"Arrange the surgery. I'll do it for him.”
"You're cooking?" Xu Yanlin was afraid that he might have misheard and asked again.
"Hurry up, don't waste any more time.”
Xu Yanlin looked deeply at Zhang Yi and did not say anything. He immediately arranged for the surgery.
Then, the patient was pushed into the operating theater.
The chief surgeon of this surgery was Zhang Yi. The assistant surgeon, Xu Yanlin, and the scrub nurse, Zhou Jie, anesthetist: Zhang Yuan.
Regional anesthesia was usually used for small-scale replantation of severed limbs, which was known as block anesthesia of the Brachial Plexus. After the anesthesia took effect, a hemostatic clip was used to clamp the blood vessel wall of the severed limb. Then, 10% sterile soap water was used to scrub the patient's severed finger twice. After that, the patient's severed finger was rinsed with normal saline and dried with a sterile towel. Then, he began to deal with the stump of the broken limb. He used tissue scissors to cut out the contusion or necrotic tissue, and then used a rongeur to bite off the contaminated and irregular or residual bone ends, making them neat for suturing.
Find the arteries and veins in the front and back of the bone and ligate and mark them. Generally, there are many veins in the arm, so pay special attention to them.
Under the microscope, the stump and the stump of the severed limb were positioned and fixed respectively. The phalanx was fixed with a 2.55mm diameter Kirschner wire, and the sesamoid bone was fixed with a triangular needle. The rest of the phalanx was sutured repeatedly.
Then, he began to suture the blood vessel. First, he removed the epinesium of the blood vessel wall and rinsed the blood vessel cavity with 125U/ml of Heparin Isotonic Saline to check if the blood vessel was smooth. Then, he used an 8-0 non-invasive suture to suture the radial vein and the Basilisk vein. After all the blood vessels were stapled, the blood vessel clips were opened to check if the blood was flowing. After a while, the temperature of the severed limb began to rise slowly, and there was no bleeding or rupture at the blood vessel stapled.
"Phew, I succeeded!" Zhang Yi exhaled lightly.
Now, there was only the suturing of the flexor and flexor muscle groups and the epineuron. First, he used the #4 silk thread to suture the flexor and flexor muscle groups one by one. Then, he used the 8-0 non-invasive suture to suture the epineuron. Finally, he corrected the skin edge, interrupted the suturing of the subcuticular tissue and skin, and made a skin fascia reduction incision to reduce the pressure. He covered it with gauze and cotton pads.
Finally, he put on a cast to support the elbow at 90 degrees and the wrist at 30 degrees to stabilize it.
The surgery ended.
Zhang Yi took off his gloves and walked to the operating theater to wash his hands with a running water source. Xu Yanlin followed him.
"Zhang Yi, how can you be so sure that the bone will not affect the patient's movements in the future? What if the patient did not recover in the future?”Xu Yanlin asked the question in his heart. He really did not understand. If that piece of bone was gone, wouldn't the patient's pinky be restricted?
"No, that bone is just the edge. If you remove it and trim the remaining phalanx to be smooth and smooth, you can still continue to move. And I've done this many times, and it's always good.”
"Many times? Where did you do it?" How could a medical student who had just graduated perform so many surgeries? An intern teacher wouldn't be so bold as to hand over the operating table to an intern, right?!
"Uh…hehe, I was wrong. I mean, I learned it after watching my teacher do it a few times during my internship.”Zhang Yi quickly explained.
"Oh, I see. But…your skills are really good. Why don't you come to our department and guide me more in the future?”Xu Yanlin had officially extended an invitation to Zhang Yi. It also meant that he sincerely felt that Zhang Yi was qualified to be the leader of their medical group.
"Hai, let's wait until I get first place in the city-level competition. Right now, everything is still unknown.”
"What's wrong? You can only become the department director of Orthopedic Surgery Department or the team leader of our Emergency Department if you get first place in the city-level competition?”
"Yeah, there's nothing I can do about it. I'm a newcomer. If I'm promoted to director or team leader so quickly, there must be many old employees who are dissatisfied behind my back. The director also hopes that I can show my results to make those dissatisfied employees speechless.”
Xu Yanlin nodded." You're right. If you don't have any results, no one will trust you even if you become a department director or a team leader."”
"Then you have to work hard. There are many capable doctors in our hospital who keep a close eye on you. However, there are also many female doctors and nurses who admire you very much.”Xu Yanlin and Zhang Yi were also considered to have gotten along. They teased each other for a while before leaving the operating theater together.
After Zhang Yi packed up everything and left the hospital, he realized that it was almost dark outside.
At night, Zhang Yi ate something to fill his stomach and opened his System Interface.
[Medical ethics: 53 (Full score: 100)]
[Wound Suturing Technique: 70 (Full marks: 100)]
Congenital heart disease surgery: Completed
Embolization of the cerebral artery: Completed
[Atrophy of the brain: Completed]
[Limb Replantation: Unlocked (Completion 80%)]
[Duodenectomy: Unlocked]
Three-incision radical surgery for esophagus cancer plus colonic/jejunal replacement of esophagus and neck anastomosis: not unlocked
…………
Now, we will begin the simulation training of 'Limb Replantation Technique'. Please be prepared. Countdown 5, 4, 3, starting now!
"Replantation of both lower limbs? How am I supposed to perform such a major surgery alone?! It would take a long time to debride the wounds on his legs!”Zhang Yi complained.
Due to the difficulty and complexity of the surgery, the system will now send a scrub nurse to help the host complete the surgery.
"That's more like it!"
Then, in the System's training space, a gentle little angel in white appeared…
This book is provided by FunNovel Novel Book | Fan Fiction Novel [Beautiful Free Novel Book]