Start with an emergency physician
Chapter 8
Zhou Yuan is like a director who is teaching students,"Reverse Stealth Suturing Method""
"Reverse stealth suturing?" He Jianyi had never heard of this suturing method.
There are too many suturing methods in surgical operations. There are six types of butt suturing alone, as well as inversion suturing, eversion suturing, tension-reducing suturing and intradermal suturing.
Each suturing method has its own advantages and disadvantages, and is suitable for different scenarios, so the difficulty naturally varies.
Zhou Yuan knew that He Jianyi and Haiyang had never heard of it.
Because he only understood it after he mastered the master-level limb replantation technology.
He explained in an orderly manner:"The so-called reverse stealth suturing method……"
"Retrograde means that when the needle enters the bone and soft tissue channel, the tail of the needle is first, not the tip of the needle. In other words, the suture needle with thread goes backwards into the channel."
"Stealth refers to when the needle tip does not enter the soft tissue channel to the outside of the skin, but retreats from the back side to between the bone channel and the soft tissue channel, the needle tip goes between the bone and soft tissue and goes back to the back wound, that is, the needle tip sneaks on the interface between the bone and soft tissue."After
Zhou Yuan finished speaking, he found that He Jianyi and Haiyang were listening with great interest.
"Did you understand?"
Haiyang came back to his senses and looked at Zhou Yuan blankly:"No...no……"
"Oh, that's good."
After saying that, Zhou Yuan continued to treat the ruptured part.
The reverse stealth suturing method is not a high-tech technique, but it is extremely suitable for suturing tendons. As long as the operator understands the meaning and principle, he can perform the operation.
""Watch carefully the direction, strength and technique of my needle movement." Zhou Yuan reminded Haiyang.
Haiyang immediately looked at Zhou Yuan gratefully and observed carefully.
"The reverse stealth suture method has three advantages. First, it is easy to use. As long as you master the principle, beginners can also do it with the help of instruments. Of course, the beginners I am talking about do not have trembling hands."
"Second, the side effects of the operation are small. The most feared thing about our current limb replantation technology is the occurrence of additional side effects, which will seriously affect postoperative recovery. The third is that the fixation is firm, which can ensure good tendon healing."
While speaking, Zhou Yuan skillfully replaced the needle holder, curved scissors, straight scissors, vascular clamps, etc.
He Jianyi, Haiyang and others were attracted by Zhou Yuan's superb flying needles, until Zhou Yuan said"The replantation of the broken limb is completed", the two came back to their senses.
Zhou Yuan breathed a sigh of relief and a comfortable smile appeared on his face.
Finally, Wang Tie's broken limb was successfully replanted!
""Count the instruments." Zhou Yuan said calmly.
The instrument guard quickly counted:"Hemostatic forceps, toothless forceps, curved scissors……"
"Count the gauze."
Haiyang picked up the bloody gauze and counted them happily:"One, two, three……"
After all this was completed, the chief surgeon and intern Zhou Yuan finally announced:"The operation is complete!"
The anesthesiologist quickly stood up, looking around with sleepy eyes, still in a daze:"Finished? Finished?"
"The operation will end at 1:21 p.m.," said the anesthesiologist.
Then, he said to Haiyang quietly,"In the future, when you have an operation, please don't call me here, okay? You called me, an anesthesiologist, so that I can watch you give anesthesia?"
Haiyang chuckled,"Sorry, I couldn't help it."
……
When Zhou Yuan, He Jianyi and others went out, Wang Tie's wife was already waiting outside.
Wang Tie's wife was a simple farm woman. When she saw He Jianyi walking in front, she immediately went up to him and said,"Doctor, how was my husband's operation? Is he alive?"
Zhou Yuan, He Jianyi and Haiyang all felt warm in their hearts.
She subconsciously cared about whether his life was saved, not whether his hand was saved.
It looked like this was a happy family.
He Jianyi did not take credit for himself. He gave in a little and pushed Zhou Yuan out:"This operation was performed by Doctor Zhou."
"Doctor Zhou?"
Wang Tie's wife quickly turned her anxious eyes to Zhou Yuan.
Zhou Yuan smiled warmly:"Don't worry, Wang Tie's operation was very successful. We also reattached the severed fingers, and they are basically alive. However, we have to see how the function of the replanted fingers recovers before we can make a judgment."
Hearing that Wang Tie was fine, Wang Tie's wife excitedly held Zhou Yuan's hand:"Thank you! Doctor Zhou!"
Then, Wang Tie's wife successively held the hands of He Jianyi and Haiyang to express her gratitude to the three doctors.
Three days later.
He Jianyi brought Zhou Yuan and Haiyang to Wang Tie's bedside.
This is the time to judge the functional recovery of the replanted limb after the replantation of the severed limb.
The degree of functional recovery can determine whether this limb replantation operation is successful!
"Move your fingers a little. Mainly the fingertips, move them slightly."He Jianyi said.
Seeing Wang Tie's fingertips move under his control, He Jianyi breathed a sigh of relief.
This means that the blood supply to the distal end of the finger is good, and there is no necrosis. In addition, the nerves, bones, etc. have been well sutured.
"Next, use your thumb to fit your thumb, middle finger, ring finger and little finger. This is to test the fine movements of the fingers.
Once this movement is completed, it means that the operation is basically successful!
——
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