Medical road

The first successful operation for replantation of the upper end of the wrist joint was performed by a Chinese under extremely poor environment and conditions, awesome!One of the chief surgeons is related to Mr. Qiu.Thinking about it back then, the blood boiled over. The United States brought a little brother to block China in all respects, and the Soviets had little belly.

In that kind of atrocious environment, without even a more advanced microscope, the medical experts of the year still made a world number one.Then, there is no more. After taking money as the boss, this discipline is shrinking rapidly in China. This is also a typical time when all disciplines are catching up with the world, but it is shrinking rapidly.

In the operating room, after Xiao Congcong was pushed in, the doctors nervously began pre-operative preparations to correct the shock.Xiao Congcong, who was already sluggish, was even more sluggish at this time.

I don’t even have the strength to cry. With pale little faces, I look at a group of weird people wearing green clothes, blue hats and blue masks. The nervous and scared little dolls are curled up like a wolf who lost his mother. .Try to shrink yourself together, as if this is the way to feel safe.

Rehydration, symptomatic treatment, and then Xiao Congcong went to sleep under the hypnosis of sedatives.When the broken hand was preparing Xiao Congcong for anesthesia, Zhang Fan and Li Liang had already done the preliminary treatment.

"Prepare Kirschner wires and intramedullary nails, this operation cannot use steel plates!" Zhang Fan said to the operating nurse while dealing with his broken hand.

"Director Zhang, why don't you use steel plates?" Li Liang didn't understand. After Old Chen explained, Li Liang no longer called Brother Zhang Fan in the work unit.

"Fixed with a steel plate will damage the periosteum severely, especially for young children, and try not to damage the periosteum without damaging it." Zhang Fan explained.The steel plate has many advantages, but its biggest disadvantage is that it damages the periosteum.

The periosteum on the bone surface contains a large number of blood vessels and running nerves. Once damaged, they cannot be re-formed. Especially this nerve is too difficult to repair once it is damaged.

Steel plates are the product of large-scale industrialization. When using them, you must ensure that the steel plates and bones adhere to each other. If they are not adhered to, either the steel plate is broken or the fracture ends are not firmly fixed.

To conform, you must first destroy this layer of periosteum with a bone knife.The Kirschner wire is much simpler. It is like a steel drill for knitting sweaters. Two intersecting straight lines fix a plane. This is the principle.But why do surgery now use less, simple, because it is cheap!

After cleaning the broken hand, Zhang Fan said to Li Liang, "Li Liang, put in the heparin saline." Zhang Fan grasped the small hand and let the stump face Li Liang. The washed small hand looked especially like a small hand. The trotter, especially the skin color, is exactly the same as the trotter after washing.

The cross-sectional blood vessel flushed with heparin is to prevent the residual blood from coagulation in the blood vessel. The key to the success of the replantation of the severed limb is whether the blood vessel is connected by high-quality sutures and whether the blood vessel can be unblocked. First of all, ensure that the residual blood in the blood vessel is flushed. .

While rinsing, Zhang Fan used black silk thread to tie knots at the blood vessels and nerves. This is to mark again.This kind of surgery cannot waste any time.

After dealing with the severed hand, the anesthesia was ready, Zhang Fan and Li Liang started the operation.The surgical instruments used in hand and foot surgery are similar to those of vascular surgery and ophthalmology, and the instruments used are very delicate and not like orthopedics.

The instruments used in orthopedic surgery are very similar to those used by carpenters, hammers, saws, bone files, bone knives, electric drills!Remove a bone character, these tools will definitely make carpenters familiar!

Everyone has three friends and four friends, and Xiao Congcong's uncle's family is also in the rural power station.Congcong's uncle is a small cadre of the rural power station, while Congcong's parents are ordinary employees. The uncle is a nice person, but this aunt loves to make trouble.

"Oh! What do you think of the children, the children are young and ignorant, are you ignorant? The family is almost two hundred years old, and I still don't like a four-year-old doll." The person hasn't arrived yet. , The weird voice has arrived, this is really a shame!

The two old people who were already very guilty heard that they were about to break their hearts. They felt sorry for their grandson and were annoyed. But what else could they say at this time? The two old people didn't even have the qualifications to cry, and they were sinners!It's really uncomfortable.

"Don't say a few words, and then you will go home!" The uncle was also anxious.Growled at his wife.

"I have enough money. I brought my bank card. I must let the doctor use the best medicine and the best equipment. It is too late now. You should give the doctor some red envelopes before the operation. For such a big thing, Hey!" He walked to his brother, whispered a few words, and then asked: "Where is the person in charge of the hospital? I'll take care of it."

Before he finished speaking, Lao Chen prepared the operation signature and came over: "Come on, the parents of the child come to the office to sign."

Congcong’s father helped Congcong’s mother and walked into the doctor’s office with difficulty, and his uncle followed. Aunt Congcong took a look and quickly followed. She was worried that her old man would give money!

Congcong's grandfather and grandmother were already like a puppet with a thread drawn, her eyes staring blankly at the green light at the entrance of the operating room.

"Here, here. You know the difficulty and danger of the operation, and the sequelae of the operation. Sign it!" After explaining his condition, Old Chen pointed to the place to sign and said to his family.

