Start as an Emergency Physician

Many people know that when performing sutures, it is not the sutures that are most likely to break, but the knots left after the stitches are completed.

Artificial knots are unlikely to be tougher than integrated stitches in any case.

The muscle tissue itself is a highly active part, and the tension in the tendon is minimal, so to protect the knot and ensure the effect of suturing, you can choose to bury the knot on the surface of the tendon to reduce the tension.

Finally, a muscle suture was completed.

And this is just one time... There's a whole bunch of muscles that need to be stitched!

Zhou Yuan didn't speak, and continued to start stitching.

Dean Fang also put away his thoughts and stared at the microscope intently.

The tendon with high tension is not satisfactory just by clamping with blood vessels, so it is necessary to use steel wire to complete the fixation.

Except for the addition of two wires, the rest of the steps are similar to suturing a normal tendon.

After more than three hours, the suturing of the tendon also ended in silence.

Zhou Yuan asked the nurse to wipe her sweat, and the lead clothes were already soaked.

In order to ensure that the blood vessels of the severed finger do not spasm, the temperature in the room should not be too low, and it is a hot summer at this time, and the lead coat on Zhou Yuan's body weighs more than 20 kilograms...

It's not easy to persevere.

Of course, although Dean Fang and Wu Guohui are not the main swordsmen, they are older, and they have been standing up to the present, which is also awe-inspiring.

Although this is just the most basic quality of a doctor.

"Dean Fang, Director Wu, hold on for a while, it's almost over. A smile appeared on Zhou Yuan's pale face.

Zhou Yuan also needs to conduct a systematic examination of the entire regenerated finger, including the repaired blood vessels, nerves, tendons, etc.

If there is any problem in any of the cases, it will cause the failure of the operation, such as the return of blood and lymph nodes is blocked, and the spasm of the blood vessels is not properly treated, which will cause edema, which will affect the survival of the limbs and the recovery of function.

The investigation is also to ensure that the best results are achieved in the first stage of closure, and if there is a problem, a second surgery is required, which has a huge impact on the patient.

"What is the patient's urine output?" Zhou Yuan asked.

The anesthesiologist knew that Zhou Yuan was tired, and directly reported the result: "The urine output is normal." There were no abnormal changes in urine contents, no acute renal failure, and no complications such as acidosis were noted. "

In addition, the patient's heart rate and blood pressure are also stable. "

Zhou Yuan nodded.

No problems were found with the stitching in various places.

"Let's start stitching in layers. Zhou Yuandao.

This is the final step of the surgery.

It is also the easiest step.

Suturing the subcutaneous tissue, suturing the outer skin, dressing the wound... Zhou Yuan has done it countless times, and he is already extremely proficient.

"The stitches are complete. Zhou Yuan finished the last ligation and put the needle on the operating plate.

He pushed the microscope away, looked at the patient who was still under anesthesia on the bed, and smiled.

This time the operation was difficult,...... It's been done after all.

"The operation is complete. "

Zhou Yuan's voice was a little panting, he took off his mask, his face was pale, and the sweat had soaked the mask.

The breath that everyone had been holding for a long time finally spit out, and the atmosphere in the operating room suddenly relaxed.

Zhou Yuan said weakly: "After the operation, it is necessary to analyze the patient's blood loss and fluid rehydration before and during the operation, and closely observe the vital signs. "

Although nothing abnormal is found during the procedure, it is possible that the blood absorbs the dead cells after the operation, causing acute renal failure.

At that time, it is not a question of whether the surgery is successful or not, whether the regenerated finger can survive, but whether the patient can survive.

"Once there are abnormalities in urine output, urine specific gravity, serum potassium, and urine muscle muscle after surgery, acute renal failure is first considered. Zhou Yuan was still a little worried.

This operation is the first time that it has been performed at Yenching International Hospital, and the nurses must be lacking in care, and it must be explained by Zhou Yuan one by one.

If acute renal failure does occur, the only option is to save the patient's life and perform distal limb distraction, that is, to cut off the transplanted toe.

Of course, this is already the last resort.

The nurses who were already waiting to push the patient to the ward nodded their heads.

Zhou Yuan briefly talked about some things that needed special attention, and then he was a little dizzy, and said: "Anyway, pay attention to anti-shock, anti-vasospasm, anti-infection and anti-thrombosis." Other than that, the rest is similar to ordinary limb replantation surgery. "

Dean Fang listened quietly on the side.

He glanced at the time.

Surgery time: 12 hours and 21 minutes.

In other words, Zhou Yuan started the night shift yesterday evening, and continued to rotate until ten o'clock today...

Even with the aid of energy and physical strength, it is very difficult for a person to last for 12 hours.

"Hurry up and help Zhou Yuan. Dean Fang said.

The young nurses hurriedly went up to help Zhou Yuan and left the operating room with him.

As soon as they came out, Zhou Yuan, Dean Fang and others immediately took off their heavy lead suits - they must wear lead suits in the operating room, many of the instruments in the operating room have radiation, and the doctors who stay in the operating room all year round to do surgery are looking for death if they don't wear lead clothes.

Smack.

The lead clothes fell to the ground, and Zhou Yuan suddenly felt a lot more relaxed.

"The next thing is to see the patient's recovery..."Dean Fang limped forward, patted Zhou Yuan's shoulder, and said.

Zhou Yuan turned his head and looked at Dean Fang.

Only a voice was heard.

"Congratulations to the host, get the praise of your superiors!Get a high-level treasure chest*1!"

Zhou Yuan's face was overjoyed.

Dean Fang was stunned for a moment: "What are you laughing at?"

Zhou Yuan came back to his senses: "I hope everything goes well." "

"Well, whether this operation is successful or not, your idea that has been put into practice will surprise the medical community..."

During the whole operation, Zhou Yuan's operation was free of any errors, and even the tiniest knot can be called a textbook operation.

In addition, although the patient has not woken up and has no way of knowing the condition of recovery, the connection of blood vessels, nerves, tendons, bones, etc., is theoretically valid according to the current surgery!

Moreover, this is a theory that cannot be easily replicated!

Who can have Zhou Yuan's precise operation, such a steady technique, and... Twelve hours without any mistakes!

Perhaps, when this theory is really put into practice, the only people who are really capable of completing the re-verification are the top experts in the field of amputated limb replantation in hand surgery, such as Shenyuan Jing...

In other words, Zhou Yuan has stood at the pinnacle of the field of hand surgery and amputated limb replantation!_

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