Start as an Emergency Physician

Dean Fang's face turned white when he looked under the microscope.

"Zhou Yuan, slow down, I haven't seen what this blood vessel looks like before you finish dividing it?"

Zhou Yuan: "See if it looks good?"

Dean Fang: ...

"You go ahead and divide it... Are you sure you're not wrong?" Dean Fang was a little worried.

He carefully examined the three reticular blood vessels, and found that it was indeed consistent with Zhou Yuan's judgment, and during the time of the examination, Zhou Yuan finished dividing eight more...

I'm three, you're eight.

Dean Fang didn't believe it and carefully distinguished the two roots, but there was still no mistake.

"How did you get out..."Dean Fang couldn't help but be curious.

He is an expert outside the hand, well-known in the whole province, and has a certain status in the country, so he knows that this thing is completely based on experience...

He's a twenty-six-year-old guy, where did he get the experience?!

Zhou Yuan's eyes stared at the reticular blood vessels, and said: "You may not believe it, as soon as I touch them, they will scream, if it is an elastic artery, they will make an ah-ah-ah sound, if it is a very thick and large vein, they will make a sigh-and-smack sound." "

Dean Fang: "Hurry up and don't speak." "

Zhou Yuan smiled.

"It's done, let's start stitching, Dean Fang, please fix the silk thread of the same color. Zhou Yuandao.

Dean Fang nodded silently, looked at the microscope, and carefully anastomosed the blood vessels together.

Then, I saw Zhou Yuan's stitches coming over and going out again.

Dean Fang stared at these blood vessels, and a sound came out of his head.

"What am I thinking..."

Dean Fang was stunned.

"Zhou Yuan, you will have surgery in the future and talk less. "

I feel like I'll have a sound in my head when I suture my blood vessels in the future.

Under the microscope, some of the spasmodic blood vessels and the proximal blood spurt were exposed.

Spasmodic blood vessels, the smooth muscle of the blood vessel wall is strongly contracted, the lumen is narrowed, even if it is sutured, the blood flow will be reduced a lot, and the blood vessels in the eye will even be directly occluded, causing adverse reactions such as vascular embolism, so it is necessary to carry out antispasmodic treatment.

Zhou Yuan had already experienced this situation before

"The anastomosis took too long and the toes were cold. Zhou Yuan said calmly.

"Director Wu, please help heat up, soak the gauze in warm salt water, and cover it a little for a while. "

Wu Guohui hurriedly did so.

Sure enough, after a few dozen seconds, the blood phenomenon disappeared.

Poor blood spurting at the proximal end of the vessel due to narrowing of the tube wall.

Zhou Yuan quickly sutured, and soon, the reticular blood vessels were also connected.

"Rebuild the bones. Zhou Yuandao.

This step is relatively simple, using K-Felter to connect the metacarpal bone of the severed face to the phalanges of the toe, followed by fixation with a small splint.

The fixed part is exposed except for the finger ends, which is to observe the blood circulation, and if there is a problem with blood circulation, Zhou Yuan needs to adjust it at any time.

After all, the anastomosis of all blood vessels was figured out by Zhou Yuan alone, and there is uncertainty about whether it is feasible or not.

"Open blood circulation. Zhou Yuandao.

Wu Guohui removed the vascular blocking forceps in the palm of his hand.

The blood flowed slowly into the two toes under the thrust of the heart, circulated in a circle, and returned to the veins.

After waiting for two minutes, Zhou Yuan didn't see anything unusual in the blood vessels, and then he breathed a sigh of relief.

However, this only means that the blood vessels are well anastomosed, and the final effect depends on the patient's recovery.

"Block the blood flow and start the anastomosis of the nerves. Zhou Yuandao.

"Scalpel. "

Without hesitation, Zhou Yuan cut open a few pieces of skin at the toe, centered on the place where the nerve needed to be sutured, and wandered from the proximal side of the nerve stump to another part of the nerve that connected the nerve.

This is to provide a good field of art.

Compared with skin trauma, the surgical field to ensure the suture effect is obviously more important, and it is normal to make a few incisions.

"Intermittent sutures. Zhou Yuandao.

The reason for performing intermittent sutures is simple, to avoid nerve distortion.

Continuous seam sutures are not suitable for use on nerves because if there is an inappropriate suture or if the nerve excitability is too high, the entire nerve will be stretched by the sutures, causing distortion.

Once the nerve is twisted, the nerve is damaged, and similarly, the muscles can be damaged in the form of cauda equina.

The so-called cauda equina nerve damage is a neurological syndrome in which peripheral nerves are paralyzed, disordered or dysfunctional due to external factors, and cannot regulate the functional regulation of motor sensation, pain, perception, and temperature in the innervated area.

For example, paraplegia may occur due to prolonged ischemia or concurrent exacerbation of secondary edema paralysis. There are also some cauda equina nerve damage that is a man's nightmare – causing urinary and urinary disorders, sexuality, and dysfunction.

Cauda equina nerve damage is a worldwide problem, no country has proposed an effective solution, there is no better coping strategy than to avoid it, and nerve distortion is also one of the factors causing cauda equina nerve damage.

Once the cauda equina nerve is damaged, I am afraid that this regenerative finger surgery will only fail.

"Scalpel. "

Zhou Yuan dissociated the nerves on the dissected surface and toes under the microscope, and some diseased nerves could only be removed.

There are also several nerves that have nerve defects, to put it simply, they are too short, Zhou Yuan can only slightly lower the joint flexion, gently pull the nerves, and make them extended, so as to overcome the nerve defect.

"It's done. Dean Fang, please help fix the nerves again. "

Dean Fang nodded silently, looked at the microscope, and began to anastomoses the nerves.

There can be no tension in the sutures between the nerves, and once there is tension, the tension will cause the wound that has been sutured to open up, causing secondary injury.

Therefore, Zhou Yuan stretched and lengthened the nerve by a little more than 0.1 mm before to prevent accidents.

Fortunately, the sutures of the nerve were also smooth.

Dean Fang, who had been helping to fix it, looked horrified.

There were two villains in his head arguing about whether Zhou Yuan's nerve suture was good or not.

Villain No. 1: ", the docking is so accurate!"

Villain No. 2: "So precise, so precise!"

"it!" This diseased neuryogen chose to directly transplant the nerve and perform a double-end anastomosis of the nerve pulled out next to it!"

"it!"

Dean Fang's heart was extremely shocked.

Looking at the young man in front of him who was concentrating, Dean Fang had a feeling... He's witnessing history!

He is watching the future leaders and leaders in the medical field rise!!_

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