"There are only two sets in total, Director Chen. I'll bring them both," the circulating nurse explained, and hurried to get the surgical kit.

Qin Yuanwu entered the operating room through a special green channel. As the director of Changshi First People's Hospital, he entered the operating room without any delay. On the way, the director of the anesthesiology department came to the operating room in person.

Prepare to give Qin Yuanwu anesthesia.

At this moment, Chen Bing looked at Qin Yuanwu, who was numb and lying on the operating table with a tube inserted, and then looked at those shocking wounds. No matter how strong his heart was, he couldn't help but feel a little sad.

Even if Qin Yuanwu's current injury can be cured, he will never be able to go to the operating table again. This is the end of his surgical career. From now on, he will belong to the medical record room or hematology department! This is very difficult for Qin Yuanwu, who is in his fifties.

speak.

The second half of his life will be a huge torture. At his age, when he is very proficient in surgical techniques, as well as the size and intensity of the surgery, if he collapses, it will be huge for him.

of blow.

It is possible for a severed finger to survive replantation, but it may not survive and eventually become necrotic, and even if it survives, the flexibility of the finger will not be as good as before!

Chen Bing let out a long sigh on the operating table, closed his mouth tightly, and his chest heaved violently. He said: "Lu Cheng, Lao Cai, you should start debridement first."

After saying that, he began to clean up the stains on his severed fingers and hands...

Lu Cheng was responsible for the deltoid and brachialis muscles of his left arm. The biceps brachii was completely severed. Fortunately, the wound was on the outside, so the brachial artery and great nerve were not injured.

Therefore, debridement and suturing of this part of the injury are the simplest.

Lu Cheng only had to finish the debridement and suture the broken ends of the muscles.

Cai Xuan is responsible for the injury to the right elbow. The injury here is a bit serious. Basically 90% of the muscles of the forearm originate from the humeral condyle. If this area is cut, all the muscles of the forearm will need to be cut.

Re-sew.

After being sutured in this way, adhesions are very easy to occur. Once the muscles have adhesions after surgery, the mobility of the fingers will become stiff.

In addition, there is a severed palm of the right hand...

Lu Cheng quickly cleaned the surgical area he was responsible for. With special orthopedic glasses, Lu Cheng could clearly see that the blood supply arteries of the muscle tissue were damaged. The probability of necrosis of the muscles at the bleeding site was very high, so he must

cut off.

The blood supply arteries and the fine capillary network are also clearly visible under Lu Cheng's special glasses.

Therefore, when Lu Cheng used a big knife to cut into the sub-necrotic muscles, he looked a bit aggressive, just like a butcher chopping meat. While Cai Xuan was still slowly scraping away the blood scabs layer by layer, Lu Cheng

The stitching has already begun.

This was the first time that Lu Cheng, Chen Bing and Cai Xuan performed surgeries on different parts of the body on the same stage.

Seeing Lu Cheng start to suture, Cai Xuan couldn't help but be interrupted by Lu Cheng's movements even though he was directly opposite Lu Cheng. He narrowed his small eyes, forming a line, and the crow's feet at the corners of his eyes were also

Lu Cheng asked in an unnatural tone: "Xiao Lu, why are you doing the debridement so quickly?"

"Even if your operation is over, it won't be of much benefit to Qin Yuanwu, right?"

The faster the operation, the greater the probability of errors and infection. Cai Xuan could not even estimate whether Lu Cheng's current operation could meet the sterilization standards.

The reason why he didn't say it outright was to save face for Lu Cheng. After all, Cai Xuan still regarded Lu Cheng as his student.

Chen Bing also saw Lu Cheng's speed and thought it was too fast, so he said: "Xiao Lu, this operation will definitely take a long time. There is no need to take unnecessary risks."

When the replantation of the severed finger is not completed, Qin Yuanwu will not step down, nor will it reduce the time of the entire operation.

After hearing this, Lu Cheng said: "Director Chen, what I want is to replant the severed limb as soon as possible!"

"According to existing research, although there is a certain probability of survival for replantation of amputated fingers within eight hours, the sooner the replantation of amputated fingers and limbs is completed, the higher the survival rate and the higher the probability of nerve resurrection.

Biggest. Features are better too.”

When Chen Bing heard this, he was slightly startled!

What do you mean? Do you still want to amputate the finger yourself after debridement of the arm?

Lu Cheng, you really don’t regard yourself as an outsider. Cai Xuan and I are still here. Logically speaking, it’s not your turn to take the initiative, right?

But, after all, Lu Cheng is one of his own, and Lu Cheng is relatively conservative when speaking to outsiders. Being able to say this at this moment also proves that Lu Cheng does not want to deal with each other.

Chen Bing could only nod his head and said, "That's fine, finish it as soon as possible and come to help early."

Lu Cheng's suturing skills are not low, and the suturing of muscles does not need to be too particular. In many major surgeries, the muscles will be cut off and then sutured together again.

However, after Lu Cheng finished suturing, he still called the circulating nurse to get a sodium hyaluronate, injected it into the broken end of the muscle, and then quickly closed the wound.

There is no emphasis on cosmetic sutures, just vertical interrupted sutures.

In this way, when Lu Cheng finished debriding the area, Chen Bing had just brought over all the microscopy equipment kits.

After Lu Cheng finished the debridement, which was not very technical, he immediately changed two pairs of gloves, and then naturally took over Chen Bing's flushing position.

Said: "Director Chen, let me help you? Director Kang hasn't come yet, how about we get rid of this broken finger first?"

Lu Cheng's silent words shocked Chen Bing.

