Since 1981 Health School

Operating room, office.

A slide show was playing on the white curtain, and Chen Qi, as the "spokesperson" of Yuezhong People's Hospital, was giving these reporters a detailed introduction to the operation.

Below sat a group of fully armed journalists who had already changed into surgical gowns, surgical caps and masks.

Today, more than a dozen reporters are very excited, because this is the first time in their careers that the hospital actively invited them to watch the whole operation, and even allowed them to video and take pictures of the whole process.

Yuezhong Hospital has created the most in the country, and has become the most tolerant, cooperative, and news media-loving hospital among all the hospitals in the country.

Of course, there is another secret that is the highest in the country, that is, the amount of red envelopes given by Yuezhong Hospital is the highest among all hospitals in the country.

So although the reporters couldn't fully understand the professional medical terminology, they grasped the key points from Dean Chen's words:

"Dean Chen, what do you mean, Fu Zhenzhen's operation is the first free flap transplantation in China, and also the first time microsurgery is involved in flap transplantation in China?"

Chen Qi said with a big smile:

"In fact, the real situation is like this. Doctors in China have tried free flap transplantation before, but they all failed without exception. As long as our Yuezhong Hospital succeeds in transplantation, it will be the first time in China. Everyone agrees, right?"

The reporters understood in seconds. It turned out that Dean Chen was playing with words.

But the ingenuity of this game is that other people have indeed undergone similar operations, but if the operation fails, it will not be widely publicized, and there will be no media reports.

The Yuezhong Hospital succeeded at that time, saying that it was the first case in the country, and it is not impossible to be the first in the country.

Anyway, the red envelopes are in place, these reporters naturally know how to write, how to help Yuezhong Hospital brag, this is the result of a good relationship with the media.

Chen Qi introduced it for a long time, and at this time he invited:

"Okay, friends from the press, the operation is about to begin. In order to facilitate your interviews and obtain first-hand news materials, you can now freely take pictures or videos. Of course, for the sake of patient privacy and aseptic requirements, it is necessary With big glass."

The ambition of Viet Tsung Hospital is to be a global teaching hospital, so in addition to the fact that each operating room is equipped with a closed-circuit TV that can broadcast live at any time, one wall of each operating room is entirely made of glass.

And the seat is raised, so that the people watching the operating room can be condescending and watch the whole operation without obstruction.

At this time, in the operating room, the doctors were already busy with preoperative preparations, and the nurses were placing a large number of surgical instruments on the sterile tray.

The towel laying work has also been completed. Apart from showing her lower limbs, Fu Zhenzhen's whole body is covered, especially her face, so she is not afraid to take pictures.

Where have the reporters seen such a posture, one by one excitedly raised the video camera or camera, and the film kept shooting as if it didn't cost money.

Chen Qi continued to brag beside him:

"Look, everyone, the bracket hanging on the wall of the operating room is called the operating arm, and the machine below it is an electron microscope, which can be operated by two doctors at the same time. This thing is the most advanced machine in the country, and it is not available in other hospitals.

Also, if you look at the side, the white machine is a ventilator. Next to the anesthetist are ECG monitors, anesthesia monitors, and hemodynamic monitors. These machines are all imported.

Our anesthesiologists can keep abreast of the patient's vital signs and adjust the dosage of drugs at any time as long as they stare at these monitors throughout the process, which is absolutely advanced. Unlike anesthesiologists in other hospitals who measure blood pressure in a while and body temperature in a while, it is very primitive and delays things, right?

And you see, the surgical instruments our nurses are placing are custom-made from Nipro Pharmaceuticals in Japan. This set costs 50,000 U.S. dollars. It was given to us by a foreign businessman, and we didn't spend any money. "

Following Chen Qi's introduction, the reporters now really know the hardware strength of Yuezhong Hospital.

It can be said that with regard to these operating rooms, even Concord and Ruijin in China are far behind, and they have created the best in the world.

In the operating room, Zhu Huoyan became the chief surgeon, the director of burn surgery Luo Yuyang was the first assistant, and the deputy director Zhang Xing was the second assistant.

Director Zhu and several assistants first measured the area of ​​the lower limb wound, and then drew an irregular circle with purple syrup on the outside of the little patient's right thigh according to the measurement data.

The shape of this circle is the same specification as the wound that needs skin grafting, so that the subsequent transplantation can fit perfectly.

