medical simulator

Pang Zailin hurriedly squeezed his face into the shape of a chrysanthemum, and laughed together: "Director Mi, Director Chen, let me sew it up. Come over and deal with the severed palm with Teacher Zhou, is that okay?"

Get out of the way!

Replantation of amputated fingers is less complex than replantation of amputated palms, but the survival rate of replanted amputated fingers is not necessarily higher than that of replanted amputated palms!

Zhou Cheng has dealt with the opposite side so quickly, and now that he is going to fight over, he is happy to be free.

He no longer intends to compare with Zhou Cheng. The two directors of his hospital have confessed to being cowardly. What else can he not let go of?

After Pang Zailin stepped out of the way, Mi Huan also said with great confidence: "Xiao Zhou, you come to the chief surgeon position, and I, the third class, will cooperate with you in the operation. Now we are fighting for time, and we cooperate with you in all operations. "

Mi Huan was talking.

Next to him, Chen Kelong carefully handed to Zhou Cheng the tweezers and needle holder he had just picked up for microsuture, and then he took the initiative to pull the tendon to Zhou Cheng.

Zhou Cheng glanced at Mi Huan, nodded without any hesitation, and said, "Thank you, Director Mi."

"Teacher Tour, please open five more tendon sutures." After Zhou Cheng took over, he immediately turned on the motor mode again.

The perfect tendon suture gave Zhou Cheng endless confidence. The severed finger and palm on the opposite side were just a small test.

There were five at once, and Shi Yijia sounded like she frowned slightly, and was about to speak when Lan Zhu stopped her.

He whispered: "Head nurse, the chief surgeon is very powerful. At most, he opened twelve sutures at once, just to save time!"

"Director Tan is only short of time, and not short of money for a few sutures."

A suture costs tens of dollars, which is probably not bad for ordinary people.

After hearing this, Shi Yijia also felt a little better.

All the sutures requested by Zhou Cheng were put on the stage one by one.

Previously, Chen Kelong and Mi Huan only replanted the broken palm to achieve bone reconstruction, so only one tendon was sutured.It was still sewed according to Zhou Cheng's thinking.

But it can't be said that Mi Huan's operation was particularly slow. There are five fixed bones in the severed palm, so this speed is actually quite normal.It's just that compared with Zhou Cheng's replantation of two severed fingers, it's not enough.

Zhou Cheng has already mastered the anatomy of his palms. He had the top-level anatomical structure of his limbs a long time ago, so he is also very proficient in dealing with tendon stumps!

Because the severed palm was located near the mouth of the tiger, in addition to the flexor muscles of the fingers, there were also ruptures of the abductor pollicis brevis, oppal palmaris, and flexor hallucis longus tendons!

The tendon of the palm is thicker than the tendon of the fingers, and it is easier to suture the thick tendon than the thinner tendon!

And because the tendon is relatively thick, the position is relatively fixed when it comes to identification. Mi Huan has been in hand surgery for so many years, so it is no problem to find the tendon stump. With Mi Huan's assistance, Zhou Cheng's suture speed , it will be a little faster.

Shout out to suture needles, run out again soon!

Zhou Cheng was in charge of knotting, and Mi Huan was in charge of cutting the thread, but in the process of cutting the thread with the thread scissors, Mi Huanrao felt a little nervous despite his age.

So many ruptured tendons were stitched together in such a short period of time. Will there really be no problems after the operation?Can you afford the toss of postoperative recovery?

However, Zhou Cheng participated in the whole process of suturing, all of which were modified Kessler tendon sutures, which is basically the best method of tendon sutures currently recognized clinically. If such sutures cannot achieve the effect of postoperative rehabilitation training , other suturing techniques can not be achieved.

The standard stitching method, one stitch at a time, seems to be nothing to worry about.

With Zhou Cheng's quick hands and feet, and the cooperation of someone who really understands it, it took only 10 minutes to suture the tendon.

In Mi Huan's eyes, this was simply a miracle, but Zhou Cheng completed the replantation of two severed fingers in less than half an hour, isn't it a miracle?

Zhou Cheng is only in his 20s now, and he looks like the old professor Mi Huan knew. Isn't this a miracle?

Since he chose to believe in miracles, he believed in them to the end, so Mi Huan didn't beep too much.

It's just that while watching Zhou Cheng stitching, he wanted to learn some tricks!

