Chapter 346: Push back

Chapter 346: Push Back
"Start!" Liu Yaowen said dullly. Because the hands are so contaminated, they need to be disinfected first. This kind of surgery can't be a problem from the beginning, especially this disinfection, because the skin is grafted, and once the infection is infected, the transplanted skin may rot and die. So disinfection is so important here.
For soapy water, Zhang Fan, wearing gloves and a brush, kept brushing on Wang Sanshou's hands. Blood water was accompanied by black motor oil. The soap bubbles were all flowery and colorful under the shadowless lamp.
"Iodine!" After the soapy water was cleaned, iodine was used to start disinfection, and the nail of of Wang Laosan's index finger was also peeled off. After disinfection, the tissue under the skin is very clear. Some white tendons have been broken, some have been cut in half, and the thin skin is directly bone.
"Bao Yin, cut the remaining nails a little shorter." Zhang Fan explained to Bao Yin.
"Okay." Sometimes the nurse's job is really bad. Tired of saying, the world cannot understand it yet.
In the past half month, Zhang Fan's operation volume, especially the general operation volume, has been increasing. But in the case of surgery, I had no idea when I was performing the operation.
After the operation, Zhang Fan was a little awkward looking at the progress of the system. How to say, I do n’t want to have more surgery. It ’s a bit like talking to others. I want more surgery, but I ca n’t bear it. It ’s really awkward.
But in the case of surgery, although Zhang Fan couldn't talk about joy, he was still very excited, as if all the cells in the body were excited. This operation is the same as fitness. Now even if Zhang Fan has no system, he will refuel this liver, because this thing can be addictive.
Skin grafting, especially hand grafting, is very demanding. First of all, choose abrasion-resistant skin, because there is too much hand movement, if the skin is thin, it will be worn out three or two times. But also to ensure the functionality of the finger.
"Dr. Lu, prepare to peel the knife. Baoyin, come and let us shop."
"Okay," the two girls answered at the same time. Zhang Fan and Baoyin laid out a list, and Lu Shuyan was preparing to peel the knife. Not to mention peeling this peeling knife, you can seep in your hand.
This thing seems to be born with an evil spirit. The simplest is to hold the blade between the two iron bars, and one end of the iron bar is a rocker. It is very sharp, close to the skin, and shakes it with your hands, the skin is thinned directly. You can do as much skin as you want.
"Begin." Zhang Fan and Lu Shuyan sat down face to face, fortunately with their hands. If the feet were so narrow, Zhang Fan and Lu Shuyan would have to kneel for surgery.
"Dr. Zhang, come and give you a piece of gauze." The visiting nurse spoke, and gently put a piece of gauze on Zhang Fan's forehead. The operating car is still a small place and the temperature adjustment is slow.
The skin of Wang Laosan's was damaged. The other fingers were intermittently damaged, and the of the index finger was scratched by the wheel.
"The can't hold it." Zhang Fan gently said to himself while pulling the muscles with tweezers to probe the damage.
"Isn't the bones intact?" Lu Shuyan asked, wondering. During this time, she was able to let Zhang Fan practice it, and her kung fu has grown a lot. The girl is now dead and does not know, but she has already respected Zhang Fan very much.
"The bone is intact and good, but you can look at this muscle. It is a combination of burns and crush injuries. Typical damage is the central tendon and the side bundles." Zhang Fan pointed continuously with forceps. The damage was explained to Lu Shuyan.
This finger, the most classic of human fingers is the muscles surrounding the finger. beautiful. If you go to see the fresh autopsy, the muscles in other places have nothing to look at. The pigs, horses, and sheep are almost the same.
Just this finger, only people have it, too classic. Opening layer by layer, after cutting the interosseous muscles and earthworm muscles, they are directly displayed in front of the same fighter plane or like a medieval two-handed sword.
Various tendon bundles surround the extensor tendons, which is too complicated to say. Simply speaking, a muscle that flexes or stretches the fingers has several muscles involved.
"Can't it be repaired?" Lu Shuyan really asked, after all, she was not engaged in microsurgery, and Lu Shuyan really didn't know much about it.
"This kind of injury is a doctor's nightmare. There is almost no complete organizational system. There is no way. Embed the stump! There is still hope in the index finger, and the function of the hand will be complete in the future. Start." Zhang Fan and Lu Shuyan both bowed their heads to work.
Bone repairing tendons and blood vessels is not a big deal. Lu Shuyan was painfully under the guidance of Zhang Fan, undergoing painful surgery.
