Chapter 481: : Is this ... so casual?

After assigning tasks, the entire team carried out related work quickly and orderly!
Replantation of amputated limbs is cumbersome, requiring equipment, staffing, and surgical procedures.
The head nurse Li Ying personally entered the battlefield and quickly arranged the operating room to prepare the surgical supplies.
The three sterile tables on the side of the operating table are ready, with separate right hand, debridement instruments, and surgical instruments.
The anesthesiologist is still Liu Jian. Actually, the old director should come to power, but the old director smiled and asked Liu Jian to do it.
Such an opportunity, the old director no longer cares, but it is an opportunity for Liu Jian.
You know, the anesthetist's status in the surgery is also very high. This is a human relationship. After the operation, the Kong family is inevitable to entertain everyone. This is a good opportunity for Liu Jian to meet people.
In this regard, Liu Jian is also grateful to the old director!
In this life, there are always several nobles. Qin Xiaoyuan's noble is Teacher Fang Yonglin, while Liu Jian's noble is the old director.
These noble people will give you some opportunities at a critical time to push you, but this is a big step for your life!
Because only the right hand is cut off, general anesthesia is not needed. Instead, epidural anesthesia with minimal effect on systemic circulation and breathing, but can be prolonged arbitrarily according to the needs of the surgery.
Liu Jian's basic skills are very solid. After explaining something, he was given anesthesia. It didn't take long for the operation to officially begin!
The first is still debridement. Thorough debridement is the basis for successful infection prevention and replantation.
And high-quality vascular anastomosis is the key to survival of severed limbs.
Repair of muscles, tendons, bones and nerves is the guarantee of functional recovery.
Therefore, every step needs to be taken seriously.
Debridement is more than just cleaning the wound, it is also an essential process for a more comprehensive understanding of the damaged tissue.
This was extremely important for Chen Cang's decision to replant surgery for a while.
So when Chen Cang asked for a wound, he was very serious and spent a lot of time to understand the details of blood vessels, nerves, tendons and bones!
Chen Cang washed the ends of the severed limb with sterile soapy water and a disinfecting brush over and over, and then rinsed with a large amount of isotonic saline.
The next most important process is to thoroughly debride those damaged tissues and foreign bodies!
What is debridement?
It's not just cleaning the wound!
It also includes cleaning the wound.
According to the condition of the tissue section, whether it is bleeding together, morphology, color, etc., to determine whether the tissue is alive and removed.
Chen Cang is very careful and serious.
Because this is the guarantee of the success of the operation, and also a key factor in the later recovery.
Everyone at the scene knew the difficulty, and naturally held their breath and watched carefully.
But anyway, debridement is one of his biggest advantages!
Because Chen Cang's eyes can clearly see the necrotic tissue, and then clean up little by little, or trim, or cut, or retain.
At this time, Huo Guoqing couldn't help saying, "Doctor Chen ... don't you need to mark?"
Chen Cang shuddered for a while, before he had time to speak, Tan Zhonglin shook his head at Huo Guoqing and signaled: Do not disturb Dr. Cang Chen.
Generally, before removing the inactivated tissue, the main nerves and blood vessels need to be ligated with black silk sutures, and then easily found later.
However, it is not necessary for Chen Cang to do so, because after the ligation, there will be continued damage. Chen Cang does not need to identify by ligation. He can clearly distinguish each nerve, blood vessel, tendon ...
For him, every minute is important.
These things, often followed by Chen Cang's Tan Zhonglin and An Yanjun understand!
This cannot be imitated by others. This requires a sufficient understanding of the organization and structure, and also the memory ability of the super brain!
The removal of tendons, the removal of skin, and the choice of nerves are the most important aspects of debridement.
Chen Cang has his own standards. As long as the system prompts that all the black be cut off, these mean that there is no cure.
However, in the eyes of others, Chen Cang has become a decisive, sharp, stable and accurate existence!
The choice of each nerve and tendon is in place.
Can not help but feel a bit emotional!
In a surgery, from the beginning of debridement, Chen Cang has already conquered all the directors present with his strength.
For a wrist with such a large wound, so high fineness, and a densely tendoned wrist, Chen Cang handled it as if it were a sophisticated instrument.
It took about an hour or so for Chen Cang to finish processing!
If you think about it, three hours have passed since the time broke.
Chen Cang couldn't help getting serious!
Every minute means further damage to the muscle tissue, which is related to the functional recovery of the palm in the later period and also to the quality of life of the patient.
This process is very tiring!
Chen Cang is a bit tired. After all, those subtle operations, one minute or one minute may have an impact, and a small number of cuts may cause adhesions. Such a complicated and delicate debridement, precise selection, decisive cutting and repair ... None of the directors present can guarantee it!
But how old is Doctor Chen?
After not knowing how long, when everyone felt tired looking, Chen Cang finally finished processing!
Chen Cang put down the scalpel and said to Tan Zhonglin: "Vascular bed clearing, I am going to fix the bones!"
Tan Zhonglin did not dare to carelessly, and An Yanjun quickly started to clean up the blood vessels.
Replantation surgery, whether it is replantation of broken fingers or replantation of limbs, the vascular bed needs to be cleaned up, otherwise, if anastomosis of the blood vessels is performed urgently, blood circulation disorders are likely to occur after the operation, causing further necrosis and even trigger Overall systemic symptoms, because one hand causes amputation or is fatal!
However, Tan Zhonglin and An Yanjun prepared well and paid great attention to these details!
Followed by Chen Cang, the surgery was full of details, and Chen Cang's grasp of the details was also in place, which made the two disciples feel.
After cleaning up, Chen Cang took the broken hand and compared them carefully!
Bone nails are an important step in replantation surgery, as well as a scaffold and support for tissue repair.
The requirements for bone internal fixation are: simple, fast, stable and time-saving!
This is the time to test the doctor's skills. How the surgeon can quickly and steadily dock the bone end. There are no hundreds of operations, which is impossible.
Because post-traumatic bones are defective, how to choose and how to connect them all become extremely important.
At this moment, all directors watched Chen Cang intently, waiting for Chen Cang to dock!
However, just as everyone found out, Chen Cang randomly picked up and docked his hands together, and said, "The screws are fixed through!"
Tan Zhonglin nodded, An Yanjun helped, Huo Guoqing was aggressive!
This Nima?
Is it so casual?
Officer Gao knew he would be crazy in the future!
The of the fracture does not say ten times or eight times of gestures ~ EbookFREE.me ~ But it also needs to be carefully compared. Where are you butting?
But at this moment, he looked down, and the picture in front of him made him never forget in his life!
What is the trick?
What a trick it is!
Everyone around them came together, one after another with incredible expressions.
...
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ps: These two chapters are quite tiring. I checked a lot of things and saw two surgeries. I was drunk too ...