Director Zhu then took the scalpel and began to cut along the line, then picked up a corner of the skin, and then cut horizontally with the scalpel.

Don't look at the simplicity, but it is very technical, because when you cut, the epidermis and dermis are fine, but the subcutaneous tissue such as fat layer, blood vessels, and muscles are all adhered together.

Just like pork belly, layer by layer.

Anyone can cut meat vertically, but now it is necessary to cut horizontally, and as long as the skin flap transplantation reaches the fat layer, the underlying muscle layer will not touch, so you need to be very careful when cutting and sharing.

If you are not careful, if you go down with the knife, the blood vessel may be broken, and it is over, and the selected flap cannot be used, because there is no way to anastomose the blood vessels.

Or if you go down with a knife and cut off a nerve or a muscle directly, it will be another medical malpractice.

Another biggest difficulty is how to find suitable arteries and veins.

Such a large skin flap, with an area of ​​34 cm x 18 cm, will have countless blood vessels and nerves connected to each other, just like the wires on the electric poles on the streets of India, it is a mess.

In the anatomical diagram we see, the arteries are in red envelopes, and the veins are in blue, which is clear at a glance.

But in the real operation, all you see is red, and a pile of blood comes out from time to time. It is very difficult for you to find the arteries and veins you need.

While sharing the skin flap, Director Zhu kept his eyes fixed on the front.

Zhang Xing was holding a small blood vessel B-ultrasound machine, and had been detecting the direction of blood flow, guiding the direction of the operation, and preventing blood vessels from being cut by mistake.

Chen Qi showed off again outside the operating room:

"Look, everyone, our doctor keeps using a small probe to scratch the skin. This is a vascular color ultrasound, which can check the direction and location of blood flow. There are not many such devices in China."

It attracted bursts of exclamation from the reporters.

However, machine guidance alone was not enough. Director Zhu had to stop and look for the lateral circumflex femoral artery first, and then followed this artery to find its descending branch.

Zhang Xing checked again with a vascular color Doppler ultrasound instrument, and after confirming that there was no problem, Director Zhu separated the flap again.

At this point, although Chen Qi didn't do it himself and his face was calm, he was still very nervous. If the first flap failed, it would be embarrassing in front of the national media.

Let him go, Chen Qi has absolute confidence to succeed.

But now he wants to push Zhu Huoyan to the top, show his face in front of the media and the people of the whole country, and let the burn surgery have a new academic leader, so Director Zhu must be the chief surgeon in this operation.

Even from the perspective of repaying his kindness, Chen Qi wanted to make Zhu Huoyan a famous doctor of his generation.

Lao Guo can't do it anymore. The old man is already 60 years old, and the golden age of a surgeon has passed, so he can only do administration and help Chen Qi in managing the hospital.

Fortunately, Director Zhu's clinical level is still very high, and he is absolutely reliable. After 2 hours, the entire flap was successfully removed.

Oh no, it cannot be said to be completely removed, because it is connected to blood vessels at this time.

It's the same as if you took down the electronic painting on the wall and ended up with two wires connected behind it.

At this point, the chief surgeon began to change people.

Director Zhu and the others stepped back, changed positions and continued to search for the anterior tibial artery to be anastomosed on the side of the patient's calf.

Yan Shifan and Bian Meng received blood vessel separation and anastomosis.

I saw the two of them pull the electron microscope fixed on the rocker, and they looked at the lens of the microscope together, and began to separate the arteries and veins.

The separation process is also very careful, because this operation belongs to "immediate flap transplantation", which means that it is removed here and connected immediately there.

Then the blood vessel fracture must be very careful, there must be no damage or even roughness, no inversion of the vascular intima, or anastomotic leakage, etc.

Anastomotic leakage is prone to local edema, and platelet aggregation is likely to cause embolism. When the embolus travels throughout the body, it is likely to cause myocardial infarction or cerebral infarction, which is very dangerous.

In addition, care must be taken not to make the pedicle too short. If it is too short, the blood vessels are prone to spasm, causing thrombus, and the skin flap will still be necrotic, and the operation will fail.

(Several free flap operations in China failed because of poor microsurgical techniques)

Suture or anastomosis on blood vessels is definitely much more difficult than engraving on rice grains.

When the blood vessels were finally separated smoothly, the reporters heard Dean Chen next to him let out a sigh of relief. The reporters are all good people, and they knew that Dean Chen was not as calm as he appeared on the surface.