The noodles that I had eaten were a little hard, and then the sour wind and the fixed sitting position for a long time, Lu Shuyan's stomach felt like aching pain. This girl really sweated cold and gritted her teeth in cooperation with Zhang Fan, without saying a word. .
"Bone bite forceps!" Zhang Fan looked up and said to Baoyin.
"Doctor Zhang, do you really want to embed the stump?" Baoyin had never been on the table with a traumatic hand, so he asked curiously. After asking, it seemed to be a little offensive, and quickly lowered his head to pack the equipment.
Although Zhang Fan didn't care, he explained: "It is not necessarily shorter to shorten the injured finger than to repair the skin flap. Especially in this case, combined with the age of the patient, stump embedding is the best choice. It strongly preserves the beauty of the finger and keeps it The length, the disabled fingers, may be a drag on the patient. "
"Oh! I'm just curious." Baoyin explained awkwardly. On the operating table, unless an undocumented doctor, the nurse will not question the doctor. These are the rules in the industry, not the rules.
After cleaning up the hand injuries, the entire hand looked pleasing to the eye. The meat filling had made Zhang Fan clear and clear, and it was time to fix it.
"Skinning!" Zhang Fan said with great energy. The Long March has finally passed by half. Lu Shuyan gritted her teeth, almost shaking when she stood up.
"What's wrong?" Zhang Fan looked at Lu Shuyan and asked, his mask and hat were wrapped tightly, and he couldn't see the expression on the other side.
"It's all right," said Lu Shuyan, the ninja, in pain. Now even if it hurts again, there is no way, Zhang Fan cannot do it alone. Other doctors and nurses can't help Zhang Fan even if they are on the stage, because they are not surgeons, so Lu Shuyan can only be beaten hard!
Lifting the surgical drape that left the hole, leaked Wang Sansan's free thighs, and the leg hair was pushed cleanly. Looking from this surgical drape, I did n’t know that I was lying lying on a beauty. .
Peeling, whether it is peeling with bare hands or with a peeler, should be close to the skin, compacted, and the blade spacing adjusted. This interval represents the thickness of the skin to be peeled. Then as the rollers turned a little bit, the skin peeled off gently like tofu skin.
If the peeled skin does not have subcutaneous tissue, it is exactly the same layer of skin as the table tennis racket was pulled out. After the surface of the table tennis racket is pulled out, there are little dots or yellow or red dots arranged on it.
The same is true for the skin. The inside of the skin thinned by the peeling knife is also lined with a little fat particles or hair follicles, which are almost the same. Of course, the doctors who are not good at technology have different skin thickness.
Zhang Fan arrived home with technology, a piece of skin with shadowless lights, almost boxy and almost the same thickness.
"Pretty!" Zhang Fan couldn't help but exaggerate himself. Cruel art.
"No shyness!" Zhang Fan said, and the operation car was alive. Everyone started talking. Baoyin chuckled and laughed.
"Our hospital peeled Zhang Fan is the first, ha ha!" Liu Yaowen added anesthesia, and said with a smile, the operation time is too long, the patient can wake up with no pain.
"Hehe! Warm saline gauze." Zhang Fan ended the chat. Then gently wiped the peeled soft tissue with saline gauze, the operation time was too tight, it was too late to deal with it carefully, and a larger amount of bleeding, Zhang Fan directly electrocoagulated with an electric knife. Then the needle pulled the skin up and stitched together.
In many operations, the skin of the patient is particularly rough and suspicious, and it is not meticulous at all. It feels like it is fooling people. In fact, this is to prevent necrosis. The fine needle thread is beautiful and can easily cause ischemia and necrosis. Fortunately, this wound is on the thigh, it doesn't matter. Old man does not wear ultra short!
The peeled skin is half the size of an A4 paper. Zhang Fan took it in his hand and placed it on the patient's hand. After a slight comparison, he said to Baoyin, "A sharp knife."
He also said to Lu Shuyan, "Fix." Lu Shuyan had not had a skin grafting operation, but she didn't understand it. She froze for a moment, and asked embarrassedly, "How to fix it?"
"The four corners are flattened and fixed with Alice pliers!" Zhang Fan was slightly impatient, but he thought the same when he thought about it a little bit. People are gynecologists, not orthopedics, not general!
Then added: "Be sure to stretch, otherwise there will be deviations in positioning."
