. The requirement was to be fast, no matter how fast it was. What was even more damning was that the visibility was so low due to the lighting and environmental factors at the scene, making it almost impossible for doctors to make accurate judgments quickly.
Just as Grandma Cao said, Xie's eyes should be able to play the ultimate effect.
Chang Jiawei said directly to his assistant Xie: "You tell me where to cut, and I'll cut it."
The trust placed in her by her seniors was great, and the pressure was enormous. Xie Wanying took a deep breath.
"Don't be afraid, just tell me, I'll take responsibility for anything that happens." Chang Jiawei immediately added this to her. With him at the scene, there was absolutely no way he would let her take any responsibility.
The seniors are really good and have the spirit of a real boss.
There is really no need to be afraid when there is a big boss protecting you. Xie Wanying's hand began to point downwards.
After the surgeon memorized the route she had planned, he immediately instructed the anesthesiologist: "You can be anesthetized now."
The short-acting anesthetic quickly enters the patient's body and the operation timer begins.
Everyone was watching the operation nervously while keeping an eye on the time. The seconds ticked by, and it felt like a year, or like defusing a bomb that was about to explode. Everyone was in an extremely conflicted mood, hating the time for being too long and hating it for being too short.
Don't think that the surgery Xie mentioned at the beginning only involves the removal of the part, and that no suturing is really done. That's impossible. At least the large blood vessels need to be tied when cutting, otherwise if there is a lot of blood loss, the pressure bandage will not last long enough to send the injured person to the hospital operating room.
Therefore, the so-called partial resection surgery is to separate the organs, not to completely ignore the other parts like killing chickens, ducks, geese and pigs with one knife in a slaughterhouse.
If you want to separate it, you need to know what tissues you will encounter during the removal process.
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