Start as an Emergency Physician

Generally speaking, after initiating an operation, for a long time, no one else is competent for the operation, so you can only wait and see and learn from afar.

Let's take Academician Chen Jingyu, the father of lung transplantation in country Z, as an example.

Since his time in lung transplantation, he has successfully set numerous records, including:

Asia's first case of sequential double lung transplantation under non-cardiopulmonary bypass, the first case of lung transplantation for chronic obstructive pulmonary emphysema in China, the first case of single lung transplantation combined with contralateral lung volume reduction for emphysema, the first case in China to solve the technical problem of donor-recipient mismatched lung transplantation, the first case of perioperative cardiopulmonary support for lung transplantation using extracorporeal membrane oxygenation technology in China, and the self-developed lung perfusion preservation solution that has obtained national patents.

He alone led the team to fill the gap of lung transplantation in country Z for more than 40 years, but until today, how many people can do lung transplantation?

In the final analysis, lung transplantation is still an extremely difficult operation, and many hospitals want to carry out lung transplantation, but it is really difficult, the survival rate is too low, and many people do not have the courage to persevere.

Therefore, many lung transplants in the country are actually done by Academician Chen Jingyu or his team, and it can be seen from the fact that he took time to perform four surgeries in the interval between the two sessions of the National People's Congress in 19 years, and how short of talents this operation is.

Undoubtedly, Chen Jingyu is the absolute pioneer of lung transplantation, but it has not been promoted so far.

And Zhou Yuan, after bringing the extremely difficult toe transplant reconstruction thumb surgery, directly handed over the version with reduced difficulty to the public, so that more doctors have the opportunity to perform this operation...

Shenyuan Jing also saw that Zhou Yuan had reduced the difficulty of the surgery to reconstruct the finger a lot, and he was shocked.

"Dr. Zhou, I would like to ask... The metatarsal palmar vein after anastomosis walks on the surface of the extensor tendon of the toe and finger after suture.

Generally speaking, the Bunne11 tendon suture method is commonly used for tendon suturing, which is to use steel wire to make two sutures perpendicular to the tendon fibers at the proximal end of the tendon, and then lead out the broken end in the parallel direction with the tendon fiber, and then penetrate about 2 cm from the parallel direction of the distal end and then penetrate the tendon surface, and then wear the skin in situ and fix it with a button.

Or figure-eight stitching, cross stitching, and so on.

Zhou Yuan was stunned for a moment.

Bunne11 tendon suture legal Although he can, but it is definitely not as good as the master-level butt seam legal, and at that time he had not learned the figure 8 seam legal, only the intermittent varus suture legal can be selected...

Of course, there is a reason for Zhou Yuan's choice, after a moment of silence, Zhou Yuan said: "In this way, the surface of the broken end of the tendon after suturing is smooth, which can not only reduce the stimulation of the sutures and tendon ends to the blood vessels, but also reduce the adhesion of the extensor tendon after surgery." "

Richard, who had been watching, looked at Zhou Yuan in horror.

There must be no problem with this to stump him?!

This is the first time that the reconstructed finger has been proposed, and this is the same as having thoroughly studied the reconstructed finger!

He couldn't help but stand up too, "If the reconstructed finger has spasm, because the blood vessel itself is anastomosed, it will be difficult to deal with, and at this time, the blood vessel has also undergone changes due to transplantation, and it cannot be judged according to the shape of the blood vessel, how can you determine that the blood vessel has spasm, and how to deal with spasm?"

Zhou Yuan hesitated for two seconds.

Because...... If he had done it, vasospasm would have been completely avoided by now, and vasospasm would not have occurred at all.

But he still thought for a while, and then replied: "After the tourniquet is loosened after the free toe transplantation is completed, due to the mechanical stimulation of the blood vessels during the operation, or other factors such as low temperature in the operating room, insufficient anesthesia, etc., it will cause arterial vasospasm. "

At this time, the external factors that cause spasms should be relieved first, such as excessive suture tension, external compression, etc., and then 30mg of papaverine should be extracted with a 5ml syringe and dripped along the surface of the artery, that is, the poppy was applied locally to the blood vessels. At the same time, bathing the toes with warm salt water soaked in small gauze about 35C can restore blood circulation to the toes and relieve vasospasm. "

Richard's eyes widened and he looked at Zhou Yuan in disbelief.

The problem I've been thinking about has been solved in just a few words?!

For the difficult problems in the academic world, just one or two hundred words can indeed be regarded as three words, and any surgical step in the medical field may require tens of thousands of words to demonstrate, and Zhou Yuan's one or two hundred words explanation is indeed condensed to the extreme...

"I thought it would be just you, or that I could try, but I realized I was wrong...", and after a long time, Richard stood up again.

He stared at Zhou Yuan's eyes with awe and respect in his eyes.

He always thought that Zhou Yuan was about the same level as himself, but Zhou Yuan was young, so he dared to try, so he was able to put forward the concept of recreating fingers and succeeded.

But now, he found out that he was completely wrong!

Zhou Yuan not only surpasses himself in terms of innovation ability, but also far surpasses him in academic insights!

"Until then, even if we knew how to anastomosis, none of us here would have been able to complete the operation. But now, you've reduced it to the point where 80 percent of the experts in this room can do it!"

Richard was in tears.

What does this mean?

There will be thousands of patients in the world who can be operated on by experts in their own countries!

Moreover, this is only the first step, with the development of science and technology, the improvement of the level of doctors, and the gradual improvement and simplification in the process of reconstructive surgery, this surgery can one day become a fourth-level surgery that can be done by any top three like amputated limb replantation!

"Toe transplantation to recreate the thumb, born in your hand, perfected in your hand, and carried forward," said Richard, his lips trembling.

His beard was shaking, and this was also the most he talked about, and although he was a veteran of the previous international conferences on hand surgery, he never bothered to speak.

Today is the exception.

Before he died, he witnessed a great leap forward in the field of amputated limb replantation in hand surgery! This is the lifelong wish of countless people who have explored in this field, and it is also the light in the darkness!

Richard wiped away his tears, already a little eager to try.

Suddenly, he seemed to remember something, and said: "I have heard a sentence from your Z country, I think it is especially suitable for you, the sky does not give birth to Zhongni, the eternal is as long as the night - the sky does not give birth to Zhou Yuan, the medicine is as long as the night!"

This extremely high praise did not interrupt Zhou Yuan's contemplation.

After a long time, Zhou Yuan raised his head and said lightly: "Don't worry, I still have a concept of decorative finger reconstruction that I haven't proposed." "_

Feilu reminds you: there are three things to read - collection, recommendation, and points