Start as an Emergency Physician

Zhou Yuan is like a senior director who is teaching students, "Reverse stealth sewing is legal." "

"Reverse stealth suture?" He Jianyi had never heard of this kind of stitching.

There are too many types of sutures in surgery, and there are six types of butt sutures alone, as well as varus sutures, valgus sutures, tension reduction sutures, and intradermal sutures.

Each sewing method has its own advantages and disadvantages, and the difficulty of adapting to different scenarios is also different.

Zhou Yuan knew that He Jianyi and Haiyang had not heard of it.

Because he also understood it after comprehending the master-level amputated limb replantation technique.

He methodically explains: "The so-called reverse stealth stitching is legal..."

"Retrograde means that the needle tail is advanced when the pointer enters the bone and soft tissue channel, not the needle tip. In other words, the needle with the thread reverses into the passage. "

"Sneaking refers to when the tip of the needle does not enter the soft tissue channel to the outside of the skin, but retreats from the dorsal side to the bone channel and the soft tissue channel, the needle tip walks between the bone and the soft tissue and passes back to the dorsal wound, that is, the needle tip sneaks at the interface between the bone and the soft tissue. "

After Zhou Yuan finished speaking, he found that He Jianyi and Haiyang both listened with relish.

"Do you understand?".

Haiyang came back to his senses and looked at Zhou Yuan blankly: "No... There is no ..."

"Oh, that's good. "

After speaking, Zhou Yuan continued to deal with the disconnection.

Reverse stealth suturing is not a sophisticated technique, but it is extremely suitable for suturing tendons. As long as the surgeon understands the meaning and principle, it can be operated.

"Look carefully at the direction, force and technique of my needle. Zhou Yuan reminded the ocean.

Haiyang immediately glanced at Zhou Yuan gratefully and observed carefully.

"There are three advantages to reverse stealth stitching. First, it is quick to get started, as long as the principle is mastered, beginners can also do it well with the help of instruments. Of course, the kind of beginner I'm talking about is not shaky. "

"Second, the side damage of the operation is small. What we are most afraid of with our current amputated limb replantation technology is the occurrence of additional collateral damage, which will seriously affect the postoperative recuperation. The third is that the fixation is firm, which can ensure that the tendon heals well. "

While speaking, Zhou Yuan skillfully replaced needle-holding forceps, curved scissors, straight scissors, vascular forceps, and so on.

He Jianyi, Haiyang and others were attracted by Zhou Yuan's supernatural flying needle, and it was not until Zhou Yuan's sentence "The amputated limb replantation is completed" that the two came back to their senses.

Zhou Yuan breathed a sigh of relief, and a comfortable smile appeared on his face.

Finally succeeded in replanting Wang Tie's severed limb!

"Count the instruments. Zhou Yuan said unhurriedly.

The instrument gauntlets hurriedly counted: "hemostats, toothless tweezers, curved scissors..."

"Count the gauze. "

The ocean happily picked up the bloody gauze and counted: "One, two, three..."

After all this was done, Zhou Yuan, the chief surgeon and intern, finally announced: "The operation is complete!".

The anesthesiologist quickly stood up, looked around sleepily, and was still in a state of bewilderment: "It's over?"

"The end of the operation, thirteen o'clock in twenty-one. The anesthesiologist said.

Then, he said to the ocean quietly: "In the future, if you have your surgery, don't call me here, okay? You called me an anesthesiologist so that I could watch you come to anesthesia?"

Ocean smiled: "I'm sorry, I didn't hold back." "

......

By the time Zhou Yuan, He Jianyi and the others went out, Wang Tie's wife was already waiting outside.

Wang Tie's wife, a simple peasant woman, saw He Jianyi walking in front of her, and immediately greeted her: "Doctor, how is my man's operation?

Zhou Yuan, He Jianyi, and Haiyang are all warm in their hearts.

She subconsciously cared about whether her life was saved, not whether her hand was saved.

It looks like it's a happy family.

He Jianyi didn't take credit, took a step forward, and launched Zhou Yuan: "This time the operation is the main operation of Dr. Zhou." "

"Dr. Zhou?".

Wang Tie's wife quickly turned her anxious gaze to Zhou Yuan.

Zhou Yuan smiled kindly: "Don't worry, Wang Tie's operation was very successful, and we also reconnected the severed fingers, and basically survived." However, it will be judged later by looking at the recovery of the function of the replanted finger. "

Hearing that Wang Tie was fine, Wang Tie's wife excitedly shook Zhou Yuan's hand: "Thank you! Doctor Zhou!".

Then, Wang Tie's wife held He Jianyi and Haiyang's hands one after another, and expressed her gratitude to the three doctors.

Three days later.

He Jianyi took Zhou Yuan and Haiyang to Wang Tie's bedside.

This is the time to judge the recovery of the replanted limb function after the amputated limb is replanted.

The amount of functional recovery can determine whether the amputated limb replantation surgery is successful!

"Move your fingers a little. Mainly the tips of the fingers, move slightly. He Jianyi said.

Seeing Wang Tie's fingertips moving under his control, He Jianyi breathed a sigh of relief.

This means that the distal finger has a good blood supply and no necrosis. Also, the nerves, bones, and so on are well sutured.

Next, use your thumb to fit your thumb, middle, ring, and little fingers, respectively. "It's a test of the fine movements of the fingers.

Once this action is completed, it means that the operation is basically successful!

——

Ask for flowers, ask for evaluation!