Medical road Qingyun

When emergency surgery gets busy, I don't know how time slips through my fingers.

For an hour, two hours, four hours, after the ward rounds, for a whole day, Zhao Yuan and Sun Liang did not leave the operating room.

Hernias, gallbladder, appendix, breast lipoma, all kinds of minor surgeries...

For emergency surgery, minor surgeries are routine, and major surgeries are usually transferred to other surgeries.

However, Zhao Yuan felt that there was nothing wrong with minor surgery, and it was also a race against time to save and treat people.

If you have to talk about it, the patients encountered in emergency surgery are much more critical than those in other departments.

When you cure a critically ill patient, it's satisfying.

About to leave work, the 120 ambulance pulled in a patient with his right hand wrapped in gauze and injured his hand.

The moment he opened the gauze, Sun Liang's face was so pale that he almost threw up.

The scene is amazing.

The patient's right hand was peeled off from the fingernails of the index finger and middle finger due to external force, and the bones were horrible, red were muscles, white were tendons, yellow were unbeaten skin, semi-separated tissues, black oil, and small blood vessels kept squeezing blood.

"How did you make it like this?" Ren Min got the news and had already rushed to the scene.

"The patient is a lathe worker, and he is also a familiar hand, but today he was careless and was run over by the machine. "The doctor on board introduced the condition.

Sun Liang shook his head and sighed, "Your hands are the same as wonton filling, I'm afraid you won't be able to keep it."

Zhao Yuan carefully observed the patient's hand, "That's not necessarily!"

Ren Min saw that Zhao Yuan was very confident, so he said, "You can try to do the operation, don't have too much psychological pressure." The

patient's hand was so bloody that it was impossible to see its original shape, and the patient's family had no hope of keeping the patient's hand at the moment.

However, Ren Min still went out to explain the details of the operation to the family.

The owner of the factory, who was the patient's uncle, immediately made a decision to save his hand as much as possible, and the operation fee was paid by the factory.

The patient was still very young, only 28 years old, just got married last year, his wife was four months pregnant, the family did not dare to tell her the news, the father trembled his hands and signed the agreement.

The surgery fee is paid according to the normal debridement fee.

The surgery is more difficult, in addition to multiple tears, fractures, and skin avulsion.

Zhao Yuan brushed his hands, put on a surgical gown, glanced at the patient's situation, and instructed Sun Liang: "Prepare the skin, choose the root of the thigh."

Sun Liang reacted quickly, took off the patient's pants, disinfected them with iodine, especially around the anus and eggs, and wiped and rubbed the iodophor cotton ball with oval forceps until the position of the skin was completely clean.

Doctors are also human, and when Sun Liang did these operations, he instinctively wanted to vomit again, but he couldn't help it.

This is a sterile operating room, and it is not as simple as being ashamed to spit it out by yourself.

"Disinfection!" Zhao

Yuan instructed verbally.

Sun Liang began to brush his eroded hands with a brush, and the blood and water accompanied by black engine oil flowed under the shadowless lamp, showing colorful oil flowers.

Subsequently, he began to disinfect with iodophor.

At this time, the condition of the fingers is truly revealed, the white tendons are ruptured in many places, some places are cut in half, and the skin is thin, and the bone is exposed.

"Bai Xiaohu, you cut the patient's nails a little shorter. Zhao Yuan and Bai Xiaohu gave instructions.

Bai Xiaohu immediately took action, she felt that Zhao Yuan was a little excited at the moment.

If you think about it, it's understandable.

After a morning of minor surgery, I finally came to a more difficult one.

This surgery not only requires tendon sutures and vascular anastomosis, but also skin grafting, and if the fingers can still function, it is more valuable than doing 100 appendicitis surgeries.

The first step is to repair the tendons and repair the blood vessels.

Ren Min's eyes brightened, and as he guessed, Zhao Yuan was about to start making "soup method".

The last time Zhao Yuan did the soup method was a month ago, and now the patient has been successfully discharged from the hospital, and from the perspective of the effect of later recovery, this is an extremely successful operation.

Ren Min has long been in the field of orthopedics and sports medicine, and he knows better than anyone the difficulty of the "soup method".

Ren Min felt that he was holding his breath unconsciously, because Zhao Yuan's speed of making soup was too fast, and there was no hint of jerky, at least he had done more than 100 surgeries to have this level.

Minutes and seconds passed.

I heard that Zhao Yuan was doing soup suturing, Tong Zheng, Xie Changtian and several deputy chief physicians also came to the operating room to watch.

Zhao Yuan's attention was all focused on the operation, so he didn't know that he was being watched.

Bai Xiaohu wiped the beads of sweat on Zhao Yuan's forehead from time to time.

Zhao Yuan's speed of making soup is very fast, and at the same time, he is also consuming physical strength and energy, and from the beads of sweat that appear on his forehead from time to time, you can guess his situation at the moment.

The operation was very quiet, and even Tongzheng, who liked to joke, kept silent.

Finally, Zhao Yuan completed the last vascular anastomosis, and let out a breath of turbid air with relief.

"Peeling knife!" The core part of the operation, Zhao Yuan did not let Sun Liang assist, but performed it himself.

Not only does a skinning knife sound scary, it also looks scary.

The structure is very simple, with a blade sandwiched between two iron bars, and a rocker mounted at one end of the iron bar, which is very cold.

The blade is unusually sharp and fits the skin, and with a shake of the hand, the skin is directly peeled off.

As for how thick and thin the skin you want, you need to adjust the blade spacing, whether the technology is good or not, you can see the thickness of the skin.

Zhao Yuan's technique is very good, a piece of leather is neat, and the thickness is consistent.

Sun Liang couldn't help but glance at Zhao Yuan, and sighed in his heart, "Cruel!"

He remembered a certain horror movie in which the murderer took pleasure in peeling the skin.

Next is skin implantation.

Many people do skin implants, which is like a random patch, and they don't pay much attention to aesthetics.

The skin is stretchable and needs to be stretched hard.

Zhao Yuan covered the skin on the back of the patient's hand and fingers, buckled several holes, passed the fingers through the holes, and then cut the skin to be implanted into long strips, and then wrapped the skin around the bare fingers.

Bai Xiaohu threaded the needle, Zhao Yuan took the needle, and began to puncture back and forth.

Zhao Yuan's movements seem to be embroidery, and the key is more cautious than embroidery.

If the embroidery pattern is wrong, it can be redone, but if the skin is implanted wrong, then you can only peel another piece, which is a secondary injury to the patient.

When Zhao Yuan's stitching was over, Bai Xiaohu handed the scissors to Zhao Yuan.

Sun Liang completed the last step at this time, pressurized bandaging.

This is the end of the operation.

Ren Min glanced up at the time, three hours and eighteen minutes.

This is not a minor operation, but it is a no-man's land operation, and it takes at least five hours to change to a hand surgeon.

Zhao Yuan completed this operation fast enough! How

difficult the hand is, Ren Min is clear, because the division of hand muscles is too fine, and if you are not careful, there will be problems with the function.

What's more, in addition to soup sutures, there are also skin implant surgeries.

Ren Min never thought that he would feel the pressure from a young man.

He glanced at Tong Zheng and Xie Changtian.

A similar emotion was seen in their eyes.