The popliteal fossa is a very dangerous area. Even orthopedic surgeons who are most familiar with the anatomy of the popliteal fossa do not want to touch this area easily.

The popliteal fossa contains a large amount of adipose tissue. In the adipose tissue, there are a large number of blood vessels and nerves, and there are also branches of various blood vessels and nerves, including the popliteal artery, popliteal vein, popliteal nerve and its branches, the anterior tibial vessel.

Nerve groups and their subdivisions.

Lu Cheng still clearly remembered that when he was in the joint surgery department, the director of the joint surgery department wanted to go into the popliteal fossa. The deputy director almost shouted to the boss in a pleading tone to forget it. In the end, the director of the joint surgery department didn't cause any trouble.

But now Professor Zhou Xuanqing made this decision without any hesitation.

After being woken up, the patient was so frightened that he almost ran away from the operating room. However, Professor Zhou calmed him down by telling him that if he did not perform angioembolectomy, his limb would have to be amputated. However, he could not sleep.

A pair of red eyes looked at Zhou Xuanqing and said: "Professor Zhou, you must help me. I have a wife and children. If I can't move from now on, what will they do? The children are still young..."

Zhou Xuanqing could only comfort him: "I will try my best."

Zhou Xuanqing is a professor of orthopedics. Although he has high attainments in orthopedics, he is currently facing the problem of vascular surgery, so he can only do his best.

This kind of sudden arterial embolism during surgery is what orthopedic surgeons are most afraid of. Fortunately, this patient did not apply a tourniquet at the beginning, otherwise, they would have never discovered the embolism!

Zhou Xuanqing glanced at Lu Cheng, washed his hands and put on his clothes again, washed and disinfected the patient's hands again, spread drapes, and then made another arc-shaped incision behind the popliteal fossa without hesitation.

Then he drove in methodically, carefully peeling off layer by layer without daring to make the slightest move.

The talking on the operating table stopped, and everyone's breathing seemed a little serious and heavy!

Less than ten minutes later, two people wearing green surgical gowns walked in. The leader came in and immediately asked: "Teacher Zang, what is the situation now?"

The visitor was Qin Yuanwu, the director of vascular surgery, followed by the attending and concurrent chief resident of vascular surgery, who was in charge of emergency surgeries related to vascular surgery.

But when he heard on the phone that today's surgery was performed by a professor from the Second Xiangya Hospital, and that arterial embolism occurred during the surgery, he didn't dare to do it himself, so he called Director Qin again.

When Director Qin heard the phone call, he immediately postponed the dinner he had and hurried over. Obviously he also took this emergency very seriously. If this matter is not handled well, it is Chang City First People's Hospital.

The shame has been thrown up to the top.

In the future, when professors from the Second Xiangya Hospital are invited to perform surgeries there, they may hesitate. After all, there is a precedent of being tricked, even if everyone knows that this was not intentional.

Qin Yuanwu used to follow Zang Xun when he was an intern in the Department of Orthopedics, so he always called him Teacher Zang Xun. Moreover, whenever Zang Xun encountered matters related to vascular surgery, he would come to him immediately.

Now that he has become the director of the ward, he does not dare to neglect. After all, many orthopedic problems in their department are directed to Director Zang.

Zang Xunjiu said: "Arterial embolism occurred during the operation. Before the operation started, the pulse of the dorsalis pedis artery was still good. As soon as the front skin was incised, the dorsalis pedis artery could no longer be felt. We used a needle to test during the operation.

After a while, there was no blood oozing from the plane below the tibial plateau."

"So the preoperative color ultrasound results are of little use."

"Director Zhou Xuanqing re-sutured the front wound and immediately transferred it to the popliteal fossa. Now the popliteal artery and the anterior tibial artery have been separated. The posterior tibial artery has not been detected yet because it is hidden deep."

"You can take over anytime now!"

Zang Xun spoke quickly, but Qin Yuanwu already knew the general idea. He hurriedly told the circulating nurse: "You guys call immediately and get the vascular surgery bag, and then bring up my special instrument bag!"

