I Spent Those Years In the Operating Room Fighting Monsters

The four emergency rooms were finished so quickly. This is really inappropriate.

Zhou Ziyu said, "Is there any more later? Didn't we go to dinner together?"

Lu Chengcheng said: "I don't have any more here. If there are any more, you will have to eat my seat. But there is a severed finger replantation in the Department of Orthopedics. I want to take a look."

Lu Cheng was joking and declined.

The Department of Orthopedics is currently engaged in hand surgery and microsurgery. Although Lu Cheng also knows about the replantation of severed fingers, that was all in Changshi. Now that he is the chief hospitalist, of course he has gained a lot of knowledge. Look at the differences between the professors of the first department of orthopedics and their own philosophy.

Anyway, this is the point, it is estimated that I won't be able to sleep for long.

Zhou Ziyu nodded: "Then will you go back directly or go to the operating room to have a look later?"

Lu Cheng's surgery was over, and it was already two o'clock in the morning. Lu Cheng also completed three emergency surgeries. At this point, even if he was hospitalized and went home to sleep, no one would say anything.

Lu Cheng replied, "Let's go to the operating room and see. Replantation of severed fingers is still rare."

"Then I'll go first, I wish you an early retirement."

"Good night dream." Zhou Ziyu didn't want to imitate Lu Cheng's pervert. Obviously, he is so powerful, he has to study so hard, and he can complete his graduate and doctoral studies so quickly, and when he is hospitalized, there must be merits.

But being a doctor is a lifetime thing, and without people, nothing is left.

"Thank you, Brother Ziyu, you have a good dream too." Lu Cheng replied.

The chief resident physicians know their nature by hearing their names. Physicians who always live in the hospital must have no emergency department if they want to have a good dream.

Zhou Ziyu chewed betel nut, smoked a cigarette, and went to change his clothes. It is estimated that this is also the time to return to the department to rest...

The operating room was brightly lit, the anesthesiologist was dozing off, and the vital signs on the anesthesia machine were stable.

The difficulty in replanting a severed finger is the technique, which poses little threat to the patient, and the severed finger has less bleeding during the operation due to the presence of a tourniquet or expelling belt.

On the operating table, several people are concentrating on the operation.

Three people surrounded one hand, and there were only two mirrors. They had already been sorted out. Not to mention Lu Cheng, not even the surgery class had a chance to see it. So I simply watched from the audience.

No one noticed his arrival.

While watching, Lu Cheng recalled the surgical procedure for replantation of a severed limb.

Now Lu Cheng, recalling the surgical procedure, is no longer as step-by-step as before.

Replantation of severed fingers is slightly simpler than replantation of severed limbs because of the size of the operation.

But the operation is not simple.

But, as with all traumatic operations, first principles never change,

Rinse, debride, rinse again, rinse thoroughly, debride thoroughly, remove dead tissue and foreign bodies in severed fingers!

If there is no thorough debridement and complete removal of foreign bodies, no matter how good the suture and docking are, it will be false, and the final effect will definitely not be good, and wound necrosis and infection are prone to occur.

But unfortunately, this step has already been completed, and the process of connecting the bones has been completed. Professor Zhu has already sutured the blood vessels and nerves of the third finger, and is now finishing the process.

But through those 1.0 K-wires!

Lu Cheng also knows the second step of replanting a severed finger:

The second principle of replantation of severed fingers is to first harden and then soften. The bone must be connected first and then the soft tissue. The soft tissue includes blood vessels, nerves and tendons; the blood vessels have the highest priority.

Because only after the blood vessels are unblocked, can we talk about whether the nerve can live or not. The big topic of whether tendons can survive.

If the nerves and tendons are necrotic in the end, then no matter how well the suture is done, it will only happen together.

The broken ends of the fracture are cross-fixed with Kirschner wires to form four semi-open triangles to fix the broken ends of the fracture.

The microscope was pushed in and adjusted. The eyes were facing the eyepiece, and the adjustment, focal length, and interpupillary distance were started. After adjusting, I finally saw the field of vision clearly.

After the bones are connected, the blood vessels and nerves are anastomosed.

The broken finger stumps that the professor has made now, the broken ends of the blood vessels have been sorted and trimmed, and the broken ends of the blood vessels have long been clean and neat.

Moreover, the professor has already sutured most of the circle of the proper digital artery in a circle, and now he is doing the proper digital artery on the ulnar side of the middle finger.

