Chapter 259: : Sudden change!

In the operating room, Chen Cang was no longer a stranger. When the young nurse saw Chen Cang, she narrowed her eyes and smiled.
Chen Cang was so flattered that he laughed quickly.
It's just ... why is this little nurse always thinking.
Xing Yu's assistants, loved ones, and company staff are not allowed to enter the operating room. This is to ensure the smooth operation.
After the anesthesia, the surgery soon began.
Wang Yushan's movements are clean and neat, and there are no redundant operations. Each step is simple and clear. Compared to himself ...
A little less handsome and a little more efficient.
Chen Cang seems to find that he has a lot of extra movements during the operation.
This is not to say that these actions are good, but that after removing these actions, it can reduce the interference to the operation and virtually improve the stability of the operation.
And Chang Honglei is the most cooperative. She and Wang Yushan have strong coordination. The two basically belong to the kind of seamless connection, and the old director Tan Zhonglin does not hesitate to make more appearances.
The operation of the three people gave a hearty pleasure!
Chen Cang looked very energetic in the same place.
The gap between watching videos and on-site observations is still large.
Just like you watch football, watching TV may be a little clearer, and it has a macro perspective, there are commentaries, etc ...
But the atmosphere and shock at the scene will never be felt.
So Chen Cang was very grateful for being brought into the operating room by Tan Zhonglin.
The three people in the operating room are working orderly. Before the tendon is sutured, the surrounding damaged tissue must be cleaned up!
Because these are the hidden dangers of future adhesions.
At this time, the ability of Director Chang Honglei was reflected. She had a good grasp of details, micro-operations, and various influencing factors. Basically, every link that affects adhesion, she will consider it!
In this regard, Wang Yong and Director Chang are somewhat similar.
In fact, everyone has his advantages and disadvantages. Only when we magnify our advantages infinitely and continuously improve, will your value be truly reflected.
After getting along with each other during this time, Chen Cang found that Wang Yong had a good grasp of the details. At the time of the study of the small incision, Wang Yong was the first to learn, not only because he had a lot of contacts, but because of Wang Yong. People pay attention to details and are good at thinking about details!
At this time, Chen Cang again regretted the surgical doctors of the Second Hospital of the Province who hated iron and steel. It's been more than a month. Didn't a person learn the microtrauma of endoscope?
The hospital's project is about to be applied for, this group of people have not yet learned, who will do the project at that time!
The most important thing is, one's own reward, none?
Outside the conference room, everyone was watching the surgery video and discussing. The only benefit here was that there were more people, so that everyone could discuss each other and discuss each other.
This atmosphere is actually good.
The operation proceeded normally.
Chen Cang felt that if he continued at this pace, he would still be very sure.
However, the most critical tendon suture has not yet begun.
Chen Cang also wanted to know that Director Wang Yushan wanted to use that kind of suture.
The three tendons are the longus abductor tendon and the short hallux extensor tendon; the ulnar side is the long hallux extensor tendon.
These three tendons determine the effectiveness of 60% to 70% of the thumb, and the thumb is the most important finger of the finger. Without the thumb, 90% of the daily operations cannot be done. You can try it. No What can you do with your thumb?
The long hallux extensor tendon is relatively thick, and the choice of suture needs to pay attention to the tension of the long hallux extensor.
After all, it is necessary to consider the repair of tendons during early activities and exercise. If you use two bundles of sutures, such as the kessler and Tsuge method, it is likely that a fracture will occur, which cannot meet the early postoperative active and passive functional training.
And four-, six-, or even eight-bundle sutures are fine.
Of course, it's not as much as possible, as long as it satisfies the early exercises, basically four bundles are enough.
Choosing a simple suture method, maintaining the mechanical properties of the multi-bundle group suture is the best choice.
Wang Yushan used the Bunnell suture method for the first tendon. This suture method is very good because it does not leave foreign objects in the tendon and prevents adhesions in the tendon. However, this suture is more complicated and requires technical skills of the surgeon. Very high!
After receiving the tendon line of the double needle, Wang Yushan held his breath, slanted from one side of the tendon toward the distal end, and passed the needle through the center of the tendon on the contralateral side. This set of actions must be consistent.
Even he didn't dare to care!
To tell the truth, although Wang Yushan at this time seemed to be light and windy, in fact, he felt uneasy. This feeling was like demolition!
You have to be careful, if you are not careful, you will make a big mistake.
The breathing of the three was very subtle, and Tan Zhonglin's eyes were meticulous when he felt the touch from the tendons.
The suture method repairs the tendon joints with high tensile strength, but accidentally it will cause the tendon suture to be narrowed, which is not good for local blood supply, but it is not conducive to tendon healing.
So all three must be careful!
"Director Chang, pull it, I feel it." Wang Yushan said.
Chang Honglei nodded, holding the tweezers and pulling slightly, feeling something: "Director Tan, cut the thread and pull to the right."
Tan Zhonglin nodded and was about to be pulled. At this time, when pulling, I felt a sense of frustration coming!
Drop it, it's quiet, but all three heard it!
This faint sound, like a thunder, exploded in the minds of the three.
The three men who were originally prepared to operate did not dare to move instantly!
Second tendon injury, broken suture!
They have seen that the tendon has a crack in the sutured area, which was originally absent, but when sutured, the suture needle can also damage the tendon! It's just that this damage may be insignificant most of the time, but at this point ... the problem arises.
Another reason, EbookFREE.me, is the existence of myosinitis.
The tendon is excessively rubbed in the tendon sheath for a long time, causing swelling, and chronic injury inflammation of the tendon and tendon sheath occurs.
Wang Yushan Shen Sheng said: "Xing Yu often plays the piano, thumbs often move, radial styloid stenosing tenosynovitis exists, there is already a problem with suture injury, our choice is not right!
This sound was not right, and everyone felt a bit stunned!
With a few words, the success rate of the operation was suddenly reduced to 11%!
When Xing Yu saw the three faces, he couldn't help but suddenly ...
"Director, I ..."
Looking at the three men with serious faces and eyes full of worry, Xing Yu can be said to be at the bottom of the heart!
Something else, the waves are up and down again!
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