When a doctor opened a plug-in

Chapter 481: Is This... So Random?

After assigning tasks, the entire team carried out related work quickly and orderly!

The replantation of severed limbs is cumbersome, and the required equipment, staffing, and surgical procedures are more troublesome.

The head nurse Li Ying personally went into battle, quickly set up the operating room and prepared supplies for surgery.

The three sterile tables on the side of the operating table are ready, with the severed right hand, debridement instruments, and surgical instruments placed respectively.

The anesthesiologist is still Liu Jian, but the old director should have been on stage, but the old director smiled and asked Liu Jian to do it.

The old director no longer cares about such an opportunity, but it is an opportunity for Liu Jian.

You must know that the status of anesthesiologists in the operation is also very high. This is a favor. After the operation, the Kong family must entertain everyone. For Liu Jian, this is a good opportunity to meet people.

For this, Liu Jian is also grateful to the old director!

A person will always meet several nobles in his life. Qin Xiaoyuan’s noble person is Teacher Fang Yonglin, and Liu Jian’s noble person is the old director.

These nobles will give you some opportunities and push you at critical moments. This is a big step for your life!

Because it is just a simple right hand dissection, general anesthesia is not required, but an epidural anesthesia that has minimal impact on the general circulation and breathing, but can be arbitrarily extended according to the needs of the operation.

Liu Jian's basic skills are very solid. After explaining, he was given anesthesia. After a while, the operation officially began!

The first is still debridement. Thorough debridement is the basis for infection prevention and successful replantation.

High-quality vascular anastomosis is the key to survival of the severed limb.

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 to clean up the wound, but also an indispensable process for a better understanding of the injured tissue.

This is extremely important for Chen Cang to decide on the replantation surgery plan in a while.

So when Chen Cang asked for a creation, he was very serious and spent a lot of time to understand the details of blood vessels, nerves, tendons and bones!

Chen Cang used sterile soapy water and a sterile brush to scrub both ends of the severed limbs over and over again, and then rinsed with a large amount of isotonic saline.

The next most important process is to thoroughly debride those damaged tissues and foreign bodies!

What is debridement?

More than just cleaning the wound!

It also includes cleaning up the wound.

According to the condition of the tissue section, whether there is bleeding, shape and color, etc., determine whether the tissue is alive and whether it is resected.

Chen Cang is very careful and serious.

Because this is a guarantee for the success of the operation and a key factor for later recovery.

Everyone present knows the difficulty well, so naturally they also hold their breath and watch carefully.

But no matter what, Qingchuang 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, or trim, or cut, or keep it.

At this time, Huo Guoqing couldn't help but said: "Doctor Chen... don't you need to make a mark?"

Chen Cang was taken aback for a moment, before he had time to speak, Tan Zhonglin shook his head at Huo Guoqing: Don't bother Dr. Chen Cang.

Generally speaking, before removing the inactivated tissue, the main nerves and blood vessels need to be ligated and cut off with black silk thread, and then it is convenient to find them for a while.

But there is no need for Chen Cang to do this at all, because after the ligation, there will be continued injuries, and Chen Cang does not need to be identified by ligation. He can clearly distinguish every nerve, blood vessel, 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, as well as the memory ability like a super brain!

Removal and retention of tendons, removal and retention of skin, and selection of nerves are the most important aspects of debridement.

Chen Cang has his own standards, as long as the system prompts to cut all black, these are hopeless.

But in the eyes of others, Chen Cang has become a decisive, sharp, and stable existence!

The choice of every nerve and tendon is well grasped.

People can't help but feel a little emotional!

An operation, from the debridement that just started, Chen Cang has conquered all the directors present with his strength.

For the wrist with such a large wound, such a high degree of precision, and dense nerves and tendons, Chen Cang treated it as if it were a precision instrument.

It took about an hour or so for Chen Cang to finish processing!

When I think about it carefully, three hours have passed since I was severed.

Chen Cang couldn't help getting serious!

Every minute means further damage to the muscle tissue, which is related to the recovery of the palm's function in the later period, and also related to the quality of life of the patient.

This process is very tiring!

Chen Cang is a bit tired. After all, those subtle operations may have an impact on cutting a little bit more, and a little bit less cutting will cause adhesions, such complicated and delicate debridement, precise selection, decisive cutting and repair... these are None of the directors present can guarantee it!

But how old is Doctor Chen?

After a long time, when everyone felt tired, Chen Cang finally finished processing!

Chen Cang put down the scalpel and said to Tan Zhonglin, "The vascular bed is cleaned, I am going to fix the bones!"

Tan Zhonglin didn't dare to be careless, and An Yanjun quickly began to clean the blood vessels.

Replantation surgery, whether it is replantation of severed fingers or replantation of severed limbs, requires the vascular bed to be cleaned. Otherwise, if the vascular anastomosis is performed in a hurry, blood circulation disorders are very likely to occur after the surgery, causing another necrosis, or even cause The overall systemic symptoms, because one hand causes amputation or death is not rare!

However, Tan Zhonglin and An Yanjun were fully prepared, and paid great attention to these details!

Following Chen Cang's surgery, there are details everywhere, and Chen Cang's grasp of details is also very good, which made the two disciples also feel.

After cleaning up, Chen Cang picked up and severed his hand and compared it carefully!

Bone nailing is an important step in replantation surgery, as well as a scaffold and support for tissue repair.

The requirements for bone internal fixation are: simple and fast, stable and time-saving!

This is a time when the surgeon's technique is extremely tested. How the chief surgeon can dock the bone ends quickly, quickly and stably. There are no hundreds of operations, and it is impossible to do it.

Because post-traumatic bones are defective, how to choose and how to connect is extremely important.

At this moment, all directors looked at Chen Cang attentively, waiting for Chen Cang to connect!

However, just as everyone heard the news, Chen Cang picked up at will, butted his hands together, and said, "The screws are running through and fixed!"

Tan Zhonglin nodded, An Yanjun helped, Huo Guoqing stunned!

This Nima?

Is it so casual?

Senior official Kong knew he would be crazy in the future!

The butt joint of the fracture does not say ten times eight times, but it also needs to be compared carefully. Where are you butt joints? This is obviously put together at random!

But at this moment, he looked down, and the picture in front of him suddenly made him never forget it for the rest of his life!

What is a technique?

What the hell is called a technique!

The people around also leaned forward, showing incredible expressions.

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ps: The writing of these two chapters is quite tiring. I checked a lot of things and saw two operations. I was also drunk...