For the Congcong family, they are now pigs on the chopping block to be slaughtered. How do the doctors say what they do, let alone resist, they dare not even have any objections!Now they are afraid that the doctor will have some accident.

"Remember to pay the fee."

"Director, about how much money." Cong Cong's parents are already like zombies. They don't even have any normal thinking. Only Uncle Cong Cong came forward to speak.

"Twenty thousand is almost!"

"Okay, I will pay the fee now." As he said, Uncle Congcong was about to pay the fee. Aunt Congcong was a little anxious, and secretly pulled her husband by the back.

Uncle Congcong didn't speak much, and directly pushed away his wife's hand with his hand, and then went out to pay the fee.The aunt's heart is like a knife at this time, and 20,000 is a big number for ordinary people.Hey!

At this time, the three people were like zombies, and they walked out of the office door stupidly. Suddenly, the aunt seemed to be alive: "You too, children are not good, what bad hospitals are they looking for, why not go to public hospitals! "

Congcong's parents are as deaf!As a result, Lao Chen heard this, "Hey! Big sister. That's not what you said, bad hospital? Go and inquire about this kind of replantation operation in Chasu City, as long as our hospital says there is no way, other hospitals don't want it. Think about it, this is ours for the replantation of severed limbs in Chasu City!" He said, thumbs up!

proud!Can he be upset? Can a doctor who couldn't make it out of a county hospital before, but now a public tertiary hospital can't fight him, can he be upset!Can you not be proud!

In the operating room, Zhang Fan and Li Liang performed the operation nervously and quickly. "The child's operation must consider the future development, especially the bone scale line. If you can touch it, don't touch it." Zhang Fan performed the operation. , While explaining to Li Liang.

Song Bing stood by and acted as the itinerant nurse. As long as Zhang Fan performed the operation, Li Liang and Song Bing were either assistants or itinerant nurses. They would never let this observation opportunity go!

Debridement, the first step of traumatic surgery, is also a very important step. An excellent debridement is to lay a solid foundation for replantation.

Three to four hours after the muscles lose blood, they are relatively slow to general stimulation. Fortunately, the time for Cong Cong to send them is relatively short. The current situation is not bad.

The preservation of the limbs is one for a sound physique and the other for the function of the limbs.The prerequisite for maintaining the integrity is to fix the fracture, repair the blood vessels, especially the blood vessels, and ensure high-quality sutures.

The protection of limb function is nerve repair.Simply put, the more the centrifugal segment is replanted, the greater the probability, because the farther away, the vascular lumen and nerves become smaller. In layman's terms, the larger the more difficult it is to repair, and the less likely it is to survive!

Flushing, Zhang Fan quickly flushed the blood vessels with heparin saline, and Li Liang's current cooperation can barely keep up with Zhang Fan.During this time, Li Liang was also suffering.

After the debridement was over, the fracture was fixed. The child’s bones were as white as ivory jade and as thin as chopsticks. “Hey! Such a small child has suffered such a serious crime.” Li Liang did not know how many severed limbs were replanted. Now, I can’t help but feel a little sad when I see the hands of Little Wawa today.

To fix the fracture, press the Kirschner wire on the special-purpose electric drill for surgery, butt the ulna and radius, slightly off the angle of 30, under the high-speed rotation of the electric drill, gently penetrate the bone.This straight broken end is the easiest to fix.

Crossing left and right, Zhang Fan fixed a plane.The plane of a fracture is fixed very accurately, without a trace of hesitation, without a trace of gestures, just so proficiency is so accurate.Because Li Liang was an assistant, he couldn't realize it.

And Song Bing, who was standing in the patrol position, watched Zhang Fan's operation, and kept shouting in his heart: "Damn! Damn! Damn! It turned out to be this way, oh! Why do you want to do this!" Excited and wondering. Alternating between stops, it is estimated that he will have another night after the operation!

After the fracture and tendon are fixed, there are blood vessels. At this time, you have to wear a microscope. The key to the success or failure of the operation is coming, but for Zhang Fan, it is not difficult.

Step by step, once the operation is performed, Zhang Fan is like a robot. The muscles in the liver that have been in the system for countless times have already formed memories, and the priorities are very standard.

Nerve suture, skin suture, step by step, "OK!" After the operation, Zhang Fan said softly.When he spoke, the operating room was like the world of Bingxue Su Rong, and everyone was resurrected.

"Director, I'm not tired, I'll open a bottle of glucose for you!" Song Bing said to Zhang Fan in kind.

"It's okay. You have to remember, don't relax at this time, don't be careless, be sure to observe the replanted limbs, whether there are changes in skin and temperature."

"Yeah." Li Liang and Song Bing nodded at the same time.

At this time, Cong Cong's broken hand was connected to his arm, but the colors on both sides were distinct.

The skin on the severed side is pale, like an artificial limb.As the tourniquet opened, the skin visible to the naked eye slowly changed color.The broken limbs from nearer to farther have color.

After ten seconds, it was like a juggling, the skin of the little hand became normal, only the cut off part had a circle of black lines, like a black ribbon bracelet, embroidered on the little arm!It's really cute and beautiful. This black ribbon is really bloody and bones, but it's so beautiful!

"After the operation, pay close attention, especially within 24 hours after the operation, and you must not be negligent."

Okay, Li Liang and Song Bing nodded at the same time.

The operation is over!More than three hours have passed since the rescue was successful.