1986: Old Stories in Northeast China
Chapter 692
"Actually, this is a very serious question." Chen Tiezhu said calmly.
"At present, in the medical community, there has not been any attempt as I expected. As for skin grafting, even in our country, it is just in its infancy."
"So you can understand that the treatment method I will use on you next has not been used before and has not been verified."
"So you have to think about it carefully. There is still a lot of time. After all, if my idea cannot be verified, it may also endanger your life."
Hearing his words, everyone in the operating room was dumbfounded. Especially Han Zhenwen, they all wanted to drag him out and talk to him.
He thought there would be other ways, but he didn't expect it to be just an idea.
How dangerous is this?
Such an operation is likely to cause big problems.
"By the way, I was just concerned about his injury. Has the motorcycle driver who caused the accident been caught?" Chen Tiezhu asked.
"He was caught. He was caught by the masses at the time." Fang Zhiyong said.
"He drank too much and rode a motorcycle without any control. He was lucky. He fell on the side and scratched his skin, and then fell asleep directly."
"Teacher Chen, I think you should think carefully about this matter. Although many of your surgical operations can bring very good results, you are just beginning to consider what you are going to do now."
"Yes, brother-in-law. We can't give people hope for no reason." Han Zhenwen also added.
"Yes, I am somewhat inducing the patient. In such a situation, he will seriously consider any recommendation I give." Chen Tiezhu said.
"Because for him now, living will be very painful. So even if I throw him a straw, he will desperately grab it without considering any consequences."
"So in the future, you must pay special attention when you are seeing patients. This situation should not happen. I did violate the rules today."
His words confused the two people again. Aren't you knowingly committing a crime?
Then why did you say it out?
"But as a doctor, everyone has a special patient who can't get over that hurdle." Chen Tiezhu continued.
"When I do things, I only have one idea, but I want to have a clear conscience. I want to do this operation, not for fame or profit, but just to do my best to help him."
"So if there is any problem with the operation, I will be personally responsible. As a doctor, what I can provide to patients is the right to choose."
"Don't worry, think about it slowly, there are still two fingers that have not been handled properly. The operation I want to recommend is indeed very risky, and it may also have a great impact on your future life."
After saying that, he carefully cleaned the patient's wound.
Han Zhenwen was anxious and angry, but what else could he say? His cheap brother-in-law had already said everything.
He could only look at Fang Zhiyong next to him for help, but Fang Zhiyong could only give a helpless look in return.
In fact, for Chen Tiezhu, there is no other way now.
As for the patient's current burn condition, even if the whole hand is not amputated, the thumb and index finger cannot be saved.
Because the burns on these two fingers are very serious, many places have exposed the phalanges during the debridement.
According to the current medical conditions, it may be possible to carry out corresponding treatment in the top hospitals in the capital or big cities like Shanghai.
But given the patient's current condition, is it suitable for transfer to another hospital?
Nowadays, there is no high-speed rail running smoothly like in the future. Such burns are very easy to get infected during the transfer process.
In other words, the only way to treat this patient now is the medical skills he brought from the future.
"Doctor, I want to try it."
After a moment of silence, the patient spoke.
"Don't you regret it?" Chen Tiezhu asked.
"What else is there to regret? Both arms are useless, it's better for me to die." The patient said calmly.
"Don't you need to discuss it with your family? After all, this operation is also risky." Chen Tiezhu asked again.
"No need to discuss, my parents will definitely not agree." The patient said.
"But they are already in their fifties, and I will have to let them take care of me in the future, and I will become a burden to them. I don't want to live that kind of life."
"Okay, then I'll tell you my surgical ideas." Chen Tiezhu said.
"Brother-in-law, I..."Han Zhenwen was anxious and shouted.
"Zhenwen, I know you are worried about me. Listen to my surgical ideas first, and then you can think about it." Chen Tiezhu said softly.
"I plan to try abdominal flap embedding, that is, to choose a suitable position on the abdomen for his hand and then embed it."
"It takes advantage of the large blood supply range of the abdominal flap, which can make the operation simpler and make the secondary operation more convenient in the future. The disadvantage is also obvious, that is, there may be a variation of the superficial blood vessels of the abdominal wall."
"This involves some surgical knowledge of skin transplantation. I don't know if there has been a similar operation in our hospital, I'm afraid there hasn't been."
"Teacher Chen, where has such an operation been performed in our hospital?" Fang Zhiyong said with a wry smile.
"Doctor, are you asking me to put my hand in my stomach and then sew it up?" At this time, the patient spoke, and he also felt a little numb on his scalp.
Chen Tiezhu nodded, "Simply put, it's like planting your hand on your belly, and letting the abdominal skin flap help regenerate the skin on your hand."
"But you still need to undergo a second operation, and you need to pay special attention during the first operation, otherwise even if the regeneration is successful, it is likely to affect your future hand function."
"Of course, another advantage of this operation is that you don't have to study the arm suspension. The hand is sewn together with the abdomen, so it has support."
"The whole operation is still very risky, and I don't know if anyone in our country has done it before. Whether our first attempt will succeed depends on what God thinks."
"Okay, the hand has been cleaned. Think about it again, there is still time. I haven't eaten yet, so I'll have a bite to replenish my energy."
After that, Chen Tiezhu stood up and walked out directly.
The operating room was very quiet, and everyone was shocked by the surgical idea that Chen Tiezhu had just proposed.
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