Chapter 272: : 开 Religion!

Compared to those large blood vessels in the abdominal cavity, the blood vessels in the hand are really ... sexy!
50% visual acuity is becoming more and more important at this time.
沧 Cang Cang picked up the needle clamp and carefully prepared to start the suture because the blood vessels were too fine.
Fortunately, the iliac vessels require nerves to be finely sutured.
So hand surgery is also commonly called microsurgery.
Generally speaking, a microscope with a magnification of 6-10 times is acceptable, and Chen Cang is used to using an 8x lens.
This multiple matches the field of view just to operate.
At this time, the feeling under the mirror seemed very important. Suddenly Chen Cang held the needle-holding pliers, and suddenly there was a feeling different from the past.
感觉 This feeling is not clear, but ... it is wonderful, he feels that the recognition of the blood vessel wall has improved a lot!
How is this going?
沧 Cang Cang stopped for a moment. He didn't have such a feeling before, but ... but just after putting on the microscope, he suddenly found that the feeling became more and more obvious.
Is it ...
的 What is the effect of 50% vision improvement?
Thinking of this, Chen Cang suddenly reacted. The effect of the original eye drops was vision +5, and vision included much more.
五十 The benefits of the 50% bonus to vision also include too many identities, resolutions, pixels, etc.
Chen Cang couldn't help getting excited this time!
技能 This skill may not be very useful to others, but to the doctor, it is simply a magic skill!
There are many delicate operations in surgery. The more advanced the surgery, the higher the degree of refinement.
Intracranial surgery of the sacral neurosurgery requires more care and excellence!
At this moment, Chen Cang feels that the laborious suturing of blood vessels is not so difficult!
Moreover, Chen Cang's operation is more delicate and more subtle.
This made Tan Zhonglin and An Yanjun watching the operation suddenly feel a chilling spine.
Because Chen Cang feels like lifting heavy weights!
The feeling of suturing the small blood vessels around the aorta is similar to that of the aorta, which is a little bit worse ...
The iliac radial artery is sutured, followed by the ulnar artery ... and surrounding small blood vessels, such as the dorsal interosseous artery.
的 The two people on the side looked a little dumbfounded.
Is this really stitching the surrounding blood vessels?
Not long after the blood vessels were sutured.
Tan Zhonglin loosened the ligature artery and quickly tested for blood flow!
Looking at the blood on the fingertips, the two looked at each other perfectly, perfect!
Cang Cang started nerve suture!
This suture is more difficult.
In general, in principle, the earlier the nerve injury in the hand, the better the function.
So when Tan Zhonglin was in the Department of Hand Surgery of the Provincial People's Hospital, he was so anxious to send Guo Zhiyong. He was worried that the longer the delay, the worse the patient's nerve recovery.
The main method of hand nerve repair is nerve suture.
This includes external mold suture and bundle membrane suture.
In general, when the neural stem is damaged, only the epidural suture is needed.
束 When the neurosensory and motor branches can be separated, suture should be used.
What does that mean?
The iliac crest is not a bundle inside the nerve. For example, at this time, the ulnar nerve at the back of the wrist is damaged. The deep and superficial branches of the ulnar nerve can be separated and sutured separately.
It feels like ... even the wires, the red and white wires have to be connected separately (I find that I am really a genius, this example is too vivid).
患者 But because the patient was wearing nerves at this time, when Chen Cang pulled the nerve to prepare the suture, he felt a tension coming, the length was not enough!
Tan Zhonglin saw this, frowning at Chen Cang, and asked, "Little Chen, not long enough? Should I have a nerve transplant?"
沧 Cang Cang shook his head: "I try, now the tension is relatively large, if you can loosen the joint position ... may be a little better."
Yan Anjun looked at the disconnected nerves, and was a little worried: "I was relieved that I was not worried enough to improve ..."
如果 However, if the nerve is transplanted, it is definitely not as good as the direct suture recovery, and it will cause the sensory loss caused by the donor site nerve removal.
Demolition of the east wall to make up the west wall is only a last resort, and it will not be done with a little money at home.
The same is true of the sacral nerve suture, but whenever it can be connected, Chen Cang is unwilling to destroy the original neural veins.
Chen Cang began to carefully free the two nerve stumps, change the position of the joints, and perform nerve displacement.
改变 After a little change, it is less than 1mm!
The length now suddenly becomes awkward!
Transplantation? No need!
Don't transplant it? Suturing is too difficult!
A tadpole belongs to a sensation that can be stitched on or off.
It's very difficult!
Tan Zhonglin was silent, and he didn't know what to do.
Good egg hurts.
