How much does the entire cross-section of the calf include? A lot.
The bones include the tibia and fibula, which are the least. Not to mention the various nerves and blood vessels, the calf muscles are classified into many categories, definitely more than laymen imagine, such as the tibialis posterior, peroneus longus and peroneus brevis, gastrocnemius, soleus, flexor digitorum longus, etc.
Be prepared to separate the muscle groups and then separate the nerves and blood vessels for cutting and ligation, that is, cut step by step, separate and then cut again.
The first blow of the knife suddenly woke everyone up from their ideal dreams.
Thinking carefully about the following surgical steps, as the young orthopedic surgeon worried, medical fantasy is very beautiful but very bleak in practice. How can we complete the surgery of both legs within ten minutes with so many separation and cutting steps?
What the nurse said about not having a shadowless lamp would cause trouble has also become a cruel reality.
Other logistics staff tried hard to bring the light over, but it was not a shadowless lamp, so the surgical field of view was bound to be unclear.
The two elders, Grandma Cao and Grandma Zheng, had sweat on their brows. Their presbyopia made them unable to see clearly, so they could only mutter to the young people, "If you have any questions, please tell me."
If you want guidance, you can only rely on the other party to describe the problem clearly. If they rely on their own eyes, it will probably take them a long time to figure it out.
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The anesthesiologist swallowed his saliva, his joy gone, and instead he had to prepare for the worst-case scenario for more than an hour.
Only Doctor Guan was relatively calm. This was because he knew his classmate well and discovered that Chang's knife speed was much faster than he knew.
Looking closely, it seemed that surgeon Chang had no worries at all and just had to keep cutting with the scalpel.
As I said, accurate cutting requires proper separation. If the surgeon is asked to do the separation, it will be impossible and time-consuming.
The worried people around: Huh, let out a long breath; Huh, their hearts hanging in the sky; Chih, took a long breath, completely stunned.
In the operating area, there is a small retractor and a hemostat, which are used like a hero showing off his skills with two dog-beating sticks in both hands.
Pulling down this muscle and then hooking down another muscle, the orthopedic surgeon watching was stunned for a moment before realizing that this was pulling the extensor digitorum longus and the peroneus brevis, instantly exposing the superficial peroneal nerve. It was really accurate.
Before the onlookers could recover from the shock, the assistant's tools continued to guide the surgeon quickly, shortening the lateral calf muscle and quickly pointing out the location of the anterior tibial artery and vein for the surgeon to cut. The exposed anterior tibial nerve needed to be gently pulled before the surgeon cut it, so that it could retract to the osteotomy plane at that time.
Next is the osteotomy, followed by the treatment of the posterior calf muscles and nerves and blood vessels.
People around could see that the assistant leading the way was probably a top orthopedic surgeon, otherwise how could he be so familiar with the orthopedic surgical path. At this point, Xie had to clarify. She had never done an osteotomy and was not familiar with it, so she didn't really understand the amputation process. As for her ability to point out these important parts, it was all because when she was discussing the surgical approach with Senior Chang, Senior Chang told her which surgical locations to point out.
When it comes to dissecting the injured person's calf, her three-dimensional vision is an absolute advantage, and Senior Chang is aware of her strength.
As long as the approach is correct and there is no accident such as heavy bleeding, the operation can be completed almost in one go.
Everyone looked back at the time. It was far less than five minutes, just four minutes and two seconds.
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