It's just that he feels regretfully that Zhou Cheng's stitches don't have any profound and unpredictable skills, they're just the most basic stitches, and it's just that Zhou Cheng has raised the speed to an incredible level!

This is also beyond Mi Huan's imagination.

Of course, Mi Huan couldn't have imagined that the reason why Zhou Cheng's amputated limb replantation could be perfect was all based on basic skills.

Moreover, there is no so-called absolute perfection in replantation of severed limbs!

"Itinerant teacher, open blood vessel sutures and nerve sutures!"

After the tendon is treated, the nerves and blood vessels are still sutured. The surgical principles and theories of severed finger replantation are so simple and crude.

However, to do it well is a matter of skill!

"Xiao Zhou, why don't we sew them separately? See if we can save a little time?" Mi Huan suggested after all the sutures of blood vessels and nerves were opened on the operating table.

Mi Huan's hands were itchy to see this.

"Okay, Director Mi, then I'll be in charge of the ulnar side, and you'll be in charge of the radial side?" Zhou Cheng nodded back.

Hearing what Zhou Cheng and Mi Huan said, Chen Kelong rolled his eyes immediately, and muttered to himself, Director Mi?

Why are you doing this?

an age.

What kind of abuse are you deliberately looking for?

Are you afraid that your own level will not be able to form a sharp contrast with Zhou Cheng, and you deliberately let us see how awesome Zhou Cheng's level is?

Mi Huan nodded and said, "Okay! I must be slower than you in stitching. You don't need to tell me when you're done stitching, just ask me to step aside. Everything we do now is just to hurry up. "

Then Mi Huan saw that Zhou Cheng pulled the broken ends of the blood vessels together as if eating with chopsticks, and then called Cai Dongfan to help him fix it temporarily, and he started to sew.

Mi Huan definitely couldn't do it as quickly as Zhou Cheng, but he also had his own experience in dealing with blood vessels, so after Zhou Cheng had almost finished suturing the first blood vessel, he pulled the broken ends of the blood vessel together, and then Honestly began to sew up.

It's like an old machine that works step by step.

And if Mi Huan is a step-by-step old machine, then Zhou Chengcheng is a super motor of the new era, and he is simply not human!

When Mi Huan started looking for the third blood vessel, Zhou Cheng finished suturing up the nerve!

Then Zhou Cheng didn't really drive Mi Huan away, but took the initiative to help him pull the broken end of the blood vessel to the proper position for suturing, and said, "Director Mi, let me help you!"

The gentle tone is almost like an old professor teaching students.

Mi Huan is 58 this year, and he can still put down his face and take the initiative to help. He is a righteous person, and Zhou Cheng doesn't mind teaching him a little more.

Now Tan Yuanwu's surgery is coming to an end anyway!

Mi Huan squeezed his hands, nodded and said, "Okay! I'll start sewing."

The tone was calm, and it sounded a little shameless, but there was also a trace of relief in this tone.

Mi Huan let go of something in his heart, he was heading towards another direction and mountain, trying to climb up.

A person lives for a lifetime, and the vegetation is for fall.

Seeing this scene, Chen Kelong and Cai Dongfan took a few steps back, glanced at each other, and chatted in low voices.

Lan Zhu and Shi Yijia just felt that the man finally stopped urging his life, so they can take a break!

Who the hell is he?Looks very young.

Mi Huan is the director of the Department of Orthopedics, and Chen Kelong, who is in the Second Department of Orthopedics, is strictly speaking Mi Huan's student.

One old and one young.

It was supposed to be the old leading the young, but now it's the other way around.

Now this scene looks very strange.

Shi Yijia eased his sore hands, lowered his voice and asked, "Lan Ling, who is this person? Why haven't I heard of it before?"

"I don't know either. It seems to be Director Cai's student invited by Tan Yuanwu from the orthopedics department. His name is Zhou Cheng or something. Anyway, Director Chen and Director Cai call him Xiao Zhou." Lan Zhu recalled and said.

Cai Dongfan's student?

Shi Yijia was stunned after listening.

Can this still be the appearance and strength that a student should have?

……

With Zhou Cheng's help, Mi Huan sewed up three blood vessels and one nerve, and put down the needle and thread sensibly.

Said: "Xiao Zhou, you can do the rest, my eyes are a little tired."