The proper palmar artery of the finger is divided into the ulnar and radial sides in each finger, and the popular point is the inside and outside.

The volar proper arteries of the **** all originate from the common volar arteries. Prof. Zhu holds the needle thread and forceps for fiber suture, but Chen Ding also needs to use a microscope at the other end to assist and trim the thread.

The diameter of the volar proper artery is very small, maybe even a little more than one millimeter, but at least six stitches need to be sutured on the periphery of such a small blood vessel, which is obviously not an easy task.

Micro sutures, which are much thinner than a human hair, are constantly pierced and pierced under the microscope and in the hands of Professor Zhu. This process is not very smooth, but it is not sloppy. Most of them are one stitch to the end. But in the process of knotting, it is very slow.

Because such a small blood vessel is very fragile, as long as the force is a little bigger, it may directly tear the blood vessel. In this way, most of the previous suture operations can definitely be performed.

So the professor is cautious.

The operation has lasted for two hours now.

The surgery class was so concentrated that they were a little lost. The general hospital next to him saw his hands trembling slightly, but he didn't blame him. The surgery class was just students, and they couldn't be expected to have the same energy and ability as the battle-hardened ones. .

With just such a glance, he saw Lu Cheng who was watching the surgery under the stage, and immediately asked, "Brother Xiao Cheng? Is this a halftime break? It's hard enough."

Previously, the general hospital in the Department of Orthopedics was called Huang Minzhi, but he had already completed the general hospitalization, and he was in the same class as Lin Hui, and now the general hospitalist is called Chen Ding, and he joined Lu Cheng in a batch.

Chen Ding naturally thought that Lu Cheng was just here to take a look, after all, that's all.

"No, it's done, just come and study." Lu Cheng didn't hide it.

Chen Ding was stunned for two seconds, and even the professor next to him frowned slightly and said, "You have finished all three emergency departments? Are you the chief inpatient of trauma surgery or the general manager?"

When preparing for the operation, he also listened to the complaints from the nurses in the operating room. The trauma center was so busy, and there were three or four lined up for the operation next door...

The tone was slightly unhappy.

As a professor of microsurgery, he does not think that quick operation is something to be proud of. On the contrary, the effect of surgery is the ultimate pursuit.

Lu Cheng's face was covered by a mask, but he just looked young.

"Teacher Zhu, this is Lu Cheng from the trauma center. Teacher Zhou Xuanqing mentioned it before."

Hearing Chen Ding say the words "Professor Zhu", Lu Cheng's expression was quite embarrassed, but he heard Fang Nixin talk about the grievance between Zhu Jun's teacher and his own teacher, Professor Li Dongshan. If you come in rashly, will it cause the other party's displeasure?

While Lu Cheng looked at Zhu Jun, Zhu Jun also looked at Lu Cheng, and then asked very abruptly, "Do you still have physical strength? Can you still take the stage?"

"If you can come to power, change with this little brother."

Professor Zhu naturally also saw the hand tremors in the operation class, but now it was an emergency operation, and it was late at night, and the other operation classes were called away by Lu Cheng. No one is looking for nature and can only make do with it.

Lu Chengcheng said, "Then I'll go wash my hands right away."

When the operation class heard this, their eyes lit up. It was not like he could see so much with the naked eye for replantation of a severed limb like this.

He quickly said to Lu Cheng, "Thank you, teacher."

Lu Cheng smiled and said it was okay.

He quickly washed his hands and dressed, and then took over the position of the surgery class.

Although Chen Ding and Professor Zhu each had a mirror occupying most of the field of vision of the operating table, there were not many assistants blocking the line of sight at the moment, so Lu Cheng could still see very clearly how Professor Zhu sutured.

Professor Zhu continued to sew the next stitch, while Chen Ding continued to help him cut and pass the thread, occasionally holding the needle to fix it.

Lu Cheng helped the two to fix their fingers and move their positions.

Because the volar proper arteries of the fingers are on both sides of the fingers, when the radial end is sutured, the index finger will block the sight and operation.

And at this moment, the index finger has just been replanted, and it is not suitable for strong breaking.

However, Lu Cheng still lightly pressed the patient's index finger and thumb with his hands, and his field of vision was much wider than before. Moreover, he also called the tour to put on an extra pair of gloves, and then used the gloves to close the ring. The first knuckles of the finger and little finger were pulled on the surgical drape.

