Chapter 482: : In ancient times ... a boy! Boy, how fast!

Chen Cang's sharp, fast and stable method resets everyone's eyes in a flash!
Everyone has done broken finger replantation, and also had hand fracture reduction surgery. I know the special features of hand joints and bones.
However, it is because of knowing that this is even more surprising. How did Chen Cang do it!
Everyone will never consider it a coincidence!
At their age, instead of believing in coincidence, it is better to believe in the real point of strength.
Chen Cang's seemingly random docking just now is actually subtle.
Huo Guoqing was startled first, and then carefully observed.
He naturally does not think that Chen Cang is a mess, after all, he does not say that this is the son of a senior official, that is, an ordinary patient, and Chen Cang will not come here!
This must be the key to having internals.
Thinking of this, Huo Guoqing realized that Chen Cang's two hands were constantly fine-tuning, seemingly unintentional, but hidden secrets. In fact, this is also the most critical point.
Chen Cang's eyes stared at the end of the bone, constantly adjusting through feeling, and then using both hands to slightly force the fingers, constantly fine operation.
Then, after Chen Cang felt better, he quickly asked Tan Zhonglin to prepare a nail!
Huo Guoqing always felt that Chen Cang's technique was a bit familiar. This kind of movement of the fingers changed the direction of the bones, and he tried both sides ...
Huo Guoqing frowned!
He promised that he must have seen this technique, but he couldn't remember where he was.
Soon, Tan Zhonglin's screws were penetrated, and the stainless steel needles were also cross-fixed!
At this time, Chen Cang looked at the clock on the wall: another 40 minutes passed!
At this point, 3 hours and 40 minutes had passed since the hand was broken.
This means that muscle tissue cells have begun to be damaged due to ischemia and hypoxia. If vascular anastomosis cannot be performed in time, it is bound to cause some irreversible damage.
Of course, there are some cases in which the results are said to be successful for more than 20 hours, and the effect of amputation is quite good.
However, this is different from hype and advertising.
Individual cases cannot represent big data.
Medically, you really can't take those individual examples.
To put it plainly: Don't be lucky!
In front of life, no one really can hang out at will.
Chen Cang breathed a sigh of relief, but fortunately, this did not waste much time and will not affect the subsequent vascular anastomosis.
Every step of Chen Cang is to save time and ensure the effect of surgery!
Just when Chen Cang picked up the "eight times mirror", there was a sudden sound in the crowd.
"Doctor Chen ... you don't seem to be shortening!"
The news suddenly made the surrounding directors secretly say it was bad.
This is not good news!
Huo Guoqing suddenly realized that Chen Cang didn't seem to have shortened the bone!
What is bone shortening?
Because at the beginning of debridement, when cleaning the soft tissue of the broken end, the necrotic soft tissue will be cleaned up, such as trimming, resection, etc ...
These include neurovascular tissues.
In this way, after debridement, the length of soft tissues such as blood vessels, nerves and tendons will inevitably be affected, and because the bones are longer, after the docking, these tissues of the nerve blood vessels will be difficult to suture and repair because of insufficient length.
Therefore, in this way, it is necessary to perform a resection before the end of the bone is docked, so that the length of the blood vessels, nerves, and tendons can be just right for suture to achieve a better anastomosis effect!
However, Chen Cang clearly did not perform bone shortening! ?
At this moment, everyone couldn't help worrying about Chen Cang.
But ... On this occasion, it seemed that it was inappropriate to point out in public ... After all, the patients were still awake!
Even the director who said it felt a little sorry, but ... this is the basic professionalism of a doctor. When needed, he pointed out the problem and he didn't think he had done something wrong.
Chen Cang didn't say anything. "Second disciple" Tan Zhonglin said with a smile: "Doctor Chen likes to include bone end wear during debridement, and shortens the bone in advance from the beginning."
After speaking, Tan Zhonglin pointed at the wound and said, "Look, the length of the blood vessel anastomosis is just right now!"
The crowd suddenly looked closer and looked closer.
Because it's just right!
At this moment, everyone couldn't help looking at each other, their eyes were full of wonder.
When debridement of soft tissue, the bone surface is cleaned at the same time to complete the bone shortening?
This ... seems like a good idea, is it possible to try it in the future!
The blood vessels in the arm are much thicker than those in the wrist and fingers, and can be sutured even without a surgical microscope.
However, no matter how good the vision is, it is impossible to judge the degree of tissue damage, especially the vascular endometrium, with the surgical microscope, so as to achieve the purpose of fine anastomosis of blood vessels.
At this time, Tan Zhonglin and An Yanjun immediately laid down the work in their hands and seriously looked at Chen Cang's blood vessel suture.
To be honest, to the present position, neither of them has studied thoroughly Chen Cang's blood vessel sutures. They seem ordinary, but they are always hidden.
Tan Zhonglin and An Yanjun watched Chen Cang once a week for surgery. Especially recently, they found that Chen Cang's perception of vascular suture was getting deeper and deeper, and there seemed to be an unexplainable truth.
Huo Guoqing looked at Chen Cang's suture. Well, the most commonly used intermittent penetrating suture method. This suture method has less damage to the blood vessel wall and is not easy to cause stenosis, but it takes more time because the operation requirements are higher!
However, Chen Cang's next stitching refreshed Huo Guoqing's knowledge of this traditional stitching method!
This ... is it really a discontinuous suture?
Are you sure it's not continuous stitching?
Doctor Chen! Are you ... so fast?
The director of the original office was also dumbfounded and had some shortness of breath. Doctor Chen ... So fast!
Will it cause side effects so quickly?
Will it affect blood flow?
Everyone started to talk and talk curiously.
...
Chen Cang's heart was completely sidelined. First, a vein and an artery were sutured, then the vein was sutured, and finally the artery was sutured.
This detail made these directors slightly nod, a very good idea. First, an artery can really help some ischemic tissues.
It didn't take long for Chen Cang to finish sewing!
At this time, in order to see the stitching effect, everyone looked closer.
I saw that after the anastomosis, the arteries and veins filled up well, the skin gradually began to restore color, and the time to fill the capillaries ... was no more than two seconds!
All the signs indicate that Chen Cang's blood vessel suture was very successful!
Everyone looked up, looking at this young man, with some emotion, really amazing!
From the beginning to the present, the time is less than 2 hours. Basically, the hands have been saved. The blood vessels are well anastomosed. It can basically be said that the operation was successful.
So far, it can basically be guaranteed that this hand, keep it!
Moreover, the time spent from beginning to end also exceeded their knowledge of broken hand sutures.
Doctors ask themselves ~ EbookFREE.me ~ Are you so fast?
Everyone shook his head with emotion!
Since ancient times ... you are young!
...
...
ps: A reader asked today, can epidural anesthesia be used for hand surgery? I can give you a little science to give you a general understanding of anesthesia.
In theory, epidural blocks can be used for any surgery other than the head.
However, from a safety point of view, epidural block is mainly used for abdominal and below surgery, including urology, obstetrics and lower limb surgery.
For hand surgery, if there are no systemic symptoms, general anesthesia is not necessary, because general anesthesia has some effects on the respiratory tract. Using high epidural anesthesia can better control the anesthesia time. Some knowledge of anesthesia.