Since 1981 Health School
Chapter 387 Finding a Blood Vessel Almost Bows Down
Chen Qi was hurrying up for the operation at this time, but he obviously also encountered a problem.
Originally, he wanted to remove the third toe to avoid affecting the patient's walking function in the future.
As a result, Chen Qi searched for a long time, but he couldn't find a thicker branch of the dorsalis pedis artery on the third toe. The absence of blood vessels means that there is no way to provide blood supply, so the transplant operation will definitely not be successful.
This time Chen Qi looked at the five toes in trouble.
"Zhang Xingshun, quickly get me the dissection book."
Director Bian and Director Ma also stopped what they were doing, and they were a little surprised. Halfway through the operation, they needed to find textbooks, which obviously encountered an unknown problem.
"Dean Chen, what kind of problem is this?"
"Oh, it's a bit embarrassing. Look, I cut the skin of the third toe, but after searching for a long time, I couldn't find a suitable artery. I have to flip through the book to see the distribution of arteries and veins in the other toes."
In Chen Qi's impression, there was a record of a big toe being transplanted to a hand in a previous life, so he firmly believes that the surgical idea must be no problem.
After a while, the anatomy book was brought, and Chen Qi put his hands in the air in front of his chest: "Get me the anatomy diagram of the hand."
Several little doctors also came over, Lu Mingqiu pointed to the red blood vessel on the second toe with sharp eyes and said:
"Dean Chen, look here, there is a first dorsal toe artery, can you see it?"
Chen Qi carefully looked at the anatomical diagram for a long time, and gritted his teeth: "Go all out, try."
I saw Chen Qi quickly returned to the operating table, cut the skin of the second toe, and then found the dorsalis pedis artery on the proximal dorsum of the foot, all the way down, and started looking for the first dorsal toe artery from both ends.
Everyone watched this Dean Chen put on a miniature microscope, hold a miniature forceps, bend over, and search along several tiny blood vessels millimeter by millimeter. It was tiring to watch.
When everyone was in a hurry, Chen Qi suddenly half straightened his waist:
"Haiyan, hurry up, tap my waist, I can't straighten it anymore, oh, it hurts so much."
After the little nurse Zhou Haiyan heard it, she squatted down and gave Chen Qi a back massage and massage. It took a long time before she recovered.
Director Bian joked next to him: "Hey, Comrade Dean's waist is not strong enough, Dr. Lan is not satisfied."
Director Ma also joined in the fun and said:
"That's not necessarily true. There are only exhausted cows and no plowed fields. Maybe the battle was so fierce last night that I broke my waist. Dean Chen, I have medicinal wine at home. I will bring you a few bottles later. You revive the masculinity!"
"Fart, I still use medicinal wine? See, you are a tiger and a wolf."
"I didn't see the wolf's waist, anyway, there is a paralyzed waist now."
"Hahaha~~~~"
After joking for a while, the back pain eased, Chen Qi continued to put on the microscopic microscope, and continued to search for the first dorsal toe artery in the anatomy book.
After a while, I finally heard Chen Qi scolding his mother through gritted teeth:
"No wonder I couldn't find the artery. It was covered by the dorsal interosseous muscles. Fortunately, I was smart and went retrograde to find the deep plantar artery before I found it."
Everyone was joking, but they were actually quite nervous. Now that the most important blood vessel problem has been solved, they all breathed a sigh of relief.
Time waits for no one, the four groups of surgical teams continued to work separately and devoted themselves to intense rescue.
The toes are connected to the hands, and the blood vessels, nerves, and tendons on the toes must match and correspond to those on the fingers one by one. The degree of delicacy and complexity can be imagined.
The subsequent surgery went well.
The arterial, venous, and tendon anastomosis of the two toes was completed at one time with Chen Qi's magical technique.
The operation lasted until 11 o'clock in the evening. After more than 10 hours of hard work, Zhu Shuijin's two toes were successfully transplanted, and the index finger of the right hand and the middle finger of the left hand were recreated.
When Chen Qi finished the last stitch, everyone in the operating room did not cheer, and all of them were so tired that they sat or lay down on the ground.
Director Bian and Director Ma sat on the ground, pressed each other's swollen feet, and smiled wryly.
"I think back then, when I first became a doctor, the highest record was 24 hours. I was in surgery all day and night without sleep, and I was still alive and well. But now you see, after standing for 10 hours, my feet are as swollen as steamed buns."
"Who said it wasn't? Your ankles are still swollen, and even my calves are swollen. I was just making fun of the dean's waist. Now it seems that I have to drink the medicinal wine myself."
"Hehe, it seems that we are really getting old, and we can't accept the old. The future will be their young people's world after all."
The two old directors sighed in their hearts, and looked at the young people in the operating room. They understood in their hearts that Chen Qi focused on training these young doctors, and wanted them to be the leaders in the future.
The golden age of a surgeon is between 40 and 50 years old.
Surgeons who are too young have little opportunity to act as the chief surgeon, lack experience, and are in a state of primitive accumulation.
Beyond this range, if you are a doctor who has been working in the front line for a long time, you must have a strong ability. For example, Professor Wu Mengchao can still come to power at the age of 90, but there is only one Professor Wu in the whole country.
There are very few doctors who are over 60 years old and still insist on fighting on the operating table. At that time, even if there is no problem with their brains, their vision is blurred, their waists are disabled, and their physical strength cannot keep up. They are very helpless.
Top surgeons perform top-level delicate operations, and they really can't shake their hands at all. Many old doctors can't pass this level alone.
After all, a surgeon is not like a doctor of Chinese medicine, just sit there and take a pulse.
Of course, older experts are well-informed and have keen insights into difficult and miscellaneous diseases. They can play the role of "Dinghai Shenzhen" during the operation, and it is absolutely no problem to stand by and guide.
Such as acute abdomen, when the stomach is opened, the inside is red, and the field of surgery is coming out, and the seepage has become a vast ocean.
The illness is being measured, the anesthetist is resuscitating and greeting you, the risk of disabling shock is increasing every second, you are a young doctor, do you panic?
You know it's coming out, and you also know that it can be solved by clamping the slit twice, but the question is where is Nima coming out?
At this time, the old surgeon will tell you: Don't panic, it is most likely here or there, turn it out, clamp it, OK, end the battle.
This is experience.
Experts just can't keep up, their brains are very fast, they don't kiss, they just watch and give advice, which can give the Lord
Great sense of security.
It is equivalent to Zhang Sanfeng standing next to you when you are fighting, or Nie Weiping standing next to the head of chess as a staff officer.
In the operating room, when the two old directors were lamenting the young man, Chen Qi suddenly stood up, took off his gloves and ran out.
Everyone was stunned, and asked a little nervously behind: "Dean, what happened?"
"I'm in a hurry to urinate, I've been holding it in for 10 hours, I can't hold it anymore~~~"
Hahaha~~~
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