The space for operation can be exposed most perfectly.

With just such a hand, Professor Zhu suddenly felt a shock, and the movements on his hand accelerated by at least three points. While pulling out the needle, he asked, "Where did you learn this?"

The layman watches the fun, the layman watches the doorway.

Professor Zhu has done replantation of severed fingers for so many years, but rarely has such a broad vision, and the stump of the patient's severed finger will not be written in the textbook, so there is no exposure during the operation. Strict standards,

Lu Chengcheng said: "Professor Zhu, an old director used it during an operation when he was in the training program. It's a little trick. I think it's quite practical, so I wrote it down."

"I thought it might be useful in the future, but I just used it today."

Chen Ding was afraid that Zhu Jun didn't know Lu Cheng, so he quickly said, "Dr. Lu Cheng lives in the place where he was born, and he just came to Fu Er not long ago."

Professor Zhu nodded and praised without hesitation: "It's very good to know how to pay attention to details."

"The ability to apply flexibly is also very strong."

"Have you done it?" Zhu Jun suddenly said something that surprised Lu Cheng.

Chen Ding's pupils also shrank slightly. Isn't it rumored that Professor Zhu is not in harmony with Professor Li Dongshan?

Why does Zhu Jun ask that?

"A few!" Lu Cheng rolled his eyes twice and replied truthfully.

Zhu Jun didn't say the next words, but started to understand while performing the operation: "vascular anastomosis is the top priority."

"Actually, the replantation of a severed finger is the same as the rescue. First save the life, and then save the function!"

"And there are two lives with severed fingers."

"The first and most basic thing is blood supply."

"The second is the nerve. If the nerve is necrotic, then the finger is just a decoration. However, with this decoration, as long as the finger is not dead, it is better than nothing!"

"Because his broken end still has a certain function, at least it can allow him to maintain a certain grip function."

"And the suture of the nerve..."

Professor Zhu spoke earnestly, while Lu Cheng and Chen Ding were listening carefully.

In fact, neither Lu Cheng nor Chen Ding knew how they got this opportunity. But after listening to the class, Lu Cheng and Chen Ding naturally wouldn't bother to ask the reason.

But while Lu Cheng listened, he continued to help.

And since Lu Cheng came to power, the speed of the operation has obviously accelerated...

This change can be felt by both anesthesiologists and itinerant nurses.

Halfway through, Pang Lin had already arrived at the operating room. After hearing that Lu Cheng had come to the operating room, he rushed over and thought about it carefully in the audience. Then he felt that he could not understand what Lu Cheng was doing at all, nor could he see what Lu Cheng was doing. What's great about the successful operation.

Ang, hand surgery and replantation of severed fingers belong to his blind areas of knowledge.

About an hour later, only the proper artery and nerve on the ulnar side of the little finger were finally left without sutures.

Professor Zhu put his hands down at this moment and said, "Chen Ding, Lu Cheng, would you like to try a few stitches?"

Chen Ding was of course eager to try, but he also heard the meaning of Professor Zhu's words, and said, "Then I will sew two-thirds, and leave the remaining one-third for Lu Cheng?"

This is what Professor Zhu originally meant, but after all, Chen Ding is the real chief inpatient of their department, and every opportunity to get started should be as close to him as possible. However, when Lu Cheng came to the stage, the operation could be accelerated.

What Chen Ding can want is naturally the best thing.

Chen Ding took over the suturing equipment and needle and thread, and then Professor Zhu moved to Lu Cheng's place and turned his palm over, completely exposing it.

The ulnar proper artery of the little finger, which is at the outermost side, is very well exposed, which is the main reason why Professor Zhu dared to let Lu Cheng and Chen Ding go there.

Opportunities for surgery are also important.

Chen Ding's hand trembled slightly. This was also the first time he had sutured blood vessels by himself, and it was still such a small digital artery.

"Professor Zhu, you have to watch carefully, I'm afraid my hands are shaking." Chen Ding suddenly became nervous.

If this needle goes down, it may destroy the artery on one side.

Professor Zhu said solemnly: "Then don't shake."

Chen Ding took a deep breath, then slowly put the needle in and out. Lu Cheng quickly clamped the needle that was not long, and then pulled the needle out through the arc of the needle, without causing any damage to the blood vessels. shear force.