In fact, Mi Huan was not tired. With Zhou Cheng as a good assistant, he performed the operation very easily. He just felt that it was time for him to give up his position!

Today's operation must race against time. He can't just let his brothers in his department be the test subjects just because he wants to learn. This is not appropriate.

It is already very difficult to have a few suture opportunities.

With a thought on his mind, Zhou Cheng had a little more respect and admiration for Mi Huan: "Okay, Director Mi. Then take a rest."

So I took the operation again, and then it took another 10 minutes to complete all the operations!

When the blood supply after the replantation of the right hand palm was checked again, the effect was quite good.

This proves that although Mi Huan's operation is slow, his foundation is still very solid, and he behaves like he does things.

"The operation is over, brother Xiang, you can stop the anesthesia." Chen Kelong looked at the blood stains on the five fingers of his right hand and said to the anesthesiologist very satisfied.

The anesthetist froze for a moment and said, "Ah? Is this the end?"

"Well, Doctor Zhou is awesome." Chen Kelong explained.

"Okay, then I'll wake up the patient right away. Should Director Qin be transferred to your ward or to the ICU?" the anesthesiologist asked quickly.

Tan Yuanwu's injury was not fatal, the most important thing was recovery.

But, logically speaking, Mi Huan is the director of the first department of orthopedics, but also an employee of the second department of orthopedics.

Tan Yuanwu entered the operating room through the emergency channel and did not pass through the ward, so it was not easy for him to directly decide where Tan Yuanwu would go back.

"Let's send it to the Second Department of Orthopedics, Ke Long, take good care of Tan Yuanwu, and take care of him carefully." Mi Huan took the initiative.

Chen Kelong thought for a while, and said: "Then let us go to our department first. Teacher Zhu, then let's step down first, and go eat something together later."

The anesthetist Zhu replied, "What are you eating? You can go when you're done. I'm still on duty. Who knows if there will be any surgery down here?"

"Eat and drink by yourself, and drink together next time."

He was on duty today. After the director administered anesthesia, he saw that there was nothing special, so he went to another operating room.

"That's fine. Teacher Zhu has worked hard." Chen Kelong said so.

Qin Yuanwu finally spoke at this moment: "Director Cai, Dr. Zhou, is my operation over? Thank you."

"Well, Yuan Wu, it's over."

Chen Kelong patted Tan Yuanwu's shoulder, and said firmly, "You must thank Director Cai and Dr. Zhou well. If it wasn't for them, your hands would probably be useless."

"However, after this operation, I guess if you recover well, it is not impossible for you to go back to the department and continue working."

"So, for such a great kindness, I can't thank you enough."

Chen Kelong said so solemnly.

Qin Yuanwu was silent.

He heard everything that happened during the operation. Although there were many doubts at the time, they were all suppressed in his heart.As a patient, you can't interfere with the surgeon's thinking and surgical design. Since you choose to believe, then believe to the end.

However, Tan Yuanwu did not expect that he was just a dead horse who had no choice but to be a living horse doctor, but became a living horse among living horses.

He said: "Director Cai, Dr. Zhou, after I am discharged from the hospital, I will definitely come to the door to thank you in person as soon as possible. The kindness is beyond words. I, Tan Yuanwu, will keep it in mind."

Cai Dongfan said: "Yuan Wu, take a good rest, recover well, and don't think about other things. The days will be long, so let's talk slowly."

When he heard this, Zhou Chengcai suddenly said again: "Ms. Cai, Director Chen, why don't you transfer Mrs. Qin to our department? There are still some special points about the guidance of postoperative recovery process. It is best to face-to-face assessment.”

"Also, is there any Spett here?"

"Speight?"

"Yes." Chen Kelong nodded immediately.

"Does Doctor Zhou want it? Is it for Yuan Wu?"

Zhou Cheng nodded: "The lubricating effect of sodium hyaluronate, used after the finger tendons are sutured, will have a miraculous effect on the recovery process. But there is no literature evidence to support it."

He didn't say it before, because this thing has not been recognized yet, and it has not been used for promotion.

However, Zhou Cheng knew.

Chen Kelong and Mi Huan frowned slightly.Immediately ordered someone to fetch it.

Zhou Cheng's operation is so good, he must not be talking nonsense.

Well, it turns out that postoperative recovery still needs special guidance, and there are other drugs that are useful for postoperative recovery.

You planned not to say it at first.