He asked uncertainly: "Can you replant a broken finger?"

Although Lu Cheng has never performed replantation of severed fingers, he has his own confidence in the surgery of replantation of severed fingers because he has advanced blood vessel and nerve suturing techniques, coupled with top-notch tendon suturing techniques and dexterous touch.

, he can know with at least 70% certainty whether the blood vessel has been recanalized.

As long as the blood supply to the distal ends of the amputated fingers and limbs is restored, then there is a high chance of survival!

Lu Cheng didn't plan to keep anything. Qin Yuanwu was a good man. Lu Cheng couldn't guarantee that all of Qin Yuanwu's functions would be restored, but the faster and higher-quality replantation of the amputated finger would be of greater help to his recovery.

Lu Cheng has this ability, so of course he doesn't intend to keep it. Moreover, Lu Cheng now has tiger skin to pull off: "I've done a few with Professor Zhou Xuanqing! The postoperative results are pretty good."

When Chen Bing heard this, he immediately said decisively: "Get the microscopy instrument and start the operation immediately. 1.0 Kirschner wire!"

As the former director of trauma surgery, Chen Bing, of course, knows the surgical procedures for amputated limb replantation.

Regardless of any replantation of a severed finger, if it is limited, the bones must be fixed, then the tendons are sutured, then the blood vessels and nerves are sutured, and then the skin is sutured!

In fact, in terms of priority, blood vessels and nerves have the highest priority. However, if the tougher tendons are not sutured, the nerves and blood vessels themselves are not tough enough and can easily break again, causing secondary injury.

Although the process is clear and the anatomical reset of the bones is not difficult, suturing blood vessels and nerves is the most challenging time. Chen Bing is not very sure about these steps. But since Lu Cheng followed Professor Zhou Xuanqing

I've done it before, and I said it so directly, so there must be something to it.

If you do it first, you can definitely save the operation time. The big deal is that Lu Cheng will do it slower and Kang Xinghua will do one less finger, which will also save a lot of time.

The blood vessels in the fingers, called the proper digital arteries, are so thin that it makes people question life. It is extremely difficult to sew them up. And if these blood vessels are not sutured, then the meaning of replanting the severed finger will be gone.

Chen Bing picked up the Kirschner needle and started to restore the broken bone of the middle finger of his left hand!

But Lu Cheng still felt that this was a little slow, so he suggested: "Director Chen, how about we deal with it separately? You go to deal with the severed palm on the right hand? I'll deal with the severed fingers on the left hand first? The severed fingers are more important than the severed palm.

It’s more difficult.”

When Lu Cheng said this, he was actually giving Chen Bing face. He actually wanted to remove the severed fingers and palm of his left hand first, and let Chen Bing and Kang Xinghua do the severed palm of his right hand first!

However, after all, Chen Bing is the director, so he still has to save face for him.

Of course, Chen Bing didn't hear the implication of Lu Cheng's words, so he nodded and said, "That's okay. During the tour, give me another set of equipment and open at least four Kirschner needles. Oh no, eight more."

Have a spare root!"

Then Chen Bing gave up the surgical position, and Lu Cheng immediately came to the left hand side.

The broken ends of the fingers of the left hand are at the metacarpophalangeal joint of the ring finger and the second phalanx of the middle finger!

The more distal the broken finger is, the easier it is to reconstruct the broken bone. Lu Cheng held an electric drill with a Kirschner wire in one hand, and fixed the broken end and stump of the middle finger with the other hand.

After just a slight rotation, the Kirschner wire was inserted into the distal pulp of the middle finger, and directly grafted vertically to the distal bone, all the way to the proximal phalanx, and then to the distal end of the metacarpophalangeal joint.

After shaking it a little and confirming that the bones were basically fixed, Lu Cheng asked the circulating nurse to get a Kirschner wire, put it into the electric drill, inserted the needle from the proximal interphalangeal joint of the ring finger, and kept the Kirschner wire in place.

The nails were nailed to the triangular bone and hamate bone of the metacarpal bone.

However, it was still difficult to fix the metacarpophalangeal joint with a Kirschner wire, so Lu Cheng inserted a cross Kirschner needle on the side and inserted it as far as the capitate bone of the metacarpal bone.

The speed with which Lu Cheng fixed the bones immediately stunned Chen Bing and Cai Xuan.

To them, Lu Cheng's Kirschner injection seemed like a joke.

Cai Xuan immediately grabbed Lu Cheng's hand and stopped him from playing!

He didn't speak, but his eyes stayed on Lu Cheng's body for a while, and then he checked Lu Cheng's fixed broken bones.

After checking for nearly ten seconds, Cai Xuan took a few steps back, his face turned pale with fright.

His hands were helpless and he grabbed the anesthesia machine next to him in fear!

Contaminated!

The anesthesiologist scolded me there: "Master Cai, what are you doing? Why are you touching my anesthesia machine with your hands? Are you looking for trouble with me?"

Cai Xuan heard this, but his little eyes kept looking at Lu Cheng.

Chen Bing understood Cai Xuan's eyes and what was hidden in Cai Xuan's eyes, and immediately joked: "Old Cai, you are not in good health. The operation has just started and you haven't even drank yet. You look like you are drunk."

.”

The anesthesiologist said: "Hey, Master Cai's wife is good-looking and understands."

As he spoke, he went out to get some paper towels and started cleaning up the blood stains. The circulating nurse and the handwashing nurse kept picking up things, so they didn't pay much attention to the weirdness of this scene.

Lu Cheng didn't say anything more and continued his surgery.
To be continued...