Start as an Emergency Physician

Chapter 263

The experts had black faces one by one.

However, there is no rebuttal.

Because, at present, Zhou Yuan released several anastomotic blood vessels, such as the first metatarsal dorsal artery - the first common metatarsal artery level metatarsal dorsal vein - the palmar dorsal vein, the anastomosis of these phalanges and palmar blood vessels is completely based on the function of the blood vessels, but they didn't think of it...

Yang Yuerou continued to ask: "In terms of hand debridement, what is the difference between finger reconstruction surgery and ordinary amputated limb replantation?" Why did you choose to perform a finger debridement of the hand before the toe amputation? "

Yang Yuerou is not a professional in this area, so she can only ask relatively superficial questions.

The experts were eager to play on their own and directly asked about the choice of toe incision and the judgment of the dominant blood vessels.

Zhou Yuan replied to Yang Yuerou's words.

"There is indeed some difference between debridement of reconstructed fingers and amputated limb replantation. Specifically, scrub both sides of normal skin with soapy water, then rinse both sides of the wound with iodophor and normal saline, and then disinfect and spread towels, from the outside to the inside, from the surface to the inside to the inside..."

The length of the interview is very small, only two or three thousand words.

This number of words can't even introduce a surgical step, and many of Zhou Yuan's answers are very brief.

All people's expectations were placed on the second day of the academic exchange meeting.

R's Kamihara Akira, M's John Joe, Y's Richard, and many experts in hand surgery flocked to the city and waited for it.

And in the evening, R has another mysterious person who comes to Yanjing.

"The gate is unknown, you're finally here..."Kamihara Jing's voice was filled with joy.

For this proudest disciple of himself, Shen Yuan Jing, who had lost his medical qualifications, poured all his hope into it.

"Master." A crisp female voice sounded, and standing in front of the door was a beautiful R woman.

......

Zhou Yuan devoted himself to the study of the theme of the speech.

In a short period of time, it is impossible for other doctors to keep up with Zhou Yuan's pace, and they can only go further after thoroughly studying the reconstructed finger, that is, the toe transplanted thumb.

Cosmetic reconstructed fingers are based on toe grafting to reconstruct the thumb, and without the perfection of the latter, there would be no development of the former. It is useless for Zhou Yuan to master it alone, only if all doctors in the medical field can master it, and make toe transplantation and thumb reconstruction a surgery that can be widely used like amputated limb replantation, this technique can be regarded as a real success.

Only technologies that benefit humanity can have practical technologies.

Therefore, after studying cosmetic reconstruction for half a day, Zhou Yuan turned to how to reduce the risk of toe transplantation and thumb reconstruction.

Zhou Yuan thought about it for a while, combined with the experience of previous surgeries, combined with the knowledge and experience of master-level amputated limb replantation, and gradually simplified the traditional toe transplantation method, thereby reducing the risk of transplantation.

The method is actually not complicated, it requires technique and understanding, Zhou Yuan just moved the previously selected vascular anastomosis site to the distal side of the palm.

The snuff socket is a superficial concave of the lateral part of the dorsum of the hand, which is conspicuous when it is abducted and extended backwards, and the radial boundary of this part is the tendon of the abductor pollicis longus and extensor pollicis brevis tendon, and the ulnar boundary is the extensor pollicis longus muscle. The lateral boundary is the radial styloid process, the base of the fossa is the scaphoid bone and the most horn bone, and there is a radial artery in the fossa... All in all, this structure is rich in blood vessels and tendons, and the technical requirements for transplantation are very high.

Zhou Yuan chose this part at that time because he was not worried about technical problems, but it did not mean that other doctors could also control it.

Therefore, Zhou Yuan transferred the nose selected for transplantation to the distal side of the palm. There are relatively few blood vessels and other structures here, and even if it fails, it will not cause much damage, and the fault tolerance rate is relatively high.

After completing the final verification, Zhou Yuan's phone rang as well.

He Jianyi called and urged Zhou Yuan to go back.

Zhou Yuan originally wanted Chu Chu to stay at home, but Chu Chu had to follow, and he had no choice but to take Chu Chu with him.

As soon as I arrived downstairs, I saw the special car of Yanjing Traditional Chinese Medicine waiting there, and the body was still pasted with the words "Yanjing Traditional Chinese Medicine Logistics Department".

The driver is He Jianyi.

"Teacher..." Zhou Yuan was stunned for a moment, not understanding what He Jianyi meant.

He Jianyi smiled helplessly and said, "Now that Yanjing Traditional Chinese Medicine has been stuffed with people, even if you squeeze in, as long as you are recognized, don't want to get out alive..."

Star chasing in academia is much crazier than ordinary people.

Zhou Yuan pondered for two seconds and glanced back at the Glory Building: "Do I need to go back and bring a knife?" "

He Jianyi's face darkened: "Get in the car." "

The car was speeding and soon arrived at Yanjing Traditional Chinese Medicine.

Outside the window, there were already crowded reporters, mixed with Chinese and foreign, black-haired, yellow-haired, and some green-haired, I don't know what race.

Before the vehicle drove into the hospital, a bunch of reporters had already surrounded it, fortunately, the windows were opaque, and the situation inside could not be seen from the outside, otherwise Zhou Yuan would be recognized by reporters, and the car would not want to leave.

He Jianyi opened the front window and shouted: "Logistics Department, don't get stuck in traffic!" "

Zhou Yuan, who was hiding behind, twitched his face.

He finally understood the use of those words on the body.

The reporters lost interest, got out of the way, and the car slowly entered the hospital.

He Jianyi joked and said: "The father of a generation of reconstructed fingers actually came in when he hid in the logistics vehicle. "

He Jianyi stopped on the stairs below the synagogue.

"I opened the door and ran up immediately. There are not enough people in the security department to stop them. He Jianyi reminded him, with the meaning of taking you to the end of the year.

Zhou Yuan hugged Chu Chu tightly and looked out the window.

The people from the security department have already protected the road leading from the car door to the corridor, and there is a road in the middle, which is prepared for Zhou Yuan.

There are still a lot of reporters out there, all of them are menacing and ready to go.

"Everyone is in the same mood as the results of the college entrance examination now, if anyone can interview you, it will be like winning the lottery, and his newspaper will definitely make headlines, so they are crazy." He Jianyi said with a sigh.

"At the beginning, you just stayed in the car, right?" Zhou Yuan was a little worried.

Chu Chu shook her head, only by Zhou Yuan's side did she feel safe.

"I'm going with my brother! I won't make trouble at the beginning, I'll just sit down and be very well-behaved..."

Zhou Yuan nodded helplessly, "Then you hold me tight." "

Chu Chu nodded, and immediately grabbed Zhou Yuan like a koala.

Zhou Yuan took a deep breath.

"Three."

"Two."

"One!"

Zhou Yuan's voice fell, and he immediately opened the car door and rushed to the corridor.

Many reporters have seen Zhou Yuan and Chu Chu, so when they saw a man holding a girl, they immediately recognized it.

"It's Zhou Yuan!"