Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 194 Amputation Surgery!

"Then... well, that's the only way to go."

Seeing that it was a foregone conclusion, the patient's father had no choice but to agree.

"Okay, doctor, hurry up and take him to sign!"

The restaurant owner hurriedly said to Lin Yi.

He has been so anxious for a long time. If there is any delay in the patient's life, the trouble will be even greater!

"Let's go."

Lin Yi nodded and said to the patient's father.

"Well, doctor, I'll go, but you must do your best to save my son!"

The man looked at Lin Yi trembling slightly, and said to him.

"Well, rest assured, hurry up and come over with me."

After speaking, Lin Yi led him to the office, asked him to sign the document, and arranged for Wu Jiang to prepare the operating room.

Amputation is a piece of cake for Lin Yi, who now has expert surgical skills.

When everything was ready, Lin Yi entered the operating room and asked the anesthetist Lao Ma to administer general anesthesia to the patient.

Soon, the patient loses consciousness and enters a state of general anesthesia.

"Did you pressurize his armpits?"

Lin Yi looked at Song Borui and asked.

Song Borui nodded and replied:
"add!"

In order to avoid causing massive bleeding to the patient and causing hemorrhagic shock, the amputation operation needs to increase the pressure on the patient's armpit to slow down the blood flow.

"Okay, let's start then."

Lin Yi nodded slightly, and said in a deep voice.

At this time, most of the patient's arm has turned black, and the blackened part must be completely removed first.

After cutting off the black part, the wound needs to be wrapped with a skin flap so that the broken bone cannot be exposed to avoid secondary infection.

Song Borui took a marker pen and drew the cutting position a little below the patient's shoulder.

"Brother Yi, let's make an incision at this position, and use the remaining skin flap to cover the incision."

After finishing the painting, Song Borui looked at Lin Yi and said to him.

"okay."

Lin Yi looked at the position he marked and nodded.

With Lin Yi's affirmation, Song Borui picked up the No. [-] knife and began to cut the skin flap.

After a while, the scalpel in his hand followed the drawn curve and carefully removed the flap.

After the flap is removed, the surgery officially begins.

"Let me do it."

Seeing that Song Borui took off the flap, Lin Yi said directly.

"Ok."

Song Borui nodded.

"Electric knife."

Amputation surgery sounds simple and uncomplicated, just cut off the part that needs to be amputated.

But in fact it is far from that simple!
The nerves and blood vessels need to be processed first, and this step requires extra care.

Among them, nerves are the most difficult to deal with!

Once the nerves are not handled well, patients will experience wound pain and phantom pain in the later stage, which is very troublesome.

To deal with the nerve, you first need to tie the nerve into a knot.

Then, with lightning speed, cut it off at a distance of 3 cm from the fracture.

The knife technique must be fast, and the knife must not be blunt. Once the knife is cut slowly, it will cause neuroma.

After the nerves are processed, the blood vessels are processed.

In order to avoid the formation of hematoma, even the smallest blood vessels must be completely hemostasis, and the large arteries are double ligated.

Subsequently, the median nerve, ulnar nerve, and brachial artery and vein are isolated within the biceps brachii.

And the isolated blood vessels were ligated.

more than an hour later.

Lin Yi couldn't help but heave a sigh of relief, finally dealt with the nerves and blood vessels!
At this time, the nurse on the side hurried forward to wipe his sweat.

After stopping for a while, Lin Yi focused his eyes again, ready to cut the muscles.

Song Borui on the side couldn't help but said:

"Brother Yi, leave it to me to remove the muscles. You spent a lot of energy dealing with the nerves and blood vessels."

Lin Yi smiled slightly and shook his head, saying:
"It's okay, let me do it, what is this amount of work!"

Seeing Lin Yi's insistence, Song Borui had no choice but to nod.

Soon, Lin Yi also took care of the patient's muscles.

At this time, the nerves, blood vessels, and muscles have all been stripped from the bones, exposing the complete humerus inside.

"Brother Yi, look here."

At this time, Song Borui on the side couldn't help pointing to a place under the humerus.

Lin Yi looked over.

It can be clearly seen here that the bones under the skin have also changed color and turned black!

"The infection has penetrated deep into the bone. Even if antibiotics are effective, his arm will not survive!"

Song Borui couldn't help sighing.

"Yeah, he can't keep his arm no matter what..."

Lin Yi also nodded and said with a sigh.

Then he said:

"Okay, don't study, hurry up and complete the next most critical step."

"okay!"

"Bring the bone saw!"

A nurse next to him immediately handed Lin Yi an electric bone saw.

The previous medical bone saw was similar to a wood saw, and the doctor had to manually saw the bone like a carpenter.

If the bone is relatively hard, it will take a long time to saw the bone alone, exhausting the doctor.

Lin Yi used an electric bone saw, which was very fast.

After Lin Yi determined the cutting position, he directly raised his hand and sawed down.

"Crack" sound!
The patient's humerus was instantly severed!

The nurse at the side quickly brought the tray over, and Song Borui picked up the severed limb and put it in the tray.

Immediately afterwards, Song Borui and the nurse began to treat the wound together.

Muscle suturing, blood vessel ligation, and nerve cutting were carried out in an orderly manner.

Then a rubber sheet was placed for drainage, and then the fascia and skin were sutured.

Drainage tubes are used to prevent hematoma, and generally need to be drained for 48 hours after surgery.

After the stitching was completed, everyone couldn't help but breathe a sigh of relief.

"The operation is complete."

"After the patient wakes up, send him to the ICU and observe him for 24 hours."

"Yes!"

The door of the operation opened, and the patient's father rushed up immediately.

"Doctor, how is my son?"

He immediately stood in front of Lin Yi and asked nervously.

"It's out of danger. After ICU observation, it's fine to recuperate."

"Of course, an arm is going to be lost."

Lin Yi looked at him and said slowly.

"Okay, okay, as long as it's not life-threatening, after he went in just now, I figured it out here too."

The patient's father nodded repeatedly, lowered his head and said:

"Encountering this kind of thing is also his destiny. It has come to this point, and it is not bad to be able to save his life. If he is missing an arm, he can live a good life for the rest of his life."

"Well, yes, come on."

Lin Yi looked at him and couldn't help but patted him on the shoulder.

"Brother Yi, are you done with your work? Someone is looking for you!"

At this moment, Wu Jiang walked over from the corridor and said to Lin Yi.

(End of this chapter)