Chapter 481: Is this so random?
After assigning tasks, the entire team carried out related work quickly and orderly!
The surgery for re-implantation of broken limbs is quite cumbersome, and the equipment, staffing, and surgical procedures are all more troublesome.
The head nurse Li Ying personally took the initiative and quickly arranged the operating room to prepare all the surgical items.
The three sterile tables next to the operating table are ready, with broken right hands, debridement equipment and surgical instruments respectively.
The anesthesiologist is still Liu Jian. In fact, it should be the old director who came on stage, but the old director smiled and asked Liu Jian to do it.
The old director no longer cared about such an opportunity, but it was Liu Jian’s opportunity.
You should know that anesthesiologists have a high status in the operation. This is a favor. After the operation, the Kong family must entertain everyone. This is a good opportunity for Liu Jian to get to know each other.
Liu Jian is also grateful to the old director for this!
In this life, people will always meet a few noble people. Qin Xiaoyuan’s noble people are Teacher Fang Yonglin, while Liu Jian’s noble people are the old director.
These nobles will give you some opportunities and push you at critical moments, which is a big step for your life!
Because the right hand is simply disconnected, there is no need for general anesthesia, but instead chooses epidural anesthesia that has minimal impact on the whole body circulation and breathing, but can arbitrarily extend the anesthesia time according to the needs of the surgery.
Liu Jian’s basic skills were very solid. After giving some explanation, he was given anesthesia. Not long after, the operation officially began!
The first step is still debridement. Complete debridement is the basis for preventing infection and successful replanting.
High-quality vascular anastomosis is the key to the survival of broken limbs.
The repair of muscles, tendons, bones and nerves is the guarantee of functional recovery.
Therefore, every step needs to be handled carefully.
Debridement is not only a process of cleaning the wound, but also an indispensable process for a further comprehensive understanding of the damaged tissue.
This is extremely important for Chen Cang to decide on the replant surgery plan later.
So when Chen Cang asked for incision, he was very serious and spent a lot of time understanding the details of blood vessels, nerves, tendons, and bones!
Chen Cang used sterile soapy water and disinfection brushes to wash the two ends of the broken limbs over and over again, and then rinsed with a large amount of isotonic saline.
The most important process next is to thoroughly debride and treat all damaged tissues and foreign objects!
What is debridement?
It's not just about cleaning the wound surface!
It also includes cleaning the wound surface.
Determine whether the tissue survives and whether it is removed based on the situation of the tissue section, whether it is bleeding, morphology and color, etc.
Chen Cang is very careful and serious.
Because this is the guarantee of the success of the surgery and a key factor in later recovery.
Everyone present knew the difficulty, so they naturally held their breath and observed carefully.
But no matter what, debridement is one of his biggest advantages!
Because Chen Cang's eyes can clearly see the necrotic tissue, and then clean it up bit by bit, either trim, cut, or retain it.
At this time, Huo Guoqing couldn't help but say, "Doctor Chen... don't you need to mark it?"
Chen Cang was slightly stunned. Before he could speak, Tan Zhonglin shook his head at Huo Guoqing and signaled: No need to disturb Dr. Chen Cang.
Generally speaking, before removing the inactivated tissue, the main nerves and blood vessels need to be ligated with black silk threads to be broken, and then search for them in a while.
But there is no need for Chen Cang to do this, because after ligation, there will be further damage, and Chen Cang does not need to identify it through ligation. He can clearly distinguish every nerve, blood vessel, and tendon...
For him, every minute of time is very important.
Tan Zhonglin and An Yanjun, who often follow Chen Cang, understand these things!
This is something that others cannot imitate. It requires a sufficient understanding of the organization and structure, and also requires a super brain-like memory ability!
The retention and retention of tendons, the retention and retention of skin, and the choice of nerves are the most important links of debridement.
Chen Cang has his own standards. As long as the system prompts the black one to be cut off, these mean that they are hopeless.
But in the eyes of others, Chen Cang has become a decisive, sharp, stable, accurate and ruthless existence!
The choice of every nerve and tendon is well grasped.
It makes people feel a little emotional!
With a surgery, Chen Cang has conquered all the directors present with his strength since the beginning of debridement.
Chen Cang treated the wrist with such a large wound, such high precision, and dense nerve tendons, as if it were a precision instrument.
It took about an hour before Chen Cang finished processing!
After thinking about it carefully, three hours have passed since time was broken.
Chen Cang couldn't help but become serious!
Every minute means further damage to muscle tissue, which is related to the later recovery of palm function and the patient's quality of life.
This process is very tiring!
Chen Cang was a little tired. After all, those subtle operations could have an impact on cutting more points. Cutting less can also cause adhesions. Such complex and fine debridement, precise choices, decisive cutting and repair... These are things that no director present cannot guarantee!
But how old is Dr. Chen?
After a while, when everyone felt very tired when they saw it, Chen Cang finally finished the process!
Chen Cang put down the scalpel and said to Tan Zhonglin: "Cleaning the blood vessel bed, I'm ready to fix the bones!"
Tan Zhonglin did not dare to be careless and quickly began to clean the blood vessels with An Yanjun.
Replantation surgery, whether it is a broken finger replantation or a broken limb replantation, the vascular bed needs to be cleaned. Otherwise, if you are in a hurry to perform vascular anastomosis, blood circulation disorders are very likely to occur after the operation, causing another degree of necrosis, and even overall systemic symptoms, because there are many cases where one hand causes amputation or death!
However, Tan Zhonglin and An Yanjun prepared very well and paid great attention to these details!
The surgery was followed by Chen Cang, and details were everywhere. Chen Cang had a very good grasp of the details, which made the two disciples feel something.
After cleaning up, Chen Cang picked up his broken hand and compared it carefully!
Bone nails of bones are an important step in replantation surgery, and are also the stent and support for tissue repair.
The requirement for internal fixation of bones is: simple, fast, stable and time-saving!
This is a time when the surgeon's technique is extremely tested. How the surgeon can quickly, quickly and stably connect the bone ends. This is impossible without hundreds of surgeries.
Because the bones after trauma are defective, how to choose and how to connect are all extremely important.
At this moment, all the directors looked at Chen Cang attentively, waiting for Chen Cang to connect!
However, just as everyone was confused, Chen Cang picked up and butted his hands together, and said, "The screws were pierced and fixed!"
Tan Zhonglin nodded, An Yanjun helped, Huo Guoqing was confused!
Damn it?
So casual?
Senior Official Kong knew that he would go crazy in the future!
The fracture docking is not about ten or eight gestures, but it also requires careful comparison. You are not a docking place, it is clearly put together at will!
But at this moment, he looked down and the scene in front of him made him never forget it for the rest of his life!
What is a technique?
What is his technique!
Everyone around them also came over, with incredible expressions on their faces.
...
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Chapter completed!