But there were also several female reporters who covered their mouths and wanted to vomit.

Because this is not only an open operation, but also a teaching operation, the doctor needs to turn the cut flap back to the camera and the medical staff watching the operation.

So when the bloody piece of meat and the bloody wound on the outside of the patient's thigh after the skin flap was cut off made the female reporters feel sick and scared.

After the blood vessels are separated, even if the skin flap completely loses contact with the human body, the blood circulation is cut off.

Now it is necessary to anastomose blood vessels immediately and re-establish circulation. After a long time, this flap (this piece of meat) will be useless.

The doctors at Yuezhong Hospital were well-trained, Yan Shifan and Bianmeng remained still, and the operating table was adjusted immediately, moving from the thigh side to the calf side that needed skin grafting.

Director Zhu pointed to a few small blood vessels and said:

"That's the anterior tibial artery, with its accompanying veins."

Yan Shifan looked at the microscope for confirmation, "Alright Director Zhu, leave it to us."

If another doctor is changed, Yan Shifan will definitely have to check it out himself, for fear that there will be mistakes, and the wrong blood vessel will be connected at that time, and it will be a big trouble.

But at Director Zhu's place, Yan Shifan didn't hesitate at all, and directly competed for points and began to perform vascular anastomosis.

In the auditorium of Yuezhong Hospital, the big screen was broadcasting the operation live.

Because of Fu Zhenzhen's tragic experience, so many medical staff came to the auditorium.

Some of you came purely to observe how the first microsurgical subcutaneous flap transplantation in China is performed, and some of you sincerely came to cheer for Fu Zhenzhen.

This is the third time for the doctors from Yangshan Hospital to come here. They are sitting in the front row, staring at the big screen.

From the ventilator at the beginning, to the later unknown treatment method of eliminating arsenic poisoning, to the current free skin flap transplantation under microsurgery, all these incidents happened in the doctors of Yangshan Hospital. before.

If others don't feel deeply, but the doctors of Yangshan Hospital were the first to treat Fu Zhenzhen, how could they not know the difficulty of treating this little patient.

As a result, all the problems seemed to be difficult to solve easily in front of Yuezhong Hospital.

This gave the doctors of Yangshan Hospital a feeling that the gap between the two hospitals was no longer that of a tertiary hospital and a second-class hospital.

The impression given to Yangshan Hospital is that they are comparing with a top foreign hospital, and then they are beaten to pieces.

Professor Wang Qizheng from the Second Hospital of Haiyi also sighed silently.

In just over a month, Yuezhong Hospital first proposed that burn patients can use hibernation therapy for painful shock, and then proposed a brand-new rehydration solution, Yuezhong Formula, and then created the first "stinky tofu skin grafting".

At present, it is among the first in China to use microsurgery to anastomose blood vessels, thus completing the transplantation of free skin flaps.

If the operation is successful in the end, Yuezhong Hospital can treat more than 60% of large-area burns and large-area deep blast wounds by virtue of the above two new surgical methods, a fluid rehydration formula and a hibernation therapy.

With such a level, let alone the top in the country, it can actually be said to be world-class.

Professor Wang Qizheng has a great sense of powerlessness as the waves behind the Yangtze River push against the waves ahead, and the waves before them beat him to death on the beach.

Seven hours later, when Zhu Huoyan sewed up the left skin flap and placed a drainage strip, he straightened up, looked at the patient's lower limbs carefully, and then threw away the needle-holding forceps in his hand .

"Now I announce that Huaguo's first free skin flap transplantation has been completed."

There was an instant burst of warm applause inside and outside the operating room.

The next day, the second pages of major newspapers published the news of Fu Zhenzhen's successful operation, and also posted two photos, one of the injured lower limbs before the operation, and the other of the lower limbs after the flap transplantation.

Let the common people see the tragic experience of the little girl more intuitively, and at the same time, it indirectly promoted the Yuezhong Hospital for a long time.

Some newspapers even put photos of the operating room of Yuezhong Hospital, and listed the most advanced equipment and instruments in the country one by one, which is completely in the form of soft articles.

This greatly improved the face of Yue TCM Hospital in front of the people of the whole country, and began to establish the reputation of the first-class hospital in the country.

At the same time, the request for videotaping of the operation also flew to Yuezhong Hospital like rainflakes...