Lu Shuyan's face was all red, although she shouted again in her heart: "My mother's stomach is choked, you are still murdering me, I'm gynecological, I'm gynecological!" But I just shouted in my heart, who let her A doctor, who made her a surgeon.
After fixing, Zhang Fan took the knife and began to embroider. Yes, it's embroidery. Because it was a laceration, there was no skin left on the surface of the fingers. To make the transplanted skin alive, you had to make gloves.
After choosing the position, Zhang Fan began to draw a few small holes on the peeled skin slowly with a knife. This hole should pass through the fingers, and it should not be too large or too small.
The subcutaneous tissue is too large to leak, too small to carry blood, so it is very elegant, and this skin graft is just this one. There can be no mistakes. If you make mistakes, you can only skin graft again! Is reskinning possible? impossible. So Zhang Fan was very careful.
The opening of the hole was completed and Zhang Fan breathed a sigh of relief. Although this is a small detail, this small detail is very critical and can be said to be related to the success or failure of the operation.
"Gloves are ready, let's try the size." Zhang Fan said to Lu Shuyan.
"The size should be okay, it's almost the same at first glance." Liu Yaowen could not help but interjected.
Baoyin was extremely boring during the whole process. Lao Liu spoke. She hurriedly asked, "If you can, you can see the size at a glance?"
"Oh, in fact, I have more research on the depth!" The old man said without shyness.
"Rogue." Baoyin didn't know if she was cursing with a shy smile. She too, knowing that she was an old man, she still loved to talk.
Zhang Fan grabbed both ends of the peeled skin. When unfolded, the skin is stretch-shrinkable, and it can shrink into dandelion without unfolding force.
Lu Shuyan grasped Wang Sanshou's two fingers, standing upright, gently, and lowering them little by little. With a little friction, Zhang Fan put the skin on.
"OK! The size is right." Zhang Fan said easily after looking at the gap.
"Look, I'm sure!" Lao Liu grinned. Baoyin ignored him.
Put on the fingers, Zhang Fan covered the skin on the back of the hand and the fingers, and then cut the skin into strips at the fingers, and then wrapped the strip in a spiral around the of Wang Sansan.
"Suture." Zhang Fan gave an order, and several people moved. The anesthesiologist was ready to wake up. The nurse put on a needle. Lu Shuyan took scissors to cut the thread and tied it.
The operation time for a hand operation is almost longer than the operation time for a femoral fracture, because the muscle division of the hand is too detailed, and a little careless, the finger function of the patient will be affected after the operation.
Suture, pressure bandaging, and surgery is complete. "Be sure to pay attention to the infection after the operation. It is not possible here, and it must be taken to the county hospital." Zhang Fan said while bandaging.
Finally, Zhang Fan began to tie the gauze, and Lu Shuyan fell down, "Flop!" The girl fell to the operating table at once.
"I'm going!" Zhang Fan was startled. Immediately put Wang Sansan's hand on his chest and said to Baoyin, "Catch!"
After Baoyin immediately grasped Wang Sanshou's hand, Zhang Fan rushed over and pulled off Lu Shuyan's mask. At a glance, the girl's teeth were bitten tightly, and her face looked like pain.
"What's wrong?" Then he shoved his hands into Lu Shuyan's clothes.
Zhang Fan did not touch the cheap, but touched the girl's carotid artery. Lu Shuyan's painful face, Zhang Fan thought that she had a heart attack.
"It's okay! I'm okay, I just have a stomachache. I've been a little uncomfortable and dizzy for a long time." Lu Shuyan opened her eyes and said weakly.
"Are you sure. Let me do a physical examination for you." Zhang Fan said.
"Eh! No need, I'm really okay." When Lu Fanyan was looking for a checkup, Lu Shuyan's blushing complexion fluttered a hint of redness. Examination, abdominal examination is to lift the belly, she was shy.
"Oh, it's scary, so hurry up and lie down for a while. If you don't wake up, Zhang Fan may have given you artificial respiration." Old Liu was not scared, although he said it easily, but his face was scared. Did not disappear yet.
"Come, hurry, come and help, I carry her down." Zhang Fan ignored his Lai Pizi's words and said to old Liu.
Wang Laosan was pushed down, Lu Shuyan was carried back, and the five-hour operation was over!
More than ten thousand words, originally wanted to publish five chapters,
But feel incoherent,
Becomes four chapters,
But it was sent out before 0 o'clock.
Lao Zang liver
You are free!
(End of this chapter)