This action was captured by Professor Zhu keenly.

For him, these details are the key steps that determine the survival of severed limb replantation, and he doesn't see it. Although he told Lu Cheng to do this, being able to grasp this degree so quickly is comparable to Chen. After at least a dozen stitches, Ding had a slightly stronger experience.

Sure enough, surgery is also a talent.

Professor Zhu did not disturb Chen Ding, because at this time, the most taboo thing is to interfere with the main knife.

Chen Ding pulled and knotted very slowly, and did not dare to use force, but he could not achieve the purpose of tightening without force. In the end, he could only shiver seven or eight times before he could barely sew it up.

With the experience of the first needle, the speed of the subsequent needles is gradually accelerated.

Finally, after two-thirds of the suture was finally finished, Chen Dingcai breathed a long sigh of relief and handed the device to Lu Cheng. His forehead was covered in sweat, and then he looked at the other one sitting below besides Pang Lin. The surgery class said, "Chen Yusheng, give me some sweat."

Professor Zhu looked at Chen Ding and didn't say much. In fact, he was still quite satisfied with Chen Ding's performance. Not long after Chen Ding entered the department, he was admitted to the general hospital. This is a solid performance of basic skills.

It's up to Lu Cheng next, I hope he doesn't let Chen Ding's work go to pieces.

Lu Cheng took the equipment in his hand, closed his eyes and rested for a while, until Chen Yusheng wiped Chen Ding's sweat before starting the suture.

The needle tip is inserted perpendicular to the single wall of the blood vessel, the needle is pushed along the arc of the needle, and then the needle is withdrawn smoothly. The whole process is extremely smooth...

Zhu Jun only saw two stitches, and then he covered his double eyelids.

One thing in his mind was that Min Hong came to visit in person. Min Hong asked Professor Zhu Jun to give pointers if he met his student Lu Cheng in the future clinical work.

[To tell the truth, recently I have been using Mimi to read and read books to keep up with updates, switch sources, and read aloud tones, which can be used by Android and Apple. 】

At that time, Professor Zhu Jun replied: "Min Hong, you don't want to be aggressive. If you bring Li Dongshan back, it will be difficult for me to do it. Now you want me to pull Li Dongshan's students? I will have it in the future. How dare you go to see my teacher?"

Min Hong said: "Professor Zhu, that incident should have passed long ago. Although Teacher Pang passed away with hatred, but Li Dongshan also insisted on the emergency department for decades, and did not go to other hospitals for profit. Why?"

"Our Second Xiangya Hospital is a whole in itself. It's hard for Li Dongshan to be swept out of the door for decades~www.wuxiaspot.com~ Is that not enough? What did he do, and why is Mr. Pang unhappy? , you and I are very clear."

"Now is our hospital, and our department is facing an important period of development and change..."

At that time, Zhu Jun only felt that Min Hong was bragging with him and making cakes with him! After all, Min Hong also wanted to take out the Orthopedics Department of the Second Xiangya Hospital in high spirits back then, but when he first came to the magic capital, Professor Min Hong retreated, silently sticking to the bone cement for 20 years. Until now, it has only made a little reputation in the cement joint replacement of joint surgery.

Is it because of Lu Cheng now?

Zhu Jun sneered.

However, when he saw Lu Cheng now, he suddenly felt that what Min Hong couldn't do back then might not have a chance for Lu Cheng now. Only by knowing a person can you judge a person. After seeing Lu Cheng before, Zhu Jun didn't know much about it, so he asked directly.

Zhu Jun didn't hate Li Dongshan, but it was impossible to become friends with Li Dongshan, which was doomed the moment he was Professor Pang's student. There is right and wrong, but there is also a relationship between teachers and families.

In Lu Cheng's words, it is already a generational generation.

So Zhu Jun didn't mind helping Lu Cheng, or even giving him a little more help.

Moreover, Zhu Jun sent two Zheng Gao to Li Dongshan's trauma center instead of letting them open the door alone. In fact, Zhu Jun was already facing up to what happened in his heart.

"I'll step down first." Zhu Jun opened his eyes, took a few steps back from the operating table, and then began to take off his gloves and clothes.

Chen Ding was terrified by these words, and Lu Cheng has not finished sewing yet. "Ah? I wish you a teacher."

"A little tired, you young people are strong and strong, you have to learn to carry them."