When a doctor opened a plug-in

Chen Cang's sharp, quick and steady reset method immediately made everyone doing it shine!

Everyone has undergone replantation of amputated fingers and reduction of hand fractures. They are well aware of the peculiarities of hand joints and bones.

However, it is precisely because of knowing that this is even more surprising, how exactly did Chen Cang do it!

No one would consider it a coincidence!

At their age, instead of believing in coincidences, it is better to believe in strength.

Chen Cang's seemingly random docking just now was in fact all subtle.

Huo Guoqing was surprised at first, and then carefully observed.

He naturally didn't think Chen Cang was fooling around. After all, he didn't say that he was the son of a high-ranking official. He was an ordinary patient, and Chen Cang would not be fooling around!

This must be an internal key.

Thinking of this, Huo Guoqing realized that Chen Cang's two hands were constantly fine-tuning, seemingly unintentional, but hidden mystery, in fact, this is also the most important thing.

Chen Cang's eyes stared at the end of the bone, constantly adjusting through feeling, and then the fingers of both hands were slightly harder and he kept making subtle manipulations.

Later, after Chen Cang felt better, he quickly asked Tan Zhonglin to prepare bone nails!

Huo Guoqing always feels that Chen Cang's technique is a bit familiar, this way of changing the direction of the bone through the fluctuation of the fingers, exerting force on both sides...

Huo Guoqing frowned!

He promised that he must have seen this technique, but he couldn't remember where it was.

Soon, the Tan Zhonglin screw was penetrated and the stainless steel needle was cross-fixed!

At this time, Chen Cang took a look at the clock on the wall: another 40 minutes passed!

At this point, 3 hours and 40 minutes have passed since the hand was broken.

This means that muscle tissue cells have begun to be damaged due to ischemia and hypoxia. If the blood vessel anastomosis cannot be performed in time, it will inevitably cause some irreversible damage.

Of course, some cases reported that they were still successful for more than 20 hours, and the effect of amputation was quite good.

But what is the difference between this and hype and advertising.

Individual cases cannot represent big data.

Medically, you really can't talk about those cases.

To put it bluntly, it is: Don't take a fluke!

In front of life, no one really can open up at will.

Chen Cang breathed a sigh of relief. Fortunately, these did not waste much time and would not affect the subsequent vascular anastomosis.

Every step Chen Cang does is to save time and ensure the results of surgery!

Just as Chen Cang picked up the "Eight Times Mirror", a voice suddenly came from the crowd.

"Doctor Chen...you seem to have not done bone shortening!"

The news immediately made the surrounding directors secretly saying that it was not good.

This is not good news!

Huo Guoqing suddenly realized that Chen Cang did not seem to have shortened his bones!

What is bone shortening?

Because at the beginning of the debridement and the soft tissue of the severed end, the necrotic soft tissue will be cleaned up, such as trimming, excision, etc...

These include nerves and blood vessels.

As a result, after debridement, the length of soft tissues such as blood vessels, nerves, tendons, etc. will inevitably be affected. Because the bones are longer, the nerves and blood vessels will be difficult to suture and repair because the length is not enough.

Therefore, it is necessary to perform a resection before the butt joint of the bone end, so that the length of the blood vessel, nerve, and tendon can be just suitable for suture and achieve a better anastomosis effect!

However, Chen Cang clearly did not shorten bones!?

At this moment, everyone couldn't help but worry about Chen Cang.

But... on this occasion, it seems that it is inappropriate to point out in public... After all, the patient is still awake!

Even the director who spoke was a little sorry, but...this is the basic professionalism of a doctor. When needed, he pointed out problems. He didn't think he had done anything wrong.

Chen Cang did not speak, but Tan Zhonglin, the "second disciple", said with a smile: "Dr. Chen likes to include the wear of the bone ends during debridement. He has already shortened the bones in advance from the beginning."

After speaking, Tan Zhonglin pointed to the wound surface and said, "Look, the length of the vascular anastomosis is just right!"

Everyone suddenly got close and took a closer look. At this look, they were stunned!

Because it's really just right!

At this time, everyone couldn't help looking at each other, their eyes full of incredible.

During the debridement of the soft tissue, the bone surface is cleaned at the same time to complete the bone shortening?

This... seems to be a good idea, can you try it in the future!

The blood vessels in the arm are much thicker than the wrists and fingers, and can be sutured even without an operating microscope.

However, no matter how good the vision is, it is impossible to judge the damage of the tissue, especially the blood vessel intima, with the operating microscope, so as to achieve the purpose of fine anastomosis of the blood vessel.

At this moment, Tan Zhonglin and An Yanjun on the side immediately put down their work and watched Chen Cang's blood vessel suture carefully.

To be honest, up to the present position, neither of them has thoroughly studied Chen Cang's blood vessel sutures. They seem ordinary, but they always hide mysteries.

Tan Zhonglin and An Yanjun see Chen Cang for surgery once a week. Especially recently, they found that Chen Cang's understanding of blood vessel sutures is getting deeper and deeper. There seems to be an indescribable truth.

Huo Guoqing on the side looked at Chen Cang's suture. Well, the most commonly used intermittent penetration suture method. This suture method has less damage to the blood vessel wall and is not easy to cause stenosis, but it takes more time because the operation requirements are higher!

But Chen Cang's next stitching suddenly refreshed Huo Guoqing's understanding of this traditional stitching method!

This... is it really an intermittent through stitching method?

Are you sure it is not continuous through suture method?

Doctor Chen!Are you... so fast?

The director of the original place was also dumbfounded, a little short of breath, this Doctor Chen... so fast!

Will it cause side effects so quickly?

Will it affect blood supply?

Everyone began to whisper and communicate curiously.

...

Chen Cang had no sideways, first he sutured a vein and an artery, then he began to suture the vein, and finally the artery.

This detail made these directors nod slightly. It is a good idea that an artery first can indeed help those ischemic tissues.

It didn't take long for Chen Cang to stitch together!

At this time, in order to see the effect of the stitching, everyone directly looked closer.

I saw that the arteries and veins after the anastomosis were well filled, the skin gradually began to restore its color, and the time for the capillaries to fill... it was not more than two seconds!

All signs indicate that Chen Cang's blood vessel suture was very successful!

Everyone looked up, looking at this young man, with some emotion, it was really amazing!

From the beginning to the present, it took less than 2 hours, and I basically saved my hands, the blood vessels were anastomosed well, and the operation was basically successful.

So far, it can basically be guaranteed that this hand is saved!

Moreover, the time consumed from start to finish is beyond their knowledge of sutures with severed hands.

Every doctor asked himself, did he have such a fast?

Everyone shook their heads with emotion!

Since ancient times... a teenager!

...

...

ps: Today, a reader asked, can epidural anesthesia be used for hand surgery?I can give you a little bit of science here, so that you can only have a general understanding of anesthesia.

In theory, epidural block can be used for any surgery except the head.

However, from a safety point of view, epidural anesthesia is mainly used for abdominal and below operations, including urinary, obstetric, and lower extremity operations.

For hand surgery, if there are no systemic symptoms, general anesthesia is not necessary, because general anesthesia will have some effects on the respiratory tract, and the use of high epidural anesthesia can better grasp the anesthesia time. It seems that this friend is still Some understanding of anesthesia.