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Chapter 51 Most of them are 38 points

####Brothers, Tiannan is the first one on the weekly promotion list of the homepage, and the others are all great gods. It is really not easy, but the opponents always step on Tiannan with a slight advantage. Tiannan is unwilling to do so. Please help Tiannan and vote for Tiannan to keep it. Tiannan is here first. Thank you everyone ####

The last thing that needs to be stitched on Fang Wei's abdomen is the skin layer on the surface. This layer is easiest to sew, but it is the most difficult to sew. If you are not careful, it will easily lead to the inability to smoothly match the wound after suturing it.

Ye Nan handed the needle holder in his hand to the nurse beside him and explained: "Skin change needle, No. 1 ordinary suture!" Needles for surgery are generally divided into round needles and diamond needles. Round needles are mainly used to suture tissues that are easy to penetrate by organs or muscles; while diamond needles are also called skin needles, which are relatively sharp and have good penetration performance. They are generally used to suture tougher tissues such as skin.

This nurse is also a veteran and has already prepared another needle holder and skin needle. After listening to Ye Nan's instructions, she neatly replaced the needle holder with a skin needle and No. 7 thread and handed it over.

Ye Nan took the tweezers and carefully clamped the skin on both sides of the incision together, then took the needle holder handed by the nurse. He clamped the skin with the left hand with toothed tweezers, and did not dare to neglect the needle holder on the right hand. The arc-shaped needle carefully penetrated the skin and emerged from the inside of the incision. Then carefully passed through the skin on the opposite side. The needle tip went straight to the skin. Then he loosened the needle holder that tightly clamped the needle tail, clamped the needle tip again, and pulled the needle out with effort.

In this way, the thread officially passed through the skin on both sides of the incision, connected the two sides together, and then pulled the thread tightly and started to tie the surgical knot. This time, Dr. Huang began to pay attention when cutting the thread, leaving a small tail about five millimeters behind the thread. This small tail is very important because this thread is not absorbed by the human body, and all threads must be removed in the future. This thread is used to pull the thread when removing the thread.

After completing the first stitch, Ye Nan carefully sewed down one stitch at five millimeters, and sewed sixteen stitches before sewing the incision. After finishing, he took tooth-shaped tweezers and carefully turned out both sides of the sewn incision, so that the two sides were aligned. Only in this way can the wound grow smoothly and reduce the scars that may be left!

After everything is done, wipe it with normal saline, cover it with gauze and stick tape.

Dr. Huang was really satisfied with the entire treatment process of Ye Nan, the temporary assistant. He never thought that an internal physician could do all this perfectly! He sighed inwardly: "It's a pity that Mr. Ye is an internal physician!" But all this is not what he wants to think about. After all, the main task at present is to treat the patient's injuries so that he can ensure his own safety!

Seeing that the first operation had been completed, the nurse was about to take off her gloves and replace the blood bag and infusion bottle that were not left. Peter beside him saw that the nurse needed to take off her gloves, and later he had to change into a new pair of gloves. He smiled and stopped him with a smile on his face: "Beautiful lady, let me do this for you!"

The nurse hesitated for a moment and looked at Ye Nan. She also knew that Ye Nan had to decide this. Ye Nan looked at Peter. Although he was not very clear about what Peter came from now, he looked at Peter's confidence and nodded gently and signaled that Peter would deal with it.

With Ye Nan's acquiescence, Peter walked to the dispensing table, found a bottle of 500ml of glucose solution, then turned out a few injections from the rack, and after disinfecting the bottle, he added the injection to it with a syringe, and walked over with a smile, "It's appropriate to add 3g of hemostatic sensitivity!" Then he hung it on the infusion rack and skillfully replaced the empty bottle of liquid. After doing it, he picked up a bag of plasma and replaced it with the bag of blood bag on the infusion rack that was about to be injected.

Dr. Huang looked at Ye Nan in surprise and said to himself: "I didn't expect that there were quite a few people among these three people!" However, when he looked at Ye Nan, he found that Ye Nan was also surprised, and then he realized that perhaps Ye Nan didn't know that this foreign boy had such ability!

Since the medicine has been successfully replaced, the three of them continued to start the operation. The first laparotomy took more than an hour. It was already four o'clock in the morning. This is not a safe place, and all the treatments must be completed as soon as possible.

The place for this operation was on the left shoulder. Seeing that the bullet hole was located just below the clavicle, Ye Nan was shocked and asked, "Doctor Huang, his bullet will not enter the chest cavity, right?"

Dr. Huang smiled affirmatively and said, "No, if the warhead enters the chest cavity, then pneumothorax will appear on the left chest cavity. I have checked it first. The breathing sound in the lungs is normal, so you don't have to worry about anything!"

"That's good!" Ye Nan felt relieved when he heard Dr. Huang say there was no problem and said to himself: "It's good that it's okay, otherwise the bullet will really fall into the chest cavity, which will be really troublesome! If you need thoracic surgery, you'll be afraid you must go to the hospital!"

Dr. Huang carefully opened the wound that had been bandaged earlier, used a cotton swab to eliminate the poison twice, replaced the scalpel with a sharp blade, gently cut the slightly red and swollen wound, and slowly cut the muscle layer bit by bit. At this time, Dr. Huang was particularly careful because the blood vessels in this area are extremely rich and there are many small arteries passing through. He could only carefully cut them down one by one, so as not to accidentally injure the large blood vessels.

After waiting for more than ten times, the wound had been expanded a lot. Dr. Huang put down the scalpel, picked up the pointed-nosed pliers, inserted them into the wound, and gently pushed them into the inside. It was obvious that a hard substance was touched inside. Dr. Huang opened the pointed-nosed pliers, opened the wound a little, squeezed the pliers hard inside, pushed the muscles on the edge of the bullet, carefully clamped the bullet, took a light breath, and pulled the bullet out neatly.

Dr. Huang put the bullet in front of him and took a look, chuckled: "It's really a 38-caliber..." After saying that, he threw it into the plate, rinsed the wound with a syringe, put a Vaseline gauze strip, took the needle holder, gently sewed two stitches on the wound, and then covered it with gauze.

At this time, seeing that it was almost done, Ye Nan glanced at the bullet in the plate and finally asked curiously: "Doctor Huang, how do you know that the bullet is 38 caliber?"

Dr. Huang had been in contact with Ye Nan for so long, and at this time he also realized that Ye Nan was not the kind of extremely vicious person, and no longer doubted his safety. He smiled and said, "The most common ones on Hong Kong Island are pistols with a caliber of 38. Your friend should be the one who is looking for the Tianyuan Gang recently!"

Ye Nan smiled and said, "I don't know if it is, but it's true that he is being chased by many people now!"

"That's right. Yesterday, someone from the Tianyuan Gang came to the door and said that if someone came to treat the gunshot wound, I must notify them!" At this point, Dr. Huang couldn't help laughing.
Chapter completed!
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