Rebirth begins in the operating room
Chapter 577 The first case of tendon surgery
Dong Guangming and Li Anjian checked the situation inside the operating room through the observation window.
"This surgery is no small matter!" Li Anjian said with a serious face.
Dong Guangming said: "It's no small matter, your precious daughter is also in it."
"Boy Ye, please be more steady!" Li Anjian picked up the microphone and said to Ye Li in the operating room.
"Uncle Li, your voice is too loud! Lower your voice..."
Li Anjian was embarrassed.
And Ye Li stood in the position of the surgeon, performing operations on AIDS patients, and no one wanted to work with their legs on their shoulders.
He raised his head and said to everyone: "Start anesthesia..."
Li Muchin began to administer local anesthesia to the patient.
Ye Li took a pen and drew a marking line on the patient's left leg.
"Electric coagulation knife!"
With an order, Guan Chao handed over the electrocoagulation knife. As soon as Ye Li took it, he quickly started cutting to the marked line.
Quickly cut through the epidermis, dermis, and subcutaneous tissue.
Make a 20-centimeter-long incision on the patient's left leg.
If you don't look carefully, you won't be able to tell that it is an S-shaped knife edge.
The moment Ye Li cut the knife, everyone was extremely nervous.
Afraid of an accident.
After all, this is the first time for an AIDS patient to undergo surgery.
When they saw that there was no sign of bleeding, everyone secretly breathed a sigh of relief.
Even if they are wearing protective clothing and double gloves, they don't want to get into trouble.
Of course, it was also Ye Li's first time to operate on an infected patient, so he was still a little nervous.
However, after experiencing the smallpox virus on the Southern Qin front line, his heart grew stronger.
"Chen Ming, come and open the knife edge..."
"good...."
Soon the ruptured tendon part appeared in front of everyone.
There is no ulceration or necrosis.
It was clearly seen that part of the tendon was ruptured, but not completely severed.
As Ye Li said, the tendon rupture does not completely break the tendon, and the aponeurosis rupture can be solved with anastomosis surgery.
If it is an open tendon rupture, the normal operation time is very long, and the operation should be performed within 6 to 8 hours.
"Everyone, don't be nervous, let's start debriding!"
Ye Li has activated his talent for trauma, and he can perform thorough debridement by himself, and his techniques are quite skillful.
In fact, it can be seen that the three of them have inner conflicts because it is their first time to come into contact with infectious patients.
I believe that after experiencing this, they will not be so afraid in the future.
It has been ten minutes since the operation started.
After Ye Li completed the debridement, he began to suture the tendon.
"Surgical microscope...."
"Guan Chao, the thinnest suture..."
So thin!
Li Anjian heard Ye Li use the most
Thin sutures are used to connect the tendons.
His first reaction was can he see it?
The thinner the suture, the more challenging the doctor’s suturing skills will be.
Dong Guangming said nothing and kept his eyes on Ye Li's hands.
He saw how comfortable, fast and accurate this technique was.
It was as if I was immersed in the scene, feeling the blood spurting.
It is not an exaggeration to say that suturing techniques like Ye Li's can be called the hand of God.
Not to mention Dong Guangming and Li Anjian, even Chen Ming and Guan Chao were dumbfounded.
Li Muxin stood farther away, with a look of shock on her face as well.
Ye Li's hands were like a pianist playing.
Avoiding blood vessels, clean and repair the broken end of the tendon, and let Chen Ming use tweezers to lift a section of the tendon.
"Don't be nervous, I'll take care of everything."
Ye Li said reassuring words to Chen Ming.
This slowly relieved Chen Ming's feeling of suffocation.
Suturing tendons is not difficult for Ye Li. He has done it frequently in the military camp in the past two years.
After all, border guards are injured during patrols and exercises.
Plus the gift of trauma surgery.
Ye Li is at ease.
He chose to perform a modified kessler suture with a needle and thread.