I'm stuck here, can't get up!
He looked up at Chen Cang, but ... found out that this guy seemed very satisfied?
Tan Zhonglin couldn't help but take a curious look at Chen Cang: Can you sew on this?
Cang Cang didn't look at him, he only had nerves in his eyes.
I changed the nerve suture, picked up the needle-holding forceps, and started the suture.
针 One stitch and one thread ...
Tan Zhonglin was silent ...
Long for a long time.
I could not help but say something in my heart: Cut ... a big man, what needlework!
An Yanjun saw that Tan Zhonglin's face was full of envy, and his eyes were almost in.
The sacral nerve suture is much more difficult than vascular suture, but Chen Cang doesn't care.
Finally, the tendon was sutured.
At this time, An Yanjun came to spirit.
Recently, he is obsessed with the chen method, and only has the chen method in his eyes.
Seeing Chen Cang preparing to sew, he actively winked at Tan Zhonglin, changed his position, and began to help Chen Cang.
The injury of the plantar extensor tendon is more labor-saving than suture of the flexor tendon, especially the back of the hand.
Because the probability of severe adhesion is lower in comparison.
However, this does not mean that blocking will not occur.
This is because the skin on the back of the hand is thin and elastic, and there is a layer of loose connective tissue between it and the extensor tendon, and the extensor tendon has no tendon sheath and has perianal tissue.
But even so, the difficulty is still there!
沧 Cang Cang ’s tendon suture is a good thing. Tan Zhonglin also knows that he would like to know what method Cang decided to choose this time!
Chen Cang glanced at the helping An Yanjun and nodded, and An Yanjun skillfully began to help.
Cang Cang started suture.
Yan Anjun's eyes were focused and he refused to let go of any detail.
Tan Zhonglin was curious. What kind of stitching method is this?
How did I not hear it being said?
Did Chen Cang learn more stitching techniques?
its not right!
This ... I have never seen this suture method at all?
But, at this time, Tan Zhonglin's eyes narrowed suddenly, he suddenly found that Chen Cang's stitching was amazing!
At this moment, Lao Tan came to his spirit and looked carefully.
I lost a lot of back tendons. Chen Cang sutured several times, but Tan Zhonglin looked more and more confused, and more and more dumbfounded.
Although I don't know what this stitching method is, it is really amazing!
And the more you look at it, the more powerful it becomes.
I can't tell the feeling.
Because ... he found that this time was different from the last time Chen Cang stitched Xing Yu!
Cang Cang has become again.
And it became ... more powerful.
He was so bad he couldn't speak, even Tan Zhonglin felt that he couldn't comment anymore!
I could at least understand it last time, but ... this time I couldn't understand it at all.
Thought of this, Tan Zhonglin frowned and thought.
If you said that when Xing Yu was treated last time, Chen Cang's feeling of sutured tendon is that it is easy to come by! Any one of the basic tricks can make a heartbeat. One tendon can use two suture methods, and three tendons choose four suture methods. It feels like you know every suture method!
This time: almost nothing was used!
Any method that Tan Zhonglin can think of is useless, but I feel like I have used it again!
The key is that it is useless, and it is so well stitched!
This is the most important thing to think of here!
Tan Zhonglin suddenly thought of a martial arts realm in martial arts novels when he was a child:
No trick wins trick!
Thinking of it here ~ EbookFREE.me ~ Tan Zhonglin suddenly changed his face, some incredible.
To be precise, he saw Chen Cang's tendon suture four times!
For the first time, if it is said that it is sharp, who is competing with Yi Tianjian.
Then the second time is a dauntless edgy sword!
上次 And the last time Xing Yu was rescued, it seemed as if he had broken a branch and used it as a sword.
And this time, you do n’t need a sword anymore, to the point where everything in the world is a sword, no sword is better than a sword!
Thinking of this, Tan Zhonglin couldn't help telling himself: Lying on the grass ... merciless!
this is too scary!
Others have not seen each other for three days, so how can you meet them once?
提升 The improvement of the level is not like this, you are simply not in line with the laws of nature.
When thinking of this, Tan Zhonglin couldn't help asking carefully: "Xiao Chen, you ... this stitch ..."
She Anyan Jun pretended to be profound, and slowly spit out with a sacred face: "Director Tan, this is called chen law!"
Tan Zhonglin Yiyi: "chen law? What chen law?"
Yan Anjun took a deep breath and said solemnly, "This is a method of tendon suture developed by Xiao Chen himself, called the chen method!"
When I heard this, Tan Zhonglin suddenly hesitated.
Open your eyes wide and hold your breath: You ... are you all sectarian? ? ?