Is this operation difficult? It is definitely not difficult for a skilled orthopedic surgeon, but it is very difficult for other specialists.
Everyone waited with bated breath.
After the shocking incident tonight, everyone at the scene learned their lesson and no longer expected the results. After a while, the bystanders realized that they were idiots. How could a non-orthopedic specialist understand this?
All anyone can do is wait for Mr. Ren to comment.
If it was wrong, Ren Zhelun would definitely speak up.
Ren Zhelun said “hmm”.
This "hmm" sound has a strong nasal tone, which symbolizes a strong emotional meaning. Who can blame this experienced junior sister for being such an experienced person? She stuck the Kirschner needle into the bone without blinking an eye.
People around reacted: Ah, is it already plugged in?
The operation went on smoothly.
...
...
Unlike cardiopulmonary resuscitation surgery, finger replantation surgery is very time-consuming, which puts the six-hour deadline at risk. Therefore, it is uncertain whether the finger can be successfully revived after the operation.
After the bone is fixed, tendon repair is required. Tendon repair has a sequence of repairing the extensor tendon first and then the flexor tendon. Through a high-power magnifying glass, the tendon is white and not difficult to identify.
Speed up.
Sew, sew, sew, one stitch, two stitches, three stitches...
If the bystanders could not see the tricks in the heart and lung surgery performed by three people before, now after seeing this, the group of bystanders suddenly realized: the surgeon Ren's previous request to slow down was absolutely well-founded.
After changing his position to the assistant position, Ren Zhelun no longer spoke. When he was forced to do it, he was probably too busy working to think about it, unlike now when he was observing her doing it, his heart was filled with shock.
What was shocking was not her speed, but that she knew very clearly in her mind when the operation should be fast and when it should be slow.
The key step in replanting a severed finger to determine whether it can survive is vascular anastomosis. This is like a branch grafted onto another tree trunk. If the internal nutrition channel is not successfully connected, it will die.
After the tendon is repaired, the next step is to repair the artery. After the artery is repaired, the nerve must be repaired first.
Find the artery, trim the outer membrane and the opening of the tube, remove the blood clots in the opening of the blood vessel, and check the condition of the trimmed and cleaned blood vessel. If the blood vessel is not in good condition, it must be cut off and a section of other blood vessels in the injured person's body must be transplanted to connect. This is all to ensure the success of the vascular anastomosis.
Dr. Xie, who was promoted to chief surgeon, began to demonstrate his magical skills in trimming. This was the picture inferred by the other people's brains after observing. The big boss Ren, who was watching the surgical field, frowned at first, and then raised his eyebrows, which clearly meant that he saw an incredible scene.
As for nerve repair, the finger nerves are very thin, and the doctor only needs to suture the outer membrane and align them together, and then let the human tissue slowly grow and connect after the operation.
Then we went to the key vascular anastomosis to repair the vein inside.
In finger transplantation, vascular anastomosis requires not only trimming and alignment, but also special attention to arteriovenous balance. One artery needs to be carefully matched with two to three veins to achieve a balanced blood flow tension in the finger.
As with repairing an artery, carefully trim the blood vessel, measure the vessel to observe blood flow, and then suture and inspect.
The cardiopulmonary surgery was completed, and Dr. Yao Zhiyuan and Dr. Li Shunkang walked off the operating table.
Doctor Xiao Lu happened to arrive, and as his apprentice, he ran errands for Boss Zhang to inquire about the situation here and whether Boss Zhang needed to come in person.
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