Start with the emergency physician

Zhou Yuan was like a big director who was teaching students, “Reverse sneaking sewing is legal. ”

“Reverse stealth stitching?” He Jianyi had never heard of this kind of sewing legality.

There are too many legal names for sutures in surgery, and there are six types of legal sutures alone, as well as the legal inverted suture, the legality of the valgus suture, the legal reduction suture and the legal of the intradermal suture.

Each sewing method has its own advantages and disadvantages, and the adaptation scenarios are also different, and the difficulty is naturally 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 explained: “The so-called reverse sneak sewing is legal…”

“Retrograde is when the needle enters the bone soft tissue channel, the needle tail is advanced, not the needle tip is advanced. In other words, the needle with a thread recedes into the channel. ”

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

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

“Understood?”

Haiyang came back to his senses and looked at Zhou Yuan with a blank expression: “No… No…”

“Oh, that’s good.”

After speaking, Zhou Yuan continued to deal with the broken place.

Reverse sneak suture is not a sophisticated technique, but it is extremely suitable for suturing tendons. As long as the practitioner understands the meaning and the principle, he can perform the operation.

“Look carefully at the direction, strength and technique of my needle.” Zhou Yuan reminded the ocean.

Haiyang immediately glanced at Zhou Yuan gratefully and observed it carefully.

“There are three advantages to reverse sneaking sewing. First, it is quick to get started, as long as you master the principle, beginners can also do a good job with the help of instruments. Of course, this kind of beginner I’m talking about is not shaky. ”

“Second, the secondary damage of the operation is small. Our current amputated limb replantation technology is most afraid of additional parainjuries, which will seriously affect postoperative recuperation. The third is firm fixation, which can ensure that the tendons heal well. ”

While speaking, Zhou Yuan skillfully replaced needle clamps, bent scissors, straight shears, vascular forceps and so on.

He Jianyi and Haiyang and the others were attracted by Zhou Yuan’s brilliant flying needle, and it was not until Zhou Yuan’s sentence “the replantation of severed limbs is completed” that the two came back to their senses.

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

Finally, Wang Tie’s severed limb was successfully replanted!

“Count the instruments.” Zhou Yuan said unhurriedly.

The instrument gauntlet quickly counted: “Tourniquets, toothless tweezers, bent scissors…”

“Count the gauze.”

Ocean happily picked up the bloody gauze and counted: “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, looked around sleepily, and was still in a state of confusion: “It’s over?” Done? ”

“The end of the operation, 13:21.” The anesthesiologist said.

Then, he said to the ocean faintly: “In the future, if you have your operation, don’t call me here, okay?” You called me an anesthesiologist because I could watch you come for 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 is a simple peasant woman, and when she saw He Jianyi walking ahead, she immediately greeted her: “Doctor, how is the operation of my man!” Is life saved? ”

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

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

It seems that this is a happy family.

He Jianyi did not take credit, gave in a little step, and launched Zhou Yuan: “This time the operation is Dr. Zhou’s main knife.” ”

“Doctor 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 successful, and we also reconnected the broken finger, and basically survived.” However, it depends on the recovery of the function of the replanted finger to judge. ”

Hearing that Wang Tie was okay, Wang Tie’s wife excitedly held Zhou Yuan’s hand: “Thank you!” Dr. 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 hospital bed.

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

The amount of functional recovery can determine whether this amputated limb replantation operation is successful!

“Move your fingers a little. The main thing is the tip of the finger, move slightly. He Jianyi said.

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

This means that the distal finger blood supply is good, and there is no necrosis. Moreover, nerves, bones, etc. are well sutured.

“Next, use your thumb to fit your thumb, middle finger, ring finger, and little finger respectively.” This is to test the fine movements of the fingers.

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

——

Ask for flowers, ask for evaluation!