"Tong Sheng, you and I go wash our hands and come on stage immediately. Pay attention to the specific location of the embolism. There is no arteriography before the operation. This patient's condition is very complicated."

Of course Tong Sheng also understood that this was an unexpected situation during the operation. The preoperative arterial color Doppler ultrasound was fine. The dorsalis pedis artery was open before the operation, but it suddenly became embolized. So where is the location of the embolism?

Now in this situation, it is definitely not possible to drag the patient out of the operating room and do another arteriography. This will have to test their skills and level.

Qin Yuanwu and Tong Sheng immediately went on stage and took over the operation.

Zang Xun immediately called Zhou Xuanqing and Tu Chaoran to step down and rest for the time being. At the same time, he also got off the stage. After saying hard work and apology to Qin Yuanwu, he quickly followed Zhou Xuanqing and the others to explain.

.

Zhou Xuanqing felt a little unhappy, but he also knew that this matter could not have been done intentionally by Zang Xun or anyone.

Zhou Xuanqing said: "Old Zang, what are you talking about? In this kind of emergency, our doctors are not gods, let alone fortune tellers. We should calculate a divination before the operation begins and see if it is good or bad.

For surgery."

"This time, I hope the vascular surgery department can successfully remove the embolus, otherwise it will be troublesome and difficult for you to explain to the patient."

It is difficult to explain this kind of emergency situation to the satisfaction of the patient and family members. They will definitely ask why you didn't do a systematic assessment before the operation?

Even if Zang Xun and others have done it, the patient will still say, you have assessed it to be safe, why does it still happen?

Therefore, Zang Xun should be the one who can't sit still now.

On the operating table, although Qin Yuanwu and Tong Sheng took over the operation, Liu Kaihua and Lu Cheng were still helping.

The two people quickly cut the popliteal artery, and then used a special thrombectomy device to remove the thrombus from the popliteal artery up and down.

Towards the femoral artery, it is open and there is no emboli!

Toward the anterior tibial artery, the emboli was still not removed.

In the direction of the posterior tibial artery, the emboli was not removed!

Qin Yuanwu and Tong Sheng looked a little uncomfortable, and then they continued to move down, but still did not take out the bolt.

Qin Yuanwu finally spread his hands and whispered in Liu Kaihua's ear: "Director Liu, we have tried our best."

"If you can't get it out, the plug may be closer to the bottom."

"This patient may still have to have his limb amputated in the end."

Liu Kaihua did not dare to speak loudly because he knew that the patient received continuous epidural anesthesia, not general anesthesia.

Liu Kaihua's face turned pale immediately. He really hoped that this was just a joke, even if it was a bit big.

Liu Kaihua could only say: "Thank you, Director Qin, Doctor Tong, thank you for your hard work."

"Alas!" Qin Yuanwu sighed, and then prepared to close the wound.

At this moment, Lu Cheng suddenly said: "Teacher Qin, the blood flow under this patient's tibial plateau is not smooth. Is it possible that this embolus is located exactly at the intersection of the posterior tibial artery and the peroneal artery?"

"When you just took it out, it happened to be squeezed towards the peroneal artery, so you didn't pull it out?"

Although this was a fact that Lu Cheng saw, he couldn't say that. He could only rely on his anatomy knowledge to give an answer that was closest to the facts.

After listening to Lu Cheng's words, Liu Kaihua immediately said: "This is a new doctor in our department. He just came here and he doesn't understand the rules! Director Qin, please be considerate."

After saying that, he immediately glared at Lu Cheng.

Lu Cheng is questioning the ability of vascular surgery. Instructing other departments to perform surgeries is a taboo in communication between departments!

It was Liu Kaihua's look that moved Qin Yuanwu a little. At this time, Liu Kaihua was still saving face for them. On the operating table, although this was an orthopedic surgery, they did not remove the embolus because of their professional ability.

Not enough, not helpful.
Chapter completed!