It takes so much effort to look at a severed finger.
Using a high-power microscope for a long time is more demanding on the eyes and brain.
For the doctor who had just completed a high-intensity emergency surgery, the next finger amputation surgery was a challenge to the limits of surgical nerves.
Ren Zhelun frowned and hardly moved.
At this moment, Dr. Ren seemed to be a neurosurgeon, removing the human tissue bit by bit. The purpose of debridement is to expose the tissue structure of the severed finger, so the surgical action needs to be more cautious.
"You do it. I'll watch you do it." Ren Zhelun said as he gave up the position of the surgeon. He had never sweated so much before and was a little exhausted, just like a cheetah whose speed is important but whose physical strength is not that good after a long and time-consuming exercise.
Occasionally, this happens on the operating table: the surgeon suddenly has a problem and has to rely on his assistant to complete the operation. If the operation is extremely difficult and no one else can help and no one can be called, the importance of the assistant is fully reflected at this moment.
How to choose a surgical assistant is not as simple as whether the assistant has performed this type of surgery before.
Xie Wanying felt that she had learned a lot from Senior Brother Ren tonight, all of which were the experiences and lessons of her predecessors.
...
...
When he looked up, Ren Zhelun saw her thoughtful expression and blurted out, "Don't learn anymore, just do it."
He was just about to say to her: You are not allowed to touch the senior's brain.
In fact, Xie Wanying had already taken the lead and walked over and sat down directly on the operating stool.
Everyone was so surprised by her unique reaction.
There is no way she could hesitate at this critical moment. Senior Brother Ren said she could do it, so there was nothing wrong with her trusting Senior Brother Ren.
So Ren Zhelun was shocked by her decisive trust.
Yao Zhiyuan, who was not far away, glanced over there while Dr. Li was operating, thinking that Dr. Xie's trump card of identifying the trustworthy people was a little too powerful.
He took over the baton from Senior Brother Ren, lowered his head to the surgical field in the eyepiece, and continued to concentrate on performing the severed finger replantation surgery.
Nerves, tendons, arteries, veins...separate them clearly. With so many tissues, which one should be connected first?
It's bones.
The skin flaps at both ends of the severed finger should be lifted and pulled apart first, and the other tissues should be pulled back to expose the remaining bone ends.
Kirschner wires or plates are used to stabilize the bones.
"Have you been to orthopedics?" Seeing that she seemed to be familiar with Kirschner wires, Ren Zhelun, who became her assistant, saw her every move clearly and immediately recognized the abnormality and asked.
She had never been in the orthopedics department, but that didn't stop her from doing surgery with orthopedic experts. The story of Kirschner wires can be traced back to when she was an intern at the Capital Children's Hospital and learned from Professor Liu Huaiyu.
If Kirschner wire fixation is used, it is usually performed under fluoroscopy.
This is not an orthopedic operating room, and the cardiopulmonary surgery currently underway has not yet been completed, so the X-ray machine cannot be used.
Without the assistance of equipment, doctors can only rely on clinical experience and medical knowledge.
"I believe you." Ren Zhelun said to her.
Senior Brother Ren is using his own method to give someone a taste of his own medicine.
In open orthopedic surgery, alignment refers to the doctor observing the relative positions of the two ends of the fracture and the force line of the fracture site to make a judgment on reduction. That is, if conditions permit, the broken bones should be restored to their original anatomical position as much as possible. In clinical practice, alignment is usually not 100%, and generally, it is considered acceptable if it is above a certain percentage. The specific standard depends on the different parts of the body.
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