When a doctor opened a plug-in

Chapter 259 Sudden Change!

In the operating room, Chen Cang was no longer a stranger. When the little nurse saw Chen Cang, she narrowed her eyes instead.

Chen Cang was flattered and quickly lost his laugh.

It's just... why does this little nurse often have sex in her eyes.

Xing Yu's assistants, relatives, and company staff are not allowed to enter the operating room. This is to ensure the smooth progress of the operation.

After the anesthesia, the operation started soon.

Wang Yushan's movements are clean and neat, there are no extra operations, and every step is simple and clear. Compared to himself...

A bit less handsome and a bit more efficient.

Chen Cang seemed to find that he had a lot of extra movements during the operation.

It does not mean that these actions are good, but that after these actions are removed, the interference to the operation can be reduced, and the stability of the operation can be improved invisibly.

And Chang Honglei is the most coordinated. She and Wang Yushan have a strong coordination. The two are basically a seamless connection, and the old director Tan Zhonglin is not much better, each showing its style!

The operation of the three people gave people a hearty pleasure!

Chen Cang looked very energetic from the place.

Watching the video and on-site observation, there is still a big gap.

Just like watching a ball, watching TV may be clearer, and from a macro perspective, with explanations, etc...

But you will never feel the atmosphere and shock of the scene.

So Chen Cang was very grateful to be brought into the operating room by Tan Zhonglin.

The three people in the operating room work in an orderly manner. Before the tendon is sutured, the surrounding damaged tissue must be cleaned up!

Because these are the hidden dangers of adhesion in the future.

At this time, Director Chang Honglei's ability is reflected. She has a good grasp of details, micro-manipulation, and various influencing factors. She will basically consider every link that affects adhesion!

In this regard, Wang Yong and Director Chang are somewhat similar.

In fact, everyone has his strengths and weaknesses. Only when we infinitely enlarge our strengths and continuously improve, will your value be truly reflected.

After getting along during this period of time, Chen Cang found that Wang Yong had a good grasp of details. At the beginning, Wang Yong was the first to learn with small incisions. This was not only because of his many contacts, but also because of Wang Yong. People pay attention to details and are good at thinking about details!

At this time, Chen Cang felt sorry for the surgical doctors of the Second Hospital of the province. It has been more than a month. Hasn't a person learned the minimal trauma of endoscopy?

The hospital project is about to be applied for, this group of people has not learned yet, who will do the project by then!

The most important thing is that none of my own rewards...

Outside the conference room, everyone was watching the video of the operation and discussing. The only advantage here is that there are many people, so it is convenient for everyone to discuss and discuss with each other.

This atmosphere is actually good.

The operation proceeded normally.

Chen Cang felt that if he continued at this rhythm, he would still be very sure.

However, the most critical tendon suture has not yet begun.

Chen Cang also wanted to know that Director Wang Yushan would use the kind of stitching method.

The three tendons are the abductor pollicis longus tendon and the extensor pollicis brevis tendon on the radial side, and the extensor pollicis longus tendon on the ulnar side.

These three tendons determine 60 to 70% of the effectiveness of the thumb. The thumb is the most important finger in the finger. Without the thumb, 90% of the daily operations cannot be done. You can try it. What can you do with the thumb?

While the extensor pollicis longus tendon is thicker, the choice of suture requires attention to the tension of the extensor pollicis longus tendon and so on.

After all, it is necessary to consider the repair of the tendons during early activities and exercises. If two sutures are used, such as the kessler and Tsuge method, these two sutures are likely to break, which cannot satisfy the early postoperative active and passive functional exercises.

And use four-beam, six-beam stitch, or even eight-beam stitch.

Of course, not as many as possible, as long as the early exercise is enough, basically four bundles are enough.

Choosing a simple suture method is the best choice to maintain the mechanical properties of the multi-beam group suture.

Wang Yushan's first tendon used the Bunnell suture method. This suture method is very good because it does not retain foreign bodies in the tendon and prevents adhesions in the tendon. However, this suture is more complicated and requires technical requirements for the surgeon. Very high!

After receiving the double-needle tendon line, Wang Yushan held his breath and moved diagonally from one side of the tendon to the distal end, passing through the center of the tendon and ejecting the needle on the opposite side. This set of movements must be consistent.

Even he dare not be careless!

To be honest, although Wang Yushan at this time looks calm and calm to others, he is actually uneasy in his heart. This feeling is like a bomb disposal!

You must be careful, if you are not careful, you will make a big mistake.

The breath of the three of them was very subtle, feeling the touch from the tendons, and Tan Zhonglin's eyes were meticulous.

The tension strength of the tendon joint repaired by this suture method is relatively high, but accidentally it will cause the tendon suture to become narrow, which will not provide a good local blood supply, which is not conducive to the healing of the tendon.

So all three must be careful!

"Director Chang, pull it, I will feel it." Wang Yushan said.

Chang Honglei nodded, took the tweezers and pulled it slightly, feeling it: "Director Tan, you cut the thread and pull it to the right."

Tan Zhonglin nodded and was about to pull. At this time, when he was pulling, he felt a sense of frustration!

There was a beep, the sound was very small, but all three of them heard it!

This faint sound, as if thunder, exploded in the minds of the three of them.

The three people who were originally prepared to operate did not dare to move instantly!

Second degree injury of tendon, plus suture break!

They have already seen that the tendon has a crack in the sutured area, which was not originally there, but when sutured, the suture needle can also cause damage to the tendon!It's just that this kind of damage may be insignificant most of the time, but at this time...the problem has arisen.

Another reason is the existence of myosinitis.

The tendon rubs excessively in the tendon sheath for a long time, causing swelling and chronic injury inflammation of the tendon and tendon sheath.

Wang Yushan said in a deep voice: "Xing Yu often plays the piano and often moves his thumb. There is a tenosynovitis of the radial styloid process. There is a problem with the suture injury just now. Our choice is not right!"

The sound was not right, and everyone trembled!

With just a few words, the success rate of the operation was reduced to 11%!

Seeing the faces of the three of them, Xing Yu couldn't help but froze...

"Director, I..."

Seeing the three of them with serious expressions and worries in their eyes, Xing Yu can be said to be at the bottom of his heart!

What the hell, one wave after another has not settled!