The distance between the two points of the needle thread entering the tendon is about one centimeter. The pulled thread enters transversely to the side and comes out from the side. Repeatedly enter from the left side and pull out from the broken end.
If the sheep tail is broken, you can only subtract the broken end.
It's the same method on the other end.
When the sutures are left at the same length at both ends, tie them in pairs.
Use a thinner 0 thread to perform a silfverkiold suturing of the severed end of the tendon.
This is the first case of modified kessler suture for tendon in Nishiki City.
Dong Guangming saw Ye Li's technique at the observation window and couldn't help but get excited.
If doctors in the emergency department can learn it, it can be promoted to other countries.
It can bring the hospital to a higher level.
There are not a few patients with tendon rupture every year.
But when I think of the hospital, interns are like donkeys in a mill, they only know how to work, but they don't know how to adapt.
There are also a lot of tempers, and it is not uncommon to have a big fight with the doctor because of the cost of materials out of pocket.
It’s difficult!
Li Anjian saw Dong Guangming sighing and asked, "I see the problem!"
Dong Guangming replied: "No, this kid's operation pace is too fast, and I'm afraid the doctors in the emergency department won't be able to learn it."
"Is there anything you can't learn from this? Practice more and see how diligent Mr. Ye was two years ago!"
Li Anjian took out Ye Li as a metaphor.
In fact, both parties know that being a surgeon depends on talent.
Some people are suitable, some people are not suitable.
It's like mud that can't hold up a wall.
...
The operation lasted twenty minutes.
Ye Li's surgery took a little longer than usual.
For others, this speed is slightly beyond their expectations.
Dong Guangming saw that the Second Hospital could handle operations on infected patients, which was a breakthrough success for the hospital.
I can't help but think of the early years when infectious diseases such as AIDS and hepatitis C had no cure.
There are also some infectious diseases such as cutaneous anthrax. Although they are not fatal, they are difficult to treat without sufficient clinical experience.
Although HIV is not transmitted through the air, if it is a thoracotomy and the knife is slightly careless, the blood from the heart will splash out.
That will definitely cause panic.
The tendon suturing is nearing completion.
Very smoothly.
However, just when Ye Li was about to suture the incision, an artery suddenly burst and bright red blood spattered instantly.
"Go back quickly..." Ye Li reminded hurriedly.
At the same time, an invisible aura enveloped everyone.
When Chen Ming and others present heard Ye Li's reminder, they immediately took a few steps back.
It was clearly visible under the protective clothing that all of them looked pale.
He was obviously frightened.
Don't wait for them to speak.
They saw the blood splashing and stagnating in mid-air, and even the protective clothing was not stained with blood.
It was Ye Li who released his true energy to protect Chen Ming and Guan Chao at the critical moment.
The two of them are closest to Ye Li.
It stands to reason that Ye Li's protective suit should be covered with blood, but there was no blood on him.
The next second, Ye Li clamped the ruptured blood vessel with a hemostatic forceps.
Plus the talent to stop bleeding.
The bleeding stopped quickly.
The vascular system itself of AIDS patients is damaged, and coupled with external impact, the blood vessels are as fragile as tofu, and signs of rupture will appear with a slight squeeze of blood flow.
"Boss!"
"You all stand back, I will handle it alone..."
Although everyone didn't know what happened just now, seeing that Ye Li was determined to handle it alone, they had no choice but to give up.
"Boy Ye!" Li Anjian also shouted worriedly.
"Uncle Li is fine, it's a ruptured blood vessel...I can handle it..."
The blood that was stagnant in the air and the blood that overflowed from the legs was gathered together through Ye Li's control of the true energy.
Finally, Ye Li put it into sterile gloves and tied it.
To avoid emergencies, Ye Li adjusted his mentality and began to suture the blood vessels.
In this way, the first tendon anastomosis surgery in Nishiki City was completed.
And he is also an infected person. Such an achievement is extraordinary.
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