Chapter 329 Whimsical Fostering Technique
Director Bian became more and more serious as he spoke:
"Second question, you put such a palm on your calf. Have you ever thought that maybe the palm is not connected, and you have contaminated the lower limbs first, causing infection, or even systemic infection.
It’s not a question of whether you can save your hands or not, I’m afraid you can’t even save your legs.”
The young doctors next to them nodded wildly again.
In everyone’s mindset, certain limbs and organs should go where they should go.
For example, the palms of the hands should be connected to the arms, and the soles of the feet can only be connected to the calves. How can the hands be connected to the feet, and the feet be connected to the hands?
Isn’t this a mess?
It is really unimaginable that a person reaches out his hand and finds out that it is a foot. It is so terrible and terrifying to think about.
Everyone in the emergency room got goosebumps all over their bodies when they thought of this.
Chen Qi could only explain patiently, but of course he was not very confident. After all, he knew how to perform this operation in theory, but in reality he had never had a similar operation in his two lives.
Who knows, he came up with such a "new technique" based on only the memory of a photo and a paper.
Chen Qi had a spirit of refusing to admit defeat. Even if you said no, he wanted to do this surgery, so he patiently explained:
"Old Bian, that's what I think. Let me make an incision in the calf first, because this area is rich in blood vessels and nerves, such as the tibial nerve, cutaneous nerve, sural nerve, posterior tibial artery and vein, peroneal artery and vein, etc.
Wait,
In addition to these main blood vessels and nerves, there are also countless small blood vessels, which are enough to feed a palm. As long as it can survive these two months, when the arm has almost recovered, I will cut off the foster palm.
Transplanting it into the arm, do you think it’s OK?”
Director Bian's face was wrinkled as if he was constipated, and his mind was a little confused. He had been thinking about the feasibility of what Chen Qi said and was not optimistic about it.
Several villagers from Liandong Village nearby were big fans of Chen Qi. Upon hearing this suggestion, Village Chief Zhang immediately stood up:
"Director Bian, I think Chen Qi's method can be tried. Anyway, we can only give it a try now. If we don't do this surgery, Xiaodong's hand will definitely not be saved. According to Chen Qi's method, there is still a glimmer of hope.
It’s better to have hope than no hope.”
When Director Bian heard this, his mind went crazy, and he suddenly felt like he was enlightened.
Yes, if you give it a try, there is still a chance of survival, otherwise it will really be a dead end.
At the same time, Director Bian suddenly felt ashamed in his heart, thinking that he was really old and had completely lost the courage and determination of young people to dare to fight and try.
"Okay, Deputy Chen, then I'll listen to you. I hope you can lead us all to create a miracle."
Chen Qi was very happy when he saw that the chief director of the Department of Surgery had been persuaded. He turned around and asked:
"Uncle Agen, the operation cannot be guaranteed to be 100% successful. It requires the signature of the family members. Do you think we should call Zhang Xiaodong's mother?"
Zhang Agen waved his hand:
"Xiaodong's mother is in bed and can't come at all. None of the younger brothers and sisters in the family can make the decision, so I, the village chief, will make the decision today. I signed the surgery, what's the matter?
I'll take care of it, Chen Qi, just feel free to do the surgery."
Chen Qi was relieved, he had absolute trust in Zhang Agen’s character.
At this time, all the people who came to support arrived, and they arrived very quickly and in a timely manner.
The reward policy that Chen Qi formulated at the beginning worked, because everyone knew that a difficult multi-disciplinary surgery could receive any amount of subsidies, so everyone was very motivated.
In the past, a consultation could last for most of a day, and you might even arrive late the next day.
Multidisciplinary surgery is even more difficult to accomplish, especially for doctors who are not surgeons. The business is not their responsibility, and they are too lazy to provide more advice and energy.
Ma Shouli, the director of the Department of Orthopedics, arrived the fastest. He was excited when he heard that it was another replantation of a severed limb.
You must know that the main force in replantation of amputated limbs is actually orthopedic surgeons. Director Ma is ambitious and wants to steal this "special department" from surgery to orthopedics.
Yan Shifan and Bianmeng also came with a full set of surgical tools and cameras.
As everyone expected, when they heard that Chen Qi was going to put Broken Palm on his lap, everyone's mouths were wide open in disbelief.
The rescue was carried out against the clock, and everyone immediately got into work. Zhang Xiaodong was also quickly put under general anesthesia and underwent emergency surgery.
In the cleft lip and palate operating room dedicated to the Department of Surgery.
Two surgeries were carried out at the same time. Director Bian and Director Ma jointly performed bone repair and debridement and suturing. While they were operating, they glanced at Chen Qi from time to time. They were somewhat distracted today.
Chen Qi, with the help of his assistants Yan Shifan and Bian Meng, set up an electron microscope and prepared to attach the severed palm to his leg.
Almost all the doctors from the Department of Orthopedics and Surgery came, and everyone stared at Chen Qi's operation with wide eyes.
In fact, the step of transplanting the severed palm to the calf is not too difficult.
Chen Qi cut open the skin and subcutaneous tissue on the outside of the calf to expose the blood vessels and nerves inside, and then began to select.
The aorta must be avoided. Do you dare to cut the aorta? Blood will be sprayed on your face and you will be unable to stop.
Chen Qi is looking for a few small arteries and veins that are not too important. The blood vessels of the human body are like a network. Breaking a few in the middle and connecting them to other places will not affect the blood supply and circulation.
All the surgeon has to do is to connect the two main arteries of the palm, the ulnar artery and the radial artery, and then connect the three deep and superficial veins.
In this way, the arteriovenous network can work and initially start supplying blood, ensuring that the severed palm will not become necrotic due to ischemia.
In addition, there are some anastomoses of some major nerves, such as the median nerve, ulnar nerve and radial nerve. If these are not connected properly, the nervous system will probably be necrotic in two months.
If the nerves are necrotic, the palm will lose its significance for transplantation.
As for the remaining bones, tendons, muscles, etc., they can not be repaired temporarily, as long as the blood supply can be guaranteed and they can slowly repair themselves.
The last step is to suture the skin flap between the hands and legs. After a final check that the blood supply of the severed palm has been restored, the "amputated limb allograft surgery" is completed.
The total time spent was only about 6 hours, during which the border alliance changed several videotapes.
As soon as the operation was completed, Director Bian and Director Ma couldn't wait to let their assistants continue the operation, and they quickly ran over to watch the excitement.
The young doctors nearby also gathered around, their eyes widened and they dared not express their anger.
As soon as Chen Qi took off the sterile towel and exposed the patient's entire calf, he heard the sound of air-conditioning being sucked in from everywhere in the operating room.
Hiss~~~~
The scene in front of me was really disturbing. I saw a hand growing out of the patient's calf. It looked weird, like science fiction.
"Oh my god, it's so scary..."
"I'm covered in chicken skin..."
"Can such a foster care operation really be successful?"
Chapter completed!